Healthcare System Trade-offs & Organizational Strategic Leadership

Part I
The Trade-Off Analysis
In considering healthcare system trade-offs, politics plays a major role. Understanding the strengths and weaknesses of the current Medicaid system in the United States based on individual state policies is important to the political and legal platforms each state faces. As organizations seek to implement HMIS and IT program development, upgrades, and evaluations the organizations must be capable of separating the IT failures, budget overruns, and exogenous changes in enrollment that affect the healthcare system. In a minimum of 250 words, discuss the following:
Who is responsible on the state political level to propose legislature to overcome healthcare organizations concerns (trade-off) relating to patient enrollment and budget overruns?
What is Georgia’s responsibility in preparation for healthcare change such as the ACA?
How do healthcare leaders best integrate pre-existing conditions and long-term illness?
Must use at least one scholarly source and document all sources in APA style.
Part II
Overcoming Public Disinterestedness
Understanding the responsibility and concerns of healthcare is important in creating policies that leadership can use to streamline success. If strategic leadership is not realized over time, healthcare organizations’ political influences may face challenges and create public disinterestedness in health policies. These issues create restrictions on the healthcare organization’s ability to meet its financial budget, gain the community’s trust and involvement, and secure political influence(s). This negatively impacts the overall performance of the healthcare organization. The ideas of process innovation, risk-taking, health building analysis, and governance greatly impacts “sense-making” for those being led. These ideas bring understanding to the role of governance in the organization. Review the case study “Australian Surgery Indicator Makes the Front Page” in the attachment and discuss the following questions in a minimum of 250 words:
After your review, do the conclusions you draw from the case justify the headline? Why or why not? 
Discuss the indications found in Table 15-1 and their effect on the health care organizations’ efficiency in elective surgery.
Evaluate the avoidable rate of canceled surgeries and develop an implementation plan to overcome the concerns.
Develop a mini policy to address the issues between the doctors and the organization.
Must use at least one scholarly source in addition to the source in the attachment and document all sources in APA style.