NHS FPX 6008 Assessment 4 Lobbying for Change

NHS FPX 6008 Assessment 4 

Lobbying for Change

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Capella University

NHS-FPX 6008

Professor Name

Submission Date

Lobbying for Change

To,
The Honorable Governor Bill Lee,
Governor of Tennessee,
State Capitol, Nashville, TN 37243, United States.
Dear Governor Lee,

I am addressing you to invite you to participate and to act to help end the dreadful lack of access to health care services in the rural communities within our state. This issue continues to overwhelm emergency departments, stress out healthcare providers, and cause poor health outcomes in underserved communities. These most at-risk communities should be acted upon to assist them in attaining equitable, timely, and sustainable care. My experience on the front lines has enabled me to observe how failure to receive care early can cause patients unnecessary suffering and subsequent complications.

Tennessee has a large number of residents (rural) who are enrolled in the Greenfield Medical Center and who are finding it difficult to access timely, preventive, and integrated health care services due to geographic remoteness, issues in deploying health workers, and infrastructure gaps. These barriers have contributed to the improper use of emergency care for situations that could have been managed preemptively, which in turn drives up costs and strains limited resources (Ranjit and Kissoon 2021). Because of this, not only are providers becoming severely burnt out and leaving their jobs, but patients, many of whom are your constituents, are dying at a rate that is growing because of complications that can be avoided and worsening health outcomes. It is a constant crisis that has remained to impact the health and economic status of the rural communities around the state.

Overcoming the rural Tennessee health care access gap will result in a significant impact at both the patient and provider levels within communities, such as those covered by the Greenfield Medical Center. Increasing access will lessen the overcrowding in emergency rooms, chronic illness control, prevention of avoidable hospitalizations, and provider burnout, resulting in job satisfaction and retention (Sartini et al., 2022). Those modifications will also rebuild the community confidence and increase continuity of care. On the contrary, doing nothing will continue workforce shortages and turnover, increase healthcare expenses attributable to inpatient stays that could have been prevented, and worsen health disparities, weakening the health and economic status of rural communities.

Increasing access to care in rural Tennessee areas is not only ethically right, but it is also an economically viable idea. According to a study conducted by Hawrilenko et al. (2025), telehealth services can have excellent returns on investments (ROI) on rural health systems due to the possibility of mitigating costly emergency room-related travel and enabling the more efficient management of chronic diseases. Nevertheless, the success of telehealth relies on digital literacy and connectivity, which Rajamani et al. (2021) discovered could be addressed using community-based training programs to enhance patient engagement and the use of technology. The retention of the workforce is also an important economic variable. Arredondo et al. (2023) argue that the employment and retention of providers in rural areas can be enhanced dramatically when incentives such as loan forgiveness and bonuses are adopted to decrease hefty turnover rates estimated to cost up to 40,000-60,000 dollars per provider. This is further demonstrated by the Health Resources and Services Administration (HRSA, 2025), which indicated that rural communities have over 66% of primary care shortage areas. In addition, increased efficiency and sustainability are achieved through eliminating redundant services and hospital readmissions in coordinated care that is provided by interdisciplinary teams (Ghorbanzadeh et al., 2021). About equity, making care available corresponds to the ANA Code of Ethics and assists in breaking racial and geographic gaps. As both Sun et al. (2021) and Malayala et al. (2021) explain, culturally competent care models enhance outcomes as well as generate trust and engagement with underserved populations in the long run.

My experience as a nurse at Greenfield Medical Center has given me a firsthand experience of how devastating limited access to care can be both to patients and to the providers. In our emergency department, patients often arrive too late, in a serious condition, and many of them die, as they could have been saved by timely treatment. This has caused staff burnout, higher staff turnover, and heartbreaking ethical choices such as treating patients with severe, preventable disease (Silverman et al., 2021). These experiences helped me understand the need to look at specific solutions to address these problems. Our organization has been in the process of planning with the inclusion of telehealth expansion, provider incentives programs, and interdisciplinary care teams, which has learned the necessity of strategic resource utilization and strategic risk mitigation to achieve sustainable and equitable care for our rural population.

Access to health care in rural regions continues to be a serious matter that has significant effects on the health, safety, and economic prosperity of communities in Tennessee. Overcoming this issue with sustainable evidence-based interventions will have health benefits, will decrease cost, and save faith in the medical healthcare system (Berry et al., 2023). I ask you, Governor Lee, to advocate for the expansion of rural broadband, the promotion of telehealth, incentives to providers, and the utilization of the grant funds that are available to create lasting and equitable change. Thanks to your leadership and your ongoing dedication to the health of the people of Tennessee.

Sincerely,

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