Health Department-Hospital Collaboration Program Proposal

 Paper Topic is  The proposal for Obesity in an older adult in Sangamon County ( Illinois)
Community & Population Health Nursing
Health Department-Hospital Collaboration Program Proposal
At the end of the semester, you will submit a paper in which you describe a possible program for a health issue that exists in your chosen county. The program that you design is one that realistically could be developed via a collaborative effort between a county health department and a local hospital. The proposal MUST clearly involve BOTH a hospital and health department in the SAME county.
To help you formulate your proposal, as well as answer the discussion questions for Week 1, you will need to go to some websites:
• A specific page on the Memorial Health System website: https://www.choosememorial.org/Community-Health-Needs-Assessment
• The website for one of the county health departments noted below; these are also on the webpage on the website link above.
http://www.christiancountyhealth.net/ - Taylorville Memorial Hospital http://lcdph.org/ (Logan County) – Abraham Lincoln Memorial Hospital https://www.morganhd.com/ - Passavant Area Hospital https://scdph.org/ (Sangamon County) - Memorial Medical Center
Note that there are actually four different community assessments, one for each county listed above. You will also find it helpful to quickly look at another county-specific document on the MHS website, titled 2019 Implementation Strategies, because that document provides a fuller picture of the health issues in each county. You must select a health issue that is NOT listed in the Executive Summary of the county’s community assessment as a “final priority.” You may, select some other health issue noted in the 2019 Implementation Strategies document or you may select an entirely different health issue if prefer—provided you can verify that the issue is indeed pertinent to the county where you live or work. If you do not live or work in any of the counties covered in any of these Memorial Health System documents, please text me STAT at 708-205-4751 and tell me which county you live and/or work.
While this proposal will be “fictional” (i.e., you are not expected to actually implement it), you are expected to take it very seriously in terms of addressing an actual health issue that exists in your community of choice and designing an initiative that is realistic and practical. Imagine that you are an employee of the county health department and due to your obvious skills, talents, commitment to the community, and ability to work with individuals and teams, you have been tapped to be the project director for this proposal. In fact, you are so highly regarded that you have been assigned to make the decision which health issue will be addressed by the proposal, as well as being responsible for its design and implementation.
The individual community health needs assessments for each county have been developed by Memorial Health System (MHS) and can be found on its website link provided above. Each
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community health needs assessment provides a long list of health issues in the respective county, but only a few have been selected as “priority” by those who contributed to the health needs assessment document. Your task is to select a health issue that the community health needs assessment identifies as a problem but was not chosen as a priority, which is why you would like to design a program to address that health issue. A requirement for your program is that least one RN other than yourself will be needed to implement the program.
While it is important that you read all of Chapter 16 to help you understand the process of developing, implementing, and evaluating a program plan, I have condensed and adapted the checklist of some of the typically required elements in the box on pp. 267 in your textbook, How to Develop a Program Plan. That adapted checklist can be found on pp. 5-7 of this document. In terms of designing a way to evaluate the plan, I have copied and pasted some information in the box on pp. 273 -274, How to do a Program Evaluation on p. 7 of this document. The questions on this evaluation list are what would have to be answered in a report at the end of one year of the program’s implementation about whether the program seems to be successful.
Remember that this proposal is to reflect a collaborative effort between the county health department and local hospital. If you do not outline how both entities are somehow involved in the program, you will lose many points on your grade! That said, considering how to include other health and civic organizations in addition to the health department and hospital in the proposal is acceptable, even encouraged.
Please do not obsess in deciding which health issue you would like to focus on; an eight- week course goes very quickly! If you are struggling in your decision, you are urged to skim your textbook’s table of contents, chapters, or index for inspiration. There are undoubtedly many, many health issues that might benefit from such a collaborative effort, but what is most important is that you choose an issue that personally resonates with you or for which you have a certain amount of passion and seems feasible given the geographic, political, socioeconomic and cultural aspects of its implementation.
Some weekly discussion questions will be linked to this assignment to help you appreciate the more academic concepts or philosophical underpinnings that are discussed in your textbook. If anything you glean in preparing for the weekly discussions seems appropriate to add to your proposal, please feel free to do so!
Getting Started
By Week 2 of the course, I urge you get started on your paper. You should start composing your proposal document ASAP by copying and pasting the checklist that starts on p. 5 since it will serve as the outline for your proposal. If you start right away seeing how many of the questions in this list you can answer just from the community assessment provided by Memorial Health Systems, you will quickly ascertain where you need to focus your efforts to address the rest of the elements of your program proposal.
Paper Format
Except for the checklist described above, the appearance of your paper generally should model the example of the paper found on pp. 50-51 in the 7th edition Publication Manual of the American Psychological Association (APA manual), which is a required textbook for all of the courses in the BSN program. The APA manual is your “bible” for this paper. The entire paper
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should be in 11- point Arial font. However, as what you will be writing is not a full-blown research paper, there are some APA elements that are more important than others as follows:
Title page is page 1 of your paper (but an “author note” is NOT required).
Abstract is page 2 of your paper and should be no longer than 250 words.
First page of the actual text of the paper is page 3 of your paper.
References (it is NOT called a bibliography or cited works) start on the page after the last page of the content (or appendices, which are not required).
Note the description of the running head on p. 37 in your APA manual: It should be the abbreviated version of the paper title, meaning no more than 50 characters, counting letters, punctuation, and spaces between words. What is changed in the 7th edition of the APA manual is that it does not have to consist of the same words in the same order as the complete title; rather, the idea of the title should be conveyed in a shortened form. Avoid using abbreviations in a running head; however, the ampersand symbol (&) may be used rather than “and” if desired.
I recommend that you mark p. 50 in your APA manual in such a way so that you can easily refer to the sample paper frequently! You will be expected to follow ALL of the instructions in terms of where each element of the paper is supposed to be located (e.g., running head begins at the upper left-hand corner of the paper; title on title page is centered on the upper half of the paper, etc.). Points will be taken off if each element of the paper is not typed in the proper case (capitalization) or how bold font is used. Pay CLOSE attention to how in-text citations and references are supposed to look in terms of proper capitalization, italicization, punctuation, etc. Be very careful using electronic aids that purport to help set up a paper according to style rules. Although Microsoft Word has functions to help format papers according to APA format, over the years I have discovered that these supposed aids can be fraught with error. I do support using effective technology to help format papers, but again, the bible of APA format is its printed manual, 7th edition. If elements of your paper do not match guidelines as written in the book, you will lose points on your grade.
Some Caveats:
As this is an “imaginary” program proposal, a few items on the checklist may be hard to address. For example, it is possible that you may not be able to find authoritative sources that assert that your proposed program is not needed. That said, your textbook may provide some insight into the attitudes of individuals and organizations within a community that could be barriers to what you hope to accomplish with your proposed program. It is reasonable to include some “intelligent speculation” of possible opponents to your program proposal and then try to find some references to support your assumptions (even newspaper articles might be acceptable). Indeed, as a member of the community, it is quite possible that you have heard “mutterings” from various community members. APA’s way to document informal sources is through personal communication (see the index in your APA manual for the pages describing how to format this information). That said, personal communication references should be kept to a minimum and those to whom you speak should be recognizable and knowledgeable sources. Every effort should be to find authoritative sources to support the information provided in academic papers.
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After you write a brief introduction or background to your topic (about 2-3 paragraphs) on p. 3 of your paper, you are required to continue the paper by following the list that I have provided on pp. 5-7. You are encouraged to use bullet points and phrases in lieu of complete sentences anywhere that seems appropriate (meaning that sometimes full sentences will be needed to adequately describe certain elements of your proposal and sometimes phrases will be sufficient). Then you will end your paper with at least one summary paragraph with some final thoughts about the aspirations and long-term intentions of the program.
If you have ANY questions about this assignment – including about APA format – please contact me, preferably earlier than later!
THE PAPER CHECKLIST BEGINS ON THE NEXT PAGE
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Checklist for “How to Develop a Program Plan”
Because your program proposal will be “imaginary,” and you will not have all the resources an actual project manager normally would for such an endeavor, the list below is an adapted version of the box, How to Develop a Program Plan on p. 267 and the box, How to Do a Program Evaluation on p. 273 in your textbook. Some items were re-arranged and few were deleted entirely from the textbook list. All of the items below must be addressed in paper. Information in green indicates additional instructions. So that you do not miss any required items and to facilitate grading, you must copy and paste the list below into your paper and insert your answers under each question – but be sure delete all verbiage that is in green in your final paper. Also, be sure that you align your answers directly underneath the questions, so the paper looks neat and orderly. Your paper should be organized as follows:
A. Description of the health problem to be addressed. (This will be the introduction paragraphs to your paper.)
B. Program plan
1. Population need
• What is the target program population and where will it be located (i.e., what will be the program’s “catchment area”?)
• What is the specific need to be met?
• Evidence of need. Below are a few examples of information you might use to document the need and/or the target population. Whatever information you use to support how you chose the health issue, it is vital that you provide appropriate citations and references so that information could be fact-checked if a reader wanted to do so. (NOTE: Be sure you proved the exact URL that takes the read to the proper page. In other words, simply referencing an organization’s home page is not sufficient if the reader has to click on other links to other pages to find the information in question.)
• Census data
• Key (reputable/reliable) informants
• Community forums
• Existing program surveys (such as the CHS Community Health Needs Assessment)
• Surveys of the client population
• Statistical indicators (e.g., demographic and morbidity/mortality data) • Other reliable sources
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• Are there other programs addressing the same or similar need? If so, how will your program be different?
• What might be a reason(s) the need is not being met? 2. Program boundaries
• What is the program goal?
• Who or what entities (in addition to the hospital and local health department) will be included in developing or implementing the program?
• Who or what entities that would appear to be helpful would not be included? Why not?
3. Program feasibility
• Who agrees that the program is needed? These would include stakeholders such as hospital or health department staff or those from other organizations, providers, agencies, clients, funders, etc., some of which might also under the heading above, “Evidence of Need”. Be sure your sources for this information are authoritative and reputable.
• Who does not agree or who might object to the proposed program? In other words, who might oppose the program? Again, indicate your sources for this information.
4. Program resources As you address the points below, describe how respective resources would be divided between the county health department and hospital in the collaboration. You are encouraged to consider how other agencies might be useful in launching the program.
• What type of personnel are needed? Remember that you and at least one other RN are required to implement this program. What would be your duties as the project director? What role would the other RN(s) serve in your program? What other kinds of support staff would be necessary?
• What facilities are needed or might used? Consider the type of space that either the health department or hospital or some other organization could provide and whether that space could be donated or would incur a cost that would need to be included in the budget.
• What equipment is needed? Would it need to be purchased or could it be shared with the health department or hospital or some other organization?
• What financial support or funding might be available to support the project? Would other additional funding be needed and how might that be obtained? Could be from more several sources. Generally, the more the better!
• Could other resources be donated? If so, indicate the following.
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(1) Type (e.g., space, printing, office supplies, medical supplies)? (2) Amount
(3) Who or what entity might donate these items?
C. Detail the plan
1. What are the objectives to meet the program goal? Objectives are the specific steps that need to be done to achieve the goal. Your objectives should be aligned with the measurable outcomes you will delineate under D. Program Evaluation below. In fact, you might want to ponder how to answer the questions under Program Evaluation first as a way to help you formulate your objectives.
2. Who would be responsible or accountable for seeing that the different objectives are accomplished? Ideally, you should delegate some of these responsibilities to other staff.
3. How will the program be advertised/marketed, especially to the specific populations you hope to target?
D. Program Evaluation
The plan will need to be evaluated at the end of one year. To do that, you will have to develop some measurable outcomes. Explain what will be measured by answering the questions in green for each item numbered below (see the box on pp. 273-274 for fuller description of how to answer these questions below). Use the Community Health System’s Health Needs Assessment “Implementation Strategy” document for your county for examples of how to do this; specifically the section titled, “MEASURES: What will we measure to know the program is making a difference?”
Reminder: While you will answer the questions below, do not retain any comments or questions in green (including these instructions); just use them as examples of information you should provide.
1. Relevance: How will you know if this program was truly relevant? In other words, what do you hope to see happening in your target population to know if you picked a relevant health issue to focus on?
2. Adequacy: Is the program large enough to make a positive difference in the identified need? Are the boundaries of the services defined so that the need is likely be addressed for the target population?
3. Progress: In what way – and how often – do you need to track the program activities to know if the program is progressing at a proper rate?
4. Efficiency: What metrics or data should be used to demonstrate that the program outcomes are worth the resources (money, personnel, time, etc.) spent?
5. Effectiveness: How will you know if the program objectives were met?
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6. Impact: Will you know if in a year’s time if there were observable changes in the client population? If not, how long might that take?
7. Sustainability: Assuming you feel your program meets its objectives and has been worthwhile, how can funding for it be sustained? In other words, how might you and others ascertain what the cost benefits are to the respective organizations, agencies, or public bodies to justify its cost? And if the program has been successful, might there be additional funding sources that could be pursued? Alternatively, is it reasonable to consider that fees could be collected to help defray the cost (i.e., is it a service that clients would be willing to pay even a nominal fee for)?
E. The paper should conclude with a summary paragraph.
Program Proposal Rubric

Criteria
Possible Pts


A. Introduction: Description of the problem and the appropriateness of program topic according to community needs and feasibility.
25


B.Program Plan

1.Population need & evidence

40

2.Program boundaries

20
3.Program feasibility
20

4.Program resources
25


C.Detail the plan (objectives; who will be accountable)

20
D.Evaluate the plan (relevance; adequacy; progress; efficiency; effectiveness; impact; sustainability
30
E.Summary
10
Adherance to Standard American English rules of spelling, grammar, punctuation, sentence structure, and APA format
10
TOTAL POINTS


200

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