health care institutions and agencies Name ___________________________ Almost all health care institutions and agencies are interested in working with community organizations. Trusting relationships between community partners and the development of coalitions can result in grant opportunities, marketing and program synergy, referrals and better patient outcomes. Into this current environment, we can now add the importance of managerial epidemiology and population health management approaches. The overall goal is to improve community health strategically. We have spent the last half of the semester learning about ways in which medical care and community health promotion can be aligned. We have talked specifically about health promotion interventions, population health management, integrating managerial epi data with community interventions, and community health needs assessments that are required to demonstrate community benefit. Your final examination is divided into three sections. Part A (10 points) and Part B (10 Points) and For Part C (10 points) are all required. Please think CRITICALLY and analyze and synthesize information not just repeat or quote other sources. Do not leave the reader guessing! Make this final project your own and showcase what you learned! Here is the rubric that I will be using. A B C Assignment submitted on-time in professional manner with no missing responses and all answers correct. Evidence of supportive data in rationale and narrative. Responses show in-depth application of units primary content material. Evidence of leadership ideas and decision making. Linkage to course concepts Innovation in ideas, strategies and applications. Assignment submitted on-time in professional manner with no missing responses, but included partially correct answers or basic and general responses. Narrative shows structure and relevance to questions, however rationales lack depth and/or supporting evidence and relies on repetition of course lecture materials. Assignment submitted on-time in professional manner, but with missing or incomplete answers. Incomplete or incorrect content in narrative. THIS Final Project MUST BE ORIGINAL AND SHOULD NOT BE A COPY OF A PROGRAM/ INTERVENTION CURRENTLY IN PLACE. , Part A 30 Day-Readmission in a Community Hospital Analysis Required A community hospital located in a western state serves two very distinct populations. One is urban (where the main hospital is located) and the other is rural spread out across the county. Due to recent ACA mandates, the hospital is extremely concerned about 30 day Re-admission rates. The COO asked the Community Outreach Coordinator to capture discharge data from the previous year. Of the 32,998 discharges, the COC found that 3,792 came from urban areas AND WERE NOT RE-ADMIITED WITHIN 3- DAYS. She also discovered that there were 9, 428 rural discharges where patients were ADMITTED within the 30 day window out of the total rural discharges of 11,334. a. Create a contingency table representing this information. b. Calculate the appropriate epidemiological statistic (relative risk vs. odds ratio). c. Interpret the results of your calculation. d. What steps using your managerial epi data would you recommend for this community hospital? e. Bonus: Calculate a chi-square test of independence. Is there a significant difference in the p-value that you found? What does this mean? Part B Childhood Disease Dilemma Hospital Outreach Coordinator Please read the following information: (Click on Video). (If you cant see the article or video, just google the title of the article and it will pop up for you. (November 22, 2011) Shot or Party? Avoiding Chicken Poxs Worst Wall Street Journal) YOU are the local, community hospital outreach coordinator, and have been contacted to meet with your Chief Operating Officer, Chief Nursing Officer and the Director of Emergency Department to discuss the above issue. You are charged to develop a health promotion campaign focusing on (1) encouraging families to have their children vaccinated for chicken pox and (2) highlighting the severity of the disease and its complications to the general public. (1) Describe your primary populations of interest (2) What epi data will you review? What clinical data would you seek? (3) Discuss which health behavior theory(s) you will follow for each. (4) Explain what health promotion and disease specific activities you will use (5) Describe in detail how you will deliver these specific activities (6) Link this campaigns with other hospital service lines or products. (7) Identify which outcome metrics you will monitor to assess the success of your health promotion initiative (Note: The questions above are only a guideline to help you organize your response. Please, dont just provide answers to only these questions). Your assignment is to develop a health promotion campaign outline based on the above information. PART C Community Health Needs Assessment A Community Health Needs Assessment (CHNA) plan was recently completed for Atlantic County. Now, because of the impact of Hurricane Sandy on the local communitys health status, Atlantic County has received a grant from the state for an additional $25,000 to revise their 2012 CHNA to reflect the impact of Hurricane Sandy. This money is not to be used to provide any health services for the victims. It is ONLY to be used to revise and update the CHNA. Using the ACHE community health assessment toolkit Six Steps discussed in class, complete your CHNA plan outline. Be sure that you answer all of these six questions: (1) Will the assessment infrastructure be different from what was used before? If so, how and why? How will you spend the $25,000? (2) What will be the purpose of the revised CHNA? Will you change the geo area or only target a certain group? (3) How will the data collection process by changed? Be sure to give some specific examples (4) How will you determine the new priorities? How will you integrate them with what was discovered before the Hurricane? (5) Given a very short timeframe, how will you get these new messages to the public? (6) Finally, how will you get any of these interventions that require hospital support integrated into their strategic plans and used for community benefit? The following article is just to give you one idea of how some of the health concerns may have changed since the natural event. There are many more health issues that should be addressed as well! 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