PE4S163 Leadership and Change: Improving Public Health Through QLE

This report identifies a change event within the public health field, focusing on the need for suitable health insurance following a qualifying life event (QLE). It presents a SWOT analysis to assess the strengths and weaknesses of QLE, highlighting areas for improvement. The report proposes improvement solutions using a web-based system to enhance operational standards and data accuracy. A risk assessment matrix is developed to identify potential problems and their negative impacts, leading to the formulation of a risk mitigation plan. The overall goal is to improve the accessibility and effectiveness of health insurance options for individuals experiencing qualifying life events, ultimately contributing to better public health outcomes. Desklib offers a variety of solved assignments and resources for students.

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PE4S163 – Leadership, and Change
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PE4S163 – LEADERSHIP AND CHANGE 1
Table of Contents
Introduction......................................................................................................................................2
Change Event in Public Health Field...............................................................................................2
SWOT Analysis...............................................................................................................................4
Improvement Solutions................................................................................................................6
Risk Assessment Matrix..................................................................................................................7
Risk Mitigation in Matrix................................................................................................................9
Conclusion.....................................................................................................................................11
References......................................................................................................................................13

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Introduction
The dynamics of the health care sector is continuously evolving creating the urge for
healthcare institutions, and stakeholders to work towards adopting a clear approach in
increasing awareness among people associated with their healthcare conditions and measures
to improve the quality of life and facilities to support healthcare facilities considering the
funding and awareness needs (Brownson, Baker, Deshpande, & Gillespie, Evidence-based
public health., 2017; Deschamps, Rinfret, Lagacé, & Privé, 2016). Qualifying Life Event
(QLE) undertake elements such as loss of health coverage, job-based elements, individual
and student plans, loss of eligibility for Medicare, Medicaid, or CHIP and losing the coverage
of parent's plan. Therefore, it is important for the research to follow the approach following a
change event in public health setting following enrolment American shop for Health
Insurance, though the shop is unknown by many people especially among students (Halkias,
Santora, Harkiolakis, & Thurman, 2017; Martin, Beech, MacIntosh, & Bushfield, 2015).
The paper aims to discuss the shop for American Insurance following the need of
students to get their own insurance after being withdrawn from their parent’s insurance. It
works forward with a detailed SWOT analysis of the event followed with areas of
improvement to formulate perspective and identify the areas using a brief risk assessment to
plan mitigation plan. It will support mitigation plan for QLE to accomplish long-term targets.
Change Event in Public Health Field
The need for suitable insurance arises in different conditions, for example, change in
the household, getting married or divorced, having or adopting a baby or death of a family
member. Other qualifying events include changes in income to cover the qualifying element,
gaining membership in a federally recognized tribe, for example, Alaska Native Claims
Settlement Act Corporation Shareholder or leaving incarceration (Appelbaum, Dow,

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Mazmanian, Jundt, & Appelbaum, 2016). It has been found that every year in the open
season, Americans are required to shop for Health Insurance, and however, people are still
unaware about insurance shop outside their health insurance in open enrolment period. It is
important for researches to discuss Qualifying Health Event (QLE) following different
studies in formulating perspective (Southard, 2016). It has been outlined in researchers that
approximately 8 – 10% million American are eligible for Special Enrolment Period (SEP)
following qualifying life events. A defined mechanism is used by Qualifying Life Event for
Health Insurance to understand the requirement of end user before offering them insurance
plan (MILA ARAUJO, 2019; Andersson, 2015).
Qualifying Life Event is a life-changing element to identify the health insurance needs
following the impact of qualification to work on existing health insurance or subsidies. QLE
works on the eligibility for special enrolment period to purchase health insurance in the
marketplace outside the open enrolment period. It can be said that QLE work around different
types of job, location, income, or family status (Kickbusch, Cassels, & Liu, 2016). It also
includes following the separation of the couple, court-ordered family dependent changes, and
others. These changes also include a permanent move from a new state or house.
Furthermore, the change in the eligibility of people from marketplace covering 60 days into
the future of QLE following special enrolment period (Dückers, Yzermans, Jong, & Boin,
2017). Additionally, any change in the eligibility for help paying the coverage, or change in
income perspective might result in different plans such as Medicaid, Children’s Health
Insurance Plan, and others. Changes or error in any type of enrolment plan or exceptional
circumstances might result in a conflicting situation (Hanley, 2015; Barr & Dowding, 2019).
It can be said that the Special Enrolment Period helps the individuals to enroll in
change health insurance plan in open enrolment period to trigger by the qualifying life event.

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Furthermore, the special enrolment period is based on 60 days until the life change event
starts to operate efficiently. The concept of qualifying life event follows with life-changing
circumstances to create an impact in the situation to work on particular health insurance and
make them qualify (Lavelle & Betancourt, 2016). Furthermore, it is important to consider the
elements associated with membership health insurance following short term and temporary
health insurance to work on mitigation solutions to work on next open enrolment period
(Nkengasong, Maiyegun, & Moeti, 2017; Kelliher & Parry, 2015).
SWOT Analysis
To assess the strengths and weaknesses of the QLE can be determined using SWOT analysis
in formulating perspective. It is an analytical tool to help the individuals in formulating
perspective to contribute towards areas of improvement; the SWOT analysis is as followed
Strengths
Numerous options for individuals to select
from their required insurance type
Business growth for companies
Rise in per capita income and emerging,
middle-income group
It entails the most suitable personal line
products following householder
comprehensive insurance
It has a huge pool of skilled professional
required to be relocated. Therefore, no extra
manpower is required at any level
It will work on a large collection of personal
line products which have lined up previously.
It works on research and development
required on the outset of the region.
Weaknesses
Low investment and dominance of the public
sector
It works of promotion as a barrier following
old tariff structure, and limited facilities
It works on internet essentials for operating
office and inflexibilities of the product
The middle-class overburdened people are
pressurized after tax.
No incentive for people required for tax
exemption for all bancassurance products
required.
The lack of bank goodwill and insurance
companies increase the risk for individuals
following QLE
The tariffs are inflexibly required to be
followed with a clear plan
The rating is not based on actuarial
principles.
Opportunity
The creation of stronger demand for QLE
Stronger Future Growth and rise in income
and awareness and health insurance
The database of insurance companies can be
utilized by the companies to churned out of
Threats
The political environment is not conducive to
constructive change
The dominance of entrenched player has
worked on industry stagnate
The legal structure, bureaucracy, and

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the database to develop market products
Companies are required to work on insurance
products following the research of
approximately 5 – 10 years before investing
in the risk structure
Research and development will help the
organization to allow collaboration between
the banks and insurance companies.
financial infrastructure have worsened
previously.
It requires leaders to work on change
approach by thinking the culture of change
following the concerns of every individual
It works on a lower rate of return on
investment to make sure that people are
interested in their plan
The lower profits of the company can lead
towards insolvency and liquidation despite
the regulatory regime
(Edmondson, Higgins, Singer, & Weiner, 2016; Appelbaum, Dow,
Mazmanian, Jundt, & Appelbaum, 2016)
The SWOT analysis of the plan clearly identify that individuals are required to
consider the factors associated with the QLE, the weaknesses and threats have highlighted a
number of risks to look for improvement solutions in controlling the damage towards its
resources. Using its resources, QLE can look for improvement in its strategic approach and
goals. It is important for the research to work on the weaknesses and threats in the next
section to highlight the areas of improvement which will be further used in the risk
assessment informing perspective (McGrath, Bacso, Andrews, & Rice, 2019; Stander, De
Beer, & Stander, 2015).
Improvement Solutions
It has been determined in different researches that QLE is a life-changing event for
many individuals looking forward to seeking new insurance plan following different
conditions. However, it is important for individuals to improve their operational standards
using a web-based system based on the self-contained interface to support the hospital system
(Dieleman, et al., 2016). This is linked with the information with a database such as SoftMed,
ClinTrac data system, containing clinical, financial, and demographic data to combine risk
management, quality management, medical records, data abstracts, and others. It supports the

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overall system to meet the demand of the system progress and overcome the weaknesses in
the system (McGrath, Bacso, Andrews, & Rice, 2019). The use of a software-based system
helps the organization to scrubbed duplicate information following non-patients before they
enter the system. Meanwhile, in order to ensure data accuracy, it is important for the
individuals to work on occurrence report to match their data corresponding administrative
records from a web form to accept the information and store it for further use (Dieleman, et
al., 2016; Brownson, Baker, Deshpande, & Gillespie, Evidence-based public health. , 2017).
From operational perspective, it is important for the individuals as well as the public
health authorities to work on occurrence report system to link the overall database with risk
management department so that the clinical nurse can coordinate the information with the
patients by e-mailing the occurrence information to investigate the event before the final
analysis (Lavelle & Betancourt, 2016). The clinical system can help the patient for further
analysis of quality improvement management and initiative with automated time logs to
improve accountability and establish work standards to be processed after (MILA ARAUJO,
2019). This system support a significant reduce in medication error by nursing staff in the
occurrence report and actual case. In addition, timely log can help the medical specialist to
help individuals in getting timely insurance (Brownson, Baker, Deshpande, & Gillespie,
Evidence-based public health., 2017; Braithwaite, 2018).
Execution of the Web-based arrangement of gathering drug mistake information at
our establishment filled in as an obvious and substantial impetus for change in the framework
foundation of the inpatient and mobile patient security conditions. The new announcing
framework gives all healthcare employees in our foundation private, mysterious methods for
revealing occasions (Dückers, Yzermans, Jong, & Boin, 2017). This framework gives a
sheltered situation to revealing blunders. Healthcare suppliers can utilize the framework in

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the protection of their own workplaces or even in a bustling medical attendants' station
without dread of response. A Web-based arrangement of revealing all by itself is not novel
(Appelbaum, Dow, Mazmanian, Jundt, & Appelbaum, 2016). The selected framework for
QLE appropriate in three ways, it permits the ongoing transmission of information to the
hazard the executive’s office; information is naturally cleaned and scoured to guarantee
precision and maintain a strategic distance from duplication; and information is consequently
associated with statistic and clinical data (Southard, 2016).
Risk Assessment Matrix
Risk supervisors are prepared to deal with different problems in numerous
environments. The obligations of the main risk attempts are finally dictated by the particular
association. These experts commonly work in financing, protection and accompanying cases,
events, clinical research, psychological and human medical care, and emergency
preparedness. In light of these data, the risk was corrected that the executive's plan expects
doctors to evaluate the catheter normally. The final product was a decrease in the patient's
risk. It is found that the association faces novel difficulties; certainly, there is no single risk to
the executive's agreement (Brownson et al., 2017). These challenges are associated with the
incorporation of the risk assessment plan, but are not limited to patient safety, important
government guidelines, medication errors, current and future strategy and legislation that
influences the need for a safe after the emergency of medical care (Dückers et al., 2017).
The risks of not preparing for possible problems can have huge long-distance impacts.
If there is no extensive risk, the board designs can negotiate a tolerant consideration, increase
the risks of the obligation and generate misfortunes related to the money. In this line, the
potential risks must be evaluated and estimated in terms of their possible negative impacts. In
view of the risk assessment, an explicit management plan of the association must be created,

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executed and observed (Dieleman et al., 2016). The improvement and use of health care risks
of board programs depend on extensive research in progress. Risk managers must keep up
with the important data of their association, since the results of the investigation could show
that they are opposed to assumptions that in some way or another could put executives at risk
(MILA ARAUJO, 2019). For example, an examination distributed by JAMA Internal
Medicine discovered that the expansion of the long rest periods of the occupants to encourage
hospitals to change patient safety. The risk, the result of the executive was to ensure that
methodologies were established to improve occupant rest plans and decrease potential risks
for patients (McGrath et al., 2019).
Risks that are planned by the board are explicit for several health offices. While
maintaining a strategic distance from the possible outcomes related to money is a concern,
quiet needs are usually the need. In clinical examinations, for example, the Institutional
Review Boards (IRB) screen is intended to explore designs before they are updated to ensure
negligible risk to human subjects. The risk plans must cover the persistent explicit risks, since
they should also be available to those who work with patients (MILA ARAUJO, 2019).
Numerous risks to patients can be reduced if doctors and staff are sufficiently prepared,
allowing for strong correspondence between staff and people, administration directed at those
who work with patients, and major competency assessments. The full risk that the council
designs in consideration of the patient can encourage silent safety activities and decrease
readmissions. Vigorous risk: Executives require extensive preparation and qualified health
managers to create, update and evaluate the agreement of an association. This is, finally,
useful for patient compliance and other primary concerns after their insurance (Dieleman, et
al., 2016).

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Risk Mitigation in Matrix
Present day advancement requires quality worldwide assets at a quick pace for which
re-appropriating—an idea well known to achieve productivity, appears a practical alternative,
particularly about risk alleviation. Re-appropriating stretches out the proficiencies to take on
complex and spearheading ventures, and over the period has demonstrated to be an amazing
risk alleviation technique. Nevertheless, in spite of it being the best asset over the globe, re-
appropriating additionally has given the difficulties of dealing with the methods in new fierce
monetary situations (Southard, 2016). As of late, a nitty-gritty examination has been
completed to look for the arrangement of QLE. A portion of the examinations have
concentrated on the dimension of intricacy and cost and time invade, and the essential
accentuation of which has stayed on building up a model that can set up a connection
between the multifaceted nature, the related risks, and its suggestion on generally speaking
goals. Its establishment stands in recognizing risks at the beginning as well as the moderation
systems close by taking into consideration the communication of the three and all that in the
structure of Expected Utility Theory (Brownson, Baker, Deshpande, & Gillespie, Evidence-
based public health., 2017; Spurgeon, Clark, & Ham, 2017).
Task multifaceted nature has a direct linkage with the inventive idea of the
undertaking. Henceforth, it is imperative to evaluate the forthcoming dimension of troubles
that may emerge because of the very character of the venture. Thus, this could spare the
postponements in undertaking finish and hold in line with the financial limits other than
keeping notoriety in a relentless challenge following QLE. Occasionally it comes to elective
sourcing methods for vitality from the customary non-renewable energy source where the
thought itself is inventive and has solid linkages in broadening the risk with respect to risk
extension and diminishing conditions (Dieleman, et al., 2016; Ginter, Duncan, & Swayne,

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2018). Recognizing elective wellsprings of vitality is a risk relief process other than
protections is extremely overwhelming and requires work at multidimensional dimensions of
intricacy. Nevertheless, for interest in sustainable sources, a noteworthy impediment other
than the execution of the venture itself is the administrative necessities winning in a given
nation alongside the nation's long haul key objectives which can confine elective risk relief
procedures (Hanley, 2015).
Possibility hypothesis about inventive undertakings is of the view that a task can trail
diverse number and for what it's worth about the innovative ventures, it may not be following
the prepared stages from the age of a plan to dispatch. Therefore, the greatest test lies in
distinguishing a specific arrangement that can be utilized and asset allotment according to the
setup and the thinking behind it in guaranteeing the general achievement of the spearheading
venture (Nkengasong, Maiyegun, & Moeti, 2017). In the open segment, the stake is people in
general, and the accomplishment of social segment ventures is the resultant result in regards
to its suggestion on the life of a normal man. Social segment ventures, when all is said in
done, do not confront financing difficulties, while risk moderation regularly is evaluated on
equities sway assessment (EIA). Included imaginative basic leadership procedure of social
risk sway assessment (SRIA) must have an inclination over EIA which does not assess a
segment that could confront antagonistic effect because of administration cuts (Dückers,
Yzermans, Jong, & Boin, 2017; Shirley, 2016).
Conclusion
To conclude, it can be said that health insurance work as a public health change event
to help individuals in looking forward to seeking insurance in different situations following
an open season. The research has worked on the leadership management of public health
event for people to help the individuals in seeking the right insurance to meet the demand to

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improve their quality of lifestyle and seek funds. The overall research has also highlighted
elements associated with QLE to formulate perspective in shaping the research in the right
direction. The research has outlined the process from which the individuals are required to
work on planning their resources. The overall process is required to be completed in a span of
27 days of the event date to be qualified for the event. Meanwhile, it approximately takes 2 –
3 weeks for the carrier to review the application.
It has also worked on discussing a detailed SWOT analysis following the need for
improvement from the threats and weaknesses to improve their strategies for common people.
The research will support the study in shaping perspective using the Risk matrix and
mitigation plans. The overall plan is focused on the Patient Protection and Affordable care act
so that the people can get insurance following the qualifying life event to overview the
special enrolment period. THE health insurance regulations and availability of the plan
follow from state to state and county to county so that the individual can work on changing as
a qualifying life event. These elements are associated with the experience to the quality event
to sign up during the enrolment period, in eHealth element is focused on helping individuals
to work on seek coverage to select the prices they can afford.