Section #2To be completed by Learner2.1 ProjectWrite app.docxkenjordan97598
Section #2
To be completed by Learner
2.1 Project
Write approximately one paragraph that describes the action research project and the basis for it being addressed.
The action research project seeks to explore pertinent leadership effectiveness issue created by the healthcare reform process in healthcare institutions across the United States. The reform process has created a dynamic environment that is in constant flux. Essentially, healthcare reform institutionalization has proven to be very beneficial when it comes to reducing the rising cost of healthcare. Additionally, it helps ensure that effective delivery of primary care is achieved so as to diminish the prevalence of chronic illnesses such as diabetes and cardiac-related health problems. The shift towards preventive care for the reduction of chronic illnesses requires more engagement between the patients and the doctors and closer follow-ups of patient outcomes. This requires effective leadership when it comes to the creation a workforce that is responsive to long-term patient needs. This means the healthcare professionals such as the physicians and nurses need effective leadership in hospital management so as to ensure they are motivated and engaged in the change process through teamwork and partnerships within hierarchical structures. Nonetheless, the purpose of this action research is assess Micheal E. DeBakey VA Medical Center of Houston’s leadership so as to provide a leadership model that includes the most appropriate leadership qualities that can be adopted by the organization to create a dynamic healthcare environment. Essentially, the action research project will involve a qualitative analysis of case studies related to leadership mechanisms within the institution and how they influence employee and patient outcomes. Based on the findings of the studies conducted, the possibility of using the proposed leadership model to improve outcomes will also be gauged. Comment by Nita Stika: What example would you use to demonstrate how this is true? Comment by Nita Stika: Management, observation or as Dr. Z suggests. Comment by Nita Stika: To assess Comment by Nita Stika: Current administrative structure so as to construct a leadership model that includes the most compatible qualities to be adopted? Comment by Nita Stika: Again, a forgone conclusion, could.
Reference
Thompson, J.M. (2007). Health Services Administration. Sudbury, MA: Jones and Bartlett.
Dageling, P. and Carr, A. (2004). Leadership for the systemization of health care: the unaddressed issue in health care reform. Journal of Health Organization and Management, 18(6), 399 – 414.
2.2 Contribution to Society
Using citations, answer the following questions in order:
1. How does your project improve a current practice?
2void . If your action research project is successful, how could your project impact your field of interest?
3. What are the practical implications of your project? For example, what will be the impa.
Literary Analysis and Composition II (Sem1) Writing to a Promp.docxSHIVA101531
Literary Analysis and Composition II (Sem1) | Writing to a Prompt | Lesson 3
HW 425: Health and Wellness Programming: Design and Administration
Unit 1 Needs Assessment: The Big Picture
Lesson 3: Conducting Needs Assessments
Conducting a needs assessment entails the completion of a series of activities that are repeated to identify and prioritize the health needs of a target population. (Hodges & Videto, 2005, page 5, ¶3)
“Health educators gather, analyze, and prioritize information across and within groups of similar data to my systematic, well-informed decisions regarding the highest and most feasible health-related needs to be addressed” (Hodges & Videto, 2005, page 5, ¶3)
within a clearly defined, specific, target population.
Conducting needs assessments is the first step in “…the process of creating health education and health promotion programs” (Hodges and Videto, 2005, page 7, ¶3).
Hodges and Videto point out that while “Planning and conducting a needs assessment can seem like a daunting task…there are models and frameworks to help organize your planning” (2005, page 7, ¶3).
Models and Frameworks
Planned Approach to Community Health (PATCH)
The U.S. Department of Health and Human Services, Centers for Disease Control and Prevention (CDC) developed this approach for use in health education and health promotion situations. (Hodges & Videto, 2005, page 7, ¶3)
According to the Centers for Disease Control and Prevention (CDC)
PATCH, the acronym for Planned Approach to Community Health, is a cooperative program of technical assistance managed and supported by the Centers for Disease Control (CDC). PATCH is designed to strengthen state and local health departments' capacities to plan, implement, and evaluate community- based health promotion activities targeted toward priority health problems. (CDC, 2007)
The PATCH concept emerged in 1983 primarily as a CDC response to the shift in federal policy regarding categorical grants to states. One of those categorical grant programs was the Health Education-Risk Reduction (HERR) Grants Program. (CDC, 2007)
Basic Concept: Diffuse Effective Strategies
From its inception, the primary goal of PATCH was to create a practical mechanism through which effective community health education action could be targeted to address local-level health priorities. A secondary goal was to offer a practical, skills-based program of technical assistance wherein health education leaders in state health agencies would work with their local level counterparts to establish community health education programs. (Kreuter, 1984; Nelson, Kreuter, Watkins, & Stoddard, 1987). (CDC, 2007)
During the formative stages of PATCH, knowledge of what constituted effective community-based health education interventions was by no means complete and, of course, remains in a continuous state of development. However, as investigators directing community-based cardiovascular disease intervention programs began to describe resu ...
F e a t u r eGetting on Target with CommunityHealth Advi.docxmydrynan
F e a t u r e
Getting on Target with Community
Health Advisors (GOTCHA): an
innovative stroke prevention project
Lachel Story, Susan Mayfield-Johnson, Laura H Downey, Charkarra Anderson-Lewis, Rebekah Young
and Pearlean Day
The University of Southern Mississippi, Hattiesburg, MS, USA
Accepted for publication 18 September 2010
STORY L, MAYFIELD-JOHNSON S, DOWNEY LH, ANDERSON-LEWIS C, YOUNG R and DAY P. Nursing Inquiry 2010; 17:
373–384
Getting on Target with Community Health Advisors (GOTCHA): an innovative stroke prevention project
Health disparities along with insufficient numbers of healthcare providers and resources have created a need for effective and
efficient grassroots approaches to improve community health. Community-based participatory research (CBPR), more specifi-
cally the utilization of community health advisors (CHAs), is one such strategy. The Getting on Target with Community Health
Advisors (GOTCHA) project convened an interdisciplinary team to answer the call from 10 counties in the rural Mississippi
Delta area of ‘The Stroke Belt’ to meet the region’s identified health needs, and to impact the health of a disparaged state. This
article explores this CBPR project including the community involvement strategies, innovative CHA training curriculum, evalua-
tion plan, and implications to healthcare professionals, particularly nurses.
Key words: cardiovascular health, community, education, health promotion, lay health workers, minority.
Health disparities along with insufficient numbers of health-
care providers and resources have created a need for grass-
roots approaches that effectively and efficiently address
community health needs. Community-based participatory
research (CBPR) is one such strategy and is defined as a ‘col-
laborative approach to research that equitably involves all
partners in the research process and recognizes the unique
strengths that each bring’ (Minkler and Wallerstein 2003, 4).
CBPR is a long-term cyclical process that requires commit-
ment to meet three goals: research, action, and education.
In this participatory process, information is exchanged freely
and all partners share problem-solving to accomplish knowl-
edge attainment. The community is a unit of identity with
existing strengths and resources upon which to build this
process. Additionally, the resources and expertise of research
partners are employed to benefit all stakeholders. CBPR
focuses on local public health problems and ecology while
recognizing that there are multiple determinants of health
(Minkler and Wallerstein 2003). This approach creates a
project that is truly community-based and community-driven
not merely community-placed. This approach also provides a
unique opportunity for nurses to engage the community to
generate substantial societal change.
Community transformation works through a social ecol-
ogy model (Stokols 2000; Institute of Medicine 2002). Social
ecology implies that cer ...
National Institute of Health: Theory at a Glance, A Guide for Health Promotio...Zach Lukasiewicz
Introduction viii
Audience and Purpose 1
Contents 1
Part 1: Foundations of Theory in Health Promotion and Health Behavior 3
Why Is Theory Important to Health Promotion and Health Behavior Practice? 4
What Is Theory? 4
How Can Theory Help Plan Effective Programs? 4
Explanatory Theory and Change Theory 5
Fitting Theory to the Field of Practice 5
Using Theory to Address Health Issues in Diverse Populations 7
Part 2: Theories and Applications 9
The Ecological Perspective: A Multilevel, Interactive Approach 10
Theoretical Explanations of Three Levels of Influence 12
Individual or Intrapersonal Level 12
Health Belief Model 13
Stages of Change Model 15
Theory of Planned Behavior 16
Precaution Adoption Process Model 18
Interpersonal Level 19
Social Cognitive Theory 19
Community Level 22
Community Organization and Other Participatory Models 23
Diffusion of Innovations 27
Communication Theory 29
Media Effects 30
Agenda Setting 30
New Communication Technologies 31
Characteristics of successful changes in health care organizations: an interv...BenDarling7
Health care organizations are constantly changing as a result of technological advancements, ageing
populations, changing disease patterns, new discoveries for the treatment of diseases and political reforms and
policy initiatives. Changes can be challenging because they contradict humans’ basic need for a stable
environment. The present study poses the question: what characterizes successful organizational changes in health
care? The aim was to investigate the characteristics of changes of relevance for the work of health care
professionals that they deemed successful
Summary Various industries, including health care, have adop.docxpicklesvalery
Summary
Various industries, including health care, have adopted quality
improvement (QI) to enhance practices and outcomes. As
demands on the U.S. public health system continue to increase,
QI strategies may play a vital role in supporting the system and
improving outcomes. Therefore, public health practitioners, like
leaders in other industries, are developing QI approaches for
application in public health settings.
Quality improvement in public health involves systematically
evaluating public health programs, practices, and policies and
addressing areas that need to be improved to increase healthy
outcomes. Although QI methods and techniques have only
recently been applied to public health, public health systems offer
a wide range of opportunities for implementing, managing, and
evaluating QI efforts.
The growing field of Public Health Systems and Services Research
(PHSSR) offers the potential to contribute to and support QI efforts
in public health. PHSSR examines the delivery of public health
services within communities as well as the outcomes that result from
dynamic interactions within the public health system. By examining
the public health system, stakeholder interactions, delivery of services,
and outcomes, PHSSR can inform and support the implementation
of QI initiatives.
Most recently, national, state, and local levels have made notable
progress in quality improvement in public health.1, 2 One initia-
tive credited with achieving progress is the Multi-State Learning
Collaborative (MLC). The MLC aims to inform the national accredi-
tation program, incorporate quality improvement practice into pub-
lic health systems, promote collaborative learning across states and
partners, and expand the knowledge base in public health.
Bringing together state and local practitioners and other stakeholders
in a community of practice to achieve MLC goals has yielded several
best practices and lessons for public health stakeholders. However,
more work is needed if QI is to become standard practice in public
health—particularly in understanding health departments’ readiness
for change, building the evidence base for effective public health QI
practices in the context of the public health system, and examining the
sustainability of successful projects, and identifying the determinants
of transformational change.
ÆResearchInsights
Quality Improvement in Public Health: Lessons Learned
from the Multi-State Learning Collaborative
Background: AcademyHealth’s 2009 Annual Research Meeting
At the 2009 Annual Research Meeting (ARM), June 28–30, in Chicago, AcademyHealth convened a panel of three experts, members of the
Multi-State Learning Collaborative (MLC), to discuss their experiences in implementing quality improvement collaboratives in public health.
Leslie Beitsch, M.D., J.D., associate dean for health affairs and professor of family medicine and rural health at the College of Medicine, Florida
State ...
Section #2To be completed by Learner2.1 ProjectWrite app.docxkenjordan97598
Section #2
To be completed by Learner
2.1 Project
Write approximately one paragraph that describes the action research project and the basis for it being addressed.
The action research project seeks to explore pertinent leadership effectiveness issue created by the healthcare reform process in healthcare institutions across the United States. The reform process has created a dynamic environment that is in constant flux. Essentially, healthcare reform institutionalization has proven to be very beneficial when it comes to reducing the rising cost of healthcare. Additionally, it helps ensure that effective delivery of primary care is achieved so as to diminish the prevalence of chronic illnesses such as diabetes and cardiac-related health problems. The shift towards preventive care for the reduction of chronic illnesses requires more engagement between the patients and the doctors and closer follow-ups of patient outcomes. This requires effective leadership when it comes to the creation a workforce that is responsive to long-term patient needs. This means the healthcare professionals such as the physicians and nurses need effective leadership in hospital management so as to ensure they are motivated and engaged in the change process through teamwork and partnerships within hierarchical structures. Nonetheless, the purpose of this action research is assess Micheal E. DeBakey VA Medical Center of Houston’s leadership so as to provide a leadership model that includes the most appropriate leadership qualities that can be adopted by the organization to create a dynamic healthcare environment. Essentially, the action research project will involve a qualitative analysis of case studies related to leadership mechanisms within the institution and how they influence employee and patient outcomes. Based on the findings of the studies conducted, the possibility of using the proposed leadership model to improve outcomes will also be gauged. Comment by Nita Stika: What example would you use to demonstrate how this is true? Comment by Nita Stika: Management, observation or as Dr. Z suggests. Comment by Nita Stika: To assess Comment by Nita Stika: Current administrative structure so as to construct a leadership model that includes the most compatible qualities to be adopted? Comment by Nita Stika: Again, a forgone conclusion, could.
Reference
Thompson, J.M. (2007). Health Services Administration. Sudbury, MA: Jones and Bartlett.
Dageling, P. and Carr, A. (2004). Leadership for the systemization of health care: the unaddressed issue in health care reform. Journal of Health Organization and Management, 18(6), 399 – 414.
2.2 Contribution to Society
Using citations, answer the following questions in order:
1. How does your project improve a current practice?
2void . If your action research project is successful, how could your project impact your field of interest?
3. What are the practical implications of your project? For example, what will be the impa.
Literary Analysis and Composition II (Sem1) Writing to a Promp.docxSHIVA101531
Literary Analysis and Composition II (Sem1) | Writing to a Prompt | Lesson 3
HW 425: Health and Wellness Programming: Design and Administration
Unit 1 Needs Assessment: The Big Picture
Lesson 3: Conducting Needs Assessments
Conducting a needs assessment entails the completion of a series of activities that are repeated to identify and prioritize the health needs of a target population. (Hodges & Videto, 2005, page 5, ¶3)
“Health educators gather, analyze, and prioritize information across and within groups of similar data to my systematic, well-informed decisions regarding the highest and most feasible health-related needs to be addressed” (Hodges & Videto, 2005, page 5, ¶3)
within a clearly defined, specific, target population.
Conducting needs assessments is the first step in “…the process of creating health education and health promotion programs” (Hodges and Videto, 2005, page 7, ¶3).
Hodges and Videto point out that while “Planning and conducting a needs assessment can seem like a daunting task…there are models and frameworks to help organize your planning” (2005, page 7, ¶3).
Models and Frameworks
Planned Approach to Community Health (PATCH)
The U.S. Department of Health and Human Services, Centers for Disease Control and Prevention (CDC) developed this approach for use in health education and health promotion situations. (Hodges & Videto, 2005, page 7, ¶3)
According to the Centers for Disease Control and Prevention (CDC)
PATCH, the acronym for Planned Approach to Community Health, is a cooperative program of technical assistance managed and supported by the Centers for Disease Control (CDC). PATCH is designed to strengthen state and local health departments' capacities to plan, implement, and evaluate community- based health promotion activities targeted toward priority health problems. (CDC, 2007)
The PATCH concept emerged in 1983 primarily as a CDC response to the shift in federal policy regarding categorical grants to states. One of those categorical grant programs was the Health Education-Risk Reduction (HERR) Grants Program. (CDC, 2007)
Basic Concept: Diffuse Effective Strategies
From its inception, the primary goal of PATCH was to create a practical mechanism through which effective community health education action could be targeted to address local-level health priorities. A secondary goal was to offer a practical, skills-based program of technical assistance wherein health education leaders in state health agencies would work with their local level counterparts to establish community health education programs. (Kreuter, 1984; Nelson, Kreuter, Watkins, & Stoddard, 1987). (CDC, 2007)
During the formative stages of PATCH, knowledge of what constituted effective community-based health education interventions was by no means complete and, of course, remains in a continuous state of development. However, as investigators directing community-based cardiovascular disease intervention programs began to describe resu ...
F e a t u r eGetting on Target with CommunityHealth Advi.docxmydrynan
F e a t u r e
Getting on Target with Community
Health Advisors (GOTCHA): an
innovative stroke prevention project
Lachel Story, Susan Mayfield-Johnson, Laura H Downey, Charkarra Anderson-Lewis, Rebekah Young
and Pearlean Day
The University of Southern Mississippi, Hattiesburg, MS, USA
Accepted for publication 18 September 2010
STORY L, MAYFIELD-JOHNSON S, DOWNEY LH, ANDERSON-LEWIS C, YOUNG R and DAY P. Nursing Inquiry 2010; 17:
373–384
Getting on Target with Community Health Advisors (GOTCHA): an innovative stroke prevention project
Health disparities along with insufficient numbers of healthcare providers and resources have created a need for effective and
efficient grassroots approaches to improve community health. Community-based participatory research (CBPR), more specifi-
cally the utilization of community health advisors (CHAs), is one such strategy. The Getting on Target with Community Health
Advisors (GOTCHA) project convened an interdisciplinary team to answer the call from 10 counties in the rural Mississippi
Delta area of ‘The Stroke Belt’ to meet the region’s identified health needs, and to impact the health of a disparaged state. This
article explores this CBPR project including the community involvement strategies, innovative CHA training curriculum, evalua-
tion plan, and implications to healthcare professionals, particularly nurses.
Key words: cardiovascular health, community, education, health promotion, lay health workers, minority.
Health disparities along with insufficient numbers of health-
care providers and resources have created a need for grass-
roots approaches that effectively and efficiently address
community health needs. Community-based participatory
research (CBPR) is one such strategy and is defined as a ‘col-
laborative approach to research that equitably involves all
partners in the research process and recognizes the unique
strengths that each bring’ (Minkler and Wallerstein 2003, 4).
CBPR is a long-term cyclical process that requires commit-
ment to meet three goals: research, action, and education.
In this participatory process, information is exchanged freely
and all partners share problem-solving to accomplish knowl-
edge attainment. The community is a unit of identity with
existing strengths and resources upon which to build this
process. Additionally, the resources and expertise of research
partners are employed to benefit all stakeholders. CBPR
focuses on local public health problems and ecology while
recognizing that there are multiple determinants of health
(Minkler and Wallerstein 2003). This approach creates a
project that is truly community-based and community-driven
not merely community-placed. This approach also provides a
unique opportunity for nurses to engage the community to
generate substantial societal change.
Community transformation works through a social ecol-
ogy model (Stokols 2000; Institute of Medicine 2002). Social
ecology implies that cer ...
National Institute of Health: Theory at a Glance, A Guide for Health Promotio...Zach Lukasiewicz
Introduction viii
Audience and Purpose 1
Contents 1
Part 1: Foundations of Theory in Health Promotion and Health Behavior 3
Why Is Theory Important to Health Promotion and Health Behavior Practice? 4
What Is Theory? 4
How Can Theory Help Plan Effective Programs? 4
Explanatory Theory and Change Theory 5
Fitting Theory to the Field of Practice 5
Using Theory to Address Health Issues in Diverse Populations 7
Part 2: Theories and Applications 9
The Ecological Perspective: A Multilevel, Interactive Approach 10
Theoretical Explanations of Three Levels of Influence 12
Individual or Intrapersonal Level 12
Health Belief Model 13
Stages of Change Model 15
Theory of Planned Behavior 16
Precaution Adoption Process Model 18
Interpersonal Level 19
Social Cognitive Theory 19
Community Level 22
Community Organization and Other Participatory Models 23
Diffusion of Innovations 27
Communication Theory 29
Media Effects 30
Agenda Setting 30
New Communication Technologies 31
Characteristics of successful changes in health care organizations: an interv...BenDarling7
Health care organizations are constantly changing as a result of technological advancements, ageing
populations, changing disease patterns, new discoveries for the treatment of diseases and political reforms and
policy initiatives. Changes can be challenging because they contradict humans’ basic need for a stable
environment. The present study poses the question: what characterizes successful organizational changes in health
care? The aim was to investigate the characteristics of changes of relevance for the work of health care
professionals that they deemed successful
Summary Various industries, including health care, have adop.docxpicklesvalery
Summary
Various industries, including health care, have adopted quality
improvement (QI) to enhance practices and outcomes. As
demands on the U.S. public health system continue to increase,
QI strategies may play a vital role in supporting the system and
improving outcomes. Therefore, public health practitioners, like
leaders in other industries, are developing QI approaches for
application in public health settings.
Quality improvement in public health involves systematically
evaluating public health programs, practices, and policies and
addressing areas that need to be improved to increase healthy
outcomes. Although QI methods and techniques have only
recently been applied to public health, public health systems offer
a wide range of opportunities for implementing, managing, and
evaluating QI efforts.
The growing field of Public Health Systems and Services Research
(PHSSR) offers the potential to contribute to and support QI efforts
in public health. PHSSR examines the delivery of public health
services within communities as well as the outcomes that result from
dynamic interactions within the public health system. By examining
the public health system, stakeholder interactions, delivery of services,
and outcomes, PHSSR can inform and support the implementation
of QI initiatives.
Most recently, national, state, and local levels have made notable
progress in quality improvement in public health.1, 2 One initia-
tive credited with achieving progress is the Multi-State Learning
Collaborative (MLC). The MLC aims to inform the national accredi-
tation program, incorporate quality improvement practice into pub-
lic health systems, promote collaborative learning across states and
partners, and expand the knowledge base in public health.
Bringing together state and local practitioners and other stakeholders
in a community of practice to achieve MLC goals has yielded several
best practices and lessons for public health stakeholders. However,
more work is needed if QI is to become standard practice in public
health—particularly in understanding health departments’ readiness
for change, building the evidence base for effective public health QI
practices in the context of the public health system, and examining the
sustainability of successful projects, and identifying the determinants
of transformational change.
ÆResearchInsights
Quality Improvement in Public Health: Lessons Learned
from the Multi-State Learning Collaborative
Background: AcademyHealth’s 2009 Annual Research Meeting
At the 2009 Annual Research Meeting (ARM), June 28–30, in Chicago, AcademyHealth convened a panel of three experts, members of the
Multi-State Learning Collaborative (MLC), to discuss their experiences in implementing quality improvement collaboratives in public health.
Leslie Beitsch, M.D., J.D., associate dean for health affairs and professor of family medicine and rural health at the College of Medicine, Florida
State ...
Discussion 1 Marlon RodriguezPopulation and Community Health ProVinaOconner450
Discussion 1 Marlon Rodriguez
Population and Community Health Promotion
Health practitioners and the general public play a competitive role in population health prevention and promotion. Health care providers such as nurses and doctors sometimes have multifaceted roles as holistic healthcare providers to promote community health. They can organize public outreach programs and coordinate health education to enlighten the community about well-being. The paper explores specific actions health providers can take regardless of their professional practices to promote community health.
Health Education and Promotion Programs
Health education is an everyday social science used by health providers to promote health behaviors and well-being in the community. Health education initiatives focus on providing essential knowledge and information to the community members and practical skills that enable the public to adopt healthy behaviors (Whitehead, 2018). Health education increases health knowledge and influences the health attitudes of individuals. For instance, nurses can educate the public about the benefits of child immunization in preventing diseases and boosting immunity. Knowledge of immunization can influence individuals who have specific attitudes toward vaccination to seek these services, thus promoting the well-being of children. Health promotion is much broader since it is done by professionals while responding to health developments. It helps address concerns related to health inequities and access within the communities.
Community Assessment and Intervention Planning
Community diagnosis or assessment is an action that health practitioners conduct to identify factors that promote the health of a community and develop strategies to improve them. Health practitioners then design specific goals and programs that help solve particular health concerns identified (Lee et al., 2017). The nurse collaborates with community members to conduct a community assessment and diagnosis processes to help them plan community programs. A nurse must perform a community diagnosis for them to implement a nursing intervention that helps solve the problem. Nurses conduct the diagnosis process to ensure the interventions’ efficiency, promote standardization, and conduct follow-up activities, monitoring, and evaluation while assessing if they have achieved their goals. A nurse can also plan health activities and programs that entail fundamental behavior changes. For example, nurses can coordinate nutritional assessment or diagnosis to prevent concerns of being underweight, malnutrition, or overweight in the community.
Advocate Social Change
Social change initiatives focus on the interaction of humans and the transformation of institutions and functions. Nurses can promote social change by advocating for better policies that solve health inequities. Professional advocacy that orients towards better policies can address social conditions an ...
Chapter 16 Community Diagnosis, Planning, and InterventionSergEstelaJeffery653
Chapter 16 Community Diagnosis, Planning, and Intervention
Sergio Osegueda Acuna MSN-FNP-BC
MRC
Nursing Process with communities
Population-focused health planning
Health planning is a continuous social process by which data about clients are collected and analyzed for the purpose of developing a plan to generate new ideas, meet identified client needs, solve health problems, and guide changes in health care delivery.
To date, you have been responsible primarily for developing a plan of care for the individual client.
History of U.S. Health Planning
The history of health planning in the United States has alternated between the federal and state governments.
Before the 1960s, health planning occurred primarily at the state level.
In the 1960s, health planning became a federal effort.
In 1966, the Comprehensive Health Planning and Public Health Service Amendment was passed to enable states and local communities to plan for better health resources.
In the 1980s, President Reagan aimed to reduce both the size of the federal government and the influence the federal government had on states. His administration eliminated the federal budget and planning requirements while encouraging states to make their own planning decisions.
History of U.S. Health Planning
In 1980, the Omnibus Budget Reconciliation Act encouraged the use of noninstitutional services, such as home health care, to fight escalating costs.
In 1983 the Prospective Payment System drastically changed hospital reimbursement, resulted in shorter hospital stays for patients, shifted care into the community, and placed greater responsibilities for care of relatives on family members
The federal Patient Protection and Affordable Care Act (Affordable Care Act) of 2010 requires access to health care for most Americans.
Rationale for Nursing Involvement in the Health Planning Process
Florence Nightingale and Lillian Wald pioneered health planning based on an assessment of the health needs of the communities they served
Both the American Nurses Association (ANA) (2007) and the American Public Health Association (APHA) (1996) state that the primary responsibility of community/public health nurses is to the community or population as a whole and that nurses must acknowledge the need for comprehensive health planning to implement this responsibility.
Nurses spend a greater amount of time in direct contact with their clients than do any other health care professionals.
Nursing Role in Program Planning
Planning for change at the community level is more complex than at the individual level.
Components to the client system have been increased, and more people and more complex organizations are involved.
Baccalaureate-prepared community/public nurses are expected to apply the nursing process with subpopulations or aggregates with limited supervision (American Association of Colleges of Nursing, 1986; ANA, 2007)
Planning for community change
To plan and implement programs at a commu ...
PUH 5304, Health Behavior 1 Course Learning OutcomVannaJoy20
PUH 5304, Health Behavior 1
Course Learning Outcomes for Unit VI
Upon completion of this unit, students should be able to:
5. Examine health behavior intervention strategies.
5.1 Assess the many aspects that accompany intervention planning such as goals and objectives,
setting, community resources, and timelines.
5.2 Identify an intervention strategy that relates to intervention implementation within a community.
Course/Unit
Learning Outcomes
Learning Activity
5.1
Unit Lesson
Chapter 12
Unit VI Assignment
5.2
Unit Lesson
Chapter 12
Unit VI Assignment
Reading Assignment
Chapter 12: Translating Research to Practice: Putting “What Works” to Work
Unit Lesson
In Unit V, we addressed how theories and models such as the social cognitive theory, the health behavior
model, and the theory of planned behavior play a role in intervention planning. This unit, we will build on the
foundation of theories and models and look at how to be strategic in determining interventions. The reading
highlights the concerns that health educators should have as it relates to the design and evaluation process to
determine the successfulness of interventions for a given health behavior.
Intervention Strategizing
When a health educator is developing an intervention strategy to help with a particular health behavior, there
are a few key factors to consider: identifying the target population, selecting a setting, setting goals and
objectives, and identifying resources and a timeline. Each of these factors are a concern for health educators
when developing interventions (Powell et al., 2017).
Target population: Who are you planning the intervention for? Are there any special needs? For instance,
adolescents have special needs because they are in school during the day, so an intervention for them would
need to be after school, on the weekend, or through the school. An intervention for seniors should be held
during the day because seniors normally shy away from being out at dusk or dark. If the intervention were for
the working population, there would be better attendance in the evenings or weekends. The goal with
determining the population for the intervention is to think of alleviating any barriers that may affect most of the
population (Powell et al., 2017).
Setting: Where will the intervention be held? Is there handicap access for seniors or elevator accessibility? Is
the location easily accessible? Is there public parking? What is the room reservation process? Is the setting
outdoors, and if so, are there backup plans in case of bad weather? As the health educator, you should take
into account the best setting to meet the needs of the population that has been identified (Nilsen, 2015).
UNIT VI STUDY GUIDE
Interventions for Health Behavior
PUH 5304, Health Behavior 2
UNIT x STUDY GUIDE
Title
Goals/Objectives: The health educator should be clear on the goals and objectives of ...
The assessment and identification of health need is a process that helps:
Inform planning of health care for individuals and their families, communities and the wider population.
It can be a powerful learning tool for local service providers, presenting them with the rationale for re-designing services to better target assessed needs of the local population.
Running head LEADERSHIP IN HEALTHCARE1LEADERSHIP IN HEALTH .docxcowinhelen
Running head: LEADERSHIP IN HEALTHCARE 1
LEADERSHIP IN HEALTH CARE 6
LEADERSHIP IN HEALTHCARE RESEARCH PAPER
Name
Institution
Abstract
The role of leadership is vital to the growth and success of health care institutions. This research paper examines the meaning of leadership as it pertains the health care sector and the leadership practices employed in the same perspective. Provision of high-quality services is an increasing concern in hospitals and other health care facilities across the globe. The standards of the services are defined and influenced by some factors, leadership being one of them. This paper is meant to establish the strong connection between the leadership of a health care organization and how this impacts the kind of service the facility offers its customers. In line with this, the leadership theories that are employed are discussed to create better comprehension of the leadership in practice. The content and findings of the research would be beneficial to health care leaders, aspiring leaders and the medical professionals and analysts at large.
Thesis: The leadership of a health care organization largely determines the quality of services offered essentially based on the leadership style used and the ability to effectively execute duty and solve arising challenges.
Background Information
Studies across small scale, medium and large scale organizations in different sectors reveal that leadership is a vital element of an organization. Health care institutions are not exceptions of this discovery. The role of effective leadership in contemporary healthcare has tragically evolved and transformed so as to suit the changing needs of the society. The functions of leadership within a health care organization range from planning for the facility activities, management of staff and their practices, ensuring adherence to ethical behavior and above all setting an exemplary model for the subordinates.
In the light of these functions, the leaders of health care organizations are faced with challenges that in many cases hinder delivery of high-quality services. The question of ethics is the mother of them all. Secondly, there is the incorporation of technological developments in health care which may be a challenge to many (Mowbray, 2001). Among other problems as well, the complexity of diseases in this century demand intense research and investment that the hospital management has to keep up with. The ability of a health care facility’s management to handle these challenges and to execute their sole duties simultaneously determines the quality of service that the facility offers.
Leadership Theories
The place of leadership theories employed cannot be overlooked. The most common and broadly used approach is transformational leadership. This form of leadership is defined by a strong connection between the leader and his subjects. The two parties work in collaboration to identify the needs of the health care facilit ...
Discussion QuestionPlease provide at least a 250-word response,.docxpauline234567
Discussion Question:
Please provide at least a 250-word response, utilizing references from the text and/or supplemental reading. Please also be sure to respond to at least two of your peers on the forum.
It is obviously important when defining a project that the leaders have a clear perspective as to the direction of the project and the needs of the stakeholders. In the readings for this chapter the authors talked about the “power/interest” map for assessing stakeholders. Describe how this process works and its application. What are its advantages? How do you see this concept working in a modern organizational setting where a multitude of projects could be executed at any given moment?
Discussion Question:
iscussion Question:
Please provide at least a 250 word response, utilizing references from the text and/or supplemental reading. Please also be sure to respond to at least two of your peers on the forum.
Clearly the conceptualization of structures is very important in defining a project en route to execution. The authors of this text talked about both the work break down structure (WBS) as well as the process break down structure (PBS) describe both of these processes and articulate their application. Make sure that you discuss thoroughly the circumstances in which these tools are utilized and how they can be successfully implemented today. Make sure that you utilize specific references to the text in responding to this discussion question.
1
POLICY PROPOSAL
Introduction
Throughout this paper, I will explain why Mercy Health's suggested metric benchmarks fall short and why an organizational policy is needed to fix them. Second, highlight potential environmental factors and their effects on those strategies and provide ethically based strategies to improve metric performance issues. Thirdly, make a concise policy plan and offer suggestions for resolving performance issues concerning local, state, or federal policies. Finally, discuss stakeholders and group participation's role in successfully implementing procedures.
Proposed Change to Organizational Policy
Mercy Health's current benchmark was established to provide services of the highest possible quality in diabetes screening and prevention. In 2016 and 2017, there were three options for testing. Eye, foot, and HgbA1C tests were part of the testing. Each quarter's goals were established as suggested benchmarks for the provided services. The proposed benchmark exams were 45 for the eyes, 80 for the feet, and 140 for Hgb1Ac testing. The standard recommendations for all three services were below par, necessitating action to increase patient and community involvement. The underperformance of the benchmarks demonstrates a gap between community involvement in healthy living and practices and the hospital. As testing decreases, community illness rises, and health outcomes fall in the opposite direction. This affects care quality. African Americans, Caucasians, and American India.
+What is the main idea of the story Answer in one paragraph or lo.docxadkinspaige22
+What is the main idea of the story? Answer in one paragraph or longer at least 5-7 sentences)
https://www.youtube.com/watch?v=maCsqrN-irQ
+Go to the following link, and read the article by Michael Bronski, “A Gay Man’s Case Against Gay Marriage”.
https://www.beliefnet.com/news/2004/05/a-gay-mans-case-against-gay-marriage.aspx
Why is Bronski against homosexual marriage? (1 paragraph or longer)
What does Bronski say about his own parents’ marriage? (1 paragraph or longer)
Does Bronski believe in equal rights for homosexuals? (1 paragraph or longer)
Note:
Each paragraph is at least 5-7 sentences, and sentence is not too short
Healthy People 2020
Healthy People was a call to action and an attempt to set health goals for the United States for the next 10 years.
Healthy People 2000 established 3 general goals:
Increase the span of healthy life.
Reduce health disparities.
Create access to preventive services for all.
Healthy People 2010 introduced 2 general goals:
Increase quality and years of healthy life.
Eliminate health disparities.
Practical Policy for Preventive Services
The U.S. health care system faces significant challenges that clearly indicate the urgent need for reform.
There is broad evidence that Americans often do not get the care they need even though the United States spends more money per person on health care than any other nation in the world.
Preventive care is underutilized, resulting in higher spending on complex, advanced diseases.
Practical Policy for Preventive Services
Patients with chronic diseases too often do not receive proven and effective treatments such as drug therapies or self management services to help them more effectively manage their conditions.
These problems are exacerbated by a lack of coordination of care for patients with chronic diseases.
Reforming our health care delivery system to improve the quality and value of care is essential to address escalating costs, poor quality, and increasing numbers of Americans without health insurance coverage.
Why policies need to be developed?
Basic needs are not being met (e.g., People are not receiving the health care they need)
People are not being treated fairly (e.g., People with disabilities do not have access to public places)
Resources are distributed unfairly (e.g., Educational services are more limited in neighborhoods of concentrated poverty)
Why policies need to be developed?
Current policies or laws are not enforced or effective (e.g., The current laws on clean water are neither enforced nor effective)
Proposed changes in policies or laws would be harmful (e.g., A plan to eliminate flextime in a large business would reduce parents' ability to be with their children)
Existing or emerging conditions pose a threat to public health, safety, education, or well-being (e.g., New threats from terrorist activity)
Marjory Gordon’s Functional Health Patterns
Marjory Gordon was a nursing theorist and professor who created a.
The High Achieving Governmental Health Department in 2020 as the Community Ch...Tomas J. Aragon
This paper was prepared by RESOLVE as part of the Public Health Leadership Forum with funding from the Robert Wood Johnson Foundation. John Auerbach, Director of Northeastern University’s Institute on Urban Health Research, also put substantial time and effort into authoring the document with our staff. The concepts put forth are based on several working group session (See Appendix B for members) and are not attributable to any one participant or his/her organization.
Programs for public health practitioners in the field, due to the profession is so dispersed in its work—from employment in private managed care organizations and clinics. The main purpose of this study is to analysis the relationship between law and ethics with public healthcare performance. The present study used a quantitative research design, specifically the descriptive survey design. This is because such design accurately and objectively describes the characteristics of a situation or phenomenon being investigated in a given study. It provides a description of the variables in a particular situation and, sometimes, the relationship among these variables rather than focusing on the cause-and effect relationships. Thus, this study used a questionnaire which was developed from previous research in order to measure the relationships among the investigated variables. This study was carried out in different healthcare centers located in Erbil, the total of 81 participants participated in this study. The researcher developed research hypothesis as follow; there is a positive and significant relationship between law and healthcare performance in Erbil. The finding of this study showed that the value of beta for law and ethics factor is .749 with the P-value .000 this means that the law and ethics will have positive and significant influence on healthcare performance; accordingly the main research hypothesis is supported.
Today, you are introduced to the Social Determinant of Health (SDOH) perspective. This assignment responds to two questions, firstly “What is a SDOH perspective?” which will be explored in detail providing two examples of a Social Worker role. The second question requiring a critical discussion surrounding SDOH including “What benefits does a social determinants of health perspective provide, and what are its limits?”.
Long Term Care FacilitiesLong term care facilities have gained .docxsmile790243
Long Term Care Facilities
Long term care facilities have gained popularity nowadays in the health care department. The assignment will focus two long term care facilities one facility is from nursing facility, and the other one is the adult day care. One has the responsibility of managing and administering either of the two facilities. The new managers appointed needs to be oriented and familiarized on the management of the long term care facility. The assignment provides a description of the different multidisciplinary teams, and departments included in the facilities. It also provides those who are comprised in the target population of the various programs in the care facilities. The human resource and major staffing issues faced in the home nursing and adult day care. The assignment will also focus on the significance trends likely to affect the operation of the different programs in the long term care facilities and how to overcome them. Finally, the integration and cooperation forms in the long term care facilities are outlined in the assignment. The financing, management nature and quality issues affecting cooperation and integration in the facilities are also discussed in the assignment.
Multidisciplinary teams are very essential in nursing facility. The main objective of the multidisciplinary teams is to ensure that there is improved outcome on the patients’ health status. The multidisciplinary disciplinary teams involve the staffs in the nursing facility. There are different levels of multidisciplinary teams in the nursing facilities. The levels can be grouped as follows; nurses, technicians, anesthesiologists, and attending physicians (Medicaid, 2017). The teams work together through proper communication in different levels to ensure improved outcome of the patient. The various multidisciplinary teams should be trained to work collaboratively.
The main aim of the multidisciplinary teams is to ensure that there is improved outcome on the patient’s health status. The multidisciplinary disciplinary teams involve the staffs in the adult day care. Adult day care involves taking care of an individual in all round manner. That is nutritional, health, and the daily living needs. There are different teams involved in each activity in the adult day care facility. There are nutritionist, health specialists, fitness advisor, and living advisor. For health specialists, there are different levels of multidisciplinary levels can be grouped as follows; nurses, technicians, anesthesiologists, and attending physicians (Epstein, 2014). The teams work together through proper communication in different levels to ensure improved outcome of the patient. The various multidisciplinary teams should be trained to work collaboratively. The attending doctor performs regular check up on the individuals to find out if there are any signs of disease or peculiar body behavior. After the check up, the attending physician communicates the results to the other memb ...
Respond to this classmates like in the other posts you have done.docxinfantkimber
Respond to this classmates like in the other posts you have done
Carolina
1
Based on the needs assessment of the Carilion Clinic, they immediately began to work on investments such as new accessible health service buildings in different areas of the region and community. This was done by collaborating with a variety of organizations, such as the United Way of Roanoke Valley. For instance, New Horizons Dental Clinic was created based on the data presented by the community needs assessment demonstrating the great need for accessible dental care. Nancy Agee, President and CEO of Carilion Clinic states in the video that collaborating with many different organizations is critical in order to “look at the whole diversity of our region and strengthen relationships so we’re not replicating efforts, but rather we’re complementing and strengthening our efforts to improve health” (2015). I believe the needs assessment allowed them to specifically pinpoint what their community needed, and this allowed them to truly help the community directly. I would recommend the clinic to continue to utilize surveys and the needs assessment to focus on the community itself. This is because the alternative data sources available on a national and state level is not sufficient. The more Carilion Clinic interacts with the community directly, the more beneficial it will be for communities across the region, as well as themselves.
2
Needs assessment, program planning and evaluation are all integrated. For instance, as the book states “the evaluation of a program begins with its needs assessment. Data collected during a needs assessment can often serve as part of the baseline or “pretest” data needed for impact and outcome evaluations” (
Hodges & Videto, 2011, p.4). In other words, in order to for program planning to be successful, it is critical a needs assessment is done and followed by an evaluation of the needs assessment.
3
MAPP, as stated in the text, begins with the development of partnerships and identifying the participants for the needs assessment (Hodges & Videto, 2011, p.10). MAPP was used by Carilion Clinic though the use of their collaboration with other organizations, non-profits, health agencies, and the government. This strengthened the Carilion clinic’s goal as it provided more resources to accomplish the shared vision of improving the communities’ quality of life and delivery of care. APEXPH was used through its three parts throughout Carilion Clinic’s process. The first part, which as mentioned in the book is the self-assessment, was illustrated in the beginning of the video when Nancy, President and CEO, states the issues and goals at hand. The second part, the community process, is demonstrated with the community health needs assessment committee. This is the part where the program objective is derived from. The third part, concluding the cycle, is seen in the example of the New Horizon’s Dental Clinic, where Carilion’s decision based on the ne ...
Discussion 1 Marlon RodriguezPopulation and Community Health ProVinaOconner450
Discussion 1 Marlon Rodriguez
Population and Community Health Promotion
Health practitioners and the general public play a competitive role in population health prevention and promotion. Health care providers such as nurses and doctors sometimes have multifaceted roles as holistic healthcare providers to promote community health. They can organize public outreach programs and coordinate health education to enlighten the community about well-being. The paper explores specific actions health providers can take regardless of their professional practices to promote community health.
Health Education and Promotion Programs
Health education is an everyday social science used by health providers to promote health behaviors and well-being in the community. Health education initiatives focus on providing essential knowledge and information to the community members and practical skills that enable the public to adopt healthy behaviors (Whitehead, 2018). Health education increases health knowledge and influences the health attitudes of individuals. For instance, nurses can educate the public about the benefits of child immunization in preventing diseases and boosting immunity. Knowledge of immunization can influence individuals who have specific attitudes toward vaccination to seek these services, thus promoting the well-being of children. Health promotion is much broader since it is done by professionals while responding to health developments. It helps address concerns related to health inequities and access within the communities.
Community Assessment and Intervention Planning
Community diagnosis or assessment is an action that health practitioners conduct to identify factors that promote the health of a community and develop strategies to improve them. Health practitioners then design specific goals and programs that help solve particular health concerns identified (Lee et al., 2017). The nurse collaborates with community members to conduct a community assessment and diagnosis processes to help them plan community programs. A nurse must perform a community diagnosis for them to implement a nursing intervention that helps solve the problem. Nurses conduct the diagnosis process to ensure the interventions’ efficiency, promote standardization, and conduct follow-up activities, monitoring, and evaluation while assessing if they have achieved their goals. A nurse can also plan health activities and programs that entail fundamental behavior changes. For example, nurses can coordinate nutritional assessment or diagnosis to prevent concerns of being underweight, malnutrition, or overweight in the community.
Advocate Social Change
Social change initiatives focus on the interaction of humans and the transformation of institutions and functions. Nurses can promote social change by advocating for better policies that solve health inequities. Professional advocacy that orients towards better policies can address social conditions an ...
Chapter 16 Community Diagnosis, Planning, and InterventionSergEstelaJeffery653
Chapter 16 Community Diagnosis, Planning, and Intervention
Sergio Osegueda Acuna MSN-FNP-BC
MRC
Nursing Process with communities
Population-focused health planning
Health planning is a continuous social process by which data about clients are collected and analyzed for the purpose of developing a plan to generate new ideas, meet identified client needs, solve health problems, and guide changes in health care delivery.
To date, you have been responsible primarily for developing a plan of care for the individual client.
History of U.S. Health Planning
The history of health planning in the United States has alternated between the federal and state governments.
Before the 1960s, health planning occurred primarily at the state level.
In the 1960s, health planning became a federal effort.
In 1966, the Comprehensive Health Planning and Public Health Service Amendment was passed to enable states and local communities to plan for better health resources.
In the 1980s, President Reagan aimed to reduce both the size of the federal government and the influence the federal government had on states. His administration eliminated the federal budget and planning requirements while encouraging states to make their own planning decisions.
History of U.S. Health Planning
In 1980, the Omnibus Budget Reconciliation Act encouraged the use of noninstitutional services, such as home health care, to fight escalating costs.
In 1983 the Prospective Payment System drastically changed hospital reimbursement, resulted in shorter hospital stays for patients, shifted care into the community, and placed greater responsibilities for care of relatives on family members
The federal Patient Protection and Affordable Care Act (Affordable Care Act) of 2010 requires access to health care for most Americans.
Rationale for Nursing Involvement in the Health Planning Process
Florence Nightingale and Lillian Wald pioneered health planning based on an assessment of the health needs of the communities they served
Both the American Nurses Association (ANA) (2007) and the American Public Health Association (APHA) (1996) state that the primary responsibility of community/public health nurses is to the community or population as a whole and that nurses must acknowledge the need for comprehensive health planning to implement this responsibility.
Nurses spend a greater amount of time in direct contact with their clients than do any other health care professionals.
Nursing Role in Program Planning
Planning for change at the community level is more complex than at the individual level.
Components to the client system have been increased, and more people and more complex organizations are involved.
Baccalaureate-prepared community/public nurses are expected to apply the nursing process with subpopulations or aggregates with limited supervision (American Association of Colleges of Nursing, 1986; ANA, 2007)
Planning for community change
To plan and implement programs at a commu ...
PUH 5304, Health Behavior 1 Course Learning OutcomVannaJoy20
PUH 5304, Health Behavior 1
Course Learning Outcomes for Unit VI
Upon completion of this unit, students should be able to:
5. Examine health behavior intervention strategies.
5.1 Assess the many aspects that accompany intervention planning such as goals and objectives,
setting, community resources, and timelines.
5.2 Identify an intervention strategy that relates to intervention implementation within a community.
Course/Unit
Learning Outcomes
Learning Activity
5.1
Unit Lesson
Chapter 12
Unit VI Assignment
5.2
Unit Lesson
Chapter 12
Unit VI Assignment
Reading Assignment
Chapter 12: Translating Research to Practice: Putting “What Works” to Work
Unit Lesson
In Unit V, we addressed how theories and models such as the social cognitive theory, the health behavior
model, and the theory of planned behavior play a role in intervention planning. This unit, we will build on the
foundation of theories and models and look at how to be strategic in determining interventions. The reading
highlights the concerns that health educators should have as it relates to the design and evaluation process to
determine the successfulness of interventions for a given health behavior.
Intervention Strategizing
When a health educator is developing an intervention strategy to help with a particular health behavior, there
are a few key factors to consider: identifying the target population, selecting a setting, setting goals and
objectives, and identifying resources and a timeline. Each of these factors are a concern for health educators
when developing interventions (Powell et al., 2017).
Target population: Who are you planning the intervention for? Are there any special needs? For instance,
adolescents have special needs because they are in school during the day, so an intervention for them would
need to be after school, on the weekend, or through the school. An intervention for seniors should be held
during the day because seniors normally shy away from being out at dusk or dark. If the intervention were for
the working population, there would be better attendance in the evenings or weekends. The goal with
determining the population for the intervention is to think of alleviating any barriers that may affect most of the
population (Powell et al., 2017).
Setting: Where will the intervention be held? Is there handicap access for seniors or elevator accessibility? Is
the location easily accessible? Is there public parking? What is the room reservation process? Is the setting
outdoors, and if so, are there backup plans in case of bad weather? As the health educator, you should take
into account the best setting to meet the needs of the population that has been identified (Nilsen, 2015).
UNIT VI STUDY GUIDE
Interventions for Health Behavior
PUH 5304, Health Behavior 2
UNIT x STUDY GUIDE
Title
Goals/Objectives: The health educator should be clear on the goals and objectives of ...
The assessment and identification of health need is a process that helps:
Inform planning of health care for individuals and their families, communities and the wider population.
It can be a powerful learning tool for local service providers, presenting them with the rationale for re-designing services to better target assessed needs of the local population.
Running head LEADERSHIP IN HEALTHCARE1LEADERSHIP IN HEALTH .docxcowinhelen
Running head: LEADERSHIP IN HEALTHCARE 1
LEADERSHIP IN HEALTH CARE 6
LEADERSHIP IN HEALTHCARE RESEARCH PAPER
Name
Institution
Abstract
The role of leadership is vital to the growth and success of health care institutions. This research paper examines the meaning of leadership as it pertains the health care sector and the leadership practices employed in the same perspective. Provision of high-quality services is an increasing concern in hospitals and other health care facilities across the globe. The standards of the services are defined and influenced by some factors, leadership being one of them. This paper is meant to establish the strong connection between the leadership of a health care organization and how this impacts the kind of service the facility offers its customers. In line with this, the leadership theories that are employed are discussed to create better comprehension of the leadership in practice. The content and findings of the research would be beneficial to health care leaders, aspiring leaders and the medical professionals and analysts at large.
Thesis: The leadership of a health care organization largely determines the quality of services offered essentially based on the leadership style used and the ability to effectively execute duty and solve arising challenges.
Background Information
Studies across small scale, medium and large scale organizations in different sectors reveal that leadership is a vital element of an organization. Health care institutions are not exceptions of this discovery. The role of effective leadership in contemporary healthcare has tragically evolved and transformed so as to suit the changing needs of the society. The functions of leadership within a health care organization range from planning for the facility activities, management of staff and their practices, ensuring adherence to ethical behavior and above all setting an exemplary model for the subordinates.
In the light of these functions, the leaders of health care organizations are faced with challenges that in many cases hinder delivery of high-quality services. The question of ethics is the mother of them all. Secondly, there is the incorporation of technological developments in health care which may be a challenge to many (Mowbray, 2001). Among other problems as well, the complexity of diseases in this century demand intense research and investment that the hospital management has to keep up with. The ability of a health care facility’s management to handle these challenges and to execute their sole duties simultaneously determines the quality of service that the facility offers.
Leadership Theories
The place of leadership theories employed cannot be overlooked. The most common and broadly used approach is transformational leadership. This form of leadership is defined by a strong connection between the leader and his subjects. The two parties work in collaboration to identify the needs of the health care facilit ...
Discussion QuestionPlease provide at least a 250-word response,.docxpauline234567
Discussion Question:
Please provide at least a 250-word response, utilizing references from the text and/or supplemental reading. Please also be sure to respond to at least two of your peers on the forum.
It is obviously important when defining a project that the leaders have a clear perspective as to the direction of the project and the needs of the stakeholders. In the readings for this chapter the authors talked about the “power/interest” map for assessing stakeholders. Describe how this process works and its application. What are its advantages? How do you see this concept working in a modern organizational setting where a multitude of projects could be executed at any given moment?
Discussion Question:
iscussion Question:
Please provide at least a 250 word response, utilizing references from the text and/or supplemental reading. Please also be sure to respond to at least two of your peers on the forum.
Clearly the conceptualization of structures is very important in defining a project en route to execution. The authors of this text talked about both the work break down structure (WBS) as well as the process break down structure (PBS) describe both of these processes and articulate their application. Make sure that you discuss thoroughly the circumstances in which these tools are utilized and how they can be successfully implemented today. Make sure that you utilize specific references to the text in responding to this discussion question.
1
POLICY PROPOSAL
Introduction
Throughout this paper, I will explain why Mercy Health's suggested metric benchmarks fall short and why an organizational policy is needed to fix them. Second, highlight potential environmental factors and their effects on those strategies and provide ethically based strategies to improve metric performance issues. Thirdly, make a concise policy plan and offer suggestions for resolving performance issues concerning local, state, or federal policies. Finally, discuss stakeholders and group participation's role in successfully implementing procedures.
Proposed Change to Organizational Policy
Mercy Health's current benchmark was established to provide services of the highest possible quality in diabetes screening and prevention. In 2016 and 2017, there were three options for testing. Eye, foot, and HgbA1C tests were part of the testing. Each quarter's goals were established as suggested benchmarks for the provided services. The proposed benchmark exams were 45 for the eyes, 80 for the feet, and 140 for Hgb1Ac testing. The standard recommendations for all three services were below par, necessitating action to increase patient and community involvement. The underperformance of the benchmarks demonstrates a gap between community involvement in healthy living and practices and the hospital. As testing decreases, community illness rises, and health outcomes fall in the opposite direction. This affects care quality. African Americans, Caucasians, and American India.
+What is the main idea of the story Answer in one paragraph or lo.docxadkinspaige22
+What is the main idea of the story? Answer in one paragraph or longer at least 5-7 sentences)
https://www.youtube.com/watch?v=maCsqrN-irQ
+Go to the following link, and read the article by Michael Bronski, “A Gay Man’s Case Against Gay Marriage”.
https://www.beliefnet.com/news/2004/05/a-gay-mans-case-against-gay-marriage.aspx
Why is Bronski against homosexual marriage? (1 paragraph or longer)
What does Bronski say about his own parents’ marriage? (1 paragraph or longer)
Does Bronski believe in equal rights for homosexuals? (1 paragraph or longer)
Note:
Each paragraph is at least 5-7 sentences, and sentence is not too short
Healthy People 2020
Healthy People was a call to action and an attempt to set health goals for the United States for the next 10 years.
Healthy People 2000 established 3 general goals:
Increase the span of healthy life.
Reduce health disparities.
Create access to preventive services for all.
Healthy People 2010 introduced 2 general goals:
Increase quality and years of healthy life.
Eliminate health disparities.
Practical Policy for Preventive Services
The U.S. health care system faces significant challenges that clearly indicate the urgent need for reform.
There is broad evidence that Americans often do not get the care they need even though the United States spends more money per person on health care than any other nation in the world.
Preventive care is underutilized, resulting in higher spending on complex, advanced diseases.
Practical Policy for Preventive Services
Patients with chronic diseases too often do not receive proven and effective treatments such as drug therapies or self management services to help them more effectively manage their conditions.
These problems are exacerbated by a lack of coordination of care for patients with chronic diseases.
Reforming our health care delivery system to improve the quality and value of care is essential to address escalating costs, poor quality, and increasing numbers of Americans without health insurance coverage.
Why policies need to be developed?
Basic needs are not being met (e.g., People are not receiving the health care they need)
People are not being treated fairly (e.g., People with disabilities do not have access to public places)
Resources are distributed unfairly (e.g., Educational services are more limited in neighborhoods of concentrated poverty)
Why policies need to be developed?
Current policies or laws are not enforced or effective (e.g., The current laws on clean water are neither enforced nor effective)
Proposed changes in policies or laws would be harmful (e.g., A plan to eliminate flextime in a large business would reduce parents' ability to be with their children)
Existing or emerging conditions pose a threat to public health, safety, education, or well-being (e.g., New threats from terrorist activity)
Marjory Gordon’s Functional Health Patterns
Marjory Gordon was a nursing theorist and professor who created a.
The High Achieving Governmental Health Department in 2020 as the Community Ch...Tomas J. Aragon
This paper was prepared by RESOLVE as part of the Public Health Leadership Forum with funding from the Robert Wood Johnson Foundation. John Auerbach, Director of Northeastern University’s Institute on Urban Health Research, also put substantial time and effort into authoring the document with our staff. The concepts put forth are based on several working group session (See Appendix B for members) and are not attributable to any one participant or his/her organization.
Programs for public health practitioners in the field, due to the profession is so dispersed in its work—from employment in private managed care organizations and clinics. The main purpose of this study is to analysis the relationship between law and ethics with public healthcare performance. The present study used a quantitative research design, specifically the descriptive survey design. This is because such design accurately and objectively describes the characteristics of a situation or phenomenon being investigated in a given study. It provides a description of the variables in a particular situation and, sometimes, the relationship among these variables rather than focusing on the cause-and effect relationships. Thus, this study used a questionnaire which was developed from previous research in order to measure the relationships among the investigated variables. This study was carried out in different healthcare centers located in Erbil, the total of 81 participants participated in this study. The researcher developed research hypothesis as follow; there is a positive and significant relationship between law and healthcare performance in Erbil. The finding of this study showed that the value of beta for law and ethics factor is .749 with the P-value .000 this means that the law and ethics will have positive and significant influence on healthcare performance; accordingly the main research hypothesis is supported.
Today, you are introduced to the Social Determinant of Health (SDOH) perspective. This assignment responds to two questions, firstly “What is a SDOH perspective?” which will be explored in detail providing two examples of a Social Worker role. The second question requiring a critical discussion surrounding SDOH including “What benefits does a social determinants of health perspective provide, and what are its limits?”.
Long Term Care FacilitiesLong term care facilities have gained .docxsmile790243
Long Term Care Facilities
Long term care facilities have gained popularity nowadays in the health care department. The assignment will focus two long term care facilities one facility is from nursing facility, and the other one is the adult day care. One has the responsibility of managing and administering either of the two facilities. The new managers appointed needs to be oriented and familiarized on the management of the long term care facility. The assignment provides a description of the different multidisciplinary teams, and departments included in the facilities. It also provides those who are comprised in the target population of the various programs in the care facilities. The human resource and major staffing issues faced in the home nursing and adult day care. The assignment will also focus on the significance trends likely to affect the operation of the different programs in the long term care facilities and how to overcome them. Finally, the integration and cooperation forms in the long term care facilities are outlined in the assignment. The financing, management nature and quality issues affecting cooperation and integration in the facilities are also discussed in the assignment.
Multidisciplinary teams are very essential in nursing facility. The main objective of the multidisciplinary teams is to ensure that there is improved outcome on the patients’ health status. The multidisciplinary disciplinary teams involve the staffs in the nursing facility. There are different levels of multidisciplinary teams in the nursing facilities. The levels can be grouped as follows; nurses, technicians, anesthesiologists, and attending physicians (Medicaid, 2017). The teams work together through proper communication in different levels to ensure improved outcome of the patient. The various multidisciplinary teams should be trained to work collaboratively.
The main aim of the multidisciplinary teams is to ensure that there is improved outcome on the patient’s health status. The multidisciplinary disciplinary teams involve the staffs in the adult day care. Adult day care involves taking care of an individual in all round manner. That is nutritional, health, and the daily living needs. There are different teams involved in each activity in the adult day care facility. There are nutritionist, health specialists, fitness advisor, and living advisor. For health specialists, there are different levels of multidisciplinary levels can be grouped as follows; nurses, technicians, anesthesiologists, and attending physicians (Epstein, 2014). The teams work together through proper communication in different levels to ensure improved outcome of the patient. The various multidisciplinary teams should be trained to work collaboratively. The attending doctor performs regular check up on the individuals to find out if there are any signs of disease or peculiar body behavior. After the check up, the attending physician communicates the results to the other memb ...
Respond to this classmates like in the other posts you have done.docxinfantkimber
Respond to this classmates like in the other posts you have done
Carolina
1
Based on the needs assessment of the Carilion Clinic, they immediately began to work on investments such as new accessible health service buildings in different areas of the region and community. This was done by collaborating with a variety of organizations, such as the United Way of Roanoke Valley. For instance, New Horizons Dental Clinic was created based on the data presented by the community needs assessment demonstrating the great need for accessible dental care. Nancy Agee, President and CEO of Carilion Clinic states in the video that collaborating with many different organizations is critical in order to “look at the whole diversity of our region and strengthen relationships so we’re not replicating efforts, but rather we’re complementing and strengthening our efforts to improve health” (2015). I believe the needs assessment allowed them to specifically pinpoint what their community needed, and this allowed them to truly help the community directly. I would recommend the clinic to continue to utilize surveys and the needs assessment to focus on the community itself. This is because the alternative data sources available on a national and state level is not sufficient. The more Carilion Clinic interacts with the community directly, the more beneficial it will be for communities across the region, as well as themselves.
2
Needs assessment, program planning and evaluation are all integrated. For instance, as the book states “the evaluation of a program begins with its needs assessment. Data collected during a needs assessment can often serve as part of the baseline or “pretest” data needed for impact and outcome evaluations” (
Hodges & Videto, 2011, p.4). In other words, in order to for program planning to be successful, it is critical a needs assessment is done and followed by an evaluation of the needs assessment.
3
MAPP, as stated in the text, begins with the development of partnerships and identifying the participants for the needs assessment (Hodges & Videto, 2011, p.10). MAPP was used by Carilion Clinic though the use of their collaboration with other organizations, non-profits, health agencies, and the government. This strengthened the Carilion clinic’s goal as it provided more resources to accomplish the shared vision of improving the communities’ quality of life and delivery of care. APEXPH was used through its three parts throughout Carilion Clinic’s process. The first part, which as mentioned in the book is the self-assessment, was illustrated in the beginning of the video when Nancy, President and CEO, states the issues and goals at hand. The second part, the community process, is demonstrated with the community health needs assessment committee. This is the part where the program objective is derived from. The third part, concluding the cycle, is seen in the example of the New Horizon’s Dental Clinic, where Carilion’s decision based on the ne ...
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Public Health Leadership project.pdf
1. Assignment: Public Health Leadership project
Assignment: Public Health Leadership project ON Assignment: Public Health Leadership
projectFor this Project Assignment, you complete another part of your Public Health
Leadership Theory based upon your understanding of leadership perspectives you have
reviewed in this course. In addition, you must use a systems thinking approach in the
development of your visual representation of your personal Public Health Leadership
Theory. As you post your visual representation, you may find using a computer scanner
helpful in scanning your image and attaching it to your post.The Assignment (3–4
pages):This week you will provide a visual representation of your public health leadership
theory. It can be a table, schematic diagram, graph, or any other representation you choose.
Please feel free to be creative. However, the focus MUST be on leadership. Be sure to
provide a narrative explanation that shows how the developed theory can close the “gap”
identified in the first part of the project. Additionally explain how it incorporates system
thinking. Remember your theory can be based on those that we have learned about or your
own. There is no wrong theory. What matters is the explanation of how it addresses the gap
and uses system thinking. While this doesn’t have to be addressed now, keep in mind the
last part of the project will involve presenting a methodology that tests the developed
theory empirically. Let’s help one another with the project. Post your questions and
thoughts in the “Contact the Instructor” area. Please feel free to weigh in on your colleagues
comments. Assignment: Public Health Leadership projectapp5tcherry.docUnformatted
Attachment PreviewPUBH 8400: Leadership and System Thinking Tamillia Cherry Summer
Quarter Dr. Susan Nyanzi Walden University July 2, 2017 Introduction Public health is
generally about protecting the health and wellbeing of communities as well as improving
the communities through disease prevention, education, and public policy development
(Ham, 2003). Public health leadership is, therefore, one of the most critical areas in public
health since it helps in fostering community health by promoting practices aimed at
enhancing public health. There are several common trends in public health leadership
today, and healthy public leaders must be well prepared to deal with issues of the public
within any given context. Developing excellent leadership skills is therefore vital in dealing
with some common trends that are affecting public health today (Ham, 2003). Public health
leaders have an important role to play considering the current and future changes in the
field of health care. The changes create opportunities and challenges to public health
leaders and may impact either positively or negatively in the future health of communities.
Some of the common trends that create challenges to public health leaders include aging of
2. the population, the changing healthcare needs of individuals, changing patterns in the racial
composition with varied healthcare needs, changes in healthcare delivery systems, evolving
needs in public health workforce, and an explosion of emerging healthcare technologies
(Ham, 2003). Assignment: Public Health Leadership projectThis literature review will,
therefore, focus on evaluating public health leadership in regards to the changing healthcare
needs of individuals Problem statement The healthcare delivery system has undergone a lot
of changes, and the public health leaders are required to champion the changes by
integrating such changes within the context of public leadership. These changes may not
favor public health leaders since some changes are centered on systems and technology that
public health leaders may not be able to have the required skills and expertise to foster or
adopt within the public health system. The changes in the delivery system are aimed at
taking and meeting the changing healthcare needs of individuals. These evolving needs
similarly create a challenge to the public health leaders as they are required to provide
health services tailored to the varied needs of people. Literature review Lukas et al. (2007)
in their article titled ‘transformational change in healthcare delivery system” argues that
five key elements are critical for successful transformation of patient care within the public
health system. One of the five elements mentioned in the article is leadership commitment
to quality. From their perspective, effective leadership in the public health is the ability of a
public health leader achieves consistency in meeting the changing needs of patients by
aligning the organizational goals with the overall evolving needs of patients. The five
elements mentioned by Lukas et al. (2007) in the article drive change within the public
health system by establishing a leadership culture that reflects the changing needs of
patients and the healthcare delivery system in general. Assignment: Public Health
Leadership projectHealthcare professionals and public health leaders can comprehensively
conceptualize readiness for change in the public health system. Halt et al. (2010) defines
readiness for change within the public health system as the degree of preparation to which
the participants are collectively and individually prepared and motivated to embrace the
change. In this regard, public health leaders must be ready to deal with the challenges of the
changing needs of patients within the public health system. Halt et al. (2010) states that
leaders in health care delivery systems are faced with the challenge of implementing the
various changes in health care practice and delivery system. The argument raised by these
researchers is that public health leaders should embrace a readiness to implement the
various changes within the healthcare system that created both opportunities and
challenges to them. Hartley & Benington, (2011) evaluates the recent trends in leadership,
thinking, and action, in their analysis; they argue that public health leadership is a dynamic
response that focuses on embracing the health care needs of communities. In their
argument, leadership is a framework that integrates the values of communities through
assessing the trends and changing healthcare needs of communities in general. The two
centers their leadership argument on Warwick 6 C leadership framework. The structure,
therefore, provides a guide to public health leaders by allowing them to view the changing
needs health care needs of communities not as a burden but as an opportunity to implement
the various changes in the health care delivery system that can help in meeting the
emerging shifts in the health needs of communities. Ham (2003) focuses on improving the
3. performance of health services through effective clinical health leadership within the public
health. Public health leaders thus have the sole responsibility for ensuring quality and
reliable healthcare within the public health care system. Assignment: Public Health
Leadership projectImprovement of performance in the health care system first and
foremost require effective leadership that stems from both clinical and the entire public
health care system as noted by Ham (2003). Within the context of the public healthcare
system, reforms based on ideas such as managed competition and integrated care must be
embraced to meet the changing needs of patients within the healthcare environment. As
noted by Rowitz (2013), public health leadership functions across the organization and in
this case, trans-organizational skills are critical in fostering effective change within the
healthcare delivery system. In his perspective, he notes that public health leaders practice
their public health leadership within a community setting and in this case, they are tasked
with a role of validating community values that promote the changing needs in health
among communities. Public health leaders must, therefore, commit to lifelong learning that
appreciates the values of community health and promotes ways to handle the changing
healthcare needs of communities. Rowitz (2013) provides new insight into the
understanding of changing healthcare needs of communities and the various leadership
competencies that leaders must adopt to foster effective healthcare outcomes within the
context of community health. Public health leaders must be leaders regardless of the
realities they face in the course of their work. They must make a well-informed decision of
shaping the healthcare system and embracing the health care needs of communities. Plochg,
Klazinga, & Starfield, (2009) notes that professional organizations and health systems no
longer reflects the changing healthcare needs of individuals within communities. The
evolution of needs is caused by the growing number of complex and chronically ill patients.
It is, therefore, necessary for the key stakeholders of to initiate fundamental changes aimed
at integrating the changing needs of patients within the community public health system.
They proceed to note that the medical health leaders supported by health policy makers can
initiate programs aimed at fostering effective health outcome in communities. Assignment:
Public Health Leadership projectThis is done through defining and categorizing the health
needs of communities and organizing specialty domains around the needs of the population
so as to ensure that the health care system meets the needs of the community. Epping-
Jordan et al. (2004) on the other hand notes that chronic conditions are increasingly
becoming community health challenge for public health leaders. It is a primary concern for
public health leaders throughout the world. In response to this overarching challenge, the
WHO has proposed a chronic care model that aims at expanding the community and policy
aspects so as to improve healthcare and chronic conditions of individuals (Epping-Jordan et
al., 2004). In a bid to foster effective intervention for a chronic condition in community
health, Koh & Jacobson (2009) notes that the enormous challenge lies beyond the control of
any single authority but rather combined effort centered on effective leadership as well as
broad societal level changes. The changing health care needs are thus as a result of the
emerging nature of chronic health conditions that limit the capacity of the current health
care system. Popescu & Predescu, (2016) thus proposes a functional leadership and
governance in public health that embraces the need to change the tactics of dealing with
4. these challenges. Popescu & Predescu, (2016) argues that public health leaders should be
centered on the health care needs of the population. Health care leaders should, therefore,
focus their leadership on delivering health care services that embrace the various
healthcare challenges brought about by the emerging chronic health conditions.
Assignment: Public Health Leadership projectThe two proposes necessary skills and
abilities that are required of public health leaders in satisfying the health care needs of
individuals within communities. In conclusion, Saleh, Williams & Balougan, (2004) notes
that the context of public health requires strong leadership that can enable the public health
leader to respond to the changing needs of individuals. There several threats that are
increasingly posing challenges to patients and thus prompting them to change their
healthcare needs. In this regard, health organization must be ready to foster effective public
health leadership that can enable public health leaders to respond more efficiently to the
changing health care needs of communities. Reference Epping-Jordan, J. E., Pruitt, S. D.,
Bengoa, R., & Wagner, E. H. (2004). Improving the quality of health care for chronic
conditions. Quality and safety in health care, 13(4), 299-305. Ham, C. (2003). Improving the
performance of health services: the role of clinical leadership. The Lancet, 361(9373), 1978-
1980. Hartley, J., & Benington, J. (2011). Recent trends in leadership thinking and action in
the public and voluntary service sectors. London: The King’s Fund. Holt, D. T., Helfrich, C. D.,
Hall, C. G., & Weiner, B. J. (2010). Are you ready? How health professionals can
comprehensively conceptualize readiness for change. Journal of general internal medicine,
25, 50-55. Koh, H. K., & Jacobson, M. (2009). Fostering public health leadership. Journal of
public health, 31(2), 199-201. Lukas, C. V., Holmes, S. K., Cohen, A. B., Restuccia, J., Cramer, I.
E., Shwartz, M., & Charns, M. P. (2007). Transformational change in health care systems: an
organizational model. Health care management review, 32(4), 309-320. Plochg, T., Klazinga,
N. S., & Starfield, B. (2009). Transforming medical professionalism to fit changing health
needs. BMC medicine, 7(1), 64. Popescu, G. H., & Predescu, V. (2016). The role of leadership
in public health. American Journal of Medical Research, 3(1), 273-273. Rowitz, L. (2013).
Public health leadership. Jones & Bartlett Publishers. Saleh, S. S., Williams, D., & Balougan, M.
(2004). Evaluating the effectiveness of public health leadership training: the NEPHLI
experience. American journal of public health, 94(7), 12451249. … Assignment: Public
Health Leadership project