Patient Advocacy Analysis Essay


A affected person advocate could also be current for healthcare appointments and alert the healthcare supplier about affected person compliance points. She or he might individually help the healthcare supplier and help employees with potential points and communication challenges. The affected person advocate can be liable for sustaining communication with the affected person and healthcare supplier to make sure that sufferers perceive the procedures. By lowering worry and rising affected person compliance, this can lead to increased profitable therapies. Usually, a affected person advocacy contract that features a launch of medical info should be positioned with every healthcare facility (Advert Hoc Committee on Advocacy, 1969).

Some establishments might require an influence of legal professional for healthcare for a affected person advocate to alternate confidential info. The affected person advocate might present medical literature and analysis companies to the affected person, household, or healthcare supplier. The affected person advocate may additionally help with household communication on points arising from diseases and accidents . This will embody additional referral for care and help for each sufferers and households.

The affected person advocate has a accountability for consciousness of compliance, appropriateness, and coordination of look after the affected person, akin to oversight for probably conflicting therapy modalities and drugs. The affected person advocate can make sure that questions concerning the appropriateness of therapy are promptly mentioned with the affected person’s care supplier, and that every one therapies and considerations are promptly entered into the affected person’s healthcare document. The affected person advocate can be liable for reviewing the affected person’s healthcare document for correctness and for explaining it to the affected person. One other accountability of the affected person advocate is to create and keep an digital log for the affected person that's out there on disk to healthcare suppliers i This log could also be of nice profit in subsequent pressing conditions. The affected person advocate also can help in resolving disputes between sufferers and their healthcare supplier, in addition to participating in communications on behalf of the affected person in case of employment points by approaching the employer to realize a mutually useful answer for the employer and the person worker.

The place relevant compliance requirements aren't met, the affected person advocate might conduct liaison with company oversight, authorities businesses, or authorized professionals to additional negotiate such points on behalf of the affected person and household. It's the obligation of a affected person advocate to take care of affected person privateness in line with native and nationwide legal guidelines, treating all affected person and household info as privileged and guarded. This contains guaranteeing that healthcare suppliers’ communications are handled as extremely confidential and privileged, whether or not or not these communications are particular to the affected person, and that permissions to reveal info are negotiated rigorously. Additionally it is the obligation of the affected person advocate to observe any referrals for medical, monetary, authorized, administrative or different personnel to guarantee that the affected person is all the time stored secure and effectively knowledgeable, by no means deserted or misled through the course of (Carlton, 1984)

SWOT Evaluation

When creating a SWOT evaluation for the Affected person Advocate Group, three major functions emerged: 1. Encourage continued belief and confidence within the nursing career amongst sufferers, their households, and the American folks; 2. Leverage nurses, the one largest well being care workforce, along with sufferers, companions of their care, in accelerating efficiency enchancment; and three. Stimulate reform via shared views, information, and values amongst nurses and sufferers, their households, and client stakeholders. A SWOT evaluation focuses on inner strengths and weaknesses and exterior alternatives and threats. On this occasion, these ideas have been utilized to a proposed alliance that serves these three proposed functions. Usually, SWOT analyses are offered in tabular codecs and entries are listed in one in every of 4 quadrants within the desk (i.e., strengths, weaknesses, alternatives, threats). The SWOT evaluation is offered in Desk

1. Strengths

Goal 1. Encourage continued belief and confidence.

a. Present nurse workforce is the biggest section of the healthcare workforce b. Dwelling as much as nursing’s promise to signify the affected person voice c. Increasing client acknowledged success (e.g., variety of hospitals, evidence-based hyperlink to high quality/security). d. Increasing and maturing evidence-based that establishes nursing-quality-value linkages. e. Working client advocacy teams is a well known talent for a number of of the foremost teams with which we may accomplice f. Convener organizations have a confirmed observe document in working collectively (e.g., areas of training, competency growth, management)

Goal 2. Speed up efficiency enchancment

a. Increasing and maturing evidence-based that establishes nursing-quality-value linkages b. Partnering to develop and speed up present and future measurement units (examples observe): b.1. Expertise with, and development of, measure growth and information assortment (i.e. NDNQI, AWHONN EDGETM Database, and so on) b. 2. Present nationwide, regional, and state nursing efficiency measures databases (e.g., NDNQI, CalNOC, Maine and Massachusetts) b.three Present nationwide high quality measurement and reporting infrastructure (e.g., Examine web sites) Goal

three. Stimulate reform

a. Present nurse leaders with sturdy organizational abilities and credible backgrounds b. Threats by current nursing and nurse college shortages are well known by coverage makers and well being care stakeholders. c. Sufferers and nurses, every individually,
make sturdy advocates; collectively, their mixed effectiveness will seemingly be transformative d. Reviewing the proof means that nurses make efficient coverage advocates


Goal 1. Encourage continued belief and confidence.

a. Present, quite a few skilled nursing organizations and specialty teams end in fragmentation and diffusion of the experience and assets amongst nursing as a complete. Could also be complicated/distracting to client teams who be a part of an alliance b. Creating a brand new “fancy” alliance might not change nursing’s picture from that of a career that “takes orders.” We might stay unable to achieve entry to excessive ranges of coverage making and coverage makers c. Funding supply for sustained help is unknown

d. Participation can be voluntary (e.g., What incentive
would organizations have to offer technical time and help for NPQA?) Goal 2. Speed up efficiency enchancment a. Illustration of VANOD, CalNOC, MilNOD is missing within the convener group gathering beneath the planning grant b. Missing enough nursing-sensitive final result measures and ensuing information to deal with all sufferers in all settings throughout an episode of care limits how comprehensively nursing care high quality will be portrayed and would possibly restrict partnerships with sure client teams c. Creating customary language could also be essential previous to creating further customary measures (e.g., beginning date or date of beginning) d. Including/altering billing codes (e.g., G-codes, E-codes) to doc nursing care isn't within the realm of affect for nurses or customers however collectively we might have extra success.

Goal three. Stimulate reform

a. Nursing isn't usually a ‘goal’ of federal insurance policies due to employee-employer relationship (fairly than direct contractors with payers for companies) b. Present client and nursing organizations method coverage makers with a number of requests: lack of unity c. Nursing inclusion inside current alliances could also be considered as duplicative


Goal 1. Encourage continued belief and confidence

a. Construct upon nursing social capital with customers as probably the most trusted amongst well being care professions b. Establish (empirically, anecdotally) and improve the value-added of nursing with client participation and help c. Enhance client understanding concerning the high quality of nursing care d. Enhance nursing’s information of customers’ expertise nursing Goal 2. Speed up efficiency enchancment

a. Proceed quid professional quo to varied alliances (i.e. HQA, KCA, QASC) offering entry into these coverage discussions b. Dedicates vital, shared assets to bettering high quality, security and worth c. NPQA may function a impartial reporting entity to realize economies of scale and scope by transferring efficiency measurement reporting from numerous nursing organizations to a central supply. d. NPQA units agenda for measure adoption and assortment

Goal three. Stimulate reform

a. Disseminate practice-based questions/points to coverage makers and thought leaders to information funding of analysis or research b. Acknowledge proof that implies that nurses, APRNs and client teams have alternatives to strengthen their coverage voice c. Imaginative and prescient for proactive, towards pondering coverage agenda that may push (e.g. What so we wish determination makers learn about nursing efficiency?), pull(e.g. What do determination makers already learn about nursing efficiency ?) and/or Associate (e.g. What do determination makers need/must learn about nursing efficiency ?)


Goal 1. Encourage continued belief and confidence

a. Client companions might overwhelm nursing. Nursing could also be subordinate to client management. b. Potential to be barraged or criticized by particular
affected person advocacy teams and specialty nursing teams who aren't included in membership c. Partnership provides complexity to operational features of an alliance akin to management, governance, membership dues, and so on

Goal 2. Speed up efficiency enchancment

a. Present nationwide observe specialty organizations (AORN, AANA, ONS, AWOHNN, AACN, ACNM) have restricted assets and must resolve the place to take a position (e.g., decisions will should be made that would end in weakening NPQA) b. Information might painting low high quality nursing efficiency with subsequent unintended penalties for nursing c. Established boards of each massive nursing organizations and client organizations might refuse to help or might change help as management and assets fluctuate d. Alliances with whom nursing has a quid professional quo relationships haven't universally welcomed nursing participation and have rationed our involvement (e.g., don’t acknowledge totally different nursing teams) e. Client group(s) might not acknowledge a must measure nurse efficiency in the identical method through which nurses do. Battle might outcome (e.g. customers might imagine, “Did the nurse perform the order?”)

Goal three. Stimulate reform

a. Absence and inattention to nursing points/strengths in well being care reform proposals b. Presence of a powerful medical foyer and doctor advocacy teams linked with customers c. Established alliance panorama and inconsistent/ ‘unwelcoming’ nature amongst current alliances to nursing d. Lack of know-how by policymakers of the need to interact nursing to comprehend dramatic and sustainable enhancements in high quality and security

Buyer evaluation

Earlier than implementing this course of in South Florida, it's essential to conduct the market analysis to examine whether or not this course of has market relevance to this space. In different phrases, you will need to discover out whether or not clients need to use affected person advocacy after which analyze whether it is out there for implementing it on this space through the drives of worth. Mainly, there are three interdependent drivers of worth, together with inhabitants well being, affected person expertise and whole value per capital, to advertise the event of affected person advocacy. The info revealed by U.S. census authorities reveals that the inhabitants in Florida is experiencing an enormous change throughout lately yr, irrespective of the change is attribute by age or race. First, as illustrated in Determine 2, we will see that from 1960 to 2040, the precise and projected census inhabitants will quickly develop from round 50,000 to over 25,000,000 in Florida. There are two foremost elements inflicting this phenomenon. On the one hand, there are the child boomers. This accounts for the pure inhabitants improve. Whereas births exceeded deaths throughout every of the 20 years, lower than half one million individuals have been added to Florida’s inhabitants every decade because of the pure improve.

On common, 118 extra Floridians have been born than died every day through the decade of the nineties (Census Report, 2000). However, people’ life expectancy is quickly prolonged. As populations of recent societies have begun to age, the older age cohorts have change into disproportionately represented. Determine three present that the age group over 65 and up holds the biggest share throughout 2010 to 2030. For instance, within the space of Southeast Florida, its inhabitants of 6.2 million, is bigger than 34 of the 50 states in 2008. About one in each three (31.2%) South Florida resident was born within the state of Florida. Meantime, in South Florida, the aged are projected to achieve virtually a million (20.7% of the entire) in 2030, up from 14.four% in 2010 (Ogburn, 2010). In comparison with the Treasure Coast, the change is turning into extra clearly as it's proven in Determine four. The info described above figures out that although the inhabitants development slowed down in current days, South Florida continues to develop at a velocity that's quicker than the nation as a complete, with increased charges within the northern area.

Apparently, the change inhabitants attribute gives an enormous marketplace for the affected person advocacy. A demographic pattern usually ignored in discussions of healthcare is the altering construction of American households and households. There was a decline within the proportion of the inhabitants that's married and a proportionate improve within the measurement of the one, divorced, and widowed inhabitants. The typical family measurement has declined, and there was a big improve within the proportion of the inhabitants that lives alone. Subsequently, an increasing number of households are concerned within the well being trade to some extent. Which means that Floridians’ expectations for buying healthcare information and studying about illnesses is rising. This can assist them know the best way to make choices once they face the healthcare downside and know whether or not the plan beneficial by physicians and nurses can be found to them. Secondly, as illustrated in Determine 5, it may be proven that the race/ethnic composition of Southeast Florida was made up of 37% Hispanic or Latino.

In 2000, the non-Hispanic White inhabitants represented 47% of the regional whole, down from 57% in 1990. In different phrases, the non-Hispanic White inhabitants of Southeast Florida ceased to be the bulk someday within the 1990s, due principally to the expansion of the Hispanic inhabitants in Miami-Dade Nation (Ogburn, 2010). Therefore, it is extremely necessary to take the Spanish language under consideration when affected person advocacy is established. Thirty-three % of the South Florida inhabitants is over age 65, so for these aged who have no idea the best way to converse English, affected person advocacy may assist them perceive what the medical employees inform them about their illnesses or the best way to take these drugs. It additionally helps to cut back the potential abuse error when affected person advocacy staffs train these sufferers through their very own language.

Thirdly, as acute sickness has declined because the pervasive sort of dysfunction, continual situations have emerged because the dominant sort of well being downside in developed international locations. Power situations typically don't contribute on to mortality, however are sometimes cited as underlying causes of dying. They're extra prone to intrude with the standard of life, since they usually end in some type of incapacity. Power illnesses all the time end in extra value and extra time for restoration. Some perhaps even can't be handled. Thus, sufferers discover themselves confused concerning the benefits and drawbacks of the therapy. Affected person advocacy members take heed to confused sufferers and assist them collaborate with physicians and insurance coverage corporations. Affected person advocacy will provide medical help, insurance coverage help, house well being help, elder and geriatric help and authorized help. These sorts of help will assist sufferers with continual diseases to grasp their healthcare situations intimately.

The 4 Ps

The 4 advertising Ps (product, value, place and promotion) are necessary in creating your entire advertising course of for each firm or group. In different phrases, the guts of a advertising technique is the event of a response to the marketplace. For each enterprise, all they should do first is to establish the shoppers’ wants, after which decide the worth clients are keen to pay. Then, they should establish what place is most handy for purchasers to buy the product or entry the service and, lastly, they should promote the product to clients to allow them to know it's out there (Berkowitz, 2011). Therefore, when conducting the 4 Ps evaluation, there are some questions we have to work out. These questions are proven on Determine 6.1 (“4Ps Advertising and marketing,” n.d.):


The necessary factor to recollect when providing the service of affected person advocacy to clients is that they've a selection. For instance, for well being care suppliers, they will depend on the customer support middle in their very own group to take care of sufferers’ complains; for sufferers, they could flip to their docs or buddies who've these therapy expertise for assist once they want. Subsequently, affected person advocacy organizations ought to appreciable emphasis on creating a listing of assist service which clients actually need. For instance, in South Florida, as we additionally talked about earlier on this paper, a big proportion of individuals converse Spanish as their first language, so Spanish talking can change into a promoting level and add into the service checklist on this space; particularly in a scenario of creating commutation between a Hispanic or Latino affected person and an English-speaking doctor. What's extra, for these current companies, the group also needs to take note of the product life cycle as effectively.

For instance, with the implementation of Obama Care, the American healthcare system has change into a posh system, and it has change into more and more troublesome for sufferers to grasp and adapt, so sufferers’ fears and frustrations have continued to develop since they might get confused by the brand new insurance policies and change into anxious about the best way to get their reimbursements after the therapy. In different phrases, clients’ necessities change over time. What's necessary and helpful at this time could also be discarded tomorrow. Subsequently, advertising ought to repeatedly monitor the exterior surroundings and different elements to switch the companies with a view to meet the shopper’s want.


Value focuses on what clients are keen to pay for a service (Berkowitz, 2011). And the shopper’s notion of worth is a crucial determinant of the worth charged. Clients draw their very own psychological image of what a service is price. So the pricing determination is a significant side of selling technique. Within the healthcare trade, the problem of value is much less prone to be a priority since pricing was primarily based on predetermined reimbursement formulation. Nevertheless, with a view to maintain and develop and group, whether or not public, non-profit group, non-public, or for-profit, affected person advocacy organizations nonetheless want to concentrate on how they set up the worth.

1. The Kinds of Providers and Complexity of Service.

As clients’ wants are different, there are maybe dozens of companies well being advocates can present, starting from explaining therapy choices to reviewing hospital payments, from uncovering scientific trials applicable to buyer’s want, to getting their insurance coverage firm to pay a declare they suppose must be lined. Every service ought to value in another way in line with the time it takes to perform it.

2. The Background and Experience of the Worker

Simply as can be true in any service enterprise, the extra credentials an advocate has achieved, the extra it'll value. Additional, some advocates have developed particular niches to their work that turns into a profit to clients, who could also be price the next wage. So clearly, the next value must be made for these staff with a view to maintain the group.

three. Geographic Location.

Simply as there are variations in value for nearly something we purchase primarily based on the place we stay, the identical is true for well being advocacy companies. As proven in Determine A7 (“Miami Family,” 2011), in Florida, take Miami for example, households with revenue beneath 15,000 reached 25% in 2010, which was twice as many family of your entire United States. Contemplating the low-income charge on this space, the worth shouldn't be too excessive when offering companies. Nevertheless, the hazard of utilizing low value as a advertising device is that the shopper might really feel that high quality is being compromised. It can be crucial when deciding on value to be absolutely conscious of the model and its integrity. An extra consequence of value discount is that opponents match costs leading to no further demand. This implies the revenue margin has been lowered with out rising gross sales.


All companies should resolve what number of different organizations are wanted to distribute their services or products, so does the affected person advocacy group (Berkowitz, 2011). In truth, the aim of getting any middleman organizations concerned is to offer service to clients in a extra accessible approach. Subsequently, not solely huge normal hospital, but additionally small major care clinic must be thought of when offering companies. In addition to, “place’ within the advertising combine, is not only concerning the bodily location or distribution factors for companies. Particularly within the healthcare trade, it encompasses the administration of a variety of processes concerned in bringing affected person advocacy to the top client.


Promotion is extra than simply promoting (O’Malley, 2001). The promotions side of the advertising combine covers all sorts of advertising communications akin to promoting, private promoting, publicity, and gross sales promotion. Nevertheless, promoting is a crucial a part of promotion. Usually, promoting is performed on TV, radio, cinema, on-line, poster websites and through the printed press (e.g., newspapers, magazines). Totally different promoting channels can be utilized to maximise the effectiveness of promoting. For instance, TV promoting makes folks conscious of a assist service and press promoting gives extra element. This can be supported by in clinic or hospital suggestion to get folks to attempt the service. It's crucial that the messages communicated help one another and don't confuse clients. An intensive understanding of what the model represents is the important thing to a constant message. The aim of most advertising communications is to maneuver the audience to some sort of motion.

This will embody buying the service, visiting or calling the group, and recommending the selection to a buddy or buying one other service that she or he may additionally want. The important thing aims of promoting are to make folks conscious of the service provided by the group, which they can't get from anyplace else, and to really feel optimistic about it and keep in mind it. Subsequently, when selling, messages ought to acquire the shoppers’ consideration and hold their curiosity. The following stage is to get them to need what is obtainable. Displaying the advantages that they are going to receive by taking motion is normally enough. The best messages should be focused on the proper viewers, utilizing the fitting media. Take South Florida for example, 33% of the inhabitants on this space is over age 65, so you will need to discover an promoting channel to reaches this group of individuals. On this case, Web promoting might not be such a good suggestion whereas newspaper and tv might convey extra clients to the group as an alternative.


After analyzing the market in South Florida, we will simply attain the conclusion that there are nice must have affected person advocacy in South Florida. In truth, affected person advocacy is an rising observe, and it deserves extra recognition when creating healthcare enterprise. Whether or not you might be in non-public observe, function a hospital affected person advocate or are creating an advocacy program in a managed care firm, having a transparent advertising plan of affected person advocacy in your online business area is a key issue to efficiently develop your observe sooner or later.

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