5 part assignment

Source: U.S. Census Bureau, American Community Survey, 2017

The list of stakeholders representing the needs of poor senior citizens, which are the priority population in this case is as follow:

· Patients located in what setting or community

· Government - this is huge – like what type of govt entities

· Insurance companies - what are the major insurance companies in DC and how would they help since you are talking about seniors who are on Medicare and Medicaid

Each of the stakeholder in this list is relevant to the priority population because they will provide feedback regarding their perceived health needs of the priority population. The patients in this case are the poverty stricken senior citizens who are primarily affected the health issues and the health programs that have been put in place to help them. Confusing paragraph

The insurance companies are the companies providing healthcare coverage to the priority population. In fact, they understand the number of the affected individuals and their needs and that is how they are able to design insurance coverage to help meet the needs of their customers. The government, as the stakeholder in this case are responsible for understanding the needs of their citizens, create, implement and fund health programs that aim to meet the needs of its population. The government has done a great job in developing and running valuable programs that have assisted many senior citizens meet their health needs. Some of those programs include social security, Medicare. In spite of these efforts, not all states are at the same health level Some of them are healthier than others. This information is not supported by resources and does not seem grounded in factual information related to the population you are describing.

The health need this research will address is poverty among senior citizens especially in the District of Columbia. This is because, the District of Columbia is the least healthy state DC is not a state and the structure and resources are different than other locations compared to other states and in comparison with the poverty level at the national level. Based on the 2017 American community survey, the national senior poverty value stands at 9.3% while that of the District of Columbia stands at 14.2%. this is at least the 3rd time you have provided these numbers This is an alarming statistic considering that the poverty value of senior citizens of the healthiest New Hampshire stands at 5.8%. Also, 6.4 million people of ages 65 years and above are struggling with poverty. This information is based on Supplemental poverty measure of the U.S Census. This is in spite of the country having implemented programs such as social security and Medicare. The priority population, in this case, who qualify for social security benefits must have earned 40 lifetime credits for them to collect retirement benefits. Unfortunately, not all senior citizens collect social security and for those that do, they are languishing in poverty, a condition that promote poor health outcomes. You have taken a few accurate facts and just talked generally without substantive information related to a location – it would have been best to choose a location you know somewhere in the world

Part 2: Planning model of the initiative

The goal of this health initiative is to provide healthcare, which includes identifying the health need and prioritizing that within the population. The impoverished senior citizens have limited budgets. Consequently, they are affected by many other issues, such as, retirement funding, food insecurity, lack of transportation, and predatory lending, in addition to their healthcare needs. This ultimately stretches their budgets even further without taking into consideration most of the disease they may suffer from, such as arthritis, cancer, Alzheimer's, heart disease, and diabetes (World Health Organization, 2015). All of which are extremely expensive to deal with. General information

Given the identified goal of this initiative, one of the objectives is to ensure that the affected individuals are able to get free health care in selected health care organization irrespective of their location. By so doing, the poor elderly citizens who cannot afford paying for their treatment will be able to get treatment without having to worry about how they will pay for it from their otherwise overstretched budgets. This will in turn ease some of the health care burdens so that the resources they could have paid for medication and treatment services is left for other uses such as transportation and buying food. The other objective is to sensitize the poor elderly of the existence of this initiative so that they can take advantage of it and get treatment whenever they need. Again very general – your goals are free health care anywhere and to let the elderly know about the free health care – is this in clinics – do you have examples – citations etc

The planning model selected to fulfill the intended goals of this health initiative is the MAPP model. This is a community driven strategic planning framework that basically means Mobilizing for Action through Planning and Partnerships, MAPP. This planning framework provides a direct correlation between the framework and the objective of this health initiative in that it helps both the leaders in public health and the community at large to apply strategic thinking aimed at prioritizing the needs of the priority population while at the same time identifying the resources that will be required to ensure those needs are met. Very good description of the planning model but need citation

The rationale for choosing this model is that identifies the health status of the priority population to identify the health needs of that community. This is in line with the goal of this health initiative, which is to provide free health care for the poor senior citizens. Also, this model helps in informing, educating, and empowering the priority population, which is in line with the objective of sensitize the poor elderly population regarding the existence of a health program that caters for their health needs without pay. good

The primary reason why this model will be most effective to the proposed health initiative is because it is an interactive process whose aim is to improve the efficiency and effectiveness of heath care delivery to the priority population. Also, since this framework is facilitated by leaders in healthcare, it effectiveness can ultimately be seen in the performance local public health systems from where these poor elderly will be getting healthcare services.

Before implementing the proposed health initiative, it is important to understand the different aspects that would go into the development of this initiative including inputs, activities, and outcomes. Each of these aspects are described in detail as follows.

With regards to inputs of the program, the resources that will be needed include organizing for and engaging with partners. The goal here is to build commitment while at the same time engaging with active participants who in turn would ensure development of a realistic yet implementable initiative. The active participants would include the core support committee, which will be responsible for recruiting participants. The steering committee is also another participant that will oversee the planning process, and should be representative of the community of the priority population.

Other additional resources for this initiative include seeking partnerships with Eldercare locator, Health finder, Meals on Wheels, Programs of All-Inclusive Care for the Elderly, PECE, and the National Institute on Aging, NIA. All these resources are quite helpful especially for the elderly living alone. This is a good list – do you know the services are in DC and how will they connect to the goal of free care

Regarding the activities that will take place, these include early planning and assessment activities, training sessions, community outreach, and local events. To expound further on this, early planning and assessment involves activities such as developing a vision and vision statement. Those developing the vision of the initiative should be able to do so by identifying their shared vision while at the same time projecting that vision to a long time into the future, say, ten years. Do you really mean a mission and vision rather than a vision and vision

Training activities should be undertaken on those volunteering to sensitize the priority population regarding the availability and benefits of this health initiative. Also, training sessions will involve helping the elderly be able to effectively use technologies such as Health finder, Meals on Wheels, and Eldercare locator. This is quite appropriate for those elderly individuals living alone but has to meet their healthcare needs without helpers at hand. For those volunteering individuals who will be working in healthcare centers, they will be trained regarding how to handle the elderly and their different health needs on each individual. Since finances will be required for the implementation of this initiative, local events will be organized, aimed at fundraising for those resources. This is because travelling costs, meeting space, printing and report production cost, and consultation costs have to be met.

The outcomes of this initiative is to be able to implement this initiative and start offering health care for the poor senior citizens for free at local healthcare centers. This is initiative will have built effective partnerships with health care systems through the facilitation of leaders in public health. Also, more and more poor senior citizens will have been sensitized about the existence of this initiative and the free benefits of getting help whenever they want their health care needs met. This is lacking leadership – what is the focus of the leadership – a clinic, a hospital, some type of group

Part 5: Program Action/ Logic Model appreciate your logic model – good work

References

Would have been good to learn more about DC and the services available