...Crux Argument We need to invest in healing our community by building a recreation center instead of a juvenile detention center. Punishing our youth instead of teaching them will only aggravate the social disease, which gangs are a symptom. Opening Hello. Thank you for letting me speak this evening. As I’m sure you all know the city of Seattle has been deliberating over whether or not we should build a new juvenile detention center. This got me thinking, so I started to do a little research about who these kids are and perhaps find a better way of helping them rather than locking them up. I’m not an expert in psychology or sociology. I am merely a concerned citizen who wants to be proud of our city and wants to strengthen our community. Narration Many of these young offenders that would be sent to a juvenile detention center are in gangs, which are a big problem in our city. They can taint the city’s feel and image, and make people cautious about going down certain streets even in broad daylight. According to the Washington State Institute for Public Policy, the number of juveniles sentenced to King County detention centers has increased by 35% since 1980. On the other hand the adult incarceration rate increased by 137% since 1980. (Keep in mind that the juvenile age range is constantly being turned over, while the adult numbers are compounded.) The numbers of juvenile re-offenders as adults is hard to determine exactly due to anonymity, but they do seem to correlate...
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...should be revised. The Medical Center is in an older urban area with smaller shops and businesses. The community is trending towards a predominantly elder population. There has also been a decline in compliance with T.J.C. standards. Staffing supports new program development and the physician staff is in abundant supply. There are also major issues that need to be addressed, such as shortages in clinical staff, non-interfacing information technology systems, antiquated facilities and infrastructure, and a shift to its financial mix. Careful assessment of the aging person's perception of his or her health, health practices, and knowledge of safety factors affecting their own health is an important part of primary care in all settings. A strategic plan to handle the aging population must be addressed and plans implemented to meet the challenges and needs that the aging population would present. One of the major issues confronting the Community South Medical Center are the shortage of clinical staff including registered nurses, respiratory therapists, and medical technologists The strengths, (arrived through SWOT analysis),of Community South Medical Center is that it has comprehensive health services including acute care, residential care, independent living, in-home nursing, hospice, neonatal, and pediatric services, advanced cardiac services, a major trauma center, a center of excellence for pulmonary services, and a neurosurgery center. (Instructor. 2012) Expansion...
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...an Advanced Practice Nurse I see myself working in a primary care setting in an area of most need. I see my role as providing comprehensive care and promoting wellness in a community where healthcare has been on the back burner for many years not only by the healthcare community but also by the community itself. I am hoping that by being a strong advocate for those who have had difficulty advocating for themselves that I will also be able to pass my attitudes and caring on to others who provide care for this group of people. I see my role as the nurse practitioner as being a primary care provider working in collaboration with an entire team to provide the best possible outcome for the patient by utilizing all available resources. I want to work in a community health center where this can and is being done. Those served by the community health center are in desperate need of health care, quality health care. These patients have not had insurance up until the institution of the Affordable Care Act and have been treated poorly, if treated at all, in our current health care settings. My role as their primary care provider will be one of providing quality, comprehensive care along with the health teaching they so desperately need. Working with physicians and Nurse Practitioners in the community health center I work in now I am able to evaluate the differences in their care. Physicians are needed for diagnosing and managing the most difficult of the illnesses and diseases but the...
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...340B Contract Pharmacies Frequently Asked Questions What is 340B? The 340B Drug Pricing Program helps provide underserved populations with affordable prescription drugs through qualified community health organizations. Federal regulations allow community health centers to contract with retail pharmacies to dispense 340B medications. SUNRx enables these contract pharmacies to provide affordable medications to 340B customers seamlessly and efficiently. Our fully automated solution manages eligibility, formulary, sliding scale and co-payment calculations, replenishment and inventory management. SUNRx also generates purchase orders and invoices to reduce paperwork and improve cash flow. Because our system uses standard NCPDP transaction codes and adjudicates just like third party insurance, minimal training is required for pharmacy staff and claims can be processed without disrupting patient flow. What is the financial impact of participating in a SUNRx 340B program? Many contract pharmacies realize a significant increase in revenues by participating in a 340B program administered by SUNRx. Will a 340B program disrupt my pharmacy operations, add additional burdens on my staff or inconvenience regular customers? SUNRx’s 340B solution was designed to integrate seamlessly into your current pharmacy operations. Because our system uses standard NCPDP transaction codes and adjudicates just like third party insurance, you serve 340B patients the same way you serve...
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...I. Description of Project The project for this week or course was to: "Identify one of the waste "wedges" or categories identified in the JAMA article by Berwick and Hackbarth and explore the opportunities where managerial epidemiology principles applied in accountable care models of care can reduce waste". The reason for the project is to explore the reasons why, and possible changes that can take place to lower the costs of healthcare. Healthcare in the United States is at an astounding 18% of GDP and is definitely demanding a change to lower the costs of healthcare. Not only does the United States pay more for healthcare than other leading countries, it sees less quality of care. As per the article by JAMA, the minimum believed to be spent on wasteful spending is $558 billion per year, and a midpoint of $910 billion per year. Eliminating that alone is enough to make a change in our healthcare system. In order to elaborate on the topic, this project identifies one of the waste wedges I decided to write about, tells why I chose the particular one that I did, what exactly the wedge is and how it produces waste while affecting healthcare, and then finally what we can do to lessen the waste, as well as a proposition to eliminate waste in said category while looking at a proposal to better the organization and population. II. Selection of Topic For this project I chose Failures of Care Delivery as my waste wedge to explore. A. What is Failures of Care Delivery Failures...
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...allows an NPO to be broken down into cost centers, which Young suggests be thought of as “buckets” during the Stage 1 analysis. The two categories of centers are mission centers and cost centers. The mission centers deal with the NPO’s main purpose, generally charging for a service, which is why it can be called a “revenue center”. The other type of center is a service center, which serves the purpose of accumulating the costs of activities to support the mission center. Three methods of full-cost accounting are the direct, stepdown, and reciprocal method. Another purpose that full-cost accounting serves in an NPO is to more easily compare two NPOs that are in the same field of service. Full-cost accounting can also help to determine if a particular program is supporting itself or other programs. 2) The primary purpose served by distinguishing between direct and indirect costs is to figure out which costs get allocated to where. This could mean a cost for one NPO allocating a cost as a direct cost, while another can allocate it as an indirect cost to a service center that runs through a mission center. Young explains how this can be a subjective area that can vary from one NPO to the next. 3) The first step to allocating service center costs to mission centers in an NPO context is to choose a basis of allocation that measures its use by other cost centers; the example provided in the book is that of square feet in a cost center. The basis of allocation should be precise...
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...XXXXX XXXXXX Greenhill Community Center Case Study March 28, 2013 Introduction According to The Oxford Handbook of Public Management (Ferlie, et. all, 2005) nongovernmental organizations can face complex management dilemmas when dealing with growth. There are four key challenges that are faced: assessing performance, governance, sustainability and infrastructure support, and collaboration and cooperation. At Greenhill Community Center we see an organization that is looking to bring about change (and in particular growth). The board of trustees unanimously agrees on a promising young woman, Leslie, to help move them towards their goal. What they get is someone who does in fact grow the community center, but at the expense of the staff’s job satisfaction. Overview Leslie, a recent MBA graduate, found an executive director position at Greenhill Community Center. She started the position with “great enthusiasm” but quickly found many of the employees to be upset by the change in management and resistant to any changes she tried to implement. The staff was upset because they no longer felt included in the operations of the organization and felt at a distance with the trustees, while Leslie felt the trustees preferred to work exclusively with her position in order to complete business more quickly. At Leslie’s six-month review she showed the trustees a positive performance, noting that she had already raised $41,000 in grants and subsequently requested an 8% raise...
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...of Phoenix HCS/320 Ann Maleta Communication is best described as a way to share information from one person to another through thoughts or ideas. Communication is a very important aspect in the work place because without this skill, employees would not be able to complete their jobs correctly. Without communication an organization would fail, they need to communicate so they can run a smooth operation (dupre) whether the employees in my organization communicate verbal or not there is an understanding of what is expected from each person. I currently am employed at a community health center in a rural area; there are many different people who use this center as their medical provider. I am one of the front desk receptionists, which is where the communication between patient and doctor begins. Sometimes this can be tough due to the diversity there are many language barriers, but things have started to get better with time. The clinic has become very successful with different means of advertising and communicating what the clinic has to offer for medical services. The cliental is usually low income, in which the state picks up the bill, so they have used every available source such as bill boards, radio ads, and commercials to promote people to use the clinics to help keep health cost down. There is also a web page that allows the client to a view the...
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...Community Nursing in the 53218 Zip code University of Wisconsin – Milwaukee College of Nursing NURS 415 David Deau, Elizabeth Kuss, Blessing Lee, PaKou Lo, Nygil Matthews, Terresa Novak, Dami Olaniyi, Edith Sardea, Tiffany Theard, and Houa Xiong November 30, 2012 Community Nursing in the 53218 Zip code Each community has its own positive and negative features. The zip code community of 53218 is no exception. Some of those positive features of the 53218 community has prospective features such as its existing available clinics, multipurpose community centers, such as the Silver Spring Community Center, and numerous outreach programs through organizations including Growing Power and the Milwaukee Outreach Center. Unfortunately, it is still considered one of ten zip codes in the Milwaukee County designated in the “lower socioeconomic status” group as reported in the Milwaukee Health Report (Chen, et al., 2011). The lower SES group, including 53218, as a whole is at risk for (1) a growing rate of obesity related to a poor nutritional lifestyle, (2) a continually decreasing gynecological health among the female population between ages 12 and 19 related to a lack of enforced education and rising teen pregnancy-related issues, and (3) a consistently low level of neighborhood safety related to motor vehicle accidents and rising crime rates. Community Strengths The community of 53218 has three main areas of strength: (1) several available clinics, (2) an abundance...
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...white oak neighborhood. The prominent apartment complexes in this community are “the chateau apartments,” “the Avery Apartments,” and “the White Oak Apartments. The economic boundaries of this community are distinct with the back roads consisting of higher income independent housing while the frontline buildings happen to be low-middle income apartment complexes and town houses. Housing and Zoning 1 The age of the housing ranges from the 1990s to the 1980s. The buildings are evenly spread throughout the small communities. Most of the housings are apartment complexes or townhouses with a few roadside independent housing. These houses are multifamily dwellings, mostly with brick and wood exteriors, the traditional housing style. The lawns and surroundings are well groomed without any disrepair. They have roadside parking in front of the apartments, and they seem to be very crammed in one specific apartment complex (Avery apartments). There seem to be vacant apartments as evidenced by the “now leasing” board displayed, but there aren’t any houses on sale. There aren’t any open drainage ditches or gutters. There are appropriate streetlights and sidewalks for safety. Open Spaces .5 There is a lot of public open space in the community in the form of little parks for the community children to play on slides, there are benches scattered in the communities for perhaps people to sit outside in good weather while the kids...
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...Overview of Agency/Organization The Mansfield Activities Center (MAC) is located in Mansfield, TX. It provides a variety of activities for participants of all ages-toddlers through senior citizens. Programs include Tae Kwon Do, Toddler Time, Crochet, Bingo, Ballet, Zumba, and more. Special events such as the Halloween Carnival, Preschool Parties, the Daddy Daughter Dance, and Hometown Holidays are also held at the Activities Center. The center contains a full-size gymnasium in which open gym and adult volleyball and basketball leagues are held. The gymnasium, the four rooms where the programs and special events are held, and the pavilions at the local parks are also available for renting for birthday parties, showers, and family reunions....
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...on one side from those who are poor, who live in an underdeveloped country, or who reside in a rural area with no Internet access. In 1990, 22% of all homes in the United States had a personal computer. This percentage increased to 63% by 2001, and in 2004, nearly 75% of all Americans had Internet access in their homes. While this is a high number, and growing daily (especially among multiple-computer households) there are still a significant number of people without computers or Internet access, and they are getting left behind in school and in the workplace (Bowles, M.D. 2013). Although the majority of Americans now have access to broadband, too many minorities, non-English speaking populations, and members of low income and rural communities remain disconnected. Addressing this digital divide goes beyond providing access to those without it. America must do more to ensure that those who are disconnected understand the need and value that broadband can bring to their lives, whether it is furthering an education, finding employment, accessing health care, or simply paying a bill. Given the wide scope of the still expanding digital divide, help of any kind truly makes a positive impact. Fortunately, the government, nonprofit groups, and private foundations have started programs aimed at narrowing the gap. While the following list of programs and sites by...
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...Community assessment and analysis Presentation Red group Interview with Community health Nurse Essex County New Jersey Demographic of Essex County Essex County is located in the North eastern part of new jersey. The history of Essex county dates back to 1666 when 30 families from Connecticut established settlement along the banks of Passaic river. Essex County was officially established in 1682 by east jersey legislature. Essex County is 129.631 square miles. The Geopolitical communities are designed by natural or human made boundaries (Maurer and Smith, 2009). It holds community safer for the residents and the governing body. Essex County is bordered by human made boundaries. The weather of the community fluctuates according to the seasons. The usual temperature throughout winter stays within 24 to 42 degrees Fahrenheit. In the summer, it hikes up, and ranges between at 68 to 85 Fahrenheit. Natural disasters like flood, blizzards, snowstorms, heavy rains hurricanes, power outrage, water shortage common here. Essex county is the second most densely populated county in new jersey As of 2010 census population was 783969. The county is made up of 22 municipalities which are widely diverse encompassing large inner-city communities. Essex’s county’s economic wealth is not distributed uniformly across all...
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...Christine E. Jones SWOT Analysis: Catawba County Community Health East Carolina University SWOT Analysis: Catawba County Community Health A Strengths, Weaknesses, Opportunities, and Threats (SWOT) analysis is a process that can be used to assess internal and external attributes that positively and negatively affect the health status of a community (Feldman, Alexander, & Greenberg, 2011). The ultimate goal of a SWOT analysis is to devise and implement strategies to neutralize threats to a community and to take advantage of opportunities. Additionally, a SWOT analysis is helpful in highlighting areas of vulnerability within a community and defining areas where a community can leverage strengths to maintain resilience (Feldman, Alexander, & Greenberg, 2011). Community resiliency is the ability of a community to respond and adapt positively to adversity. Resilient communities are able to reach a higher level of functioning by overcoming risk factors to minimize negative health consequences (Kulig, Edge, Townshend, Lightfoot, & Reimer (2013). By focusing on underlying resiliency factors such as healthcare access, disaster preparedness, and social connectedness, communities have the ability to transform their environment through deliberate and collective action in an effort to improve overall health (Kulig et al., 2013). A SWOT analysis of Catawba County was completed, with consideration of resiliency factors, to evaluate strengths, weaknesses, opportunities...
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...Community and Population Health Windshield Survey Directions: This assessment is a foundational exercise for you to learn about your environment and explore where you live. Take some time to intentionally explore your county. Look at your county as the home and the place of work for the county residents. While driving through your community, stop for coffee or have lunch in a neighborhood. Find a place to eat where you can sit down as part of the community. You may want to walk around your community as well so that you can explore it from both a driving perspective and a walking perspective. Once you have observed the area, write about your impressions of the county in your notes. Reflect on any surprises and whether the county looks different to you now after taking the time to note the various elements. What would you like to learn more about related to your topic and population of interest? You may want to sketch a map related to your topic area for future reference when writing your community description. Take notes on the county using the following questions as a guide. These questions are only to provide guidance; you may discover other areas that you want to note. Include your findings in the community description section of your paper. You will use this information to complete task 1 for your “Community Health and Population-Focused Nursing” course. Collecting this data will help you define your population of interest and prepare for your practicum...
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