1. Healthcare Policy Case Study Claudette D. Johnson Grand Canyon University NUR-508 May 30, 2012 Claudette D. Johnson Grand Canyon University NUR-508 May 30, 2012 _________ _____ ____ _________ _____ ____ Affordable Health Care Act

2. 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

3. Meet Senator Carole Pankau (R)23rd District Minority Caucus Whip

4. Background Service Experience Du Page County Board member Republican Committeeman Community Experience Chambers of Commerce Illinois Federation of Republican Women Republican women’s Club National Order of Women Legislators Senate Experience Public Health Minority Spokesperson Appropriations III Environment & Energy Labor & Revenue (Carol Pankau, 2008-2012)

5. Policy Maker Skills Ability to listen & truly understand Keep open mind, hear without judgment Deal with ambiguity & complex issues Believe that sharing challenges and asking for input is more important than personally providing solutions Be clear on goals, directing without ordering Be a servant, helper, & teacher first, leader second Think before reacting Choose words not to damage those being led Ability to use foresight & intuition Seeing things whole and sensing relationships and connections (Marquis & Huston, 2008)

6. Impact in Politics Illinois State Senator Illinois State Representative Senate Committee of the Whole; Public Health (Minority Spokesperson); Appropriations III; Environment and Energy; Labor; Revenue (Carol Pankau, 2008-2012)

7. Medicaid Eligibility & BenefitsCost Sharing & Waivers Long-Term Services & Supports Outreach & EnrollmentQuality of Care

8. 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

9. Medicaid Expand Coverage Hold Insurance Companies Accountable Lower Healthcare cost Guarantee more choices Enhance the quality of care for all Americans The Affordable Care Act (United States Department of Health & Human Services, 2012)

10. 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)

11. 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)

12. 2014 Future Efforts No Discrimination Due to Pre-Existing Conditions or Gender Eliminating 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)

13. 2015 Future efforts Paying Physicians Based on Value Not Volume (United States Department of Health & Human Services, 2012)

14. 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

15. 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)

16. Policy Making Is a negotiating process http://www.cartoonstock.com/directory/m/mentor.asp

17. We seek not to lead but to serve first and find that in serving, our greatest influence is leading. Benjamin Lichtenwalner Conclusion

18. 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

19. 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