On this assignment, we are succesful of zoom out to a bigger concentric circle and hang in thoughts the health of your entire personnel. On a bigger scale, this impacts the health of these internal it and creates the context for this personnel of folks and what varieties of facilitators and barriers to health they’ve collectively.
Communities are unfamiliar, factual as persons are unfamiliar, and if we’re going to be effective as health services, we want to attain the personnel our patients dwell in; a minimum of enough to construct concepts that build sense and to give culturally safe care.
If we dwell in the personnel we again, then this comes naturally. If we attain no longer, then it takes some distance more effort on our portion, to attain that working out (and we’re more likely to construct mistakes). Here is one reason culturally concordant care results in improves affected person health outcomes.
We can exhaust the the same levels of health promotion that we vulnerable for an individual, but educate it on the personnel level:
- Review
- Planning
- Intervention
- Overview
Fortunately, we would possibly perhaps well presumably also no longer be accountable for performing a Neighborhood Health Wants Review (CHNA), since right here’s a extremely advanced task.
We can, nonetheless, ask you to seek out the person that exists for the personnel you reside in, or that’s nearest to you for this assignment. Even as you occur to work or notion to work as an APRN in a special personnel from your possess, you would possibly perhaps well presumably presumably also fair resolve to exhaust that one. It is seemingly you’ll per chance well look and fetch the CHNA to exhaust for this assignment, and change into conversant in it.
This would possibly perhaps well presumably also fair provide several benefits for you. First, you would possibly perhaps well presumably presumably also pick as a lot as know the health location of your personnel better, and 2d, you are going to learn more about the strategy of assessing personnel health. Furthermore, you are going to learn to pass about planning, organising interventions, collaborating with partners, and evaluating efforts.
Procure in thoughts that this assignment is supposed to be an introductory to personnel overview. We can duvet plenty of ground like a flash and we realize that we would possibly perhaps well presumably also drag deeper with this. The goal is to make certain that as APRNs and leaders in the sphere, you are in a position to select up admission to recordsdata, account for it, and formulate evidence-based mostly entirely mostly concepts to support your personnel.
Hot tip: Even as you occur to leer that you just like personnel health, hang in thoughts that right here’s often a nursing area of expertise rental for you. Many nurses and APRNs fetch that they love working on a bigger scale, equivalent to in personnel or public health, in particular if policy work is your cup of tea, you would possibly perhaps well want to hang in thoughts working in these broader fields.
Assignment Objectives
- Name the levels of health promotion as they pertain to a personnel health overview and implementation notion.
- Assess and identify health disparities amongst vulnerable populations in step with personnel recordsdata stories.
- Glimpse personnel interventions, agencies, and insurance policies when advocating for vulnerable populations.
- Name personnel partners and hang in thoughts effective ways to collaborate to meet personnel health goals.
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Module9CommunityHealthNeedsAssessmentWorksheet.docx
Neighborhood Health Wants Review
The records in your native sanatorium’s CHNA ought to restful support you to total this assignment.
· Click on right here to learn about the CHNA and what hospitals are required to embody
· Then Google look your native sanatorium's CHNA most standard represent
· Even as you occur to attain no longer hang a native sanatorium machine or can’t stumble on a CHNA represent, exhaust this hyperlink to seek out the closest one to you. (It is seemingly you’ll per chance well be in a position to furthermore copy and paste: https://recordsdata.cms.gov/supplier-recordsdata/dataset/xubh-q36u ).
ASSESSMENT
Metropolis and Insist: |
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Zip Code: |
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Name of the sanatorium vulnerable: |
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three hundred and sixty five days of overview (exhaust most most standard): |
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Hyperlink for the CHNA represent vulnerable (ensure this hyperlink is available to varsity/folks originate air of the group): |
Top 3 health wants identified:
Top 3 Health Wants |
1. |
2. |
3. |
Top 3 healthcare disparities/inequities (if no longer explicit, infer from your personnel wants and list them):
Top 3 Healthcare Disparities/Inequities |
1. |
2. |
3. |
Per the records you’ve gathered above, title 3 vulnerable populations that you just are likely to treasure:
Susceptible Populations |
1. |
2. |
3. |
What social determinants of health will be contributing to the identified health wants and healthcare disparities? Name 3 per need in step with economics, atmosphere, schooling, dart, non secular minority, cultural minority, cognitive load, pick up admission to to food, transportation, etc.
Top 3 Health Wants |
Social Determinant of Health 1 |
Social Determinant of Health 2 |
Social Determinant of Health 3 |
1. |
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2. |
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3. |
Historical Context
Use the desk below to reply to the following prompts:
· What Indigenous communities first lived on the land the build your personnel resides? Use: https://native-land.ca/
· Like a flash (2-3 bullet facets) picture one historical match that had a permanent impact in your personnel (i.e., closing of an change that used to be a well-known employer; a natural catastrophe; red lining; wave of immigration or migration). Does this match continue to impact the health of the personnel on the present time?
· Are there any historical events that personnel members are in particular contented with?
Indigenous personnel(ies) that first lived on the land: |
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One impactful historical match (2-3 bullet facets to picture): |
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Persisted impact? How so? |
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Historical match(s) personnel takes pride in: |
Safe admission to To Care
Local Transportation
· What are the choices for native transportation, and would possibly perhaps well folks pick up admission to healthcare facilities by public transportation? Buses, Trains, Subways, Taxi, Uber, etc.
· How famous does public transportation price?
· Are there any minimize price applications for low-earnings females/pregnant individuals to select up admission to transportation to healthcare visits?
Alternate choices for native transportation to clinics/sanatorium: |
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Practical price of transportation to nearest sanatorium/sanatorium: |
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Good deal applications/support on hand? If that is the case, what form? Insert N/A if no longer appropriate. |
Health Insurance
Did your impart participate in Medicaid Expansion? |
Yes/No |
Can folks pick up admission to the healthcare.gov marketplace for low-price insurance in the personnel? |
Yes/No |
If that is the case, what’s the lowest costing notion on hand when having access to healthcare.gov in your impart? Insert N/A if unable to survey plans; attain no longer insert your non-public recordsdata. Definitions for reference: · Month-to-month top payment x12 months: The amount you pay to your insurance company every month to hang health insurance. · Deductible: How famous it is required to exhaust for lined health services sooner than your insurance company pays the leisure (excluding free preventive services) · Copayments and coinsurance: Payments you build to your health care supplier every time you pick up care, devour $20 for a health care provider consult with or 30% of sanatorium charges. · Out-of-pocket most: Essentially the most it is required to exhaust for lined services in a three hundred and sixty five days. After you attain this amount, the insurance company pays 100% for lined services. |
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How long does Medicaid coverage remain in station after initiating? |
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What’s the share of uninsured folks in your impart or personnel? // Use https://www.countyhealthrankings.org/ and enter your zip code // Scroll down to “Extra scientific care” and click on on the + button to belief additional records |
PLANNING
Environmental Stipulations and Anguish Conception
· Use 1-2 web sites to rating records for this portion (most of 2). Strive shopping for the well-known phrase: “ catastrophe preparedness notion” + your city (i.e., catastrophe preparedness notion Louisville).
Use the desk below to reply to those prompts:
· What are 2 native environmental conditions or emergencies that can per chance well presumably also fair impact pick up admission to to care and how? (i.e., downhearted avenue conditions or lack of avenue systems; long-established flash flooding)
· What agency handles public health emergencies/ pandemic preparedness? Show cowl this acquired’t be the the same because the agency that handles environmental mess ups.
· What’s your personnel’s catastrophe verbal change notion in the match of an emergency? (i.e., how are folks notified of an impending emergency)
Websites(s) vulnerable (max 2): |
1. |
2. (non-main) |
1-2 native environmental conditions or emergencies that can per chance well presumably also fair impact pick up admission to to care and how? |
1. |
2. (non-main) |
What agency/agencies address public health emergencies/pandemic preparedness? |
1. |
2. (non-main) |
Anguish verbal change notion: |
1. (insert web page/social media hyperlink) (wireless emergency alert – phones) |
2. (non-main) |
INTERVENTION
Ideas for Health Equity
What health services would possibly perhaps well presumably also an APRN provide toughen or suggest for to support vulnerable communities in your rental? Name 3 in the desk below.
Partnerships are a a will must hang portion of imposing any public health notion. Who would you accomplice with? What sectors are enthusiastic?
Mediate BIG. What’s a policy that can per chance well presumably also impact this intervention?
It is seemingly you’ll per chance well be in a position to exhaust your CHNA to belief if there are concepts for interventions in the Neighborhood Health Implementation Conception (CHIP) if yours has one.
The County Health Ranking & Roadmaps at https://www.countyhealthrankings.org/ furthermore has unheard of sources for taking motion/interventions as well to partnerships.
POLICY: Consist of a hyperlink to a most standard policy (ideally native/impart), policy disaster/short, or a theory for a policy you would possibly perhaps well presumably presumably also fair hang gotten that’s no longer for the time being in station. Present a short synopsis of it.
Intervention for vulnerable communities (list 3): |
Who would you accomplice with? What accomplice organizations would possibly perhaps well presumably also you collaborate with? |
What sectors ought to restful be enthusiastic? (i.e. healthcare, public, non-public, etc.) |
Describe what insurance policies are truly or would possibly perhaps well presumably also impact this intervention? (1-3 bullet facets) |
1. |
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2. |
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3. |
EVALUATION
How are you hoping these interventions would build an impact in your personnel? Who decides what success would survey devour in your personnel? It is seemingly you’ll per chance well hang to positively hang in thoughts perspectives of patients and thunder impact on them, no longer factual “statistical” success.
How would you would possibly perhaps well presumably presumably also fair hang gotten in thoughts if your proposed interventions are working? (i.e., look for of a explicit population, recordsdata collection and prognosis – be explicit of what form of recordsdata, etc.)
Proposed intervention (one per column) |
Instance: free diabetes treatment for patients with form 2 diabetes |
(change with intervention 1) |
(change with intervention 2) |
(change with intervention 3) |
Examples of what success for this intervention would survey devour (list 2-3 bullet facets): |
· Improved labs (glucose, HgbA1c) · Improved consistency or compliance with taking treatment |
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Diagram of evaluation (i.e., recordsdata collection, surveys, sorting out, etc.): |
· Checking out: reduction of HgbA1c in patients in the county · Peek: affected person stories larger adherence to taking meds |
Rev. 9/24
SUMMARY
Successfully carried out! Now that you just’ve carried out an introductory level personnel overview, possess in the abstract desk below. This would possibly perhaps well presumably also fair support you to stare the broad image of what you’ve carried out.
ASSESSMENT |
PLANNING |
INTERVENTION |
EVALUATION |
Top 3 Health Wants |
List who would you collaborate with to address this? |
One urged intervention for vulnerable population(s) |
Diagram of evaluation for the intervention |
1. |
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2. |
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3. |
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