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NURS FPX 6008 Assessment 3 Business Case for Change sample:

NURS FPX 6008 Assessment 3 Business Case for Change

A paper or plan that justifies and explains the need for a major shift or transformation in the healthcare sector is known as a business case for change. It makes a strong case for the need for the proposed change, outlines its advantages, and shows how it fits with the organization’s strategic goals and objectives. Typically, the business case for change starts by identifying the problems or difficulties that must be solved. These may involve escalating medical expenses, ineffective healthcare delivery, antiquated technology, subpar patient results, or shifting legal requirements. The paper continues by outlining the precise aims and purposes of the suggested change, which may include better therapeutic effects, simplifying processes, or making financial savings (Burton-Jones et al., 2020).

Summary of the Problem and Potential Impact

In the United States, the economic problem concerning healthcare revolves around insufficient access to and funding for underserved and rural communities. These communities often face significant challenges in obtaining necessary healthcare services due to a lack of healthcare facilities and professionals. As a result, individuals in these areas experience difficulty receiving timely and adequate medical care, leading to poorer health outcomes and increased healthcare disparities (Dow-Fleisner et al., 2022). Moreover, limited funding allocation towards healthcare in these regions exacerbates the problem, as it hampers the development and maintenance of essential healthcare infrastructure. This economic issue highlights the urgent need for equitable distribution of healthcare resources and increased investment in underserved and rural communities to address the disparities and improve the population’s overall health (Harvey, 2019).

NURS FPX 6008 Assessment 3 Business Case for Change

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Potential Impact of the Issue

The economic issue of healthcare has wide-ranging effects on various aspects of society. In terms of individuals, the lack of access to healthcare and inadequate funding in underserved and rural communities can have detrimental consequences. Delayed medical care can worsen health outcomes and lead to increased suffering. Additionally, limited access to preventive care and early interventions increases the risk of chronic conditions and reduces overall quality of life. The financial burden resulting from inadequate healthcare coverage further exacerbates the situation, potentially leaving individuals with significant medical bills and facing the risk of bankruptcy (Harvey, 2019).

The impact on colleagues and healthcare professionals is also significant. The scarcity of resources and funding in underserved areas heavily burdens healthcare professionals. They often face heavy workloads, inadequate facilities, and insufficient medical supplies, which impede their ability to provide optimal care. This can lead to burnout, decreased job satisfaction, and ethical dilemmas when allocating limited resources to patients (Dow-Fleisner et al., 2022).

Healthcare organizations operating in underserved and rural communities face their own set of challenges. Limited funding and reimbursement rates strain their financial viability, making it difficult to sustain operations and invest in necessary infrastructure and services. The lack of access to healthcare services can also result in decreased patient volumes, impacting the organization’s revenue stream. This, in turn, hinders their ability to attract and retain skilled healthcare professionals, exacerbating the shortage of medical personnel in these areas (Dow-Fleisner et al., 2022).

The economic issue of healthcare extends beyond individuals and organizations to the community at large. When underserved communities lack access to adequate healthcare, the population’s overall health suffers. This leads to increased healthcare costs, reduced productivity, and a diminished quality of life for community members. Moreover, health disparities among different regions can perpetuate social and economic inequalities, hindering community development and creating a cycle of disadvantage. Addressing the financial issue of healthcare is crucial for creating a healthier and more equitable society (Peres et al., 2019).

Feasibility and Cost-Benefit Considerations

The economic issue of lack of access and funding for underserved and rural communities in healthcare presents both feasibility challenges and cost-benefit considerations. In terms of feasibility, providing adequate healthcare services to these communities requires overcoming various barriers, such as geographic distance, limited healthcare infrastructure, and a shortage of healthcare professionals. These factors contribute to the difficulty of delivering healthcare services efficiently and cost-effectively to underserved and rural areas (Chacon et al., 2021).

From a cost-benefit perspective, addressing the healthcare needs of underserved and rural communities can yield significant long-term benefits. Firstly, improving access to healthcare in these areas can lead to early detection and prevention of diseases, resulting in reduced healthcare costs associated with advanced treatments. For instance, studies have shown that for every dollar invested in community health centers in the United States, there is a potential savings of $24 in total healthcare costs over five years (Luo et al., 2021).

NURS FPX 6008 Assessment 3 Business Case for Change

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Moreover, providing adequate healthcare in underserved and rural communities can lead to improved health outcomes, directly impacting the communities’ overall productivity and economic well-being (Chacon et al., 2021). When individuals have access to timely and affordable healthcare, they are more likely to remain healthy, reducing absenteeism from work, enhancing productivity, and contributing to economic growth. A National Rural Health Association report estimates that improving rural healthcare can generate an additional $140 billion in economic activity and create millions of jobs in rural areas (Greenwood-Ericksen & Kocher, 2019).

To further illustrate the cost-benefit considerations, let’s consider the case of Medicaid expansion in the United States. States that expanded Medicaid eligibility experienced positive economic outcomes. For instance, a study by the Milken Institute School of Public Health estimated that by 2021, Medicaid expansion in the 36 states would generate approximately $729 billion in total economic activity and support 2.2 million jobs. Furthermore, expanding Medicaid coverage has been linked to improved health outcomes and reduced mortality rates in low-income populations (Luo et al., 2021).

Three Ways to Mitigate Risks to the Financial Security

In the face of a lack of access and funding for underserved and rural communities, there are three strategies to reduce threats to the financial stability of healthcare organizations or settings:

  • Implementation of Telehealth

One effective way to mitigate risks to the financial security of an organization or healthcare setting is by implementing telehealth services. Telehealth uses technology to provide remote healthcare services, including consultations, monitoring, and follow-up care. By incorporating telehealth into healthcare systems, organizations can increase access to care for underserved and rural communities, thereby reducing the economic burden of healthcare disparities. According to a study published in the Journal of Medical Internet Research, telehealth can lead to significant cost savings (Peters et al., 2021). The study found that for every $1 spent on telehealth services, there was an average cost savings of $24 in travel expenses, $775 in hospital admissions, and $2,280 in total healthcare costs. These cost savings demonstrate the potential financial benefits of implementing telehealth to mitigate economic issues in healthcare (Snoswell et al., 2020).

  • Improvement of Preventative Care and Chronic Disease Management

Another crucial approach to mitigate risks to financial security in the healthcare sector is improving preventative care and chronic disease management. Underserved and rural communities often face higher rates of chronic diseases due to limited access to healthcare services. Organizations can reduce the financial burden of treating advanced disease stages by focusing on prevention and early intervention. A report by the Centers for Disease Control and Prevention (CDC) states that investing in preventive measures can yield substantial cost savings. For example, for every $1 invested in smoking cessation programs, there can be a return on investment of $2 to $3 in reduced healthcare costs (Matjasko et al., 2022). Similarly, the CDC estimates that increasing physical activity levels can result in $1,200 to $3,100 per person in annual healthcare cost savings. These data highlight the potential cost benefits of prioritizing preventative care to address economic issues in healthcare (Raifman & Choma, 2022).

  • Enhancing Health Insurance

Lastly, enhancing health insurance coverage and expanding Medicaid can significantly mitigate risks to financial security in healthcare. Lack of access to affordable health insurance is a major barrier for underserved and rural communities, resulting in delayed or inadequate healthcare. Various studies demonstrate that expanding Medicaid programs can lead to improved financial outcomes. For instance, a study published in the New England Journal of Medicine examined the impact of Medicaid expansion under the Affordable Care Act. It found that growth was associated with a 40% reduction in unpaid medical debt and a 25% decrease in borrowing money or skipping necessary medical care due to cost (Sommers et al., 2019). Additionally, according to a report by the Commonwealth Fund, states that expanded Medicaid experienced a decline in the uninsured rate, with uninsured rates dropping from 17.5% to 7.8% in expansion states. These statistics provide concrete evidence that expanding health insurance coverage, particularly through Medicaid, can alleviate economic challenges and enhance the financial security of individuals and healthcare organizations (Islami et al., 2021).

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Proposed Solution and Changes for Economic Issue

I propose implementing a comprehensive solution that involves short-term and long-term measures to address the economic issue of lack of healthcare access and funding for underserved and rural communities. In the short term, increasing funding allocations specifically targeted at improving healthcare infrastructure, facilities, and services in underserved and rural areas is crucial. This can be achieved through government initiatives, public-private partnerships, and philanthropic contributions. Additionally, implementing mobile healthcare units or telemedicine programs can help bridge the access gap by bringing medical professionals and resources directly to these communities (Harvey, 2019).

In the long term, a sustainable solution is strengthening healthcare education and training programs in these areas. By investing in the training and recruiting of healthcare professionals, such as doctors, nurses, and specialists, we can ensure a more equitable distribution of healthcare resources. This can be achieved by offering incentives and scholarships to students from underserved and rural communities and establishing medical schools and residency programs in these areas (Islami et al., 2021).

Potential Benefits

The benefits of implementing these changes are manifold. Firstly, it would significantly improve the health outcomes and overall well-being of the underserved and rural populations, reducing health disparities and ensuring equal access to quality healthcare services. This, in turn, would lead to healthier and more productive people, benefiting the community at large (Dow-Fleisner et al., 2022).

From an organizational perspective, there are potential benefits as well. By actively participating in and supporting these initiatives, our organization would strengthen its reputation as a socially responsible entity committed to addressing societal challenges. This can increase brand value, customer loyalty, and positive community relationships. Moreover, as healthcare access improves, there will likely be an increase in demand for medical products and services, potentially benefiting our organization in terms of market growth and expansion opportunities (Chacon et al., 2021).

Proposed Solutions Analysis In Terms Of Cultural Sensitivity, Ethics, and Equitable

The proposed solution is designed to be culturally sensitive, ethical, and equitable within the context of the community and healthcare setting it will be implemented. To ensure cultural sensitivity, involving community stakeholders, such as community leaders, representatives, and healthcare providers, in the planning and implementation process is crucial. Their input and expertise can help tailor the solution to meet the community’s cultural needs and preferences (Dow-Fleisner et al., 2022).

Ethical considerations are paramount in this solution. It is essential to respect the autonomy and dignity of individuals within the community by providing them access to healthcare services that align with their cultural beliefs and values. This can be achieved by incorporating culturally competent care practices, ensuring informed consent, and promoting patient-centered care (Luo et al., 2021).

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Confirming of both Access and Cost are Equitable through the Projected Solution

The solution proposes increasing funding allocations targeted at underserved and rural communities to address equity in access and cost. This ensures that financial resources are allocated where they are most needed. Government initiatives, public-private partnerships, and philanthropic contributions can play a crucial role in bridging the funding gap (Luo et al., 2021).

Implementing mobile healthcare units or telemedicine programs further promotes equity by overcoming geographical barriers and providing healthcare services directly to underserved and rural communities. By leveraging technology, individuals in remote areas can access quality healthcare without bearing the burden of traveling long distances or incurring additional costs (Dow-Fleisner et al., 2022).

In the long term, the solution focuses on strengthening healthcare education and training programs in underserved and rural areas. The solution promotes equity in access to education and healthcare career opportunities by providing incentives and scholarships to students from these communities. Establishing medical schools and residency programs in these areas ensures that healthcare professionals are trained and retained within the community, leading to a more equitable distribution of resources (Harvey, 2019).


In conclusion, the economic issue of lack of access and funding for underserved and rural communities in healthcare requires a comprehensive solution that addresses both short-term and long-term measures. By increasing funding allocations and improving healthcare infrastructure in underserved and rural areas, we can provide immediate relief and better access to essential healthcare services. Implementing mobile healthcare units and telemedicine programs will further bridge the access gap and bring medical professionals and resources directly to these communities. Simultaneously, a sustainable long-term solution involves investing in these areas’ healthcare education and training programs. We can ensure a more equitable distribution of healthcare resources by incentivizing and supporting the training and recruitment of healthcare professionals from underserved and rural communities.

NURS FPX 6008 Assessment 3 Business Case for Change

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Burton-Jones, A., Akhlaghpour, S., Ayre, S., Barde, P., Staib, A., & Sullivan, C. (2020). Changing the conversation on evaluating digital transformation in healthcare: Insights from an institutional analysis. Information and Organization30(1), 100255. https://doi.org/10.1016/j.infoandorg.2019.100255 

Chacon, N. C., Walia, N., Allen, A., Sciancalepore, A., Tiong, J., Quick, R., Mada, S., Diaz, M. A., & Rodriguez, I. (2021). Substance use during COVID-19 pandemic: Impact on the underserved communities. Discoveries9(4), e141. 


Dow-Fleisner, S. J., Seaton, C. L., Li, E., Plamondon, K., Oelke, N., Kurtz, D., Jones, C., Currie, L. M., Pesut, B., Hasan, K., & Rush, K. L. (2022). Internet access is a necessity: A latent class analysis of COVID-19 related challenges and the role of technology use among rural community residents. BMC Public Health22(1). 


Greenwood-Ericksen, M. B., & Kocher, K. (2019). Trends in emergency department use by rural and urban populations in the United States. JAMA Network Open2(4), e191919. https://doi.org/10.1001/jamanetworkopen.2019.1919 

Harvey, D. (2019). Perceptions of and policy-making around aging in rural America. Generations43(2), 66–70. https://www.ingentaconnect.com/contentone/asag/gen/2019/00000043/00000002/art00011 

Islami, F., Guerra, C. E., Minihan, A., Yabroff, K. R., Fedewa, S. A., Sloan, K., Wiedt, T. L., Thomson, B., Siegel, R. L., Nargis, N., Winn, R. A., Lacasse, L., Makaroff, L., Daniels, E. C., Patel, A. V., Cance, W. G., & Jemal, A. (2021). American Cancer Society’s report on the status of cancer disparities in the United States, 2021. CA: A Cancer Journal for Clinicians


Luo, Q., Moghtaderi, A., Markus, A., & Dor, A. (2021). Financial impacts of the Medicaid expansion on community health centers. Health Services Researchhttps://doi.org/10.1111/1475-6773.13897 

Matjasko, J. L., Herbst, J. H., & Estefan, L. F. (2022). Preventing adverse childhood experiences: The role of etiological, evaluation, and implementation research. American Journal of Preventive Medicine62(6), S6–S15. 


Peres, M. A., Macpherson, L. M. D., Weyant, R. J., Daly, B., Venturelli, R., Mathur, M. R., Listl, S., Celeste, R. K., Guarnizo-Herreño, C. C., Kearns, C., Benzian, H., Allison, P., & Watt, R. G. (2019). Oral diseases: A global public health challenge. The Lancet394(10194), 249–260. 


Peters, G. M., Kooij, L., Lenferink, A., Harten, W. H. van, & Doggen, C. J. M. (2021). The effect of telehealth on hospital services use: Systematic review and meta-analysis. Journal of Medical Internet Research23(9), e25195. 


Raifman, M. A., & Choma, E. F. (2022). Disparities in activity and traffic fatalities by race/ethnicity. American Journal of Preventive Medicinehttps://doi.org/10.1016/j.amepre.2022.03.012 

Snoswell, C. L., Taylor, M. L., Comans, T. A., Smith, A. C., Gray, L. C., & Caffery, L. J. (2020). Determining if telehealth can reduce health system costs: Scoping review. Journal of Medical Internet Research22(10), e17298. 


Sommers, B. D., Goldman, A. L., Blendon, R. J., Orav, E. J., & Epstein, A. M. (2019). Medicaid work requirements — Results from the first year in Arkansas. New England Journal of Medicine381(11), 1073–1082. 


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