Sample Discussion On The Smart Model

Increasing healthcare costs without a corresponding increase in health outcomes is something the United States has been dealing with for years. In fact, it is estimated that thousands of individuals die every year due to errors (To Err is Human, 2000). Finding a way to reign in those costs and increase health outcomes has been a hotly debated topic in United States politics. With the passing of the Affordable Care Act (ACA) there is now a sense that containing costs maybe on the horizon. This paper will focus on the Triple Aim model to improving health outcomes. It will breakdown implementation of Triple Aim, define the key element population health, and provide an example of a Triple Aim success story.

Increasing healthcare costs without a corresponding increase in health outcomes is something the United States has been dealing with for years. In fact, it is estimated that thousands of individuals die every year due to errors (To Err is Human, 2000). Finding a way to reign in those costs and increase health outcomes has been a hotly debated topic in United States politics. With the passing of the Affordable Care Act (ACA) there is now a sense that containing costs maybe on the horizon. This paper will focus on the Triple Aim model for improving health outcomes. It will breakdown implementation of Triple Aim, define the key element population health, and provide an example of a Triple Aim success story.

The Centers for Disease Control and Prevention mission is to collaborate to create information and tools for people and communities to protect themselves through health promotion, prevention of disease, injury and disability, and the preparedness for new health threats The Centers for Disease Control and Prevention seeks to accomplish its mission by working with partners throughout the nation and the world to monitor health, detect and investigates health problems, conduct research to enhance prevention, develop and advocate sound public health policies, implement prevention strategies, promote health behaviors, foster safe and healthful environments, and provide leadership training. In order for the Centers for Disease to achieve their mission, the Centers for Disease Control and Prevention relies on external partners including public health association, state and local public health agencies, schools and universities, and volunteer organizations. The Centers for Disease Control and Prevention has a created a set of four health protection goals. The goals are all people especially those at a greater risk of health disparities will achieve their optimal life span, the place where people live, work, learn, and play will protect and promote their health and safety, people in all communities will be protected from infectious, occupational environmental, and terrorist threats, and people around the world will

Interventions are activities that are used in a program to make the program more exciting and to help get the information across to the participants in an engaging way (McKenzie et al., 2013). There are many different types of strategies that planners can use as part of an intervention (McKenzie et al., 2013). Some strategies a planner can use are health communication, health education, health policy/enforcement, environmental change, health-related community services, and community mobilization strategies. The planning committee had to pick three interventions based on the multiple intelligences wheel, strategies, and intervention activities. (See appendix I for multiple intelligences wheels and intervention activities)

Purpose: Link public health data at state/county levels to the Healthy People 2020 Target rates. Describe the indicator, target data and whether progress has been made towards the goal.

Healthy People 20/20 is an organization that sets 10 year obtainable goals for improving health for all Americans. According to their websites mission statement they strive to identify nationwide health improvement priorities (Healthy People 20/20). Increase public awareness and understanding of the determents of health, disease, and disability and the opportunities for progress (Healthy People 20/20). Provide measurable objectives and goals that are applicable at the national, State, and local levels. Engage in multiple sectors to take action to strengthen policies and improve practices that are driven by best available evidence and knowledge (Healthy People 20/20). Lastly to identify critical research, evaluation, and data collection needs (Healthy People 20/20). The topic I selected was the same area of healthcare that pushed my interest into the Nursing profession, Mental Health and Mental Disorders.

The changes or outcomes can be conveyed in the following terms. First knowledge, and skills outcomes are thought of as short-term outcomes. Then behaviors are included, which weigh up as intermediate-term outcomes. Additionally, values, conditions, and status are changes and outcomes, which reflect long-term outcomes. Furthermore, the number and percent of participants the department wants to accomplish the outcome is the outcome target. For example, 1,500 teens (10% of teens) quit drinking over the next year is an outcome goal. (McNamara, n.d.)

The proposal uses techniques through a MAP-IT technique and uses SMART goals to implement their initiative. When writing goals using the SMART goal process nurses must evaluate their goals based on the time frame they need to apply their desired outcomes (Healthedpartners, 2014). These goals for community health promotion programs should be specific, measurable, action-oriented, realistic, and time sensitive goals for community designs. A weakness noted is that when navigating through the website of Healthy People 2020 there appears to be an overwhelming amount of information and some of it appears to be re-iterated from page to page. I believe that maybe this can be condensed between the topics and objectives and the leading health indicators. Healthy People 2020 has over 42 topic areas with 1200 objectives with a smaller selection noted to be the leading health indicators. This can be very confusing for the reader when trying to navigate. When reviewing the progress update of the health indicators I noticed that there was a weakness here that only 4 indictors exceeded their target goals (U.S. Department of Health and Human Services of Healthy People.gov,

In as much, this paper will utilize the same terminology of goals, outcomes and indicators in the DSMES program development evaluation. However, the first step in program development begins with the needs assessment or statement of need, as previously noted Saline County needs assessment revealed the lack of an outpatient DSMES and insulin pump management program which accepted all patients. Components of the needs assessment identified in the previous logic model are listed in Table 1 the adapted Logic Model provides an expansion of details that address numerous facets for program planning, statement of need, funding, staffing reaching stakeholders, and data identification for evaluation, all of which are essential to

The objectives for this goal were of a collaborative nature with communities and partners to address career opportunities, forest health, wildfire risks, climate changes, heat stress, sea level rise, and environmental justice. In addition, one of the objectives of Goal 2 is to conduct public meetings that engage the communities in the decision making process. Yet again, Goal 2 has in place agency performance measures and target dates to ensure accountability and implementation of this goal.

The opportunity cost of doing too little to stem this pandemic is apparent to many, but not, it would seem, to those who need to take hard and firm policy decisions to create healthier environments in schools, homes, hospitals and workplaces. We also need to ensure funding for quality treatment is available and accessible to all to prevent or delay

Utilizing the CDC’s framework for evaluation will allow the program design to be tailored for implementation.

To accurately strategize for implementation, an assessment of community themes and strengths, local public health systems, community

What are the four foundation health measures that will be evaluated to measure progress in meeting the goals of the program?

To be useful, the stated objectives should meet several criteria which are known as SMART objectives. [Specific, Measurable, Achievable, Realistic, Timed]