Assignment 1 Week 2 Health Promotion

4-2 Final Project Milestone Two: Health Promotion and Disease Prevention and Management Strategies.

Submit Section II of the final project case study, in which you will address the organization\’s health promotion and disease prevention and management strategies. Specifically, you will critique the organization\’s healthy living programs, disease prevention and management programs, and non-programmatic services. You will assess the cultural competence of these services using the population health approach. Be sure to consider issues such as how well the organization\’s health promotion and management strategies address a wide range of cultural beliefs and whether the organization\’s programs and non-programmatic services help to reduce inequalities among members of the population.                                                                                                        Evaluate the cultural competence of the healthcare organization presented in the Integrated Safety-Net Health Care System case study using a population health approach. Please also read the supplemental Interpreting Services Program document to ensure that you have all of the information about the Montefiore Medical Center you will need to address the critical elements.

Specifically, the following critical elements must be addressed:

  1. Patient engagement activities and communication strategies
  2. a) Critique the organization’s translation and interpretation services that may be available to non-English-speaking patients. In other words, does

the organization provide such services? How many different languages are supported? How might the organization communicate with a speaker

of a language that is not supported? Be sure to provide evidence that supports your claims.

  1. b) Analyze the extent to which educational resources and materials are available in languages other than English. Be sure to provide specific

examples.

  1. c) Assess organizational staff training on patient engagement and communications for its potential to foster cultural competence. Be sure to provide Assignment 1 Week 2 Health Promotion

evidence to support your claims.

  1. d) Identify gaps or deficiencies that may exist in the organization’s patient engagement and communications strategies, and provide evidence to

support your claims. If you feel there are none, be sure to explain your reasoning.

  1. Health promotion and disease prevention and management strategies
  2. a) Assess the organization on its efforts to promote healthy living by examining programs (e.g., fitness classes, blood pressure clinics, first aid

training, nutrition education, etc.) that it may offer to patients. Be sure to provide evidence to support your claims.

  1. b) How appropriate are the organization’s disease prevention and management programs and services (such as discharge planning, home health

services, vaccination services, etc.) for addressing factors that determine population health status? Be sure to provide evidence to support your

claims.

  1. c) Assess non-programmatic services (such as transportation, on-site child care, etc.) that may be offered by the organization for their impact on

factors that determine population health status.

  1. d) Identify gaps or deficiencies that may exist in the organization’s health promotion and disease prevention and management efforts, and provide

evidence to support your claims. If you feel there are none, be sure to explain your reasoning.

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III. Financial incentives and quality improvement processes

  1. a) Analyze population health-oriented policies (such as non-discrimination in hiring, care and treatment, Patient Bill of Rights, financial assistance,

etc.) that the organization may have implemented for reducing costs and improving overall quality. Be sure to provide evidence to support your

claims.

  1. b) To what extent is the organization’s approach to care considered patient-centered? Be sure to cite specific examples to substantiate your claims.
  2. c) What specific strategies (such as eliminating unnecessary procedures and providing only essential treatments or interventions) does the Assignment 1 Week 2 Health Promotion

organization employ in its population health approach to reduce costs and improve overall quality?

  1. d) Describe gaps or deficiencies that may exist in the organization’s use of the population health approach in reducing costs and improving quality of care, and provide evidence to support your claims. If you feel there are none, be sure to explain your reasoning.
  2. Recommendations
  3. a) Recommend strategies for improving the organization’s cultural competence with regard to patient engagement and communications. Be sure to

use research to support your reasoning.

  1. b) Suggest health promotion and disease prevention strategies for improving outcomes in terms of population health status. Be sure to use research

to justify your suggestions.

  1. c) Recommend policies and strategies that increase the organization’s use of a population health approach to reduce costs and improve overall

quality of care. Be sure to use research to substantiate your recommendations.

4-2 Final Project Milestone Two: Health Promotion and Disease Prevention and Management Strategies

Efforts to Promote Healthy Living

Montefiore Medical Center is focused on providing its patients with programs for a healthier lifestyle. For instance, personnel performs healthy cooking demos in the facility waiting room to help solve the nutrition issues experienced by this vulnerable demographic, especially those associated with obesity. Additionally, they appoint health instructors to manage the reading scheme for children. The facility efficiently hires and retains a staff of Vietnamese, Cambodian, and Hispanic descent to help address community issues related to basic cultural competence. The organization partnered with the area parks team to give recreation center memberships to known diabetes patients for free. Montefiore leadership launched a weekly market for farmers on Montefiore ground to provide the community with fruits and vegetables and has worked with community organizations to enhance green markets across the Bronx. In order to offer counseling and education to encourage self-management in patients, five approved diabetes educators move around Montefiore Medical Group zones (Chase, 2010)

Appropriateness of the Organization’s Disease Prevention and Management Programs and Services

There was a framework established by Dr. Kvetan referred to as the “ICU without walls” scheme with respect to disease prevention and management. This program gives clients the chance to gain input from system-wide acute care medical specialists. According to the article, the interdisciplinary panel of doctors, patients, and other medical professionals gather at 7:00 in the mornings to examine every patient, accompanied by the critical care consultation unit in the ICU and different hospital departments. There are approximately more than 100 of these clients daily. The multidisciplinary team evaluates a care plan that is then inputted with an acuity score into a system ICU registry as well as the details of the guiding physician in charge during that process. In the past few years, yearly acute care visits have declined by 20% from a record of approximately 5,000, and average mortality rates at Montefiore declined to 1.76% in 2008 from 3.5% in 1997 (Chase, 2010)Assignment 1 Week 2 Health Promotion

Non-programmatic Services

The Montefiore Medical Center has thought creatively about means of delivering their services to clients in relation to non-programmatic services. The organization has established Patient-Center Medical Homes using funds from The Commonwealth. Medical homes are meant to improve access to healthcare for disadvantaged individuals and minimize preventable trips to the emergency room (Chase, 2010). This offers more patients to have access to services without appointments and yet meeting critical needs.

Gaps or Deficiencies

It appears that Montefiore Medical Center goes beyond its boundaries to serve its community. They pursue means of helping as many individuals as possible, including homeless individuals, people with or without health insurance, and many more. Nevertheless, the only services that seem to be missing are services to do with childcare. This is an immense requirement, both for staff and for clients. When patients require care, if they are guardians, there may be a significant limitation in the patient who needs to get the care they require, recognizing that they do not have assistance with their children.

References

Chase, D. (2010). Montefiore Medical Center: Integrated care delivery for vulnerable populations. Commonwealth Fund.

Assignment 1 Week 2 Health Promotion