Legislative Worksheet (SBAR Format): Healthcare Bill Analysis

This assignment presents a legislative worksheet formatted using the SBAR (Situation, Background, Assessment, Recommendation) method, focusing on a proposal to improve home healthcare services. The situation identifies the problem of home visiting nurses facing delays in reaching patients due to traffic regulations and the need for quicker response times for urgent cases. The proposal suggests enacting legislation to treat caregivers in their home as part of emergency medical services, including the use of signal lights on vehicles. The background section includes personal experiences, anecdotal stories, and supporting information about the benefits of using colored lights on vehicles, and the impact on reducing hospital readmissions. The assessment section analyzes the financial impacts, stakeholder groups that would support the bill (home care residents, hospice patients, healthcare providers, and hospitals), and potential opposition. The recommendation is to make an appointment with a legislator to discuss the proposal. References are included to support the arguments and research presented in the worksheet. The assignment highlights the potential for improved quality of home care, safety for healthcare providers, and reduced hospital readmissions.

Legislative Worksheet (SBAR Format)
How a Bill Becomes a Law (Regulations & Regulations, 2019)
SITUATION: IS THIS SOMETHING THAN CAN BE LEGISLATED?
 Identify the problem/concern: The issue is raised by the proponent who is a home
visiting nurse. The proposer has to change her way to patients many times on the road
after receiving telephone calls from the hospital call center to return and visit some other
patient because the patient needs for service as soon as possible, for example a patient
who has problems in breathing, or who is bleeding which the family members cannot
stop, suffering from acute pain, running out of medicine delivered and family has not
noticed despite education. At this time, while the nurse helps the family via the
telephone, the provider wants it to move quicker. For end-of-life care patients want to die
at home peacefully without being hospitalized and for that nursing care is warranted
("Dying Wish", 2019). Traffic and Express Way rules, unfortunately, do not enable the
Proponent to reach the patient in need quicker.
 State your proposal/idea. Legislation can also be enacted to treat caregivers in their
home as part of an emergency medical service (By Wayne M. Zygowicz, 2019), and sign
lights on vehicles can be used just like the voluntary ambulance or fire detention
facilities.
BACKGROUND: DO YOUR RESEARCH
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 Include studies, reports, personal experience, or anecdotal stories related to your
proposal.
Personal experience on the way to patients is narrated.
In this connection, the proposer spoke with several relatives and nurses who agreed verbally in
favour of the concept. However, she could not discover study information that showed the
advantages of using coloured lights on the vehicle like what firefighter volunteers are using,
because no trials were performed. However, she found the supporting information to have this
concept be given a trial and then approval subsequently to pave the way for consideration as a
law. The lights fitted on a vehicle communicates with other cars. In addition, the movement of
vehicles would be interrupted less and sufficient precious time can be saved.
Almost one in five recipients of Medicare are readmitted to the hospital within 30 days of their
discharge. This is equivalent to Medicare's expenditure of 17,4 billion, according to the New
England Journal of Medicine, on patients who have been prevented from travelling back
("Avoidable Hospital Readmissions: The Role of Hospice and PAP, 2013."). The hospice and
palliative care function focus on the objective of reducing avoidable reception of hospital in the
home and in the specialist nursing facilities through multidisciplinary approaches to symptoms
management and needs management. One of the keys to comfort care and symptoms is
communication. While the education of families in patient care plays an important role in
ensuring a better quality of care, however, to reach the spot fast and safely lights fitted on cars
can play an important role.
Has there been similar legislation introduced and/or passed in other states? If so, include it.
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The latest law has also supported first responders in New York and this is supporting factor for
the proposer.
While this law had the intention to save law enforcement and utility workers, it did not
safeguard the volunteers, firefighters and ambulance workers. The law has now been updated
with green and blue lights. Blue light is allowed for firefighters in New York, and green light is
allowed for ambulance employees. Drivers currently have to travel to safeguard the first
respondents against incoming traffic ("NursingALD.com - Legislative Worksheet (SBAR
Format) – How a Bill Becomes a Law", 2016).
ASSESSMENT: FINANCES AND STAKEHOLDERS
 Identify financial impact if any (e.g., added costs, cost savings, increased revenue):
Better quality in-home care
Reduce unnecessary hospitalization which saves Medicare cash
Improve the safety of healthcare providers on the road
The lights are easy to fit or dismantle. The lights are returnable in case of change of workplace of
the nurse and can be reused in any car.
 Identify stakeholder groups that would support this bill:
The home care residents of the Community (and their relatives), hospice patients and relatives
must be considered for studies in accordance with the situation and in accordance with ethical
factors and a suitable timeframe.
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Providers of healthcare, such as visiting physicians, nursing professionals, licensed nurses,
licensed nursing staff and advanced practice registered nurses ( to improve care quality,
feedback surveys etc.)
Hospitals (will reduce readmissions percentage)
Identify people/groups that would oppose this bill:
Not identified yet.
RECOMMENDATION
 Make an appointment with your legislator to discuss your proposal.
For a long time, the proposer had such an idea and didn't know where to begin. She learnt
much information about governance and management while she was still in the bachelor's
degree. This class and this project, in particular, have been successful in making ideas come
true and in improving the quality of home care, the security of nurses and other road health
professionals, reducing unnecessary readmission in hospitals. The plan is to call local
lawmakers to talk about the proposition.
References
Avoidable Hospital Readmissions: The Role of Hospice and Palliative Care Providers. (2013).
Retrieved 23 August 2019, from https://www.crossroadshospice.com/hospice-palliative-
care-blog/2013/october/24/avoidable-hospital-readmissions-the-role-of-hospice-and-
palliative-care-providers/
By Wayne M. Zygowicz, E. (2019). Lights and Sirens Improve Safety of Emergency Calls.
Retrieved 23 August 2019, from https://www.jems.com/articles/supplements/special-
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topics/special-focus-ambulance-innovations/lights-and-sirens-improve-safety-of-
emergency-calls.html
Dying Wish. (2019). Retrieved 23 August 2019, from
https://www.the-hospitalist.org/hospitalist/article/123300/dying-wish
NursingALD.com - Legislative Worksheet (SBAR Format) – How a Bill Becomes a Law.
(2016). Retrieved 23 August 2019, from https://www.nursingald.com/articles/20009-
legislative-worksheet-sbar-format-how-a-bill-becomes-a-law
Regulations, F., & Regulations, F. (2019). How Laws Are Made | USAGov. Retrieved 23 August
2019, from https://www.usa.gov/how-laws-are-made
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