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Assessment 2: Needs Analysis for Change

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Student Name

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Capella University

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NHS-FPX 6008 Economics and Decision-Making in Health Care
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Professor Name

MAR 24, 2024

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Needs Analysis for Transformation
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In this assessment, the necessity analysis for transformation will underscore the
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expansive and emerging healthcare economic challenge of restricted access to care for
Tampa General Hospital, Florida. Enhanced access to care can ameliorate community
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health and bolster the economy. Particularly, disadvantaged populations facing financial
constraints or grappling with geographical obstacles often confront health disparities
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and reduced access to healthcare services and treatment. Hence, addressing this
fundamental healthcare concern and scrutinizing ways to enhance access to care for
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the general populace and especially vulnerable groups is imperative. This analysis will
forecast outcomes and avenues for advancement once the proposed alterations are
evaluated and executed.
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Synopsis of Healthcare Economic Challenge

The selected healthcare economic challenge is restricted access to healthcare. The

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provision of healthcare services and sufficient access to them can potentially mitigate
diseases promptly and forestall their long-term impacts on patients. However, at Tampa
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General Hospital, access to care poses a significant challenge. Numerous nations

encounter this healthcare challenge globally, where hundreds of millions lack access to
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care due to poverty and the inability to afford healthcare expenses (World Health
Organization, n.d.). This challenge has profoundly affected my work, organizational
functionality, colleagues, and community.

Bearing witness to this issue within my healthcare organization profoundly impacted me.
I found it difficult to function properly while observing impoverished individuals lacking
basic healthcare necessities due to costly treatments and medical bills. Furthermore,
diverse population groups facing restricted access to healthcare due to geographical
barriers were succumbing to mismanaged chronic diseases. The existence of health
disparities and geographical barriers in accessing care left me disheartened and
perplexed, which in turn affected my nursing practice. Although I made a few errors,
they were fortunately rectified promptly. My colleagues shared similar sentiments, and

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their minds were troubled by the limited access to healthcare services.

NHS FPX 6008 Assessment 2 Needs Analysis for Transformation

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Moreover, my organization grappled with the repercussions of this healthcare economic
challenge, including increased costs due to elevated hospital readmission rates and a

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deteriorating reputation. The community bore the brunt, particularly those with low
socioeconomic status and residing in remote areas. This issue subjected them to

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various health problems, including poorly managed chronic conditions, delayed
diagnoses, further escalating treatment costs, and prolonged hospital stays.
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The rationale for addressing this issue stems from my firsthand experience of
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witnessing people suffer due to restricted access to care. Furthermore, adequate

access to care is the entitlement of every citizen irrespective of their location and
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socioeconomic status. Therefore, I staunchly advocate for the necessity of analyzing

change in this particular issue impacting millions of lives and their health. The gaps
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contributing to the necessity for addressing this healthcare economic challenge are
geographic disparities and socioeconomic barriers. These gaps must be adequately
addressed to overhaul the system and enhance access to care for all citizens.
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Socioeconomic or Diversity Disparities

The healthcare economic challenge of inadequate access to care particularly affects

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low-income populations, who grapple with financial constraints and are unable to afford
basic healthcare necessities. Lower-income populations are susceptible to various
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health inequalities as they struggle to manage healthcare costs and remain

underserved. Consequently, they experience restricted access to basic healthcare
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services and deteriorating health outcomes due to unmanaged health conditions
(Mishra et al., 2021).

Furthermore, individuals from remote areas and underserved communities constitute

vulnerable groups encountering diversity disparities. Geographical barriers often
dissuade individuals from seeking medical care, leading to delayed health checkups.
Limited access to care for individuals residing in remote areas significantly hampers
regular health checkups (Nguyen et al., 2020). Additionally, health disparities persist
among individuals with disabilities due to a lack of accommodations and specialized
services, creating physical barriers to accessing care (Doherty et al., 2020). Addressing
these health disparities, particularly for these groups, necessitates systemic changes to
enhance access to healthcare services and improve their health outcomes.

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Evidence-Based Sources for the Necessity to Address Issue and Implementation
Plans

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Restricted access to healthcare services has been a global issue, with the WHO stating
that half of the global population lacks access to primary care services (World Health

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Organization, n.d.). Consequently, several evidence-based research studies tackle this
primary health concern, aiming to provide adequate healthcare services to all

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populations, including vulnerable groups. According to McMaughan et al. (2020),
restricted access to care among lower-income individuals can increase morbidity rates,
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perpetuating poverty and further reducing access to care. Another study underscores
the need for improved healthcare access for rural populations, as they encounter
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significant challenges in obtaining essential healthcare services.

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Specifically, rural populations, characterized by lower affluence, higher illness

prevalence, and older demographics, experience poorer health outcomes (Wilson et al.,
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2020). Similarly, a study highlights the pressing need for health equity and enhanced
access to care for socially and culturally marginalized young people. Multiple
discriminations and access barriers such as cost, service locations, gender and racial
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disparities, and confidentiality concerns severely impact low-income and homeless

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young people in rural areas, resulting in poor health outcomes affecting their early life
(Robards et al., 2019). One of the studies by Jeste et al. (2020) advocates increasing
access to healthcare and educational services for disabled individuals through
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videoconference sessions and telehealth services to adequately meet their medical,

educational, and health needs.
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Literature also advocates for procuring rural-based solutions to provide care to rural
populations closer to home and narrow health disparities (Wilson et al., 2020). This can
be achieved by integrating telehealth services and social media to improve health
literacy and engage professionals. Through telehealth, vulnerable population groups
can access healthcare consultations, treatments, and education more easily,
overcoming geographical and financial barriers to travelling to healthcare facilities.
Enhanced access to healthcare through digital healthcare technology will result in better
health outcomes and economic stability. Another potential change to improve healthcare
access for lower socioeconomic individuals is to enhance health insurance coverage
and expand Medicaid access, leading to better health outcomes (McMaughan et al.,
2020). Thus, it is imperative to address the issue using effective implementation plans.

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Predicted Outcomes and Opportunities for Growth

Effective strategic plans to enhance healthcare access for vulnerable populations can

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yield significant positive outcomes and growth opportunities, strengthening both
organizational and community economies. Moreover, they have the potential to improve

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community health. The predicted results and opportunities resulting from implementing
the proposed changes are as follows:

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Improved Health Outcomes and Growth Opportunities
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By implementing plans such as enhanced healthcare insurance coverage and telehealth
utilization, organizations focus on delivering healthcare services to all population
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groups, promoting health equity and social justice. This will improve health outcomes,
particularly for populations with low socioeconomic status, disabilities, and remote
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population groups. Timely diagnoses and interventions will reduce the incidence of
chronic diseases, leading to reduced mortality and comorbidity rates.
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Consequently, the healthcare cost burden will be reduced for patients and organizations
(McMaughan et al., 2020). Organizations advocating for enhanced access to care for all
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citizens can forge strategic partnerships with other stakeholders such as healthcare
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providers, insurance companies, and other community organizations. These

partnerships will lead to collaborative initiatives driving growth and expanding
organizational influence. Care planning and resource management will yield economic
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benefits (Gharaee et al., 2019).

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Reduced Healthcare Costs and Increased Revenue

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With better healthcare access through proposed implementation plans, healthcare
providers can facilitate earlier diagnosis and interventions, reducing healthcare costs
due to costly interventions on worsening health outcomes (Eckelman et al., 2020).
Moreover, implementing telehealth for remote areas can save costs associated with
extensive commutes and improve the economy. Furthermore, increased access to care
for all population

groups will result in high patient volume, ultimately increasing revenue for healthcare
organizations. Expanded appointments, consultations, procedures, and interventions
translate to greater financial stability and growth opportunities (Yip et al., 2019).

Conclusion

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Restricted access to care is a significant healthcare economic challenge globally. This
prevalent issue at Tampa General Hospital has impacted my work, organizational

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functions, colleagues’ work, and the community. This challenge primarily affects
low-income populations, rural areas, and population groups with disabilities, leading to
worsened health outcomes and further economic constraints. Evidence-based studies

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also underscore the importance of addressing this issue and promoting implementation
plans that enhance access to healthcare services for lower-income populations,

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disabled individuals, and rural dwellers. Predicted growth outcomes resulting from
proposed changes or implementation plans include improved health outcomes,
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decreased healthcare costs, increased revenue, and expanded growth due to strategic
partnerships for increasing healthcare access.
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References
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Doherty, A. J., Atherton, H., Boland, P., Hastings, R. P., Hives, L., Hood, K.,
James-Jenkinson, L., Leavey, R., Randell, L., Reed, J., Taggart, L., Wilson, N., &
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Chauhan, U. (2020). Barriers and facilitators to primary health care for people with
intellectual disabilities and/or autism: An integrative review. BJGP Open, 4(3).
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https://doi.org/10.3399/bjgpopen20X101030
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Eckelman, M. J., Huang, K., Lagasse, R., Senay, E., Dubrow, R., & Sherman, J. D.
(2020). Health care pollution and public health damage in the United States: An update.
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Health Affairs, 39(12), 2071–2079. https://doi.org/10.1377/hlthaff.2020.01247

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Gharaee, H., Tabrizi, J. S., Azami-Aghdash, S., Farahbakhsh, M., Karamouz, M., &
Nosratnejad, S. (2019). Analysis of public-private partnership in providing primary health
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Call Us Now (612) 234-7670
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care policy: An experience from Iran. Journal of Primary Care & Community Health, 10,
215013271988150. https://doi.org/10.1177/2150132719881507

Jeste, S., Hyde, C., Distefano, C., Halladay, A., Ray, S., Porath, M., Wilson, R. B., &
Thurm, A. (2020). Changes in access to educational and healthcare services for
individuals with intellectual and developmental disabilities during COVID‐19 restrictions.
Journal of Intellectual Disability Research, 64(11), 825–833.
https://doi.org/10.1111/jir.12776

McMaughan, D. J., Oloruntoba, O., & Smith, M. L. (2020). Socioeconomic status and
access to healthcare: Interrelated drivers for healthy aging. Frontiers in Public Health,
8(231). https://doi.org/10.3389/fpubh.2020.00231

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Mishra, V., Seyedzenouzi, G., Almohtadi, A., Chowdhury, T., Khashkhusha, A., Axiaq,
A., Wong, W. Y. E., & Harky, A. (2021). Health inequalities during COVID-19 and their

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effects on morbidity and mortality. Journal of Healthcare Leadership, 13(13), 19–26.
https://doi.org/10.2147/jhl.s270175

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Nguyen, N. H., Subhan, F. B., Williams, K., & Chan, C. B. (2020). Barriers and
mitigating strategies to healthcare access in indigenous communities of Canada: A

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narrative review. Healthcare, 8(2), 112. https://doi.org/10.3390/healthcare8020112
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Robards, F., Kang, M., Steinbeck, K., Hawke, C., Jan, S., Sanci, L., Liew, Y. Y., Kong,
M., & Usherwood, T. (2019). Health care equity and access for marginalised young
people: A longitudinal qualitative study exploring health system navigation in Australia.
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International Journal for Equity in Health, 18(1).

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https://doi.org/10.1186/s12939-019-0941-2

Wilson, C. R., Rourke, J., Oandasan, I. F., & Bosco, C. (2020). Progress made on
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access to rural health care in Canada. Canadian Family Physician, 66(1), 31–36.
https://www.cfp.ca/content/66/1/31.short
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World Health Organization. (n.d.). World bank and WHO: Half the world lacks access to
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essential health services, 100 million still pushed into extreme poverty because of
health expenses.
https://www.who.int/news/item/13-12-2017-world-bank-and-who-half-the-world-lacks-ac
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cess-to-essential-health-services-100-million-still-pushed-into-extreme-poverty-because
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-of-health-expenses
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Yip, W., Fu, H., Chen, A. T., Zhai, T., Jian, W., Xu, R., Pan, J., Hu, M., Zhou, Z., Chen,
Q., Mao, W., Sun, Q., & Chen, W. (2019). 10 years of health-care reform in China:
Progress and gaps in universal health coverage. The Lancet, 394(10204), 1192–1204.
https://doi.org/10.1016/S0140-6736(19)32136-1

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