Health Care Reform Paper

Stakeholder Conflicts in Healthcare Visions

Kendra Smith

Grand Canyon University: HCA 675

Introduction

The stakeholders in the healthcare service in any jurisdiction entail the government, the healthcare providers or the physicians, the payers, the patients as well as healthcare professional organizations. These stakeholders work hand in hand to ensure efficiency and professionalism in healthcare delivery (Blair et al, 1988). They do this by developing succinct policies and effectively implement them for the sole purpose of improving healthcare services. However, there have been serious conflicts in opinion regarding enhancing healthcare service practices and proper administrative mechanisms for the achievement of better services, among the stakeholders.

Conflicts in Health Vision

One of the major health reform visions which have generated considerable debate concerns the accommodation of evidence-driven healthcare service practice, which the government of the United States has instructed all healthcare service providers or organizations to adopt. The major emphasis on this aspect of medicine is the requirement by the government that all healthcare service providers or organizations should document which healthcare services they provide and why they provide such healthcare services to the communit y.

The argument behind this requirement is that it will enable the government, or it will be generally helpful in gauging the benefits the community gains from such healthcare services. In addition, establishing evidence-driven healthcare practice according to healthcare practitioners will help in identifying specific health problems within a community, and subsequently, design the most appropriate medical response. Some healthcare stakeholders also believe that this is an avenue that the government intends to use in creating and forging a closer working relationship between private and public healthcare providers. However much most stakeholders, both private and public, appreciate this evidence-based healthcare practice, as a vital component in improving healthcare services, the major concern is about how such data should be obtained. Some healthcare providers have reasoned that these data should be generated from the already existing data, due to the costs associated with activities that may lead to acquiring and establishing sound data or information domain. In response to this requirement, most of the healthcare organizations have established community-based information or data collection and management mechanisms, which enable them to collect data concerning community health concerns and threats, then define effective ways of response.

With the introduction and implementation of a series of healthcare reforms in the United States, such as the Obamacare and Trumpcare, there is general expectation that there will be enhanced access to healthcare services due to the expansion of the Medicaid and other healthcare insurance covers to support most of the healthcare needs of the American citizens (Berwick et al, 2008). However, this vision has generated serious conflicts among stakeholders.

Firstly, there has been a concern on how the increase in the number of patients who will be seeking healthcare service, due to the expansion of healthcare access should be handled by stakeholders (Skinner et al, 2007 ). This issue has led stakeholders into questioning whether the good.hospital facilities do have the capacity, both in terms of sufficient human resource availability and structural space, to effectively provide the healthcare services and a accommodate their clients (Skinner et al, 2007). This healthcare administrative concern is also linked to how the healthcare services will be coordinated under such congested systems as well as how payments for health care services rendered shall be remitted to the hospitals. In view of this concerns, certain healthcare facilities or organizations have rolled-out home-based nursing or healthcare programs or plans, as a mechanism of reducing congestion in the facilities, even though this may not be 100% effective due to considerable communication, transport, and other logistical issues.

Secondly, the health reforms of universal healthcare access have also introduced management or administrative concerns within the healthcare facilities or organizations (Beaussier et al, 2014). The government of the United States expects healthcare organizations to provide quality services at a cheaper cost. The center of ideological conflict among stakeholders with regard to this aspect of quality-cheap healthcare services has always been how the related health administrative costs shall be shouldered. For instance, the private healthcare organizations-which by very nature do not receive financial support from the government, have raised concerns how the government expects them to roll-out an effective, quality and cheap healthcare services to patients without financial support (Beaussier et al, 2014 ). Some of these organizations have been compelled, by prevailing financial circumstances, to lay out some of their staff and suspend other costly health programs in order to reduce operation expenses as they endeavor to meet the requirement of cheap-quality healthcare service policy as provided in the reform agenda, by the government of the United States. Some private healthcare organizations have alternatively closed down, due insufficient funds to fully and effectively roll-out and sustain the requirements of the policy.

Thirdly, another source of conflict among healthcare stakeholders with regard to the healthcare insurance or Medicaid reforms has been about the fiscal outlook of the United States of America. The question has been whether the government will be in a position to effectively and sufficiently support and sustain the program (Skinner et al, 2007). With the broadening of the Medicaid coverage eligibility, and the undertaking by the federal government, as a stakeholder, to finance the entire additional costs, other stakeholders have consistently opined that State governments may not be in a position to effectively and sufficiently support or finance their Medicaid responsibilities, due to the fact that the healthcare services budget has been consistently bulging to an extent that it can no longer be effectively sustained, due to economic recessions which often hit some of the states.

Fourthly, concerning healthcare accessibility as permeated in the reforms, another eminent and legitimate concern is about the fate of those who shall not be covered under the new healthcare insurance reforms due to financial constraints, generally referred to as the uninsured (Berwick et al, 2008). The state and other stakeholders are gambling to address this concern, in the face of serious glaring concerns. Some stakeholders have argued that the uninsured persons, under the new healthcare reforms, may have their health care needs cared for by "already existing healthcare systems". However, stakeholders argue that this concern has not been adequately and sufficiently addressed by the government, and some healthcare organizations have reported cases of either not offering healthcare services to the uninsured patients or alternatively offering partial healthcare service to such patients .

Conclusion

In responding and solving the eminent conflicts regarding health policies and reforms, the stakeholders in the healthcare sector should have concrete health care reform implementation processes, which creates and enhances the understanding of each and every stakeholder. This will be important so as not to hamper the provision of healthcare services to the citizens.

References

Blair, J. D., & Whitehead, C. J. (1988). Too Many On The Seesaw: Stakeholder Diagnosis And Managemen. Journal of Healthcare Management, 33(2), 153.

Berwick, D. M., Nolan, T. W., & Whittington, J. (2008). The triple aim: care, health, and cost. Health Affairs, 27(3), 759-769.

Beaussier, A. L., & Raillard, S. L. (2014). American Health Care Policy in a Time of Party Polarization. Revue française de science politique, 64(3), 383-405.

Skinner, J., Fisher, E. S., & Wennberg, J. E. (2007). The Efficiency of Medicare. Analyses in the Economics of Aging, 129.

Edwards, R. (2010). Access. (Cover story). H&HN: Hospitals & Health Networks, 84(8), 16-19.

Birk, S. (2010). The evidence-based road: available data can drive successful community benefit programs. Healthcare Executive, 25(4), 28-36.

Hello Kendra, good attempt to do this assignment but you did not clearly answer all parts of the question which is write a paper to “compares and contrasts the competing visions of health care administration among stakeholders, identifies the areas where they conflict, and discusses how those conflicts could be seen in the delivery system.”

There are three parts to this question:

1. Compare and contrasts the competing visions of health care administration among stakeholders

2. Identify the areas where they conflict

3. Discuss how those conflicts could be seen in the delivery system.

In your paper you mainly discussed conflicts I in the healthcare system. Also, most of the first part of your paper was not supported by any in text citation.

Please see my comments inserted in your paper. have attached a copy of GCU’s guidelines under the Resourses Tab –ADD ONNS in the classroom.

Please note the answers to this assignment are in the study notes which you did not reference.

Continue to work hard.

Radha

�Kendra, please not according to GCU guidelines located under the Resources Tab in the classroom, under ADD ONNs I attached GCU guidelines on the APA format.

It states “<Note: Even though APA does not require the �date on a title page, it is a requirement for GCU papers.>�

�Good thesis statement but needs improvement.

According to the grading rubric a thesis statement should be comprehensive and convey the gist of the paper.

�It is important to support the contents of your paper with credible references. It gives credit to the author, allows you to claim ownership of your work and avoid plagiarism.

�You paper is informative but who says so? Are they you thoughts or are they of an author?

�Excellent! you have a credible reference to support a very important point.

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�Good example.

�Good discussion.

�Relevant information.

�Overall, good conclusion