Use the provided template to create an action plan to address a chosen health problem.

  • Introduction

    Information technology, specifically electronic health records (EHR) and patient portals, are helping to empower patients to take a more active role with their health care (Nash, Fabius, Skoufalos, & Clarke, 2016). Information technology is also supporting collaborative efforts among multiple health care stakeholders, including providers, insurers, community health agencies, and policy makers (Nash, Fabius, Skoufalos, & Clarke, 2016). The use of decision support systems facilitates the mining of large amounts of data in population health, including data measurement and analysis. Three purposes of measurement include improvement, accountability, and research (Nash, Fabius, Skoufalos, & Clarke, 2016). Decision support systems can also be used for predictive modeling to improve performance and predict potential outcomes (Nash, Fabius, Skoufalos, & Clarke, 2016). As information technology and decision support systems become more sophisticated, and larger amounts of data are captured, the potential to further the IHI Triple Aim initiatives discussed previously in the course increases.Population health continues to evolve, and the Affordable Care Act (ACA) introduced several new regulations and models. The IHI Triple Aim initiative will be an ongoing area of focus, and information technology offers new ways to engage patients in their own health. Smart phones, health and wellness apps, and smart watches will give patients new ways to monitor their behaviors. As providers educate themselves on behavioral change models and economics, they can help patients change unhealthy behaviors. Nash, Fabius, Skoufalos, and Clarke (2016) predict that the next few years will likely result in an updated health risk assessment that includes additional determinants of health and performance, including stress and anxiety, and increased recognition of the importance of thriving and health. Beyond five years, we will likely see shared values among employers, employees, and the community.Taking measurements, regulations, current and evolving technology, and models of care into account is critical to help ensure sound design of population and community health plans. Without a well-thought-out design, a well-thought-out and implementable action plan will prove difficult to impossible. So, these are critical considerations as you approach the Community Health Action Plan assessment.

    Reference

    Nash, D. B., Fabius, R. J., Skoufalos, A., & Clarke, J. L. (2016). Population health: Creating a culture of wellness (2nd ed.). Burlington, MA: Jones & Bartlett Learning.

    Demonstration of Proficiency

    • Competency 1: Integrate principles of epidemiology, population health, and community engagement to plan interventions.
      • Evaluate an organization best suited to implement a community-health intervention.
    • Competency 2: Differentiate and evaluate evidence-based treatment models and prevention models designed to promote wellness and disease management for population health.
      • Formulate criteria for evaluation of task completion.
    • Competency 3: Create an action plan to promote wellness and disease management in a diverse population.
      • Define a goal for an action plan.
      • Identify roles, tasks, and timeframes required to implement a plan.
      • Identify human, capital, and material resources needed to complete tasks in a plan.
    • Competency 4: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others and is consistent with expectations for health care professionals.
      • Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
      • Write following APA style for in-text citation, quotes, and references.

    Note: It is recommended that you complete the assessments in this course in the order they are presented.

    Preparation

    This assessment brings together aspects of the other three assessments in the course. The goal is to create an implementable action plan to achieve a SMART goal addressing the community-health need you have been exploring throughout the course.To prepare to successfully create your Community Health Action Plan, it is recommended you complete the following:

    Instructions

    For this assessment, create a detailed action plan to promote wellness and disease management by addressing your chosen health problem you have been working on throughout this course. Based on feedback received on your previous assessments, design a plan you could implement in a health care organization (such as a hospital, physician practice, or federally qualified health center) to address a specific SMART goal.Make sure you download and complete the Action Plan Template. Only submit the completed template for your assessment. Do not submit a paper for this assessment. Papers will not be graded.Consult the scoring guide to ensure that you are addressing all criteria at the level to which you desire. When completing the template, be sure you address the following:

    Additional Requirements

    • Written communication: Ensure content is free of errors that detract from the overall message.
    • APA: Use current-edition APA style and formatting guidelines, including citations and a reference page in the second tab of the Action Plan Template.
  • SCORING GUIDE

    Use the scoring guide to understand how your assessment will be evaluated.VIEW SCORING GUIDE

  • CRITERIANON-PERFORMANCEBASICPROFICIENTDISTINGUISHEDDefine a goal for an action plan.Does not identify a goal for an action plan.Identifies a goal for an action plan, but does not clearly define it.Defines a goal for an action plan.Concisely develops and applies cogent, explicit criteria to assess the best goal for an action plan and operationally defines it.Evaluate an organization best suited to implement a community-health intervention.Does not identify an organization that is well suited to implement a community health intervention.Identifies an organization that is well suited to implement a community health intervention.Evaluates an organization best suited to implement a community health intervention.Concisely develops and applies cogent, explicit criteria to assess the organization best suited to implement a community health intervention.Identify roles, tasks, and timeframes required to implement a plan.Does not identify roles, tasks, and timeframes required to implement a plan. Does not identify indications that tasks are completed.Identifies some, but not all, roles, tasks, and timeframes required to implement a plan. Identifies some indications that tasks are completed.Identifies roles, tasks, and timeframes required to implement a plan.Concisely develops and applies cogent, explicit criteria to identify roles, tasks, and timeframes required to implement a plan.Formulate criteria for evaluation of task completion.Does not identify indications that tasks are completed.Identifies some indications that tasks are completed.Formulates criteria for evaluation of task completion.Concisely formulates cogent, explicit, evidence-based criteria for evaluation of task completion.Identify human, capital, and material resources needed to complete tasks in a plan.Does not identify human, capital, and material resources needed to complete tasks in a plan.Identifies some but not all human, capital, and material resources needed to complete tasks in a plan.Identifies human, capital, and material resources needed to complete tasks in a plan.Concisely, explicitly, and comprehensively identifies human, capital, and material resources needed to complete tasks in a plan.Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.Writes with many errors, making text difficult to follow; errors involve spelling, grammar, punctuation, and mechanics.Writes with few errors, making text difficult to follow at times; errors involve spelling, grammar, punctuation, and mechanics.Writes clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.Writes clearly and logically, using evidence to support a central idea, with correct use of spelling, grammar, punctuation, and mechanics; the paper contains supporting examples for the main points.Write following APA style for in-text citation, quotes, and references.Does write following APA style for in-text citation, quotes, and references.Writes mostly following APA style for in-text citation, quotes, and references, but there are lapses in style use.Writes following APA style for in-text citation, quotes, and references.Writes following APA style for in-text citation, quotes, and references without errors, and uses current reference sources.
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