Details:

Note: This is an individual assignment. Applying what you have learned thus far, develop a community teaching proposal designed to address the needs of your community.

Select one of the following as the focus for the teaching plan:

1. Primary Prevention/Health Promotion
2. Secondary Prevention/Screenings for a Vulnerable Population
3. Bioterrorism/Disaster
4. Environmental Issues

Complete the “Community Teaching Work Plan Proposal.” This will help you organize your plan and create an outline for the written assignment.

1. After completing the teaching proposal, review the teaching plan with a community health and public health provider in your local community.
2. Request feedback (strengths and opportunities for improvement) from the provider.
3. Complete the “Community Teaching Experience” form.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

NRS-427V-RS-CommunityTeachingExperienceForm.doc NRS-427V-RS-CommunityTeachingWorkPlanProposal.docx Please Note: Assignment will not be submitted to the faculty member until the “Submit” button under “Final Submission” is clicked.

New AttemptTitleAttached DocumentsCitation ReportSimilarity IndexFinal Submission Click ‘New Attempt’ to start assignment or attach documents

Write a Formal Letter: based on the determinants of health (p.89, Fig 4-1).CHOOSE one (or a combination) determinant. Then write a letter to either a public health organization (i.e.  World Health Organization (WHO.int),  Center for Disease Control (CDC.gov),  American Public Health Association (APHA.org), or  Institute of Medicine (IOM), now know as the  National Academy of Medicine (NAM.edu) and recommend how the organization can improve their assessment, policy, or role in respect to one of the health determinants. 

 Determinants of Health

General macroenvironmental conditions of socioeconomic, cultural, and environmental conditions that also impact health:

• Education
• Work environment
• Living and working conditions
• Healthcare services
• Food production
• Water and sanitation
• Housing

Also, you can choose from Social Determinants of Health. According to Healthy People 2020, social determents of health include:

• Neighborhood and built environment
• Health and health care
• Economic stability
• Education
• Social and community context

THIS IS A FORMAL LETTER. If citations are needed please use the link below titled “How to Cite Other People’s Work in a Business Letter” to assist you. It is optional to officially mail this to the designated organization you wrote the letter to.  

• Sample Professional Letter (preferrably use Block or Semi-Block Format) 
• How to Cite Other People’s Work in a Business Letter

 Incorporate challenges you would anticipate for the proposals in the write up below, as well as arguments to overcome those challenges. Should be 200 to 400 words:

 There are many Americans who are unable to afford quality healthcare in the U.S. health system. This is due for many reasons. There are about two million Americans who fall into the insurance coverage gap. These individuals make slightly above the annual income requirement for Medicaid but are still living in poverty and are not covered by the ACA (Garfield, Orgera and Damico, 2020). The original intent of the ACA was to expand Medicaid and the Children’s Health Insurance Program to provide coverage to millions of uninsured, low-income Americans (Understanding the ACA, 2019). However, a supreme court ruling in 2012 allowed states to opt out of the expansion of Medicaid. 18 states, primarily southern states did not adopt Medicaid expansion, leaving many Americans remaining uninsured.
Medicaid expansion or adjustments of Medicaid qualifications is a public policy that needs to be changed to improve quality of healthcare. Uninsured rates rose in the 18 states who did not expand Medicaid and individuals of low-income uninsured rate rose from 21-25% (Mills, 2018). Hospitals have a choice whether to treat uninsured individuals. Many times they do treat them but the hospitals do not always get reimbursed for those healthcare costs (Mills, 2018). Most individuals who lack insurance get most of their healthcare in emergency rooms. That not only increases healthcare costs, but also increases waiting times, resulting in compromised quality of care for everyone. With the expansion of Medicaid in those states who opted out of it, this would not only reduce healthcare costs, but would reduce waiting times in the emergency room as people would have the option to see their primary care rather than take up a bed in the emergency room.
Another public policy that could be used to reduce healthcare costs and improve quality is a single-payer or Medicare for all healthcare system. A single-payer system would grant everyone access to healthcare. Cai et al. (2020) conducted an analysis that shows savings from a single-payer system would outweigh the costs. This would grant all U.S. citizens the right to obtain healthcare. Individuals would be able to receive the preventative care, annual physicals and screenings and treatments without taking an emergency room bed from someone who really needs it. Granting the uninsured access to these services could also improve public health, resulting in less hospitalizations and healthcare costs annually.
The ACA had intended to improve quality of healthcare for everyone without significantly increasing expenses. Unfortunately, that could not happen nationwide due to a supreme court ruling that granted the states the opportunity to opt out of Medicaid expansion. If that court ruling had not happened, it is likely that millions of Americans would have been granted insurance or access to quality healthcare. If the republicans chose to replace the ACA without a similar or better healthcare plan, this could also result in more uninsured individuals receiving either no healthcare or poor-quality healthcare. There needs to be a public policy change for the U.S. healthcare system. Individuals should have a right to receive healthcare. Without insurance or any type of coverage, individuals cannot afford to be sick. 

he interpretation of research in health care is essential to decision making. By understanding research, health care providers can identify risk factors, trends, outcomes for treatment, health care costs and best practices. To be effective in evaluating and interpreting research, the reader must first understand how to interpret the findings. You will practice article analysis in Topics 2, 3, and 5.

For this assignment:

Search the GCU Library and find three different health care articles that use quantitative research. Do not use articles that appear in the Topic Materials or textbook. Complete an article analysis for each using the “Article Analysis 1” template.

Refer to the “Patient Preference and Satisfaction in Hospital-at-Home and Usual Hospital Care for COPD Exacerbations: Results of a Randomised Controlled Trial,” in conjunction with the “Article Analysis Example 1,” for an example of an article analysis.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.