STEP ONE: March 27th, 2008; Problem Assessment.
The problems shall be broken down into the following: (1) what is to be changed, what will be the best outcome if such thing is changed; separation and prioritization of these problems shall come last on the assessment.STEP TWO: Set Goals and Objective; at the end of the advocacy work, one thing would have been achieved; Reasonable number of medical beds be provided to solve the problems of non availability of medical bed. Hence, this step examines what this advocacy work tends to achieve at the end of the work. Here, what solve the problem would be put into cognizance, the best outcome and the compromises to make; to reach a better resolution would be put into serious consideration.
What one would never want to give up at the course of this advocacy workSTEP THREE: Recognition of biases involved in this advocacy work shall form the third part of the advocacy plan. My perception about the other side that might impede my efforts shall be seriously considered. Emotional assessment as regards the problem shall also form part of this category of my plan.STEP FOUR: OBJECTIVITY; at the course of the work, I should be able to adhere strictly to the policy of objectivity.
By so doing, I should under this step examine what the other conflicting side wants. Putting myself into their shoes becomes imperative here. Examination of the obstacles that the other side faces too must fall under this step.STEP FIVE: TROUBLEM SHOOT EARLY: there, the potential obstacles to getting the resolution I envisioned shall be examine.
Possible means to acquire resources needed for goal actualization shall be explored.STEP SIX: DETERMINE ALLIES: Here supports are sought for. Here, we shall weigh the situation and response to know who is on our side and who is not on our side.STEP SEVEN: BALANCING INFORMATION AGAINST ADVOCACY STYLE AND TALENTS; Based on the information gathered, a resolution has to be reached here.
This resolution reached shall be properly documented for onward assessment and evaluation.DETAILS OF THE ADVOCACY PLAN FOR INCREASING FUND FOR MEDICAID BEDPROBLEM ASSESSMENT PLAN (A) 27/3/2008.It is noticed of recent that the government is shipping away from its usual responsibility of providing fund for Medicaid bed. This problem has become a major problem to most nursing home resident as many of them strive for the available beds.
This has to be changed for a better condition for Medicaid patients.In relation to the above, this advocacy plan has a set goal and objective which must be achieved at the end. The set goals and objective is to debunk all government or state excuses on why it stopped providing enough Medicaid bed for the Medicaid patient, so that at the end of the advocacy work and intervention, the government/ state would see reasons why Medicaid bed should be their priority in health supporting programme.In attempting to fight for or advocate for these people, it is equally important take a look at governments own side of the case, and see reason with them why they have recently stopped providing enough Medicaid beds for Medicaid patients.
Their reason being that some individuals even though are not Medicaid patients, try to plan their poverty so that the burden of Medical care would be satisfied to the government. In this regard, the government is using supply restriction strategies to curb this menace. However, from a rational point of view, a lot of blow has been dealt to the real Medicaid patients, therefore providing this strategy wrong. Government should employ a different means to attack the problem of imposition and not through restriction on b Medicaid bed provision.
Several obstacles would have already been envisioned should this advocacy work proceed. It therefore becomes a thing of priority to convince the government and the state as to go with us in this fight for the less privilege. It would be tough to convince them, but possible outcome based on our objective shall be realized at the end if we put all resource together to ensure that this problem is corrected. We shall therefore carry out a lot of visits, and pager work in our attempt to advocate for the provision of Medicaid beds.
PLAN B 30/3/2008ENLIGHTENMENT CAMPAIGNOn this day residents would be visited to be enlightened on the need to voice out their concern to the appropriate nursing home or authorities on the need to receive better care and assistance. This campaign shall encourage the people to rise to the occasion of intervening for their selves in a situation like this. This campaign would make them to be much more aware of their problems on the need for Medicaid bed .PLAN C = 2/4/2008INTEVENTIONOn this day, the proper advocacy work begins.
Here, there is every need to interact freely with the affected Medicaid patients as the result of this problem. This interaction must be kept secret and help build a strong relationship between Medicaid patients and the relevant authorities. It is in this process and this day that we present our case and defense for the more Medicaid beds by harmonizing our complaint with the affected Medicaid patients.PLAN D = 2/5/2008If all the interventions above failed, a formal complaint shall be filed by the residents through this advocacy work with government agencies and the progress shall be keenly monitored until the problem is resolved and a charge sets in, and more Medicaid beds are provided.
THE NATURE OF THE COMPLAINTCOMPLAINT OF SUPPLY RESTRICTION ON MEDICAID BEDS; A NEED TO INCREASE PROVISIONWe, the Medicaid patients write to appreciate the government/state for its assistance over the years as regards Medicaid.However, we are using this medium to present a formal compliant that our welfare issues be stepped up since we have noticed some loopholes over the years. This is because, many of us have been facing series of difficulties sine the government/shifted its attention from the provision of Medicaid beds thus making some of us to face an un-envisioned hardship. Thus; means that the importance of increased number of beds cannot be over-emphasized, as it creates a better condition and proper care for us.
We look forward to seeing this problem being resolved.Yours Faithfully,A GENERAL DEFENCE FOR THE MEDICAID PATIENTSRE: INCREASED PROVISION FOR MEDICAID BEDS.According to Gern A “the intent of Medicaid is to provide nursing home and other LTC services, to the poor elderly. It is against this background that this paper presents that more Medicaid beds be provided as its non-availability o its limited in supply has numerous of negative effect on the Medicaid patients, as many of them are left to suffer the consequences of the same”.
Medicaid beds are advocate for here because of its enormous relevance to the Medicaid patient, thus the number of beds in nursing homes provide estimate of the ultimate industry capacity. It equally helps in providing a basis for calculation of capacity utilization and other important use statistics. The business of caring for the sick and elderly cannot be over emphasized as Medicaid beds and provided enough. The number of bed ultimately determines how many aging or infirmed people that can be accommodated.
To this end, the under funding of Medicaid reimbursements has compounded the problem for the Medicaid patients as they are left to crave for few beds. This situation must be addressed urgently. From the information gathered so far, it is clear that the government is shining away from its usual responsibility of providing enough Medicaid beds due to peoples attitudes as some people have increased the Medicaid roles because they tend to plan their poverty by themselves so as to shift the burden of care to the government, while preserving an individual estate. Their aim is to take countable assets to other individuals or to a Medicaid trust.
Therefore, one of the strategies the state and government has employed is to provide few Medicaid bed. Consciously or unconsciously, they are limited the number of Medicaid patients. This has dealt blow to so many genuine Medicaid patients, hence it is not a better strategy to curb the issue of impoverishment for the purpose of Medicaid eligibility.Therefore, instead of employing the strategy of limited supply in Medicaid bed, there are other strategies that the stage and the government employ to curb the menace of impoverishment.
One of the approaches is to criticize the activity of those who engage in the act. According to Joseph .A. Gigcalone in its Nursing Home industry “one approach has been to criminalize the activity, the health insurance portability and accountability, Act of 1996 (HIPAA) provided for criminal penalties against anyone who knowingly and willfully disposed of his assets in order to become eligible for Medicaid”.
Owing to the above, people will begin to see such act as a criminal one. Even if the law does not permit any capital punishment for people that are caught in the act, at least it would be an eye opener and a naming signal to most of them. This is why the government or the state should reverse the strategy of supply restriction which has adverse effect on the patients, they have an alternative.Another alternative approach is the delay approach.
This will equally help when the strategy of delaying an individuals Medicaid eligibility if assets are transferred for less than their market value during a specified look-back period. The look back period, according to Joseph a Gigcalone is “Thirty six months prior to either physician to unionize, if successful, would undermine an MCO’s ability to control physician’s costs”.FIELD ANALYSISGovernor Jennifer Granholm unconfined her budget plan. Even though there are many little adjustments to the Department of Community Health’s $11 billion financial plan, the plan has no damaging cuts for Medicaid beneficiaries.
Additionally, the Governor promises to boost payments to Home Help workers by $20 million.Other Medicaid developments not affecting seniors include a plan to provide Medicaid funded dental services to 40,000 additional children. The Administration also announced a goal of subsequently enrolling 30,000 additional children in the program. Moreover, because of the recently approved Section 1115 Family Planning waiver, the state will soon have additional funding to pay for family planning services and FDA-approved contraception for low-income women and families.
(Alison Hirschel) http://www.mplp.org/Resources/mplpresource.2006-03-31.
3812918123/Based on news available from the office of the governor form http://www.michigan.gov/documents/1_PAGER_149630_7.pdf “Since taking office, Governor Jennifer M.
Granholm has worked to reduce the cost and expand access to health care. In just three years, the Granholm administration has extended affordable prescription drug coverage and health care coverage to more than 292,000 people, protected health care for the state’s most vulnerable citizens, and created significant efficiencies in the state’s Medicaid system that allow expanded coverage at significantly reduced cost. In her State of the State Address, Governor Granholm proposed a revolutionary new way to address the rising cost of health care in Michigan and the burden it places on our families and our businesses. This comprehensive strategy will: expand affordable health coverage to more than half a million people who do not have insurance today; improve the overall quality and efficiency of health care through improved health information technology; create a culture of healthy lifestyles.
”If the above approaches are employed and utilized, success would to some extent be recorded in the area of dealing with some of the set-backs involved in Medicaid activities, and the strategy of supply restriction would be avoided permanently for the benefit of legible Medicaid patients. To this end, it is no gain saying to present that Medicaid beds should be provided without delay and restriction since our health system is being affected by its non availability.The moment government/state realizes that the restriction approach would rather compound their problem instead of solving it, then the moment of change and profess has arrived. It is a popular saying that “the only permanent thing in life is change”.
If change is the only permanent thing, then the government and the state should not hesitate to adopt other strategies and avoid that of restriction on supply, it is only then that the needed change envisioned can be realized. REFERENCEGern A . Medicaid: a system analysis. www.
edu/Floridamuoing. pdf)Joseph .A. Giglalone ( ) The U.
S. Nursing Home Industry.Rosenbaum, S., Shin, P.
, and Darnell, J. Economic Stress and the Safety Net: A Health Center Update. Kaiser Commission on Medicaid and the Uninsured, June 2004. Rosenbaum, S.
, Shin, P., Markus, A., and Darnell, J. Health Centers’ Role as Safety Net Providers for Medicaid Patients and the Uninsured.
Kaiser Commission on Medicaid and the Uninsured. 2008;;Final Report of the Governor’s Task Force on Access to Affordable Health Insurance http://www.statecoverage.net/statereports/fl38.pdf;;