In order to best serve the community’s health needs, it is vital to assess who would most benefit from increased care coordination and improvement changes. Preventative health information will be most beneficial and applicable to vulnerable populations such as disabled pediatrics and their families. Disabled and chronically ill children and their families often require multiple services, providers, and resources. Examples of children and families with multiple needs which would benefit from the preventative health improvement plan include a child who, has been newly diagnosed, has a progressive condition, or which is being cared for by a parent who demonstrates a lack of knowledge. This community preventative health project may also promote health outcomes for individuals with chronic diseases such as …show more content…
diabetes, cardiovascular and respiratory diseases and cancer. This is vital, as the number of individuals living with chronic conditions is rising in the Pinellas County community. Plan: Objectives This comprehensive preventative health plan may be implemented to address the needs of the Pinellas County disabled pediatric population. Electronic health systems may serve as constant source of health care, increasing access to evidence-based and preventive services. The levels of prevention model serves as the framework for this community preventative health improvement plan’s goals. Primary levels of prevention prevent disease and complications. Secondary level prevention efforts identify health issues and attempt to limit complications. Tertiary prevention focuses on maximizing health, despite known issues such as existing illnesses. For primary level community preventative health improvement, this plan aims to utilize electronic health systems to increase primary level prevention compliance (CDC’s recommended immunizations and screenings based on age and diagnoses) within Pinellas County’s disabled pediatric population by 10 percent within a year (See table 1). Electronic health systems will allow the targeted population to know what the CDC’s recommendations are. The electronic systems can also have a feature which allows the individuals to see their records, allowing them to see what preventative health measure are suggested they receive. There are even systems which may send reminders so that individuals do not miss the suggested services. The progress of this goal will be measured by monitoring Pinellas County’s disabled pediatric population’s compliance with the Centers for Disease Control and Prevention immunization and screening recommendations every 4 months for a year. For secondary level community preventative health improvement, this plan aims to utilize electronic health systems to increase Pinellas County’s disabled pediatric population’s safety, as evidenced by a 10 percent decrease in hospital admissions and readmissions related to injury and complications within a year. (See table 1). Providing individuals with effective electronic educational materials may help improve their ability to manage their health. By effectively understanding their health needs, disabled pediatrics and their caregivers will be more likely to practice their right of informed decision-making. The initiative will help prevent injury and complications which often lead to costly hospital readmissions. By further understanding their health and related needs, these individuals may engage in healthier decisions and practices, increasing their overall quality of life. It is hypothesized that the increase in health education will lead to healthier practices, decreasing the likelihood of injuries and complications. Therefore, the progress of this goal will be determined by monitoring the disabled pediatric population’s number of hospital admissions and readmissions (readmitted within a 30 day period of initial discharge) every month for the course of a year. For tertiary level community preventative health improvement, the plan also aims to utilize electronic health systems to increase coordination of care, linking disabled children and their families to at least 3 resources or services, within a year (See table 1). By increasing coordination of care and linking disabled children and their families to services and resources, their overall quality of life may be optimized. The progress of this preventative health plan goal will be monitored by assessing the population’s awareness of resources, using a survey quarterly for the period of a year. The plan also requires that the number of specialty services ordered by each legally disabled pediatric individual in Pinellas County be monitored quarterly for a year. With adequate collaboration these goals are achievable and realistic, as they are guided by the nation’s healthy people 2020 initiatives. Healthy People 2020 Healthy people 2020 is a nationwide disease prevention and health promotion improvement plan which strives to improve the nation’s health by means of collaboration and education (Healthy People 2020, 2015).
By using the healthy people 2020 initiatives as a guide, communities may initiate their own improvement changes to enhance their overall wellbeing. The objectives of this community preventative health improvement plan directly correlate with the nation’s healthy people 2020 initiatives. Healthy People 2020 aims to improve population health by using electronic health to enhance communication strategies (Healthy People 2020, 2015). The nation’s government and health care officials acknowledge the impact that communication, information, and technology have on the population’s everyday life. Therefore, healthy people 2020 aims to utilize information technology to communicate information essential to initiating healthy practices (Healthy People 2020, 2015). Healthy people 2020 guidelines should be utilized when initiating electronic health systems, supporting collaboration between patients and providers and increasing the availability of support
networks. Healthy people 2020 aims to use electronic health systems to increase the quality, availability, and effectiveness of health education (Healthy People 2020, 2015). By providing accurate health information through electronic health systems, healthy people 2020 aims to prevent injury and disease while enhancing quality of life. Electronic health information will empower individuals within the community and may be displayed by means of personalized health management tools (Healthy People 2020, 2015). Healthy people 2020 promotes the electronic health initiative, as it may influence health practices at a personal, organizational, community, and national level, allowing even the most culturally diverse and vulnerable populations the opportunity to access health information. The preventative health plan goals correlate with healthy people 2020 initiatives and should be used to overcome health barriers throughout the community, such as delays in care, inability to receive preventive services, and preventable hospitalizations. Current Programs and Synthesis The effectiveness of electronic health systems is demonstrated through evidence-based literature. The Common Wealth Fund (2011) discusses the effectiveness of electronic health systems at an international level. The practices of Denmark, New Zealand, and Sweden demonstrate the effectiveness of electronic health systems. Denmark’s electronic health system allows healthcare providers to exchange health information with pharmacies, laboratories, and specialists, while allowing electronic communication with patients (Bradford, Bowden, Johansen, & Koch, 2011). All of New Zealand’s general healthcare organizations utilize an electronic health system that supports numerous functions such as primary care records, diagnoses lists, clinical progress notes, testing and medication orders, and test results. The nations’ electronic health systems even provide preventative measures such as screening reminders and decision-support systems, reducing errors, illnesses, and unnecessary medical costs (Bradford et al., 2011). New Zealand exemplifies how electronic health systems may be used to automatically conduct risk assessments, such as cardiovascular disease and diabetes, so that healthcare providers are able to deliver patient-specific, evidence-based advice. The information attained through the risk assessments is transferred into national registers, ensuring the utilization of preventative resources (Bradford et al., 2011). For example, individuals are automatically scheduled for recommended preventative measures such as childhood immunizations and cancer screenings. The systems also sends reminders to patients who are late for immunizations or screenings (Bradford et al., 2011). These countries practices demonstrate that electronic health systems increase collaboration between healthcare providers and patients. Hospitals in Denmark automatically notify homecare when a patient is discharged from a hospital and includes a briefing of all new orders (Bradford et al., 2011). This function alone could improve the overall quality of health of disabled pediatrics, as they often experience complications and require services from numerous subspecialties. Literature also provides evidence which suggests how the electronic health system community preventative health improvement plan should be implemented. Evidence demonstrates that electronic health systems should place a big emphasis on the individual’s involvement. The key goal for this plan should be to utilize the electronic health system to increase individuals’ involvement in their own health. By using the systems to provide educational and interactive information, individuals will be better suited to make informed decisions and take control of their health outcomes. Gurwitz et al. (2014) demonstrated that electronic health systems may increase safety, as utilizing electronic health records allowed an organization to decrease re-hospitalization of patients. The study also revealed that electronic health systems may increase continuity of health services by implementing supportive alerts, such as messages reminding patients of scheduling of services (Gurwitz, Field, Ogarek, Tjia, Cutrona, Harrold, & Garber, 2014). The community preventative health improvement plan directly coincides with the Medicaid electronic health record incentives program. The Medicare and Medicaid electronic health record Incentive Programs provide a financial incentive for achieving "meaningful use", which is the use of certified electronic health record technology to achieve goals regarding health and effectiveness (HealthIT, 2014). The clinical guidelines portray that electronic health systems should function at a level which improves quality, safety, and efficiency, by engaging patients, improving coordination, promoting public health, and ensuring privacy for personal health information (HealthIT, 2014). The “meaningful use” guidelines are used to provide effective electronic health systems everyday across the United States. The effectiveness of electronic health systems is demonstrated within the United States in numerous hospitals, assisted living, home health, acute care organizations, schools, and worksites.
The Healthy People 2020 (Healthy People 2020, 2014) is a nationwide program created by the U.S. Department of Health and Human Services to achieve objectives for promoting health and preventing diseases. Faith based communities may benefit tremendously in including these objectives in program planning. The main goal is for the American people to have long, healthy lives. The Healthy People 2020 program provides measurable objectives that can be applied down to the local level such as in faith based communities. These guidelines encourage high quality of life by being healthy, disease-free, accessible healthcare, and have an environment that promotes good health and wellbeing in all age levels.
Healthy People 2020 is geared towards betterment of health for the most citizens by year 2020.It is a carefully and exhaustively planned project by the different sectors of government and health agencies with the inclusion of the analyses of the determinants of health, and disparities, using different kind of public health models in order to make appropriate policies and programs that are feasible to implement and practical to abide for the benefit of the population served.
Social determinants of health has been a large topic for many years and can have a positive and negative effect on individuals, families and communities. (World Health Organisation, 2009) The social determinants of health are the conditions in which people are born, grow, live, work and age, including the health system. These circumstances are shaped by the distribution of money, power and resources at global, national and local levels, which are themselves influenced by policy choices. Social determinants have many factors and in this essay education will be the main social determinant of health discussed and how this could have an impact on the physical and mental sides of health.
Healthy People 2020 is a program for the promotion of health and the prevention of diseases, launched by the Department of Health and Human Services in December 2010. According to healthypeople.gov, this program has four overarching goals which are first to achieve healthy, longer lives free of preventable diseases, injuries, and premature deaths; to achieve health fairness, eliminate differences, and improve all groups’ health; also to produce social and physical environments that encourage good health; and last but not least to promote life’s quality, healthy development, and healthy behaviors through all life stages. This program has a vision of a community where people live long, healthy lives. Healthy People 2020 offers a comprehensive
...program of nationwide health-promotion and disease-prevention goals set by the United States Department of Health and Human Services. The goals and objectives of Healthy People 2020 was predicated on a health system accessible to all Americans that would integrate personal health care and population-based public health activities. The goals were first set in 1979, for the following decade. The goals were subsequently updated for Healthy People 2000, Healthy People 2010, and Healthy People 2020. Healthy People 2020 was developed through a broad consultation process, built on the best scientific knowledge, and designed to measure programs over time. It is composed of 467 specific objectives organized into 28 focus areas, as well as two overarching goals. The two goals are "increase quality and years of healthy life" and "eliminate health disparities".
Healthy People are a nationwide program set by the United States Department of Health and Human Services with the objectives to promote health and prevent disease. The Healthy People program was first initiated in 1979, followed by Healthy People 1990, 2000 and 2010 with the same goals and objectives to promote health and prevent diseases. Due to the accomplishments that has been achieved in the previous years under this program, the Healthy People 2020 expanded or rather broadened their goals and objectives beyond disease prevention, health promotion and reducing health disparities, but to also eliminate healthcare disparities that has plagued this nation by the year 2020. The governing body, the United States Department of Health and Human Services is responsible for coordinating this program; track the progress of these objectives so as to improve the health of the population. Among the various goals set by this body, only three will be discussed in this paper to gain more insight as to what it entails. These include health equity to improve the health of all groups; social and physical environments that promote good health; and to promote quality of life, healthy development and healthy behavior across life stages.
Social Determinants of health play a significant role in determining health inequalities among New Zealanders. The social determinants of health as described by the World Health Organisation are the conditions in which people are born, grow, work, age & live. These also include any other wider set forces or systems shaping the conditions of daily life (World Health Organisation,2017). This essay will outline how key social determinants of health such as unemployment, poverty and living conditions, can impact health inequalities among the Maori population in New Zealand.
Beside genetic and life style, that are individual determinants of health, there are many other factors -known as social determinants of health- which are varying even for the people who are living in the same society. They are defined as “social, cultural, environmental, and political factors that can affect the health of individuals” (Rumbold & Dickson-Swift, 2012, p. 40). This assignment will discuss the influence of one of the social determents of health, accessing to health services on the health condition of a specific target group; refugees population in Australia. The Refugee Convention 1951 defines refugees as ‘‘persons outside their country of origin who are unable or unwilling to return because of a well-founded fear of persecution for reasons of race, religion, nationality,
In the ongoing war to achieve better population health in the United States, there is a developing resource for Americans. Healthy People 2020 (HP 2020) is an extensive combined effort by the U.S. Department of Health and Human Services, Federal Agencies, Public Stake Holders, and an Advisory Committee that utilizes the Social Determinants for Health as its framework, to aid the transformation of the United States to a society in which people live long and healthy lives. The HHS utilizes HP 2020 to seize a renewed focus in the identifying, measuring, tracking, and reducing health disparities via a determinant of health approach. HP 2020 is based on 4 previous Healthy People initiatives: 1979 Surgeon General’s Report, Healthy People: The Surgeon General’s Report on Health Promotion and Disease Prevention; Healthy People 1990: Promoting Health/Preventing Disease: Objectives for the Nation; Healthy People 2000: National Health Promotion and Disease Prevention Objectives; and Healthy People 2010 (HP 2010): Objectives for Improving Health. The multiyear process that is HP 2020 reflects the input from a diverse group of organiza...
The rising cost of health care is creating a shift toward new care models that promote health prevention and wellness. This shift focuses on changing the way health care is delivered as well as where delivery occurs. Mobile health technology has served as a catalyst for this transformation enabling care delivery in the outpatient setting while keeping individuals linked to health professionals. Mobile health technology reduces health care costs via monitoring and intervention before conditions become acute preventing associated complications and hospitalization. Sensor technology and mobile applications facilitate knowledge and empowerment creating a patient centric care model focused on health improvement. Mobile health is poised to alleviate
Healthy People 2020 is an initiative that was founded by the Department of Health and Human Services in December 2010 with the core objective of bringing about a reliable public healthcare system. It contained 911 clearly defined objectives during its inception. Today, the goals have been increased to about 1,200, and are structured into 42 key topic areas (Centers for Disease Control and Prevention [Healthy], 2015). A critical analysis of the initiative identifies the following four major goals that its founders intended to achieve.
Health Care Disparities also need to be addressed through education and community outreach. Health Care organizations need to continuously conduct community outreach initiatives that focus on health and wellness goals for the target patient populations (Umbdenstock & Lofton, 2007). The information also needs to be presented in a format that that the target group will understand. In addition to, health care teams need to continuously undergo training that will assist in developing an overall cultural awareness aimed at achieving positive community
Health literacy plays an important role in individuals’ decision-making. The scope of health literacy does not limit to traditional medical perspective. In fact, it has extended from the basic understanding of diseases and medications to all aspects that affect health. As one of the key social determinants, health literacy has huge impact on health and well-being. Its influence is associated with disease prevention, healthy lifestyle promotion, policy making, etc. This essay will first discuss the concept of health literacy and the consequences that link to it, and then give a strategy—designing user-centred messages in education, to improve health literacy,
The goal of community based intervention programs focused on children is to increase the accessibility and effectiveness of initiatives in order to promote behavioral changes of individuals, thereby improving the health of the community. The programs are implemented in order to prevent illness or injury by avoiding or eliminating negative behaviors. Therefore, the intervention programs are effective when optimum community heath is achieved through health promotion and disease prevention. The Family Nurse Practitioner (FNP) can utilize the information available through the community health based initiatives to educate pediatric patients and their families. As well, the FNP can use the information to make appropriate referrals after researching
A very good afternoon to the lecturer and my beloved course mates. It really gives me great pleasure to deliver you a talk today on how to maintain a healthy lifestyle. Now, try asking yourself, have you been on healthy diets? Have you gotten sufficient rest each day? Or even, have you been performing healthy lifestyle by doing sports regularly?