NURS 528 – Health, Environment and Systems

1. Stakeholders NURS 528 – Health, Environment and Systems

2. Who are stakeholders? Stakeholders are individuals or organizations who have a vested interest in your bill because he or she will be affected by the bill. Examples of stakeholders are those who might gain access or lose business because of the bill.

3. Who are stakeholders? • Stakeholders can include: • healthcare providers • healthcare agencies (hospitals, clinics, nursing homes, etc.) • health related or professional organizations • insurance agencies • payors • businesses • advocacy groups • patients • family members of patients

4. Finding stakeholders for the assignment Be realistic – who do you have access to? co-workers, neighbors, family members, friends providers or others where you work agency representatives decision making/policy group members

5. Include all viewpoints • It is essential that you identify persons who support your point of view regarding your selected legislation

6. Include all viewpoints • It is equally importantthat you identify stakeholders who oppose your position

7. Include all viewpoints • Think broadly about the problem your bill addresses • Identify persons with different viewpoints on how that problem should be addressed • Get ideas from your group members and other colleagues • Consider perspectives representing the consumer, delivery, insurance, payment and finance components of the healthcare system

8. Include all viewpoints • Some groups struggled with this in the past so it may take some effort and creative thinking on the part of your group. For example, most individuals may not oppose legislation that provides additional healthcare services for children.

9. Include all viewpoints • It gets trickier; however, when you determine what type of providers deliver the healthcare services, who will be responsible for payment, what types of services are provided, the extent of parental involvement in the services, etc.

10. Include all viewpoints • One of the groups from the past looked at payment for sex education classes. They interviewed the mother of an adolescent female who opposed the bill because she was worried about the potential effect of the classes on her daughter’s sexual behavior.

11. Major Influential Groups CONGRESSIONAL DEMOCRATS CONGRESSIONAL REPUBLICAN Brookings Institute Urban Institute Think Tanks Heritage Foundation American Enterprise Institute Think Tanks

12. Why is it important to look at these organizations? Each site has a search engine and you can identify the organizations’ stance on your selected bill by searching for the problem that your part of the bill addresses. They may not address your specific part of the bill but you can find out how they think the problem addressed by your bill should be resolved.

13. Why is it important to look at these organizations? The issues identified by the think tanks can help you understand who the opposing stakeholders might be. For example, if an issue identified in the think tank is private insurance versus universal coverage paid for by the government, you would be safe thinking that private insurance companies are stakeholders and would most likely oppose any bills that promote government-sponsored coverage.

14. Brookings Institute • The Brookings Institution traces its beginnings to 1916, when a group of leading reformers founded the Institute for Government Research (IGR), the first private organization devoted to analyzing public policy issues at the national level. • In 1922 and 1924, one of IGR's backers, Robert Somers Brookings (1850-1932), established two supporting sister organizations: the Institute of Economics and a graduate school bearing his name • In 1927, the three groups merged to form the Brookings Institution, honoring the businessman from St. Louis whose leadership shaped the earlier organizations. http://www.brookings.edu/about/history

15. Heritage Foundation • Founded in 1973, The Heritage Foundation is a research and educational institute - a think tank - whose mission is to formulate and promote conservative public policies based on the principles of free enterprise, limited government, individual freedom, traditional American values, and a strong national defense. http://www.heritage.org

16. The Urban Institute http://www.urban.org/ The Urban Institute gathers data, conducts research, evaluates programs, offers technical assistance overseas, and educates Americans on social and economic issues — to foster sound public policy and effective government In the mid-1960s, President Johnson saw the need for independent nonpartisan analysis of the problems facing America's cities and their residents. The President created a blue-ribbon commission of civic leaders who recommended chartering a center to do that work. In 1968, the Urban Institute became that center. They work in all 50 states and abroad in over 28 countries, and share their research findings with policymakers, program administrators, business, academics, and the public online and through reports and scholarly books.

17. The American Enterprise • A private, nonpartisan, not-for-profit institution dedicated to research and education on issues of government, politics, economics, and social welfare. • Founded in 1943, AEI is home to some of America's most accomplished public policy experts--from economics, law, political science, defense and foreign policy studies, ethics, theology, health care, and other fields. • AEI's purpose is to serve leaders and the public through research and education on the most important issues of the day in the areas of economics, culture, politics, foreign affairs, and national defense. www.aei.org

18. The Center for Equal Opportunity (CEO) http://www.ceousa.org/ • The CEO is the nation’s only conservative think tank devoted exclusively to issues of race and ethnicity • CEO supports colorblind public policies and seeks to block the expansion of racial preferences and to prevent their use in employment, education, and voting. • CEO promotes the assimilation of immigrants into our society and research on their economic and social impact on the United States. • CEO seeks to promote educational policies grounded in America's motto: e pluribus unum, "out of many, one."

19. The New York Times http://www.nytco.com/company/index.html The New York Times Newspaper is one of the largest newspapers in the United States. The New York Times Company is,” a leading media company with 2006 revenues of $3.3 billion, includes The New York Times, the International Herald Tribune, The Boston Globe, 15 other daily newspapers, WQXR-FM and more than 30 Web sites, including NYTimes.com, Boston.com and About.com.”

20. Attributions This material was adapted from course materials previously developed by Connie Dallas and by Jorgia Connor