Nursing nursing assignment 3

Community Health Needs Assessment (CHNA)

Draft, Stakeholder Mapping

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University

Assessment #3

Faculty

Date

Table of Contents

Community Health Needs Assessment and Plan (CHAP) Draft (Stakeholder Mapping) 3

Introduction 3

CHAP Purpose Statement 3

Key Stakeholders Recognition 3

CHAP Methods 3

CHAP Resources 3

Executive Summary 3

CHAP Community Scope 3

3 Top Population Health Priorities 4

3 Top Health Priority S.M.A.R.T. Goals 4

S.M.A.R.T. Goal 1: COVID Boosters ............................................................................... 5

Goal 1. Proposed COVID-19 Booster Shot Campaign Intervention .................................................. 5

S.M.A.R.T. Goal 2: STD Prevention ................................................................................. 6

Objective 2. Proposed STD Intervention Program ............................................................................ 6

CHAP S.M.A.R.T. Goal 3: Childhood Asthma .................................................................. 7

Objective 3. Proposed Childhood Asthma Intervention Program .................................................... 7

Conclusion 8

Community Health Needs Assessment and Plan (CHAP) Draft Stakeholder Mapping

Introduction

This is a draft CHAP document. The content written will be used to populate the final CHAP publication for Orlando Health South Seminole Hospital (OHSSH), 555 W State Rd 434, Longwood, Florida 32765. The hospital services Seminole County, which encompasses the zip codes, 32701-32799 (Zillow, 2023).

South Seminole Hospital has 206 beds, 126 are acute care and 80 are inpatient behavioral health. It primarily services Longwood, and Seminole County, Florida. This CHAP is only for Orlando South Seminole Hospital. It is important to note that Orlando Health, Central Florida has 11 hospitals and is a 3,200+-bed system, of which the primary hospital campus is the Orlando Regional Medical Center, the main facility (Downtown, Orange County, FL) (ORSSH, 2023a). South Seminole is 24/7 and part of a Level One Trauma Center System. As the only accredited Chest Pain Center in Seminole County and home to one of three Air Care Team helicopter bases, they provide care for even the most serious of emergencies (ORSSH, 2023a).

CHAP Purpose Statement

The focused purpose of this CHAP is to identify the 3 top priority health issues in Seminole

County and address them with evidence-based interventions to improve community health outcomes.

Key Stakeholders Recognition

The principals in the project are Dr. Howey, OHSSH’s Chief Medical Officer, Dr. Buggy, Chief Epidemiologist, Seminole County DOH, Sarah Helper, OHSSH’s Community Health Liaison, and the Seminole County Board of County Commissioners (BCC) for Districts 1, 2, and 3.

CHAP Methods

A multi-pronged approach adopted to ensure comprehensive data collection and stakeholder engagement. Existing census data and public health data from local, state, and national databases were abstracted. Strategic engagement with key stakeholders, including the OHSSH Chief Medical Officer, Chief Epidemiologist at the Seminole County DOH, the County Commissioners, and other community leaders was leverage using their expertise to align top population health priority goals and interventions with existing policies and programs.

CHAP Resources

Orlando South Seminole Hospital clinical team headed by Dr. Howey, CMO. Seminole County

Health Department led by Dr. Buggy, Senior Epidemiologist. Seminole County Community Centers in Districts 1, 2, and 3. Hospital equipment and supplies for medical interventions required. Marketing the programs is a shared joint effort between the Hospital patient education team and County Commissioners’ marketing team.

CHAP Executive Summary

CHAP Community Scope

Seminole County, making up approximately 2.2% of Florida's total population, has seen a population growth rate of 16.5% in 2022. With a population estimate of 478,772 in 2022, up from 471,009 in 2021 and 470,855 in 2020, Seminole County shows a slightly faster growth rate compared to the state of Florida (3.3%).

Age-wise, Seminole County has a younger demographic than the state average, with 20.8% of its population under 18 years, compared to 19.7% for Florida. The county has a smaller percentage of elderly residents, with 16.4% over 65 years old, compared to 21.1% in Florida.

In terms of gender distribution, Seminole County and Florida are very similar, with slightly more females than males in both regions (51.3% vs. 50.8% females in the county and state, respectively).

Ethnically, Seminole County has a slightly smaller percentage of Hispanic or Latino population (23.3%) compared to the state average (26.8%). The percentage of White alone, not Hispanic or Latino, is slightly higher in Seminole County (77.8%) than in Florida (76.9%).

Seminole County outperforms the state in terms of education, with 94.2% of high school graduates up to age 25 years compared to the state's 89%, and a higher percentage of residents holding a bachelor's degree or higher (41.9% compared to 31.5%).

The median household income is higher in Seminole County ($73,002) compared to Florida ($61,777), and the poverty rate is lower (9.51% compared to 13.1%). However, the disparity is that the poverty rate is higher in younger and non-white families for county residents.

Top Population Health Priorities

The top 3 population health priorities for Seminole County, FL were identified through the

Florida Chart Health (FDOH, 2023). The needs identified are; a) COVID Boosters, b) Adolescent STDs, c) Childhood Asthma (FDOH, 2023). In this section are the identified priorities, their S.M.A.R.T. goals and the proposed intervention to be implemented and evaluated by Dr. Howey and his clinical team.

COVID-19 Boosters . Considering the current death rate from COVID-19 (28.4 per 100,000), it's essential to address vaccine coverage, especially among vulnerable groups such as the elderly and those with underlying health conditions. Given the total population size, and to ensure sufficient supply and accessibility of COVID-19 boosters are provided for all eligible Seminole County residents an community intervention program is recommended.

Adolescent STDs . Seminole County shows lower rates of Syphilis, Chlamydia, and Gonorrhea compared to Florida totals. Nevertheless, STDs remain a significant public health concern. It's important to focus on regular STD screening, prevention, and education, particularly among adolescents and young adults, given the relatively younger demographic of the county, the poverty rates among young families who may not have access to this type of education and care.

Childhood Asthma. In 2021, Asthma in children aged 0-4 years was higher in Seminole County

(442.9) than Florida in total (422.6). Given that 20.8% of the county's population is under 18 years, targeted interventions such as early diagnosis, parental and teacher education, and school-based health programs could significantly impact this health outcome.

3 Top Health Priority S.M.A.R.T. Objectives

S.M.A.R.T. Objective 1: COVID Boosters

By December 2025, increase the rate of COVID-19 booster shots among eligible residents in

Seminole County from the current rate of 50% to at least 70% through the implementation of a targeted COVID-19 Booster Shot Campaign that includes community outreach, vaccination clinics, and public education initiatives.

Why is this goal SMART? (Optional to add to Final CHAP)

Specific. The goal specifically targets increasing the rate of COVID-19 booster shots among eligible residents in Seminole County.

Measurable. Progress will be tracked through vaccination data, with a specific aim of increasing coverage from 50% to 70%.

Achievable. The plan includes specific, practical interventions such as community outreach, vaccination clinics, and public education initiatives.

Relevant. The goal is directly linked to the current public health issue of COVID-19, addressing the need for booster shots.

Time-bound. The goal is set to be achieved by December 2025, providing a clear deadline for assessing progress and success.

Objective 1. Proposed COVID-19 Booster Shot Campaign Intervention

The COVID-19 Booster Vaccination Intervention aligns with both Seminole County and State of Florida's public health priorities due to a significant need to maintain and increase immunization rates in the community. The Public Health Emergency (PHE) for COVID-19, declared under Section 319 of the Public Health Service (PHS) Act, expired on May 11, 2023. However, it remains crucial to maintain vigilance and ensure widespread immunity within the population. Given the ongoing global COVID-19 pandemic and emerging variants of concern, booster vaccinations represent an important tool in our ongoing efforts to manage and mitigate the spread and impact of the virus. Furthermore, with the gradual shift of responsibility for COVID-19 immunizations to local communities, Seminole County has a key role to play in this critical public health effort.

Community Outreach. This involves the use of community health workers and volunteers to reach out to individuals and families in various communities. They will share information about the importance of COVID-19 booster shots, address any myths or concerns about the vaccine, and provide information on where and how to get vaccinated.

Vaccination Clinics. We will organize regular vaccination clinics in strategic locations throughout the county. These clinics will offer free COVID-19 booster shots and will be located in areas that are easily accessible to the general public. We will also consider mobile clinics to reach more remote areas.

Public Education Initiatives. We will launch a county-wide public education campaign to increase awareness about the importance of COVID-19 booster shots. This campaign could include a variety of platforms such as social media, billboards, radio, and television spots. We will also provide informational materials at schools, community centers, and other public locations.

Monitor and Evaluate. We will monitor the progress of the campaign by regularly reviewing the vaccination data. This data will help us understand which areas of the county are responding to our efforts and where we need to focus our resources. By December 2025, we hope to see an increase in the vaccination rate to at least 70%.

S.M.A.R.T. Objective 2: STD Prevention

For Seminole County is to reduce the bacterial STD rate in adolescents aged 15-19 by 20% within three years through a comprehensive STD prevention intervention program. This will involve sexual health education, increased STD screening and treatment, and awareness campaigns about safe sexual practices and early testing, with a focus on addressing socioeconomic and language barriers in our community. Our goal is to reduce the current STD rate from 1,816 cases per 1,000 to approximately 1,452 cases per 1,000 adolescents.

Why is this goal SMART? (Optional to add to Final CHAP)

Specific. Decrease the rate of bacterial STDs among adolescents aged 15-19 by 20% in Seminole County within the next three years.

Measurable. Track the number of reported bacterial STDs (including Chlamydia in females) cases among adolescents aged 15-19, aiming to reduce from the current rate of 1,816 per 1,000 to approximately 1,452 per 1,000.

Achievable. Implement a comprehensive STD prevention intervention program that includes comprehensive sexual health education in schools, increased availability and access to STD screening and treatment services, and a targeted awareness campaign highlighting the importance of safe sexual practices and early testing.

Relevant. Reducing STD rates among adolescents addresses a key public health concern in Seminole County, contributing to overall community health improvement and potentially leading to decreased healthcare costs and improved quality of life.

Time-bound. Achieve the 20% reduction target within three years from the initiation of the intervention program.

Objective 2. Proposed STD Intervention Program

This goal aligns with the data showing high STD rates among adolescents aged 15-19, and takes into consideration the socioeconomic factors like poverty and language barriers which might affect health-seeking behaviors and access to prevention services. The success of the goal would be evaluated by monitoring the change in STD rates within the specified timeframe and demographic.

Comprehensive Sexual Health Education. Work with local schools to ensure that comprehensive, age-appropriate sexual health education is a core part of the curriculum for students aged 15-19. This should include information on STDs, their prevention, the importance of regular screening, and available treatment options.

Increased STD Screening & Treatment. Collaborate with healthcare providers and community health centers to increase the availability and access to STD screening and treatment services. This could involve setting up mobile screening clinics, providing free or low-cost testing options, and integrating STD screening into routine adolescent health check-ups.

Community Awareness Campaign. Launch a targeted awareness campaign aimed at adolescents and their parents/guardians, emphasizing the importance of safe sexual practices and early testing. This could include the creation and distribution of informative materials (brochures, posters, online content), organizing community seminars and workshops, and leveraging local media platforms to reach a wider audience.

Special Attention to Vulnerable Groups. Design specific strategies to reach adolescents in poverty and those facing language barriers. This might include providing information and services in multiple languages, and implementing programs that address the additional barriers these groups may face in accessing healthcare services.

Monitoring & Evaluation. Regularly monitor and evaluate the impact of the intervention program, adjusting strategies as necessary based on feedback and changes in STD rates among the target population.

CHAP S.M.A.R.T. Objective 3: Childhood Asthma

By December 2025, reduce the rate of Emergency Department (ED) visits due to asthma in children under 18 years in Seminole County from the current rate of 386.8 per 100,000 to 348.1 per 100,000 (a 10% reduction) through the implementation of a targeted Childhood Asthma Intervention Program that includes school-based asthma education, community awareness campaigns, and parent training sessions.

Why is this goal SMART? (Optional to add to Final CHAP)

Specific. It targets a 10% reduction in the rate of ED visits due to asthma in children under 18 years in Seminole County. This translates to a decrease from 386.8 per 100,000 to 348.1 per 100,000.

Measurable. The goal is quantifiable and the success can be measured by comparing the ED visit rates for asthma at the end of the timeline to the baseline.

Achievable. The implementation of a Childhood Asthma Intervention Program including schoolbased education, community awareness, and parent training, is a strategic, multi-pronged approach that makes this goal realistic and attainable.

Relevant. This goal aligns with the community's needs, as there are currently high rates of ED visits due to asthma among children. Reducing these visits not only enhances the health of the children, but also decreases the strain on emergency healthcare resources.

Time-Bound. The goal is to achieve this reduction by December 2025, providing a clear timeframe for implementation and evaluation.

Objective 3. Proposed Childhood Asthma Intervention Program

The ultimate goal of these coordinated efforts listed below is to empower children with asthma and their caregivers with the knowledge and skills needed to effectively manage the condition, thereby reducing the number of asthma-related ED visits.

School-Based Asthma Education. Schools are an excellent venue to educate children about their condition and teach them self-management skills. This intervention component will involve collaborating with schools to integrate asthma education into their health curriculum. Lessons will cover asthma triggers, symptoms, and self-management, including proper use of medications and what to do during an asthma attack.

Community Awareness Campaigns. To engage the wider community and boost public awareness about asthma, we'll launch community-wide campaigns. This may include public service announcements, distribution of educational materials, and local events, such as asthma awareness walks. These campaigns will be especially focused on raising awareness about the importance of early diagnosis and effective management of childhood asthma.

Parent Training Sessions. Parents play a crucial role in managing their children's asthma. Therefore, we'll organize regular training sessions for parents of children with asthma. These sessions will cover topics such as recognizing early signs of an asthma flare-up, administering medications correctly, and creating an asthma-friendly environment at home. This will also provide an opportunity for parents to connect and share experiences and strategies.

Monitoring and Evaluation. We'll establish a robust monitoring and evaluation process to track our progress toward our goal. This will involve regularly analyzing data on ED visits due to asthma and gathering feedback from participating schools and parents to continuously refine our approach.

Conclusion

In conclusion, the Community Health Assessment and Planning (CHAP) intervention programs for Seminole County's top health priorities - COVID-19 boosters, adolescent STDs, and childhood asthma - will be executed over the next three years, aligning with the triannual cycle of the CHAP process. This timeframe allows for strategic planning, careful implementation, and robust evaluation of the interventions.

The next steps will focus on action-oriented implementation, driven by multidisciplinary clinical teams. This crucial phase will be a collaborative endeavor involving the Orlando South Seminole Hospital, the County Commission, and community leadership. Together, we will work to ensure the delivery of these targeted intervention programs, fostering a healthier community, and making tangible strides towards addressing the identified health priorities in Seminole County.

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