College of Public Health and Human Sciences

1. College of Public Health and Human Sciences Public Health Policy Institute Presenter: Stephanie Bernell Date: August 22, 2013

2. Who is a stakeholder? • Persons or organizations who have a vested interest in the policy that is being promoted are considered stakeholders in the process Public Health Policy Institute

3. Stakeholders have: • knowledge of the policy • interests related to the policy • a position for or against the policy • potential alliances with other stakeholders • The ability to influence the policy process(through their power and leadership) Public Health Policy Institute

4. Why is this important • By considering stakeholders at the beginning of the policy process, policy makers can detect and act to prevent potential misunderstandings and/or opposition to the policy • A policy or program will more likely succeed if a stakeholder analysis is used to guide its implementation. Public Health Policy Institute

5. Identify stakeholders • Develop a list of all possible stakeholders related to the policy • Review existing information • Newspaper • Institutional reports and publications • Speeches • Political platforms • Organization annual reports • It is important to consider the potential stakeholders in different geographical areas Public Health Policy Institute

6. Who are the Stakeholders in Health Care quality? • In health care, the definition of quality can be complex and controversial • Providers: Tend to view quality in a technical sense – accuracy of diagnosis, appropriateness of therapy, resulting health outcome • Payers: Focus on cost-effectiveness • Employers: Want both to keep their costs down, and to get their employees back to work quickly • Patients: Want compassion as well as skill with clear communication Public Health Policy Institute

7. Potential Areas of Conflict Patient and employer: • Patients expect an employer to offer a wide variety of options for health coverage that can be customized to their specific needs. They also look for the employer to fund the majority of the cost of health insurance. Basic premise is to provide the most options, and the least out-of-pocket cost to the employee. • Employers want to maintain or lower their cost contribution. They want the patient/employee to seek only needed care, follow providers’ instructions, and recover quickly to full utility. Patients should also seek to reduce their health risk behaviors, i.e. diet, exercise and smoking cessation. Public Health Policy Institute

8. Stakeholder conflict Providers and payers: • Providers want to provide the best service using the most accurate and newest tests and treatments (also likely most expensive). They also want to provide preventative care which the insurance company (payer) may not cover • Payers want providers to follow a clear, evidence based, diagnostic plan and reach an accurate diagnosis and treatment plan with the fewest visits and least number of tests. Public Health Policy Institute