Nursing nursing assignment 1

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assmt_1_template_community_health_profile.docx

Community Health Needs Assessment (CHNA);

Community Health Profile

Name

University

Course

Faculty

Date

COMPLETE THE DATA COLLECTION TEMPLATE BELOW, AND THEN DELETE THESE INSTRUCTIONS FROM THE FINAL REPORT:

The Community Health Assessment and Planning (CHAP) process is about improving the health and well-being of residents in a particular medical service area (MSA) that community hospital(s) serve. Every three years, the community hospital(s) conduct a CHAP, i.e., the community health needs assessment (CHNA), to determine the leading health priorities. There are many examples of these assessments and plans published on the Internet. The hospital(s) engage with diverse partners and stakeholders across the community to lead this process.

For this assessment, you will be performing the first part of the CHNA: a community health profile. This involves gathering and analyzing data from various sources to gain a comprehensive understanding of the community, its health status, and the factors that influence it. First, you may choose any hospital or hospital system to profile. However, the medical service area that you profile should be within one state, county, or city. You will fill in all of your findings on the template provided. This assessment is about collecting data for the CHAP. The collected data will be used in the next three course assessment, during which you will develop a CHAP.

1. Choose a Hospital or Hospital Health system: Example: Orlando Health South Seminole Hospital, 555 W State Rd 434, Longwood, FL 32750, serving Seminole County, Florida. You may choose any non-profit (501c3) medical facility and its service area to profile.

· Refer to: American Hospital Directory. (AHD). (n.d.). Hospital Statistics by State. https://www.ahd.com/state_statistics.html

Second, you will research your population by city, or county. Using state totals as a benchmark is advised and usually available on key indicators, but it is not required.

2. Research Census Population Data: The assessment begins with collecting demographic data from the U.S. Census Bureau, which provides information on the population size, age distribution, gender, ethnicity, socioeconomic status, and other relevant. This data helps in understanding the community's composition and identifying specific population groups that may have unique health needs.

· Refer to: United States Census Bureau. (n.d.). Quickfacts. https://www.census.gov/quickfacts/fact/table/US/SEX255221

· You may enter State, City or County to get population data.

3. Research Vital Statistics: Examining vital statistics such as birth rates, death rates, infant mortality rates, and select causes of death provides insights into the overall health status and trends within the community. These statistics help identify priority health issues and areas that require attention.

· Refer to: To find your local department of health and vital statistics, go to: National Association of County and City Health Officials (NACCHO). (n.d.). Directory of Local Health Departments. https://www.naccho.org/membership/lhd-directory

4. Research Existing Health Data Sources: Reviewing existing health data sources such as disease registries, health records, and public health reports provides information on prevalent health conditions, trends, and disparities within the community. These sources can also highlight specific health risk factors, chronic diseases, or infectious diseases that require targeted interventions. Epidemiology rates for medical conditions and diseases are reported by cases per 1,000 or per 10,000 or per 100,000 depending on the size of the population represented in the statistics. Most State Departments of Health provide all of the health statistics by county.

· Refer to: Both vital statistics and existing health data can be found within your state or country's department of health. For example-only, in Seminole County, Florida:

· Florida State Department of Health https://www.flhealthcharts.gov/charts/default.aspx

· Seminole County Department of Health

5. Research Socioeconomic Environmental Determinants of Health: Assessing the community's physical environment, including air and water quality, access to parks and recreational facilities, availability of healthy food options, and housing conditions, helps identify environmental factors that may impact health outcomes. Additionally, considering social determinants of health such as education, employment, income, and social support networks helps understand the broader social context influencing health. (Focus on what has the highest impact to population health and also what you can find in your research as your time permits).

By incorporating these key demographic, socioeconomic, and epidemiological components into the CHNA, stakeholders can gain a comprehensive understanding of the community's health status, identify priority health issues, and develop evidence-based strategies to address those needs effectively.

Try to find your States report writer that allows you to obtain all of the data in one place Example:

Florida, Department of Health. (FDOH). (2023, May). Health Summaries by County & State Reports. https://www.flhealthcharts.gov/Charts/QASpecial.aspx#HS

DATA COLLECTION TEMPLATE BELOW

Helpful Hints:  The Census Bureau and most Department of Health Population Health Statistics allow you to download an Excel spreadsheet or the “pdf” by city, county or state for the data you are seeking. Then you can put your template and the downloaded document side-by-side to transfer the data.  When you copy the data into your template, Copy/Past “text only” or it will bring over unwanted code.  If this happens, then redo and copy a new one.

Download your Data Sources to copy from:

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Paste Special: Text/Print only:

Assessment #1: Hospital(s) Community Profile Report

· Refer to: American Hospital Directory. (AHD). (n.d.). Hospital Statistics by State.

https://www.ahd.com/state_statistics.html

Hospital or Hospital(s) System Name

City

ST

County

Service Area ZIP Code(s)

Hospital Classification

Hospital IRS Classification: For-Profit, Not-for-Profit (501c3)

Hospital Service Type: Specialty Hospital, Community Hospital

Hospital Service Level: Level I, II, III, IV or V

Hospital Bed size

Community Census; Population Data (Most Current Year Available)

· For your medical service area, choose only one city or county

· Refer to: United States Census Bureau. (n.d.). Quickfacts. https://www.census.gov/quickfacts/fact/table/US/SEX255221

State Benchmarks (optional)

Total population size

Current Year (CY) Estimate:

Previous Year (PY) Estimate:

CY/PY -1 = % Change

Age Distribution

=< age 5

=< age 18

=> age 65

Gender Distribution

% Female

% Male

Ethnicity

State Benchmarks (optional)

Black or African American alone, percent

%

American Indian and Alaska Native alone, percent

%

Asian alone, percent

%

Native Hawaiian and Other Pacific Islander alone, percent

%

Two or More Races, percent

%

Hispanic or Latino, percent

%

White alone, not Hispanic or Latino, percent

%

Population Characteristics

State Benchmarks (optional)

Veterans

#

Foreign (born)

%

Education

State Benchmarks (optional)

High school graduates up to age 25 years

%

Bachelor's degree or higher, age 25 years+

%

Computer and Internet Use

State Benchmarks (optional)

Households with a computer, percent

%

Households with a broadband Internet subscription

%

Socioeconomic (Income & Poverty)

State Benchmarks (optional)

Median household income

Persons in poverty, percent

Per capita income in past 12

Other?

Vital Statistics

· Refer to: To find your local department of health and vital statistics, go to: National Association of County and City Health Officials (NACCHO). (n.d.). Directory of Local Health Departments. https://www.naccho.org/membership/lhd-directory

State Benchmarks (optional)

Rates vary based on population size, i.e., per 1,000, or per 10,000, or per 100,000

Birth rates: Total Live Births by Race

January to December,

Infant mortality rates and Neonatal deaths

Maternal mortality rate

Total Death Rate ()

Top 5 Morbidity Rates From (DOH)

(Identify 3 = Basic = 4, Proficient, 5 = Distinguished)

State Benchmarks (optional)

1.

2.

3.

4.

5.

Top 5 Mortality Rates per 100,000 (DOH)

(Identify 3 = Basic = 4, Proficient, 5 = Distinguished)

State Benchmarks (optional)

1.

2.

3.

4.

5.

Final population health priorities identified.

(Identify 3 = Basic = 4, Proficient, 5 = Distinguished)

Other (See List below) for adding criteria to Top 5 Priorities for Planning. They may be Medical, Environmental, Socioeconomic, or any other top priority identified.

Top 5 Priorities: Other Determinants of the issues for your CHAP Report

1.

2.

3.

4.

5.

Other Indicators Socioeconomic, Environmental, and Biological Determinants of Population Health

Any other factor impacting population health for your CHAP. See List below. ONLY add to your data which is most important to the one community service areas you are profiling.

· Basic: Identify one other determinant impacting population health in a specific community.

· Proficient: Identify at least two other determinants impacting population health in a specific community.

· Distinguished: Identify three or more determinants impacting population health in a specific community and supports findings with credible references.

1. Environmental Factors: These include the physical environment (like air and water quality, exposure to hazardous substances, and access to safe housing and green spaces) as well as the built environment (like access to healthy food options, availability of public transportation, and neighborhood walkability).

Learner’s Response

2. Behavioral Factors: These include lifestyle choices such as diet, physical activity, tobacco use, alcohol consumption, and other behaviors that can influence health.

Learner’s Response

3. Biological and Genetic Factors: Some health outcomes are influenced by biological and genetic factors. For example, some people are genetically predisposed to certain health conditions like diabetes, heart disease, or cancer.

Learner’s Response

4. Access to Health Care: This includes not only whether individuals have health insurance, but also whether they have access to quality health care services and whether they face barriers to accessing care, such as transportation challenges, language barriers, or discrimination.

Learner’s Response

5. Social and Community Context: This includes factors like social support networks, community cohesion, discrimination, violence, and social norms and attitudes.

Learner’s Response

6. Health Policies: The presence and effectiveness of health-related policies and regulations, such as those related to tobacco and alcohol use, food and nutrition, environmental safety, and others can significantly impact population health.

Learner’s Response

7. Occupational Factors: The conditions of a person's occupation can greatly influence their health. This includes physical hazards, stress levels, work hours, and more.

Learner’s Response

8. Equity: Health equity refers to the goal of reducing disparities in health outcomes between different groups. It's about ensuring that everyone has a fair and just opportunity to be as healthy as possible, regardless of their social, economic, or demographic characteristics.

Learner’s Response

9. Health Disparities: These are differences in health outcomes and their determinants between different population groups. Disparities can occur along many dimensions, including race/ethnicity, socioeconomic status, age, location, gender, disability status, and sexual orientation.

Learner’s Response

10. LGBTQ+ Health: People who identify as LGBTQ+ often face unique health challenges and disparities. These can be linked to societal stigma, discrimination, and denial of civil and human rights, which can negatively impact both physical and mental health.

11. Physician Shortages: Access to healthcare providers is a critical aspect of health. Shortages of physicians, particularly in primary care, can lead to delays in receiving care, lower quality of care, and increased healthcare costs. These shortages are often more severe in rural areas.

Learner’s Response

12. Rural Health: People living in rural areas often face unique health challenges. They may have less access to healthcare services, are often older and sicker than their urban counterparts, and face higher rates of poverty. Rural areas also often have fewer health resources, leading to challenges in accessing care.

Learner’s Response

13. Social Determinants of Health: These are conditions in the environments in which people live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks. These can include safe housing, access to education, public safety, the availability of healthy foods, local health services, toxic substances, and more.

Learner’s Response

14. Transportation challenges: Access to reliable, safe, and affordable transportation is crucial for maintaining health.

Learner’s Response

15. Rural Health: People living in rural areas often face unique health challenges. They may have less access to healthcare services, are often older and sicker than their urban counterparts, and face higher rates of poverty. Rural areas also often have fewer health resources, leading to challenges in accessing care.

Learner’s Response

16. Urban Health: Urban environments can offer both benefits and challenges to health. On the one hand, urban areas often have more health care resources, such as hospitals and clinics, compared to rural areas. On the other hand, urban areas can also have higher levels of pollution, noise, and crowded living conditions, which can negatively impact health. Additionally, urban areas can have higher rates of certain health problems, such as obesity and mental health issues, partly due to lifestyle factors and the stressors of urban living.

Learner’s Response

17. Other Factors not listed

Learner’s Response

References

DEPARTMENT OF HEALTH (DOH) ARE EXAMPLES ONLY:

Find your State DOH and Local DOH through NAACHO.

Florida Department of Health. (FDOH). (2023). County Health Status Summary Report: Seminole vs. Florida. https://www.flhealthcharts.gov/ChartsReports/rdPage.aspx?rdReport=ChartsProfiles.CountyHealthSummary

Florida Department of Health. (FDOH). (2023). Florida County Health Dashboard; Seminole County. https://www.flhealthcharts.gov/ChartsReports/rdPage.aspx?rdReport=ChartsProfiles.CountyHealthProfile

Orlando Health South Seminole Hospital. (ORSSH). (2023). Orlando Health South Seminole Hospital ER. https://www.orlandohealth.com/facilities/south-seminole-hospital-er

United States Census Bureau. (n.d.). Quick facts. Seminole County, Florida. https://www.census.gov/quickfacts/seminolecountyflorida

Zillow. (2023) ZIP Codes in Seminole County FL. https://www.zillow.com/browse/homes/fl/seminole-county/

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