HLTH 645
Topic: Assessment Tool; Eating Disorders & Obesity
Course: HLTH 644
Assessment Scale:
1=Does Not Achieve 2=Partially Achieves
3=Achieves 4=Exceeds
Physical:
Explains importance of healthy exercise 1 2 3 4
Evaluates exercise program 1 2 3 4
Program ability to refer or educate on exercise techniques 1 2 3 4
Reports diet analysis 1 2 3 4
Guides and navigates nutrition improvement 1 2 3 4
Explains importance of proper nutrition 1 2 3 4
Explains importance of each food group 1 2 3 4
Explain the consequences of obesity 1 2 3 4
Ability to evaluate blood work 1 2 3 4
Addresses physical barriers on disease 1 2 3 4
Total Score: / 40
Psychological:
Addresses psychological barriers contributing to patterns 1 2 3 4
Addresses family history of eating disorders/obesity 1 2 3 4
Assesses other mental conditions (depression/anxiety) 1 2 3 4
Evaluates attitudes towards eating, exercise, appearance 1 2 3 4
Eating Disorder Examination Questionnaire used for
outcome measures 1 2 3 4
Influences from work, education, home, social environment assessed 1 2 3 4
Psychoeducation provided for disorder 1 2 3 4
Total Score: / 28
Intellectual:
Education adaptable to all levels of learning 1 2 3 4
Educates on anorexia, bulimia and binge eating 1 2 3 4 Diet and treatment knowledge pre-test performed 1 2 3 4 Diet and treatment knowledge post-test performed 1 2 3 4 Meets needs for potential intellectual barriers 1 2 3 4 S.M.A.R.T. goals utilized 1 2 3 4 Program assess if goals and outcomes are met 1 2 3 4
Total Score: / 28
Social:
Allows time for social growth with others 1 2 3 4
Addresses social barriers 1 2 3 4
Evaluates social history 1 2 3 4
Encourages social support 1 2 3 4
Provides group/family therapy 1 2 3 4
Total Score: / 20
Spiritual:
Allows time for spiritual growth 1 2 3 4
Adapts to spiritual needs in assisting with disease 1 2 3 4
Inviting to all religions 1 2 3 4
Services such as meditation to connect mind and body 1 2 3 4
Services for a diverse group 1 2 3 4
Total Score: / 20
Comorbidities:
Educates on the comorbidities associated with disease 1 2 3 4
Assesses for comorbidities 1 2 3 4
Assesses for psychological comorbidities 1 2 3 4
Provides reliable information regarding psych outcome 1 2 3 4
Explain how improper nutrition may affect the body and system 1 2 3 4
Educates on the role of proper caloric needs for the body 1 2 3 4
Educates on complications associated with disease 1 2 3 4
Total Score: / 28
Diversity:(culture, religion, socio-economic backgrounds)
Inviting to all cultures 1 2 3 4
Has cost assistance available through fundraising/
sponsorship/insurance to allow all backgrounds to attend 1 2 3 4 Develops cultural knowledge and acceptance of individuals 1 2 3 4 Accepting of all cultural values 1 2 3 4 Assesses for language barriers 1 2 3 4 Assesses for cultural barriers 1 2 3 4 Ability to adapt to diverse cultural needs 1 2 3 4
Admission open to all ages 1 2 3 4
Total Score: / 32
Safety and efficacy:
Protocol in place for offsite referrals when needed 1 2 3 4
24/7 hotlines resources provided to patients 1 2 3 4
Facility accessibility 1 2 3 4
Emergency protocol plan educated to faculty 1 2 3 4
Program is successful in relation to diet related diseases 1 2 3 4
Medical staff includes dietitian, nurse, and psychologist 1 2 3 4
Medical doctor on call or available for referral 1 2 3 4
Total Score: / 28
Result Totals:
Physical / 40
Psychological / 28
Intellectual / 28
Social / 20
Spiritual / 20
Comorbidities / 28
Diversity / 32
Safety and Efficacy / 28
Total Score / 218
100-89%- Pass
79-70%- Pass with recommendations for improvement
69-60%- Program warning
59-0% - Fail
Auditor Comments: