Complete a systematic evaluation of a unit, facility, or organization with which you are familiar, in an attempt to identify the need to address the economic health care issue.

Complete a systematic evaluation of a unit, facility, or organization with which you are familiar, in an attempt to identify the need to address the economic health care issue.4-5PAGES

TOPIC- RISING COST IN HEALTH CARE LEADING DIFFICULTY TO RECRUIT AND RETAIN QUALIFIED MEDICAL STAFF

Introduction

Note: Each assessment in this course builds upon the work you have completed in previous assessments. Therefore, you must complete the assessments in the order in which they are presented.

As a master’s-level health care practitioner, you may sometimes be tasked with the need to complete a systematic evaluation as a way of improving your organization’s outcomes. In this assessment, you will have a chance to practice these skills by completing a systematic evaluation of a unit, facility, or organization that you are familiar with in an attempt to identify the need to address the economic health care issue that you presented in the previous assessment. This systematic evaluation is often referred to as a needs analysis. Understanding how to do a needs analysis will be key as you advance through your career in the health care environment.

Background and Context

Instructions

Be sure to address each main point. Review the assessment instructions and scoring guide, including performance-level descriptions for each criterion, to ensure you understand the work you will be asked to complete and how it will be assessed. In addition, note the requirements for document format and length and for supporting evidence.

Overall, you will be assessed on the following criteria:

Summarize your chosen economic issue and its impact on your work, organization, colleagues, and community.
Reiterate your rationale for pursuing this issue, as well as the gap contributing to it that you identified in your previous assessment.
Identify any socioeconomic or diversity disparities that exist with how your chosen economic issue impacts any particular groups or populations.
Use at least one piece of evidence to support this disparity (public health data, aggregated data from an organization, or other scholarly resources).
Explain the findings of evidence-based or scholarly sources regarding the need to address your chosen issue and pursue potential change or implementation plans.
For example, if your implementation plan includes the need for increased staffing, you might want to research errors or patient falls that occurred as a result of high patient and low staff ratio in the literature.
Use at least four evidence-based or scholarly sources that are relevant to your chosen topic to support your explanation.
Explain the predicted outcomes and opportunities for growth as the result of the proposed change or implementation plan.
Outcomes and opportunities for growth should focus on economic considerations.
Convey purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly writing standards.

Additional Requirements

Length of Submission: 3–5 double-spaced pages.
Number of References: Cite at least four sources of evidence to support your identification of the gap. This could be public health data, a peer-reviewed journal article, or another scholarly source.
APA formatting: Titles, headings, resources, and citations are formatted according to the current APA style.

Note: As you revise your writing, check out the resources listed on the Writing Center’s

Writing Support

page.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

Competency 1: Analyze the effects of financial and economic factors (such as cost-benefit, supply and demand, return on investment, and risks) in a health care system on patient care, services offered, and organizational structures and operation.
Summarize the chosen economic issue and its impact on your work, organization, colleagues, and community.
Competency 2: Develop ethical and culturally equitable solutions to economic problems within a health care organization in an effort to improve the quality of care and services offered.
Identify any socioeconomic or diversity disparities that exist with how your chosen economic issue impacts any particular groups or populations.
Competency 3: Justify the qualitative and quantitative information used to guide economic decision making to stakeholders and colleagues.
Explain the findings of evidence-based or scholarly sources regarding the need to address your chosen issue and pursue potential change or implementation plans.
Competency 4: Develop ethical and culturally equitable economic strategies to address dynamic environmental forces and ensure the future security of an organization’s resources and its ability to provide quality care.
Explain the predicted outcomes and opportunities for growth as the result of the proposed change or implementation plan.
Competency 5: Produce clear, coherent, and professional written work, in accordance with Capella writing standards.
Convey purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly writing standards.

Proposal of New Economic Initiative

Capella University

NHS-FPX6008 – Economics and Decision Making in Health Care

05-27-2021

Proposal for New Economic Initiative

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Access to healthcare services is vital to improving the health and well-being of the

population. As healthcare delivery continues to develop and shift towards a value-based system,

it is essential to understand the factors that constitute the accessibility of healthcare services,

predominantly in remote areas. According to the Health Resources and Services Administration

(HRSA), rural communities face significant challenges and healthcare disparities; disease

burden, high risk to obesity, higher mortality rates, lower life expectancy, and lack of

community-based health care services (2019). Mobile Health Clinics (MHCs) are a new

healthcare delivery system that could provide preventive services and non-urgent medical care to

vulnerable minorities in remote areas.

Kern County in Central California is known for its agricultural land, where thousands of

immigrants work in substandard living conditions. Most farmworkers fall below the poverty line,

and most do not have health insurance; therefore, they often seek healthcare when they have a

severe health concern. KMC is the only community hospital in the area and provides healthcare

services to insured and uninsured patients. The new proposal is to set up a mobile health clinic

under the KMC system to provide primary healthcare services to the farmworkers in Kern

county. Mobile health clinics play an essential role in providing community-based healthcare to

the underserved population in rural areas (Carey et al., 2018). MHCs are innovative healthcare

delivery system reaching to the socially and financially disadvantaged population in their

communities to provide patient-centered healthcare services. The current COVID-19 pandemic

has further restricted access to healthcare services in socially and economically underserved

populations, and hence MHCs play an integral part in providing accessible and sustainable

healthcare services.

Benefits of Starting Mobile Health Clinics

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The MHCs are proven to effectively reduce healthcare disparities by delivering

essential quality healthcare services to vulnerable populations in remote areas where accessibility

is limited (Attipoe-Dorcoo et al., 2020). The most prominent benefit of MHC is increasing

healthcare access to the vulnerable population. According to the literature, the barriers to access

healthcare services are geographic, cultural barriers, insurance status, financial costs, legal status,

lack of public health services, language barriers, and psychological barriers (Yu et al., 2017).

MHCs are clinics on the wheels and reach out to the patients in rural areas where there is limited

public transportation, and most of the members of the farm community do not own cars. MHCs

have emerged valued aspects of care as they provide non-emergent healthcare services such as

health screening and preventive services to the uninsured farmworkers; most of them are

immigrants with little to no medical insurance. In addition, they act as urgent care clinics, can

triage the patients, refer them to the next level of care, and provide the resources to manage

chronic health conditions of the patients (Bouchelle et al., 2017).

MHCs are convenient for patients as it eliminates the need to drive to the clinics, saving

them time and cost. The operating hours of MHC have another benefit as it operates on evening

hours and weekends so that patients do not have to take time off from work. Utilizing bilingual

staff, mainly Spanish speaking, is beneficial as most of the farmworkers are Hispanic

immigrants. Furthermore, eliminating the linguistic barriers creates a trusting relationship and

facilitates culturally appropriate services (Carey et al., 2018).

MHCs provide a wide range of preventive services at convenient locations in underserved

communities. The accessibility and convenience attract the people with medical insurance;

MHCs can generate income through insurance reimbursements and copays. Covid-19 pandemic

created another healthcare crisis and preventing people from seeking medical help in the under-

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resourced communities. MHCs are invaluable during this unprecedented time due to the

increased access to timely and cost-effective healthcare services (Attipoe-Dorcoo et al., 2020).

Challenges of Setting up Mobile Health Clinic

MHCs have numerous benefits; however, there are some barriers to setting up mobile

clinics. Since MHCs are a novel concept, population education is vital to raise awareness and

utilize the services provided by MHCs. Fragmentation of care is another challenge faced by

MHCs as the continuity of care may not be possible due to lack of follow-up. (Yu et al., 2017).

Analysis of Supply and Demand for Mobile Health Clinic

According to the United States Census Bureau, the population of Kern county is

estimated at over 900,000; over 19% of the population is below the poverty line, and 18% do not

have health insurance (2019). 54.6% are Hispanics or Latinos and considered socially and

economically disadvantaged ethnic minority groups. The increased healthcare demand due to

geographic accessibility and cost is significant for the supply and demand analysis. Hence

establishing an accessible healthcare delivery system to address the medical and social

determinants of health is the highest priority to enhance community health and reduce healthcare

costs (Carey et al., 2018). Considering all these factors, it is evident that MHCs are in significant

demand to provide cost-effective primary healthcare, health screening, and preventive services.

KMC is the only community hospital in the area, and therefore providing timely

healthcare services can be challenging. The supply of healthcare services needs to be improved

based on the healthcare needs of the community. The supply and demand can be analyzed using

the patient access area model (PAAM), which estimates the balance between the supply and

demand of healthcare services (Doi et al., 2017).

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The unprecedented Covid-19 pandemic has significantly increased the demand for mobile

healthcare clinics as the community hospitals are severely overcrowded with seriously ill

patients. Patients would postpone their health checkups due to the limited access to services,

limited resources, and fear of being infected with Covid-19. The flexibility and adaptability of

MHCs make it ideal during the pandemic to provide non-urgent medical services (Attipoe-

Dorcoo, et al., 2020).

Economic and Environmental Factors Affecting the Mobile Clinic Initiative

Mobile health clinics initiative is affected by both economic and environmental factors.

The economic factor for setting up MHC is obtaining the fund required to purchase the bus, the

equipment, the salary for the staff, and all the other miscellaneous supplies. According to the

mobile healthcare association, setting up MHC can cost around $500,000 and about $250,000

each year after (2017). The accountable care organizations (ACOs) are agencies designated to

improve population health using cost-effective healthcare services and are financially responsible

for improving population health. Government funds, state grants, corporate sponsorships, and

donations from community leaders are great financial sources to cover the startup cost. The

community hospital will be able to utilize the reserve fund for the rest of the expenses. MHCs are

proven to be cost-effective by avoiding emergency room visits, reducing hospital admissions,

providing patient-centered care, improving patients’ ability to self-manage chronic conditions,

and improving the patients’ quality of life (Yu et al., 2017).

The environmental factors include the geographic location and demographics of the

patient population where the MHCs are providing services. Staff diversity is another factor for

the successful role out of MHCs. The healthcare providers who communicate understandably

creates a culture of inclusivity and trusting relationship with the patient population, and it is

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imperative to provide culturally linguistic and appropriate services to the ethnic minorities

(Bouchelle, et al., 2017). Other environmental factors are the coordination of the services

provided and proper referrals to the next level of care.

Identification of Missing Information/Areas of Uncertainty

There are some areas of uncertainty that have been identified in setting up the MHC. The

MHCs are cost-effective; however, the operational costs of the mobile health clinics may change

during the upcoming years based on the supply and demand, and therefore it needs to be

investigated. Continued research is required to validate the efficiency of MHC, both from a

financial standpoint and the quality of healthcare services delivered.

Conclusion

Mobile health clinics are an innovative healthcare delivery system that could eliminate

healthcare disparities among the underreserved communities by providing accessible, timely, and

cost-effective healthcare screening, preventive services, and education. MHCs are beneficial in

overcoming many healthcare barriers and offer several cost-effective and economically viable

services by early detection, avoiding emergency room visits, and hospital admissions.

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References

Attipoe-Dorcoo, S., Delgado, R., Gupta, A., Bennet, J., Oriol, N. E., & Jain, S. H.

(2020). Mobile health clinic model in the COVID-19 pandemic: lessons

learned and opportunities for policy changes and innovation.

International Journal for Equity in Health, 73-86.

doi:https://doi.org/10.1186/s12939-020-01175-7

Bouchelle, Z., Rawlins, Y., Hill, C., Bennet, J., Perez, L. X., & Oriol, N. (2017).

Preventative health, diversity, and inclusion:a qualitative study of

client experience aboard a mobile health clinic in

Boston,Massachusetts. International journal for equity in health,, 16(1),

1-10. doi:10.1186/s12939-017-0688-6

Carey, T. A., Sirett, D., Wakerman, J., Russell, D., & Humphreys, J. S. (2018).

What principles should guide visiting primary health care services in

rural and remote communities? Lessons from a systematic review.

Australian Journal of Rural Health, 26(3), 146-156.

doi:10.1111/ajr.12425

Doi, S., Ide, H., Takeuchi, K., Fujita, S., & Takabayashi, K. (2017). Estimation

and evaluation of future demand and supply of healthcare services

based on a patient access area model. International Journal of

Environmental Research and Public Health; Basel, 14(11).

doi:10.3390/ijerph14111367

Mobile Healthcare Association. (2017, February). Going out to the

community. Mobile clinics bring health care to families of migrant

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farmworkers. Retrieved from www.mobilehca.org:

https://www.mobilehca.org/featured.html#:~:text=Funding%3A

%20Running%20a%20mobile%20health%20clinic%20isn%27t

%20cheap.,than%20%24250%2C000%20each%20year%20after

%20%28mostly%20staffing%20costs%29.

United States Census Bureau . (2019). QuickFacts Kern County, California;

California. Retrieved from www.census.gov:

https://www.census.gov/quickfacts/fact/table/kerncountycalifornia,CA/P

ST045219

Yu, S. W., Hill, C., Ricks, M. L., Bennet, J., & Orio, N. E. (2017). The scope and

impact of mobile health clinics in the United States: a literature review.

International Journal for Equity in Health, 16(178). doi:

10.1186/s12939-017-0671-2

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