Question

Choose either the Santilli et al or Crabtree et al article from the assigned readings. How did the authors use community assessment tools to tackle a public health issue relevant to the community? What role did local knowledge play in the implementation of the project and its outcomes?

Answer 1

Question no: 1

Santilli used Gunnison valley community for his project.

1. The main objective is high quality care to Gunnison community.
2. The community assessment tool is community health needs assessment tool.
   1. This concentrates on local health and medical needs.
   2. Provides a plan to Gunnison valley health will respond to meet health needs.
   3. To determine the health needs of the community
   4. To develop a implementation plan to outline and organize how to meet those needs.
3. They conducted 2 surveys.
   1. Primary survey consists- select a group of local experts was performed to review the prior CHNA and provide feedback
   2. Second survey is to distribute to the same group that reviewed data gathered from the secondary sources.
4. Significant health needs which are included in the study are:
   1. Mental health
   2. Physicians
   3. Cancer
   4. Suicide
5. Tool consists of following characteristics:
   1. Demographic parameters:% income/decline, 2016 population, estimated population in 221, % white/ non-hispanic, % Hispanic, median age, median household income, unemployment rate,% population >65 years, % women of child bearing age.
   2. Customer segmentation- Clarita’s prism customer segmentation tool is used.
   3. Health service topic, the parameters are- weight/lifestyle, behavior, cancer, orthopedic, routine service, internet usage, pulmonary, heart, emergency services.
   4. Leading cause death survey tool- heart diseases, cancer, accidents, lung, Alzheimer’s disease, stroke, suicide, diabetes, flu-pulmonary, kidney, Parkinson, blood poisoning, hypertension, liver, homicide.
   5. Health outcomes
   6. Comparison to peer country
6. Survey report: survey report explains the following characteristics:
   1. Public health expertise
   2. Department/ agencies with relevant data / information regarding the health needs of the community.
   3. Priority community population
   4. Representative member of chronic disease
   5. Represents the broad interest of the community other.
7. Implementation of the study:
   1. Hospital provided primary care services
   2. Community clinic and emergency center
   3. Physician specialty clinics
   4. Tele health psychiatry consults
   5. Foundation covered costs
   6. Hospital provided hospitalists
   7. Participation in DHSS collaborative process.
   8. Consolidate and co-ordinate physician specialty clinics.
   9. Primary care physician recruitment
   10. Collaborate with current primary care provider
   11. Renew health professionals shortage care
   12. Developing a new urgent care center in Gunnison
   13. Increase the access of care
   14. Hospice and palliative care
   15. Tele health stroke program
   16. Level IV trauma center
   17. Senior care center offers memory care unit
   18. Breast feeding program.

Question no: 2

Local community views:

1. Unique choices to apply care
2. Description role in the community
3. Unique needs are addressed according to the existing population in the community.
4. According to CHNA, hospital continues to consider the health needs currently confronting residents in the community.
5. Implementation efforts taken in the additional health needs.
6. Keeping physicians active in the population
7. Active specialists should be arranged for the significant needs of the population
8. More concentration required on mental health
9. Concentrating on the extended hours.
10. Delimits the huge gap communication on the priority population
11. Access to continuum of care
12. Replacement of senior center to address the future needs of seniors in the community
13. Needs to increase the insurance costs.

Outcomes of the study:

1. Measure to person- centered care increased
2. Assess to care coordination
3. Chronic disease management and cancer screening lagging.
4. Rates of unemployment insurance among adults decreased
5. Affordable cost act insurance expansion
6. Disparities in access to care decreased
7. Quality of care continues to increase.