Community Clinical Linkages ( Ccl )

Historically, many interventions or processes implemented to promote and improve health care and quality were directed by professionals with a lack of input from the local populations . In recent years however, stakeholder engagement has become the core remit to guidance and many national strategies for improving healthcare systems (e.g. Department of Health) . Community stakeholder engagement is broadly defined as

Unhealthy lifestyle behaviors account for 50 percent of preventable death in the US. As the diversity of the US population increases, health care providers are expected to provide services that are reasonable and responsive to the unique cultural and ethnic identity, socio-economic condition, emotional and spiritual needs, and values of patients and the population. In this class, I have learned various diseases and conditions of all ages and ethnicities (American Association of Colleges of Nursing, 2017). Through case studies, I was able to apply broad, organizational, client-centered, and culturally appropriate concepts in the planning, delivery, management, and evaluation of evidence-based clinical prevention and population care and services to individuals, families, and aggregates/identified

Since 1980, the United States has taken on 10-year plans that outline certain key national health objectives set to be accomplished during a 10-year timeframe (Shi & Singh, 2015). These initiatives are founded on medical care with prevention services, health promotion, education, community health care, and increased access to integrated services. The initiative, Healthy People 2010: Healthy People in Healthy Communities, launched in 2000. The initiative emphasizes the role of community partners such as

Healthy communities depend on the promotion of collaboration between health care providers, equitable utilization of health care resources and access to care for disease prevention. The Affordable Care Act (ACA) has increased access to insurance, but has not necessarily contributed to increased access to care (Lane et al., 2012). Limited access to health care and insurance, along with socioeconomic status, ethnicity, race, gender, sexual identity, and age contribute to health care disparities in the United States ("Disparities," 2014). The Appalachian Region has many factors that increase the risk of health disparities among this population, including poverty, unemployment, limited access to care,

Centura Health had the opportunity for a workshop presentation by Dominique Morgan-Solomon, a population health expert. Dominique Morgan-Solomon, MPH, works as a consultant in health care delivery, device management, and for health care organizations on population health strategies and program implementation. Prior to consulting, Dominique was the Chief Operating Officer of Steward Medical Group and Vice President of Population Health for Steward Health Care from February 2012 until October of 2015. She was responsible for the strategic planning and execution of its quality performance, clinical integration care management, and population health programs. Last year she was awarded “Young Healthcare Executive of the Year” for her leadership in this promising field by the National Association of Health Service Executives (NAHSE). She has exceeded in her career after receiving a Bachelor of Arts from Cornell University in Biology and Political Science and a Master of Public Health in Health Policy from the University of Michigan.

Health centers have continually proven to be a worthwhile investment by delivering high quality, affordable health care. Evidence based research shows that Community Health Centers prove to be a lasting solution for disease prevention and health promotion to our medically underserved population. Additional evidence based research statistics show the following:

Community health is the process or characteristics that allow a community’s population and economy to survive. Community health is defined as the meeting of collective needs through identification of problems and

Social capital includes two avenues – bridging and bonding, that have the the ability to improve healthier outcomes in communities; research has shown that communities with higher levels of social capital have a higher mortality rate (Policy Link, 2002). Bonding improves the overall relationships, as lack of trust is profound in minority communities; and bridging enhances the association through culturally appropriate messaging in an effective manner (Policy Link, 2002). Social capital avenues are critical for services that provide quality healthcare access and positive outcomes (Policy Link, 2002). Partnerships are substantial to build an infrastructure that is often missing key variables and requires the involvement of multiple sectors (Policy Link, 2002). Communities through task forces are also able to challenge government authorities and industries on deteriorating environments, and correlation to debilating health (Policy Link, 2002). Community concerns often go beyond that particular region, so it is of utmost importance that attention and connections are also made outside of the community; policies – local, state, and federal often have implications on the community state of affairs (Policy Link,

The community identified its priority health needs by doing Community Health Status Assessment(CHSA). The aim of this was to obtain feedback from residents regarding their health status, access to healthcare and their perception of community services. The study included residents of Atlantic County and surrounding areas in Camden and Cape May counties that are serviced by Atlantic County hospitals in2002. The first research component was a secondary data collection. This secondary data profile contained health and wellness statistics collected from New Jersey, the Department of Health and Senior Services NJDHSS, CDC, and U.S. Census Bureau data. The profile identified the health status of area residents compared to those in other parts of the state and the nation. The same data profile was used in the

Studying health policy provides PAs with a deeper understanding of health care systems and the various professional roles within them. This enhances the PA's ability to function in a team of health care providers, a capability essential to the PA's role. Skills in population-based health assessment, behavior counseling, policy development and advocacy, epidemiology, and environmental health can help these providers make a lasting health effect on the communities they serve. Training in the community oriented primary care model expands the PA’s knowledge and focus to include the community’s

The community clinic focuses on pediatric, adult health care, women’s health, dentistry, WIC, pharmacy and integrated

Widespread community health assessments are not done and are primarily left up to the patient to be accountable for if symptoms occur but this is where many do not see the value in prevention medicine. My community is predominantly Latino so there are cultural barriers along with affording to be seen in the past. With the Affordable Care Act the influx of patients needing to be seen has been much higher, but also under consideration are community health clinic expansions, services and education to continue better health practices with each county (Medicaid, 2015). The two health plans that are provided are taking in new statistical information all the time and applying this information into the development of stronger public health and policy

Population health as a framework for examining health is not a new concept. Historically, epidemiologist have used this to formulate etiologies of disease by measuring variations within a population and the impact of environmental factors (Radzyminski, 2007). Governments have also applied this concept to the implementation of interventions geared at improving the health of nations (Radzyminski, 2007). Although the concept is not new, the term population health has only been recently defined and differentiated from the definitions of community health, public health, and population-focused care. This paper will discuss the current definition of population health, its impact on nursing practice, its relation to evidence-based practice, and the importance of interprofessional collaboration in the delivery of population health care.

In an effort to promote the health needs within a community, a successful community health nurse (CHN) must focus on the entire population. In order to accomplish this task, the CHN utilizes a scientific approach to determine the priority population focused health needs for the community. According to Nies & McEwen (2011), a population focus involving an assessment of the community is a primary tool utilized in order to develop planning, interventions, and evaluations for the community at large. The purpose of this paper is to determine a priority

In public health, as in many fields there are a set of conundrums that practitioners, leaders and law makers have to address in order to provide the most appropriate service to their populations. One of these conundrums is the battle between what is good for the community vs. what is good for the individual. This topic will be broken up to the community vs. the individual, and discussed based on research done by Kass et al, and Oriola, and will be concluded by presenting possible solutions.