ONE: Featherfall Medical Center The 1920's Featherwall Consulting, physicians began to realize that documentation not only helped their patients, but it also helped themselves with their practice. The downfall of documenting everything on paper was that it was limited to the facility in which it created, and over time, legibility of procedures and results could become difficult. Flipping through paper charts is not only time consuming, but it could be potentially dangerous as papers could smoothly go missing, and incorrect treatment for a patient could occur. Medical records are now available electronically available for accessibility at all times and thus reduce healthcare personals countless hours of going through paper charts. Times can be assigned to treat patients effectively as lab results are available for viewing moments after they have been verified (UIC., 2017). The concept of patient-centered care is one of the recent developments in healthcare that has received increased attention. It has played a vital role in creating a new framework for improving systems and defining -healthcare quality. Information is critical to evidence-based practice and patient-centered care. It has evolved recently to focus on the acquisition of data, storage, and its use in the healthcare setting with more emphasis on the use of technology. For instance, the information on previous admissions, diagnosis, treatment, and prescriptions required to address health issues in later times. Another essential function that health informatics has used to undertake the coordination of care within and across systems besides facilitating the availability of relevant information (Parvanta, C. F., 2015). In other words, we cannot talk of quality care without factoring in the criticality of high quality of information within the equation. The first one is credible excellence. It provides one with the robustness they need to arrive at and deliver on reliable solutions. Patient sovereignty is another factor that should inform the use of technology in the healthcare setting. The independence of the patients in terms of expressing themselves and providing information on their will without coercion provides all the motives to consider the effort to foster patient-centered care. The other parameter is that which regards privacy. Privacy of information is of the utmost importance when it comes to healthcare management (Wang, J., 2018). Electronic Health Records are one of the standard technologies used in the healthcare setting that contain information regarding the diagnosis, immunization, and treatment of patients. Mobile Access is another technology used in the field of health information management. It is mainly used for storing the information belonging to a patient remotely in the cloud so that it is accessed anywhere. Unified Communications have also been vital in information sharing and are especially great for consulting outside help. Unified communications are assisti ...

1. ONE: Featherfall Medical Center
The 1920's Featherwall Consulting, physicians began to realize
that documentation not only helped their patients, but it also
helped themselves with their practice. The downfall of
documenting everything on paper was that it was limited to the
facility in which it created, and over time, legibility of
procedures and results could become difficult. Flipping through
paper charts is not only time consuming, but it could be
potentially dangerous as papers could smoothly go missing, and
incorrect treatment for a patient could occur. Medical records
are now available electronically available for accessibility at all
times and thus reduce healthcare personals countless hours of
going through paper charts. Times can be assigned to treat
patients effectively as lab results are available for viewing
moments after they have been verified (UIC., 2017).
The concept of patient-centered care is one of the recent
developments in healthcare that has received increased
attention. It has played a vital role in creating a new framework
for improving systems and defining -healthcare quality.
Information is critical to evidence-based practice and patient-
centered care. It has evolved recently to focus on the acquisition
of data, storage, and its use in the healthcare setting with more
emphasis on the use of technology. For instance, the
information on previous admissions, diagnosis, treatment, and
prescriptions required to address health issues in later times.
Another essential function that health informatics has used to
undertake the coordination of care within and across systems
besides facilitating the availability of relevant information
(Parvanta, C. F., 2015). In other words, we cannot talk of
quality care without factoring in the criticality of high quality
of information within the equation.
The first one is credible excellence. It provides one with the
robustness they need to arrive at and deliver on reliable
solutions. Patient sovereignty is another factor that should

2. inform the use of technology in the healthcare setting. The
independence of the patients in terms of expressing themselves
and providing information on their will without coercion
provides all the motives to consider the effort to foster patient-
centered care. The other parameter is that which regards
privacy. Privacy of information is of the utmost importance
when it comes to healthcare management (Wang, J., 2018).
Electronic Health Records are one of the standard technologies
used in the healthcare setting that contain information regarding
the diagnosis, immunization, and treatment of patients. Mobile
Access is another technology used in the field of health
information management. It is mainly used for storing the
information belonging to a patient remotely in the cloud so that
it is accessed anywhere. Unified Communications have also
been vital in information sharing and are especially great for
consulting outside help. Unified communications are assisting
in enhancing patient outcomes and the effectiveness of the
treatment process (Nelson, R., 2018).
The feather fall, patient’s admission is one of the roles that
have accorded great attention. The gathering of patient's data
starts right at the entrance. That is where the necessary data
about the patient, such as names and contact, are input in the
system. The clinical staff is tasked with the directives to add
information and update the existing data on a recurrent basis.
The data on diagnosis, treatment, and prescription of drugs have
to be updated in the system for future reference.
The fundamental goal of using new systems herein is to enhance
patient outcomes and, at the same time, comply with the laws
and regulations. The starting point when evaluating how the
new systems meet the demands of the organization is checking
the readmission rates and turnover rates. On the one hand, the
rate of readmission and patient-doctor ratio could give insights
about how the new systems have transformed the service
delivery model (Zheng, H., 2017). The accessibility of
information would also assist in getting perceptions regarding
how the new systems support the organization in complying

3. with health regulations and laws. The vital aspects of being
considered; include privacy that ensures that information
belonging to patients does not get into the wrong hands.
TWO: Moving Toward Compliance
In regards to health regulations and laws ramifications, it will
financially impact the Featherfall staff(s) or the organization,
because they take too lightly the significance of the rules; for
that reason, Featherfall staff violated several government
regulations concerning the use of technology and its functions.
The violation of law has severe financial consequences,
operationally, and hospital’s security. The breach of compliance
for Featherfall is troubling and not pleasing to the leadership of
the organization. On February 17, 2009, The Health Information
Technology for Economic and Clinical Health (HITECH) Act
was signed into law to promote the meaningful use of health
information technology (Redhead, C. S., 2018). The Act was
signed into law to enable the motivation of electronic health
records (HER) implementation and the support of technology in
America. There was a monetary incentive that was provided
between 2011 to 2015 to enable healthcare providers to
demonstrate meaningful use of electronic health records (EHR).
The provided incentives come with stipulations by the end 2015
healthcare organizations have to show the level of improvement
and the full implementation of the HER, or they will be
penalized (Redhead, C. S., 2018). Also, under the HITECH Act,
the government in close watch on organizations that related to
regular reports of neglect, which also entail mandatory
penalties. In the HITECH Act, there is noncompliance with the
government established standards regards to “neglect” that
require the penalties estimated $250,000, and reoccurrences of
violations will result in 1.5 million dollars (Redhead, C. S.,
2018). On the other hand, the Featherfall as an organization
does not bring up the standard of technology up to date, and the
organization will subject to about 1.5 million dollars fine like
reoccurrence offenders (Redhead, C. S. (2018). The
noncompliance state of Featherfall as an organization, it will

4. take them in a bad light the eyes of the public and a bad
financial condition.
The Featherfall as an organization has not been effective
operation wise because the staff(s) are not appropriately trained.
The staff(s) are new to the technology that is in place. The
technology inconveniences have resulted in operational
imbalances. Also, as an organization, they are not using the
required technology consistently, which leads to providing
inconsistency in their services. The quality of service(s)
provided Featherfall to their patients and community are
compromised because of substandard technology. All the
inconsistences will cost the organization financial losses and
put the organization into financial difficulties because there are
maybe compromised patient care, information, and errors in
coding and billing. The security consequence for not using the
technology appropriately by Featherfall staff(s) there may be
probable healthcare data violation. The violation HITECH Act
can also result in a breach of the Health Insurance Portability
and Accountability Act (HIPAA) (Murphy, M., & Waterfill, M.,
2010). The priority to any healthcare organization(s) is to
protect patient(s) confidential information at any cost. The
improper use of technology by staff(s) of Featherfall put
patient(s) information at high risk of exposure. Likewise, the
violation of HIPPA has its consequences that will result in a
fine. The organization can be fined an estimated $50,000 for a
first offense and up to 6 million for multiple reoccurrences
within one calendar year (Murphy, M., & Waterfill, M., 2010).
THREE: Recommendations
Featherfall Medical Center has proved that it is hard for their
organization to observe practices, policies, and health laws. If
they did abide by them, then they would be in much better shape
than they are now. This institution would return to exactly
where it was if some recommendations are to be added to the
rules and regulations. On the one hand, rules had to set up,
incorporating new technology to keep the medical center
organized.

5. Through its Health Information Technology for Economic and
Clinical Health (HITECH) Act, the state provides doctors up to
$ 44,000 through Medicare (or up to $ 63,750 through Medicaid
in some cases) over five years if they can show proper use of
electronic health records (EHRs). If providers do not find
reasonable use by 2015, then, Medicare reimbursement will be
cut by 1% per year, up to 5%. Those rules may seem direct, but
the distortion is significant. Developing an electronic health
record and fulfilling the standards for meaningful use is a
considerable undertaking. It needs a great dedication to time
and money and the skill of many knowledgeable doctors,
especially the young hence making execution very difficult.
Despite the odds, 41% of doctors in the office said they plan to
apply for an EHR payment, most of which 78% plan to use in
2011 or 2012, according to the National Center for Health
Statistics (NCHS) Survey of Information Technology approval
medical profession ways to become more innovative,
productive, and collaborative than their larger competitors to
survive in today's market (Health & Human Services, 2012).
How can this be done? The research shows a sizable increase in
both the business performance and the worker when the
organization successfully sets and brings together individual
employees' goals to the company's overall plans. Surprisingly
though, 7% of employees today have full knowledge of their
company's policies and strategies and their expectations towards
the company to achieve the business objectives.
After the technological system has made, it is crucial to devote
sufficient time and resources to properly consider different
options depending on which one (s) of the options should be
selected. We have found that this feature of the planning and
accompanying writing of business cases and procurement
considerations is sometimes limited and often accelerated. For
example, it is necessary to be fully aware of the full range of
program providers, as well as to communicate with potential
vendors to understand the principles and companies of
companies that an organization is looking to engage in long-

6. term relationships. It is beneficial to tour other health care
facilities that use the same technology. Strong goal alignment
and goal visibility allow faster execution of company strategy
by enabling your management team to allocate human resources
to various projects effectively. By exposing scarce business
efforts, it also improves overall efficiency by ensuring that
employees do not redo the efforts of others. Aligning goals also
strengthens the leadership of your company by allowing
managers to clearly understand all responsibilities related to
specific objectives, remove unwanted resources from the
workforce, and focus their employees on Feather fall’s most
relevant aspirations.
Over and above meeting Featherfall's applicable requirements,
the EHR must act following the privacy and security
requirements under the Health Insurance Portability and
Accountability Act, ARRA, and reasonable usage terms. In
general, organizations fall somewhere between "trust but hold"
and "full" on information from patients, as stated by Eric
Liederman, MD, MPH, director of medical informatics for
Kaiser Permanente in northern California. A lot of decisions in
the design, training, and monitoring phase of implementation
will be driven by where the organization wants to be in that
spectrum (California HealthCare Foundation, 2008).
Finally, to get rid of time wastage, the center should define its
objectives by the use of an Electronic Health Record (EHR).
Featherfall should ensure they meet the minimum requirements
of the American Recovery and Reinvestments Act (ARRA)
requirements of 2009 incentives while they change their
strategies in the smallest way possible. The others want to fully
robotize their workflow, add a billing system, and increase the
ease of connecting with laboratories and other suppliers and
come up with an online patient communication and education
tool via a linked portal. The practice objectives will lead to a
variation in the time required, dealers, training, and the cost
incurred (Robert Wood Johnson Foundation, 2006).
Conclusion

7. Reference
Bowie, M. J. (2018). Essentials Health Information
Management: Principle & Practices (4th ed.). Place of
publication not identified: Cengage Learning Custom P.
California HealthCare Foundation: The State of Health
Information Technology in California: Use Among Physicians
and Community Clinics. 2008,
http://www.chcf.org/topics/view.cfm?itemID=133640
Gifford S, Maberry D: An integrated system for computerized
patient records. Hosp Community Psychiatry. 1979, 30 (8): 532-
5. health & Human Services (2012).
Murphy, M., & Waterfill, M. (2010). New HIPAA guide for
2010: 2009 ARRA Act for HIPAA security and compliance law
& HITECH Act, your resource guide to the new security &
privacy requirements. Authorhouse.
Nelson, R. (2018). Health informatics: An interprofessional
approach. St. Louis: Mosby.
Parvanta, C. F. (2015). Essentials of public health
communication. Sudbury, MA: Jones & Bartlett Learning.
Redhead, C. S. (2018). The Health Information Technology for
Economic and Clinical Health (HITECH) Act ([Library of

8. Congress public edition].). Congressional Research Service.
Robert Wood Johnson Foundation, Electronic Health Records
Still Not Routine Part of Medical Practice, Says New Study.
2006, http://www.rwjf.org/pr/product.jsp?id=21882
Wang, J. (2018). Data warehousing and mining: Concepts,
methodologies, tools, and applications. Hershey, PA:
Information Science Reference.
UIC (2017). A Brief History of Health Informatics. Retrieved
from: https://healthinformatics.uic.edu/resources/articles/a-
brief-history-of-health-informatics/
Zheng, H. (2017). Crossing the quality chasm: A new health
system for the 21st century. Washington: National Academy
Press.
Running Head: Final Project: Analysis Paper
Final Project: Analysis Paper
Final Project: Analysis Paper
ONE: Social and Behavioral Factors
Public Health Issue Analysis
Type 1 juvenile diabetes, also known as insulin-dependent, is a
chronic autoimmune disease that afflicts children and teens and
is one of the most prevalent chronic diseases among these age
groups (Barnetz, Z., & Feigin, R. (2012). That afflicts
approximately 30 million people in the United States, about
1.25 million have type 1 diabetes. Recent studies have shown
fifty percent of people diagnosed with type 1 diabetes are over

9. the age of 20. Every year, approximately 40,000 people
diagnosed with type 1 diabetes, and this number is on the rise.
Insulin and glucose are processed after a person eats a meal;
food is broken down into glucose and nutrients, which absorbed
into the bloodstream. This process will cause sugar levels in the
blood to rise and will trigger the pancreas to process the
hormone insulin and send it in to the bloodstream (Nakayasu, E.
S., et al., 2020).
In-person(s) with diabetes, the body either cannot make or
cannot respond to insulin appropriately. It means the sugar stays
in the bloodstream rather than getting into cells, where the
sugar is used for energy. Because they were not converted into
energy, the people with type 1 diabetes take artificial insulin
throughout the day to offset high blood sugars. They take this
medicine multiple doses of insulin daily, through injections or
an insulin pump worn on the body. On the one hand, these
measures are undoubtedly helpful for maintaining a steady
blood sugar level (Basso RVJ, & Pelech WJ., 2008). Many
variables go into diabetes management, such as diet, exercise,
hormones, stress levels, and many more. Unfortunately, as it is
today, there is no cure for diabetes, maybe in the future. Each
child who is diagnosed with type 1 diabetes. Will have the
condition for the rest of his/her life until there is a cure. The
risk of developing diabetes is higher than virtually every other
childhood, chronic illness. Studies estimated one out of every
three babies born each day will probably have diabetes in their
lifetime (Nakayasu, E. S., et al., 2020).
Social and behavioral factors
The social and behavioral factors that increase childhood
diabetes or juvenile diabetes are complicated. The writer has
discussed the cause of childhood diabetes with pediatricians of
her place of volunteer work, Sinai hospital Baltimore,
Maryland. The writer understands that there two sides to look at
the condition. First, those born with the conditions mainly
because of the mother’s social behavior during pregnancy,
which is smoking, and alcohol indulgence. Secondly, those

10. children that got diabetes after birth mainly due to poor
nutrition from parents, community, or the groups they keep.
Program or Intervention Analysis
There is a program that engages children and teenagers with
juvenile diabetes in three one-year cycles of an evaluation study
of a mentoring program. The program focuses on adding the
teenager’s teamwork and knowledge of the demands of
treatment. The program aims to perceive the nature of the
relationship between teenagers and their mentors, from how
they view the whole situation to how this relationship enables
them to cope with the different challenges that may arise due to
the condition. The intervention has three themes: the mentor-
mentee relationship patterns, the central significance of the
mentee’s observation of the behavior of their mentor and the
emotional effects of interacting with the mentor. The findings
aim at understanding how the mentor-mentee relationship
affects the adolescent in the social-emotional community and
the importance of in having this knowledge in accessing and
giving professional help (Insel RA, Beecher DC. & Brewer J.,
2012.)
The primary goal of this program is to create motivation in
diabetic children and teenagers who are affected by the
nutritional and medical demands of diabetes by using a
responsible medical treatment. It also trains them in
understanding the importance of seeking medical treatment,
self-acceptance even with the condition and giving them
information that helps them cope with the condition by
themselves (Insel RA, Beecher DC. & Brewer J., 2012.)
Research conducted over the three years, which is still in effect,
observed three groupings a span of one year. There was the
recruitment of mentees through different medical centers and
clinics in the district that treat juvenile diabetes and the
Juvenile Diabetes Association. There were meetings held by the
medical staff who later passed the information to the
adolescents. Of the 12 participants in the first year, 9
participants completed the year, aged between 10 to 17 years.

11. Among the 8 second-year participants, 6 completed the year
aged between 10 to 17 years while in the 12 third-year
participants, 9 finished the year aged between 10.5 and 17.5
years. At the end of the three years, there were 32 participants,
17 who are boys and 15 girls and 24 are the only participants
who ended the program (Insel RA, Beecher DC. & Brewer J.,
2012.)
The successes and failures
The research highlights three themes. First, there is the
relationship pattern between mentor’s ad mentees, and are of
four types, the recreational partner, the soul mate, the social
worker, and the admiring role model. The second theme
emphasizes what makes the four patterns of work that are
mentees’ observation of their mentors’ direct behavior and how
attitudes and values are conveyed. The third theme deals with
how the intervention affects the emotions of the mentees (Insel
RA, Beecher DC. & Brewer J., 2012.)
TWO: Public Health Program
The program adopts a similar program initiated the National
Diabetes Prevention Program that focuses on diverse
populations with pre-diagnosed and diagnosed with type 2
diabetes families having difficulties gaining access to care that
is not costly. The program targets a wide range of families
caring for a loved one affected with childhood diabetes in
African American communities in Gadsden County, Florida. The
program is open to all ethnicities and implements plans based
on their daily living. Also, the program is national, introduce,
and implemented by the state and local as well through CDC
finance grants. The program does partner with private and
public organizations to create an intervention. The Centers for
Disease Control and Prevention is a significant financier of
these programs by creating awareness regarding the condition of
prediabetes and educating and informing the population and
how their participation in the program(s) will make a difference
in their communities and promote the program as a covered

12. health benefit. A potential solution to the problem of the lack of
accessibility and affordability to care (Center for Disease
Control and Prevention, 2018).
The program adopts one of the numerous approaches used in the
Diabetes Prevention Program to combat the associated risk
factors of an unhealthy lifestyle and physical inactivity. The
program provides educational support materials to families and
participants, that help in creating plans and strategies for self-
management. The support material will include a community-
based support group location to assist with any arising questions
and supports. The community-based support group ensures
specific materials and strategies for the participants furnished
with information. For example, if one of the parents is not
adhering to healthy eating, the community support center
provides assistance and weekly physical activities for affected
families. The intervention offers a core curriculum provided by
the grant’s provider, CDC, or DPP. Also, there will be
supervised physical activity time that counts as part of their
school on a weekly or biweekly basis (Diabetes Prevention
Program, 2002).
The community-driven program always builds around the
decision making of community leaders; in most cases, have a
partnership with researchers focusing on improving the
community and sustainability application. The program will
take the lead from the National Institute of Diabetes, and
Digestive and Kidney Diseases report shown successful results
of intervention programs. The program strategies focus on
approved studies by NIDDK, which encourages parents and
caregivers to adopt healthy habits, healthy eating, getting
adequate sleep, and physical activity guide their children to
develop this lifestyle will reduce and prevent childhood
diabetes. As parents or caregivers have a significant role in
shaping their children's lives with what they eat and drink.
Also, educate your children to consume foods and beverages
with low added sugar, saturated fat, and salt. The program uses
better communicable ways in promoting and delivering the

13. objective by using Choose My Plate that gives parents,
caregivers, and clear children understanding (NIDDK, 2019).
In identifying, assessing the outcome of the program, we
realized these children and parents move from county to county,
state to state, and from one location to another. There are no
substantiating data at the time of the research. However, there
are proven studies that advise parents and caregivers to allow
preschool-age children ages 3 through 5 years, to be physically
active throughout the day that will help with their process of
growth and development. Also, for school-age children ages 6
through 17 years, make them participate a minimum of an hour
of physical activity each day (NIDDK, 2019).
THREE: Program Analysis
This program is aiming at identifying different causes of
diabetes and also obesity and then come up with practical
solutions to this problem. But it had its strength and even its
weakness just like any other program. Because different people
live, work, and enjoy life in a separate geographical area. They
also have a different lifestyle, which makes them facing various
challenges in life. However, they may have a similar difficulty
in life; the highest percentages of the challenges are always
different. Through the use of these programs, the relationship
between diabetes and obesity is well known. The level of stress
in different individuals has said to have decreased, the
productivity in diverse workplaces has also risen, and the
weight loss campaigns have even gone up alongside promoting
the entire healthy lifestyle. According to this program, there are
different public health issues which are said to be the most
serious compared to others. These issues are like diabetes and
obesity among the children, which is the main issue, according
to this program. There are other issues like poor nutrition,
physical inactivity, and inadequate income, among many others.
This program intended to prevent and also manage all the health
issues starting with both juvenile diabetes and obesity. The
program influenced at least 33% of the state population. Also,
there was a decrease of about 4% of the people who had been

14. affected by diabetes and obesity. This program involved
different administrating agencies such as the centers for disease
control (CDC), women, infants and children (WIC), and also
mass in motion (MIM) movement, all aiming at bettering the
healthy lifestyle of different individuals. According to the
program, different parents usually aim at controlling the
nutrition of their children for it to develop over the child's
lifetime. Also, this program deals with various social and
behavioral risks that are related to both diabetes and obesity
issues. Some of these risks are diet, different levels of activity,
economic and social factors, ethnicity alongside the living
environment (Devettere, R. J., 2016).
According to the program, diabetes and obesity are some of the
leading health issues, and it is influenced by different factors
that are also associated with other public health issues. One of
the factors is the issue of obesity, which is said to cause
diabetes. Because obesity is related to insulin resistance when it
is coupled with relative insulin deficiency, thus leading to
diabetes. Another factor is a family history, or parents' family is
associated with diabetes. Their children have a high possibility
of developing such conditions. The issue of dieting has a
significant role in the children's problem, which is as a result of
diabetes and also obesity. A properly balanced diet can be used
to prevent and control different health problems such as obesity
and diabetes. Still, it is different people facing various
challenges towards having a better and balanced diet in their
daily meals. One of the difficulties which make it difficult for
different individuals to have a nifty diet is the issue of low
income in a family. Because the price of the healthy food which
can make a collection of a balanced diet is very high, thus
making it difficult for those families with low income to access
it. There is also the issue of physical excise.
Since different programs which lead to physical excise in
different schools have been terminated, it has been difficult for
different children to be involved in the physical excises
practically. Also, technology has a contributing factor, which

15. also has its pros and cons. Still, one of its demerits is that most
of the kids use a lot of time in internet games, watching
television among others instead of involving themselves in the
physical excises. Also, they influenced a change in lifestyle due
to high standards of living among some people. Due to this,
some jobs do not encourage movement or hard work which can
give one some excise while also. There is also the social and
economic factor that deals with the amount an individual or a
family can earn daily, monthly, or annually (Southworth, S.,
2018). Some of the families usually make a very wee amount of
money such that they cannot be able to access better schools
where they are good programs towards children's diet and
physical excise. There is also the issue of educating the parents
on how they can prevent and control obesity and diabetes in
their children. Because apart from school, children believed to
be at home where their parents are monitoring and caring for
them; thus, they can easily be used to manage the issue of
diabetes and obesity. Also, those with low incomes are not able
to buy healthy food and also due to the nature of their job they
do not have the time to cook the food for the required period,
thus making them opt to take they few consuming times in
reparation. There is also the issue of the environment in which a
family life. Some of the families usually live in poor
neighborhoods as long as physical excise and access to good
health care concerned due to their living standards. In some
communities, there is inadequate space for the creation of
playing grounds for children. And the level of poverty among
the members of the community. The environment also becomes
the high origin of different outbreak disease. Then there is the
theoretical approach of this problem, which aims at examining
the relationship between various factors and how they influence
the individual risk. According to the program, there was a
project which was made specifically for fighting childhood
diabetes and obesity via influencing both the environmental
factor and the individual factors, which may lead to a poor
healthy lifestyle. To the young ones, the project advised them to

16. use different advanced school programs and sports to better
their physical excise. Then, on the other hand, the adults were
encouraged to use various workplace programs to maintain their
bodies in terms of reducing their weight physically. And finally,
at the community level, it was to start working with local
restaurants to raise healthy menu options as well as extending
of the community garden space, among other possibilities (II, J.
R., & Helton, J., 2015).
The program also seemed to pay little attention to some of the
significant social and behavioral factors. One of the elements in
which the program spent a little care was family history, which
is one of the major contributors to diabetes and obesity. Most
children who are associated with diabetes, their family members
also have been facing the same problem, thus creating a big
chance for their kids. It is a significant factor because it creates
awareness among different individuals, thus preparing them
psychologically, thus making them ready to fight the diseases.
There is also an economic factor, which is one of the significant
challenges facing health care in terms of eating. In some of the
families which are mostly affected, they are not able to afford
balanced diet food such as better and fresh fruits, vegetables,
among others. It is an essential factor because when a family or
an individual can provide healthy food, he/she or the family can
smoothly avoid or mitigate this kind of risk. The other factor
which was neglected was the signs and symptoms of diabetes
and obesity. Also, a significant factor because when people are
aware of the signs, they can easily take action to deal with it as
soon as possible. Then there was the issue of inadequate income
in the communities. Also, it will result in populations unable to
access healthy food options. Another crucial factor because with
a good salary, the people can be able to access grocery stores,
Farmers' markets, and also food chains which are faster and
positively effective to them. The program should also have
advised different individuals on how they can be able to earn
more for them to be able to afford healthy foods like healthy
cereals. Finally, there is a genetic and race issue. It is a very

17. crucial factor because when people are aware of the genes and
the race which is endangered by diabetes, then they can get
prepared and come up with preventive measures earlier before it
affects them. (Rosenburg, G., & Weissman, A., 2012).
According to public health data, it is evident that those who
were involved in similar programs have seen improvement in
their health. Also, they have achieved this because they engaged
in healthy eating and physical excise for about two hours per
day. Studies show parents have been taught on how to prevent
and manage diabetes and obesity within their children. Parents
were educated on how to teach their kind's different exercises;
they have been given instructions on insulin administration and
also blood glucose monitoring. The program also has been
involved in daily phone reminders for parents with the kind who
are patients on how to adjust their insulin does as well as
offering one on one educational session. Also, around one
hundred and twenty-six restaurants across fourteen
Massachusetts communities improved in terms of providing a
healthy menu option to the members of the public. The data also
shows that school nutrition programs have also improved. It
also indicates that there have been partnerships with the
available local farms which produce then provide healthy food
to different schools. The school children also have been given a
break before lunchtime for them to be able to come up with an
appetite alongside taking the food with enough period to avoid
rushing for the food.
On the other hand, the communities have opted to expand their
walking. Then they took a crucial step in implementing safe
routes for the school students to use while walking or biking to
and from the school. It is also evident that the lots which had
been abandoned communities have converted to green spaces
and parks, which are responsible for the provision of the
vegetables and fresh fruits to the communities. According to
public health data, it is also evident that students who come
from low-income families have also experienced an
improvement in both their health and academics. Due to past

18. programs like this, even they improved their blood pressure and
body mass. The previous program also indicates that experts
have involved in solving this diabetes problem by committing
themselves to quality health care and also extend their services
beyond the hospital mostly is states of Maryland and Virginia.
Finally, the results of the program showed significant
improvement as it was expected, thus making it successful
although it was not 100% to the most significant percentage it
met its expectations (Moini, J., & Moini, M., 2017).
Every program has its pros and cons, weakness, and also
strength. But some of the programs have more advantages than
disadvantages while others are the opposite. Most time, both
vulnerability and depths of the program are the ones that
determine its success of frailer. A program with more strengths
than the weakness usually succeeds, while the opposite is also
exact. According to the public health data, programs of this
nature had more depth than the fault, thus impacting it to have
more advantages than the disadvantages. In other words,
programs of this nature have positively influenced most
diabetes and obesity problems. The program has shown
different ways of preventing diabetes without the use of
medication. Different parents have been shown how to avoid
and also control diabetes and obesity within their children.
Different children have also reduced their weight through
involvement in physical excise due to this program. Via this
program, different restaurants were able to improve their menu
options; school nutrition programs have also improved to a
better percentage compared with that without the program. The
program has positively influenced by teaching the communities
healthy eating, physical excises, and utilization of the prior
abandoned lots in terms of production and provision of the
vegetables and also fresh fruits. This program also helped
students from low-income families, by the provision of better
healthy food and even academics. This program influenced
students in terms of the providing of suitable areas for physical
excises. Likewise, aside from the program is more successful in

19. terms of the goals, it also had its failures. This program failed
in
various things, such as paying little attention to some social and
behavioral factors. One of the factors which this program failed
in by paying little care is a family history that has been
associated with diabetes and obesity. The program also spent
little attention on the signs and symptoms of diabetes and
obesity alongside race and even a genetic issue. Also, there was
the economic factor that is said to be among the significant
barriers to a portion of good healthy food. The program was
supposed to pay a lot of attention to this factor because with it,
and it can be beneficial to be able to access better health care
food. The next consideration is the low income, which some of
the families and also individuals experience. The program failed
to deal with this factor, which is very crucial because it is to
provide better access to a better diet, better sports, among
others. Then in terms of the strengths, the program included
different well-known public health institutions such as the
center for decease and prevention control to help the program
go through successfully. Those controlling the program made an
excellent follow up for the program to measure the success of
the program. Then on the other side of negative influence, the
program did not address effectively some of the issues which
affected health care, and instead, it paid very little attention to
them. It was also selective in terms of addressing different
social and behavioral factors—there some other factors which
are significant such as mental health, and among others. Finally,
the program did not show people with low-income ways in
which they can use for them to gain more income. But
generally, the plan was successful despite its weakness
(Marchildon, G. P., & Matteo, L. D., 2014).
Various things such as paying little attention to some social and
behavioral factors. One of the factors which this program failed
in by paying wee attention is the family history which has been
associated with diabetes and obesity. The program also paid a
little attention to the signs and symptoms of diabetes and

20. obesity alongside race and also a genetic issue. Also, there was
the economic factor that is said to be among the major barriers
to a portion of good healthy food. The program was supposed to
pay a lot of attention to this factor because with it, it can be
very useful to be able to access better health care food. The next
factor is the low income which some of the families and also
individuals experience. The program failed to deal with this
factor which is very crucial because it is to provide better
access to a better diet, better sports among others. Then in terms
of the strengths, the program included different well-known
public health institutions such as the center for decease and
prevention control to help the program to successfully go
through. Those who were controlling the program, made a great
follow up for the program to measure the success of the
program. Then on the other side of negative influence, the
program did not address effectively some of the issues which
affected health care and instead it paid very little attention to
them. It was also selective in terms of addressing different
social and behavioral factors. This is because there some other
factors which are major such as mental health, access to health
care and substance use disorder among others. Finally, the
program did not show people with low-income ways in which
they can use for them to gain more income. But generally, the
program was successful despite its weakness (Marchildon G. P.,
& Matteo, L. D., 2014).
FOUR: Recommendations
Different programs are focused on achieving different goals.
But this public health program about juvenile diabetes and
obesity is focused on achieving different goals. One of the goals
was to identify various causes or major influences of diabetes
and obesity. Also, the program will be aimed at different public
health issues apart from diabetes and obesity, such as physical
inactivity, poor nutrition, and too low income, among many
others. The program will also aim at explaining the relationship
between diabetes and obesity and how one leads to the other.
According to this program, obesity is one of the public health

21. issues which leads to diabetes. It also involved different
administrating agencies like women, infants, and children. The
program also requires different social and behavioral
approaches, which said to be related to obesity and diabetes,
such as economic and social factors. This program included
other stakeholders such as parents and schools, among others, in
the fight against the significant health issues like diabetes. The
program will also focus on some of the critical social and
behavioral factors. Which have been neglected most of the time,
but they are very crucial and also their significance. Finally, the
program focused on the prevention and management of all
health issues but mostly obesity and diabetes. My
recommendation for the program would also be focusing on
screening children as early as possible for both diabetes and
obesity. If they found to have obesity or diabetes, then they
should be given an intense diet, behavioral childhood obesity,
diabetes treatments, and physical activities. For the
improvement of the program, I also recommend the use of
different strategies in the prevention of overweight children
such as school-based activities, residential activities, medical,
and finally, internet-delivered activities (Bagchi, D., 2010).
There are also other social and behavioral theoretical
approaches, such as sociocultural and community organization
variables. It is one of very crucial behavioral factor which
includes different aspects such as lifestyle and cultural elements
such as technology, education, and also attitudes. In terms of
lifestyle, different children have different lifestyles depending
on their parent’s income and education towards various public
health issues and how to prevent them. It is a significant factor
because there are parents who have low income, thus making it
difficult for them to afford healthy food. Then also, in most
cases, parents with poor education regarding obesity and
diabetes are not comfortable for them to prevent this kind of
public health issue within their children, such encouraging their
children to engage in physical activities. Physical activities are
suitable for the health of an individual. Also, help in terms of

22. mitigating the risk of overweight among both the children and
even their parents. Also, the cultural aspect, such as technology,
has played a role in influencing public health issues negatively
and positively depending on how one uses the technology. Some
children spend a lot of time watching movies and other
programs in televisions, thus lacking enough time to be
involved in physical exercise, thus creating a chance for them to
be affected by obesity, which gives birth to diabetes (Faintuch,
J., & Faintuch, S., 2014).
On the other hand, if they are educated, they can use the
technology likes using the different website to look for public
health education and various procedures of physical health
activities such that they can put into practice regularly. Finally,
there is the issue of attitude whereby the community should be
educated on how to develop a positive attitude towards the
behavioral exercises which prevent diabetes and obesity, such
as walking and also be involved in other helpful physical
activities as well as a better diet. It is because a negative
attitude always gives a negative result, unlike a positive attitude
towards something which gives positive outcomes (Faintuch, J.,
& Faintuch, S., 2014).
Then in terms of claims from the program is that the program
neglected and also paid little attention to some of the crucial
issues which can help to prevent diabetes, obesity alongside
different health issues. One of the problems neglects is the
screening of the children at an early age to identify the problem
at its early stage so that it can be controlled before it matures,
thus making it easier to manage it. Also, the program did not
talk about different signs and symptoms of these two major
public health issues, which are obesity and diabetes. It is a
significant factor because immediately, signs and symptoms
start to show up the children can be taken to the hospital for
early treatment. The next issue is that the program paid little
attention to sociocultural and community organization variables.
Some of the aspects of sociocultural the program did not give
detailed information about them. In my opinion, I suggest the

23. program be much better and more useful for the early detection
and prevention of obesity and diabetes. The program should
include an initial screening of the children aged below five
years. Also, the program should consist of different signs and
symptoms of both diabetes and obesity. Finally, the program
can improve through the inclusion of detailed sociocultural and
community organizational variables. And then, the program
should show how society can positively use those factors to
help their children in terms of preventing them from obesity and
diabetes (Klachko, D. M., 2013).
Conclusion
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