healthcare policy case study
DESCRIPTION
_________ _____ ____. Affordable Health Care Act. Healthcare Policy Case Study. Claudette D. Johnson Grand Canyon University NUR-508 May 30, 2012. Objectives. Meet Senator Carole Pankau (R)23rd District Minority Caucus Whip. Background. (Carol Pankau, 2008-2012 ). Policy Maker Skills. - PowerPoint PPT PresentationTRANSCRIPT
Healthcare Policy Case Study
Claudette D. JohnsonGrand Canyon University
NUR-508May 30, 2012
_________ _____ ____Affordable Health Care
Act
Objectives
Present the background of a policymaker and explain advocacy for a cause
An outline of governmental efforts to address healthcare issues from a local level
Review of efforts- past, present and future health reform direction
Explain struggles and barrier in policy making
Meet Senator Carole Pankau (R)23rd District Minority Caucus
Whip
BackgroundService
Experience
Du Page County Board
member
Republican Committeem
an
Republican Committeem
an
Community
ExperienceChambers of Commerce
Illinois Federation of Republican
Women
Republican women’s
Club
National Order of Women
Legislators
Senate Experien
ce
Public Health Minority
Spokesperson
Appropriations III
Environment & Energy
Labor & Revenue
(Carol Pankau, 2008-2012)
Policy Maker SkillsAbility to listen & truly understandKeep open mind, hear without judgmentDeal with ambiguity & complex issuesBelieve that sharing challenges and asking for input
is more important than personally providing solutions
Be clear on goals, directing without orderingBe a servant, helper, & teacher first, leader secondThink before reactingChoose words not to damage those being ledAbility to use foresight & intuitionSeeing things whole and sensing relationships and
connections (Marquis & Huston, 2008)
Impact in Politics
Illinois State Senator
Illinois State Representati
ve
Senate Committee of the
Whole; Public Health (Minority Spokesperson);
Appropriations III; Environment
and Energy; Labor; Revenue
(Carol Pankau, 2008-2012)
Medicaid
Eligibility & Benefits
Cost Sharing & Waivers
Long-Term Services & Supports
Outreach & Enrollment
Quality of Care
Health Policy Story
Reforming state’s Medicaid system
Establishment of various benchmarks for quality, care and finances as required by providers to meet reimbursement requirement
Requiring applicants to meet residency standards.
Create a newer system of income for Medicaid eligibility
Medicaid
Expand Coverage
Hold Insurance Companie
s Accounta
ble
Lower Healthcar
e cost
Guarantee more
choices
Enhance the
quality of care for
all American
s
The Affordable Care Act
(United States Department of Health & Human Services, 2012)
Recent Efforts
• Encourage Integrating Health systems
• January 2012
Improving quality &
lowering costs
• Help identify & reduce disparities
• March 2012
Understanding & Fighting
Health Disparities
• Defining eligibility & enrollment policies
• March 2012
Framework for Affordable care Act
(United States Department of Health & Human Services, 2012)
2013 Future Efforts
Increasing Medicaid
payments for primary care
doctors
Expanded Authority to
Bundle Payments
Additional Funding for
(CHIP)
(United States Department of Health & Human Services, 2012)
2014 Future EffortsNo
Discrimination Due to Pre-
Existing Conditions or
GenderEliminating
Annual Limits on Insurance
Coverage
Increasing Small Business
Health Insurance Tax
Credit
Ensuring Coverage for Individuals
Participating in Clinical Trials
Paying Physicians
Based on Value Not Volume
Increasing Small Business
Health Insurance Tax
Credit
Ensuring Free Choice
Promoting Individual
Responsibility
Increasing Access to Medicaid
(United States Department of Health & Human Services, 2012)
2015 Future efforts
Paying Physicians Based on Value Not Volume
(United States Department of Health & Human Services, 2012)
Theories
The Interest-Group
Theory of Government
Overcoming behavior for public good-
trade-offs
impact of regulation
and government
on the allocation of
resources
to make trade-offs among a variety of interests
social costs of rent
seeking - lobbying
Challenges/Obstacles in Policymaking
Trying to align different
ideas with the goal of the
policy
Culture and change colliding
Conflict between
morals, ideals and
( Carole Pankau, May 1, 2012)
Policy MakingIs a negotiating process
http://www.cartoonstock.com/directory/m/mentor.asp
We seek not to lead but to serve first and find that in serving, our greatest
influence is leading.
Benjamin Lichtenwalner
Conclusion
References
Abood, S. (2007, January). Influencing healthcare in the legislative arena. OJIN: The Online Journal of Issues in Nursing.
12(1). doi: 10.3912/OJIN.Vol12No01Man12. Retrieved from
http://www.nursingworld.org/ManMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/Tableof
contents/Volume122007/No1IJAN07/tpc32_216091.aspx
Carol Pankau (2008-2012). Carol Pankau, State Senator 23rd District. Terrain Tribune Inc. Retrieved from
http://www.pankau.senategop.org/
Centers for Medicare & Medicaid Services. (2012). Keeping America Healthy. Medicaid.gov. Retrieved from
http://www.medicaid.gov/AffordableCareAct/Provisions/Eligibility.htm
Hakala, D. (2008, March 19). The top 10 leadership qualities. HR World. Retrieved from
http://www.hrworld.com/features/top-10-leadership- qualities-031908/
Illinois General Assembly. (2012). Carole Pankau. Retrieved from http://www.ilga.gov/senate/Senator.asp?MemberID=1299
Jooste, K. (2004). Leadership: a new perspective. Journal of Nursing Management, 12(3), 217-223. Retrieved from
http://angel02.gcu.edu/section/default.asp?id=704017
References
Lichtenwalner, B. (2010, November). The modern servant leader: Servant leadership manifesto. Leadership and
Technology. Retrieved from http://modernservantleader.com/servant-leadership/servant-leadership-manifesto/
Marquis, B. L. & Huston, C. J. (2009). Leadership roles and management functions in nursing: Theory and application (6th
ed.). Philadelphia, PA: Lippincott, Williams, & Wilkins.
Tollison, R. D. (1991). Regulation and Interest Groups. The Locke Institute Journal. Retrieved from
http://www.thelockeinstitute.org/journals/luminary_v1_n1_p4.html
United States Department of Health & Human Services. (2012, May). Take health care into your own hands. Retrieved from
http://www.healthcare.gov/law/timeline/index.html