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Assessment 4 Instructions: Lobbying for Change
Write a letter to an official in your state or local government. (Choose the individual in the level of government that
will best address your issue). The purpose of this letter is to advocate for action with regards to your chosen health
care environment issue.
Introduction
Note: Each assessment in this course builds upon the work you have completed in previous assessments. Therefore,
you must complete the assessments in the order in which they are presented.
As health care leaders, it is important to understand strategies for advocating and lobbying elected officials. This
can lead to the development of policies or laws that can help drive improved equity and outcomes for all
participants in the health care environment as well as a more sustainable financial future.
Background and Context
As a master’s-level health care practitioner, you may be expected to implement plans to ensure that initiatives
designed to take advantage of economic opportunities for the organization are rolled out successfully and can be
sustained over multiple years. Additionally, it is important to be able to envision how an initiative could be
implemented in different contexts and for different purposes to ensure the investment remains a viable and positive
asset to your organization or care setting.
As a master’s-level practitioner, you will often be challenged to influence the health care environment in a variety of
ways. This influence can occur on a micro-level (implementing change on your unit, institution, community, or local
organizations) or at a macro level (implementing change via state or federal regulations and policy). One way you
can influence the health care environment is by lobbying an elected official at the local, state, or national level to
adopt policies or legislation that would support positive economic and health outcomes for patients, practitioners,
and organizations within the health care environment.
Instructions
For this assessment, you will develop a letter to an official in your state or local government (choose the individual in
the level of government that will best address your issue). The purpose of this letter is to advocate for action with
regards to your chosen health care environment issue. Remember, when writing the letter, you must use your
personal address and telephone number unless you are exclusively representing a group or your organization.
Be sure to address each main point. Review the assessment instructions and scoring guide, including performancelevel descriptions for each criterion, to ensure you understand the work you will be asked to complete and how it
will be assessed. In addition, note the requirements for document format and length and for supporting evidence.
Overall, your assessment submission will be assessed on the following criteria:
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Summarize the health care economic issue that you are addressing.
Keep this brief but try to include details about how the issue is currently impacting the elected officials’
constituents.
Explain the positive outcomes that will occur if the issue is addressed and the negative outcomes that will
occur if the issue is not addressed.
Tailor this messaging to focus on the impacts in the communities and organizations that are relevant to
the elected official you are writing to.
Summarize key information from scholarly sources to support the importance of addressing the issue; the
issue’s overall impact on health care at the institutional, local, state, or national level; and proposed changes
or actions to address the issue.
Cite at least five current, scholarly sources that support your argument and help provide the elected
official (who may not have a detailed knowledge of the health care environment) with an understanding
of the issues, changes, or actions that you are proposing to drive improved outcomes.
Identify the impact your issue has on health care institutions and health care providers at the local
community, state, or national level.
Make sure to include information from both a health care and an economic perspective. An elected
official may be more responsive to one perspective than another.
Incorporate social justice, structural racism, and inequity principles when picking resources and making
recommendations for change in your assessment.
Explain how personal, professional, and organizational experiences have informed the resource planning and
risk analysis for working toward addressing the economic issue.
Think about how your experiences (the experiences can be personal, professional, or from your team’s
perspective or experience) affect how you have planned for the resources needed to implement your
desired changes or actions. How did this impact your approach to conducting a risk analysis on the
project?
Convey purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to
organizational, professional, and scholarly communication standards.
Remember to conclude your letter with a summary of your position on the issue and a compelling
reason that the elected official should act in your favor and support your issue or initiative.
Additional Requirements
Audience: Make sure you are addressing your letter to an actual local or state official.
For most states, you can use the following resource:
Assessment 4: Lobbying for Change.
For local officials, search your city’s government website for officials and their positions.
Length of Submission: 1–2 double spaced pages. Your letter needs to be succinct and persuasive.
Number of References: Cite at least five sources of evidence to support your identification of the gap. This
could be public health data, a peer-reviewed journal article, or another scholarly source.
APA formatting: Resources and citations are formatted according to current APA style.
Note: As you revise your writing, check out the resources listed on the Writing Center’s Writing Support page.
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the following course
competencies and scoring guide criteria:
Competency 1: Analyze the effects of financial and economic factors (such as cost-benefit, supply and
demand, return on investment, and risks) in a health care system on patient care, services offered, and
organizational structures and operation.
Summarize the health care economic issue that you are addressing.
Competency 2: Develop ethical and culturally equitable solutions to economic problems within a health care
organization in an effort to improve the quality of care and services offered.
Explain the positive outcomes that will occur if the issue is addressed and negative outcomes that will
occur if the issue is not addressed.
Competency 3: Justify the qualitative and quantitative information used to guide economic decision making
to stakeholders and colleagues.
Summarize key information from scholarly sources to support the importance of addressing the issue;
the issue’s overall impact on health care at the institutional, local, state, or national level; and proposed
changes or actions to address the issue.
Competency 4: Develop ethical and culturally equitable economic strategies to address dynamic
environmental forces and ensure the future security of an organization’s resources and its ability to provide
quality care.
Explain how personal, professional, and organizational experiences have informed the resource
planning and risk analysis for working toward addressing the economic issue.
Competency 5: Produce clear, coherent, and professional written work, in accordance with Capella writing
standards.
Convey purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to
organizational, professional, and scholarly writing standards.
SCORING GUIDE
Use the scoring guide to understand how your assessment will be evaluated.
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