CONSULTATIVE CHANGE 1 Essentials of Advanced Nursing Practice Field Experience C157 Consultative Change Recommendations March 15, 2018 Lorraine Evans
REVISIONS: Primary Needs of Organization’s Population Since the Banner Health system encompasses six different states, 28 hospitals, and 400 clinics, it is difficult to narrow down the primary needs of the population it serves. In an effort to provide some statistical information Phoenix, Arizona, was selected as the demographic region, since it is the location of the corporate headquarters for Banner Health. Phoenix, Arizona, is located in Maricopa County. Based off numbers from 2010 Census, the total population for Maricopa County is 3,817,117. The racial breakdown of the County is: White-2,786,781, Hispanic/Latino- 1,128,741, Black/African American-190,519, Asian-132,225, and American Indian & Alaska Native-78,329. The male vs. female breakdown is: male population 1,888,465 and the female population is 1,928,652 (U.S. Department of Commerce, n.d.). The Poverty rate in Maricopa County is 26.7%, and 2.9% of that number, falls below the 50% poverty limit (UsaCityFacts.com, 2015). In Maricopa county, the primary health risks include: homelessness, poverty, air quality, obesity, diabetes, heart disease, and cancer. Homelessness and poverty make getting access to healthcare in Maricopa county a daunting task. Data from the 2014 census shows that in 2014, 1 in 227 Arizonans experienced homelessness. The census estimates that nearly 30,000 adults and children were serviced by emergency shelters within Arizona. Data from the Annual Homeless Report, reports that over 61% of Arizona's homeless population have set up residence in Maricopa County (Arizona. State Homeless Coordination Office, 2016, p.14). Additionally, Twenty-six percent of Arizona's homeless population is chronically homeless, and therefore are most likely to live the remainder of their lives on the streets. Statically chronically
homeless people have the highest use of emergency and hospital services ((Arizona. State Homeless Coordination Office, 2016, p. 9). The high homelessness rate places an enormous strain on Banner since they are the largest healthcare provider in Maricopa county. Healthcare services provided to the homeless are typically not reimbursed and end up being financial loss for the hospitals. The impact of this financial loss is often offset by increasing the overall costs of services for the community. Another major concern for Maricopa County is the vast number of people who are uninsured or underinsured and therefore need access to governmental healthcare assistance. In 2018, over one and a half million people were enrolled into the Arizona Health Care Cost Containment System (AHCCCS). The staggering number of people in need of AHCCCS has put such a strain on the system that it was forecasted to have $286.6 million budget deficit in 2018 (AHCCCS, 2018) .
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- Fall '18