• Write a 8-9-page evaluation of key aspects of a population-based health concern, including your selection of members to form an interprofessional, collaborative coalition to achieve the stated goal. 8-9 PAGES EXCLUDING THE COVER PAGE AND THE REFERENCE PAGE.
  Resolving population health concerns requires the combined efforts of numerous agencies and individuals to address the Triple Aim of improving the patient experience, improving the health of populations, and reducing costs. This requires an interprofessional and collaborative effort to address the complex factors at the individual, organizational, community, and policy levels associated with the multiple factors affecting the health and well-being of our communities (Graffunder, Sakurada, & Nordisk, 2016).
  As a scholar-practitioner in the field, you may be expected to develop and lead a diverse team of health care professionals, civic leaders, community stakeholders, constituents, community members, other interested parties, and city, state, and government agencies in addressing a wide range of issues affecting the health of diverse groups.
  This assessment provides an opportunity for you to apply your leadership skills to form a collaborative, interprofessional coalition to address a population-based health concern from a nursing, public health, or health administration perspective.
  Reference
  Graffunder, C., Sakurada, B., & Nordisk, N. (2016). Preparing health care and public health professionals for team performance: The community as the classroom. National Academy of Medicine.
  Scenario
  Government officials are taking action to address a chronic population health concern in your area. As a member of this community, you have a good understanding of the local demographics and population health issues, including the potential implications for policy making, health care systems, service utilization, clinical practice, education, and the workforce. In your role as a doctoral graduate and health care practitioner, you have been asked to:
  
  • Evaluate key aspects (including the social determinants of health) of the selected population health issue from the topic list.
  • Lead an interprofessional team of your choosing (a coalition of community members and organizations, clinical providers, health care organizations, and civic and governmental agencies), to achieve the coalition’s goal(s), which may include prevention efforts, quality improvement, service utilization, and the reduction of health care costs.  
  • This leadership position requires the ability to promote prevention efforts, quality improvement, service utilization and the reduction of health care costs, as well as skills in the following areas:
  • Effective and ethical leadership.
  • Interprofessional communication.
  • Collaboration, inclusion, and applying new and existing knowledge to solve problems and inform decision making.
  • Preparation
    For this assessment, you will select one of these topics to address in the given scenario:
    Topics for the paper: Demonstrating Effective Leadership
  • Health Disparities/Social Determinants of Health: Focus on vulnerable or high risk groups and on decreasing disparities between groups. You can select a specific group with a focus on the person’s experience of care, services, and resources (quality and satisfaction), improving the health of the population, and reducing per capita cost. This will be the focus for the coalition.
  • Pandemic, e.g., COVID-19: Focus on a vulnerable or high risk group related to population health, including the person’s experience of care, services and resources (quality and satisfaction), improving the health of the population, and reducing per capita cost. This will be the focus for the coalition.
  • Asthma and Children: Focus on a vulnerable or high risk group including the person’s experience of care, services and resources (quality and satisfaction), improving the health of the population, and reducing per capita cost. This will be the focus for the coalition.
  • Opioid Addiction: Focus on a vulnerable or high risk group including the person’s experience of care, services, and resources (quality and satisfaction), improving the health of the population, and reducing per capita cost. This will be the focus for the coalition.
  • Obesity: Focus on a vulnerable or high risk group including the person’s experience of care, services, and resources (quality and satisfaction), improving the health of the population, and reducing per capita cost. This will be the focus for the coalition.
  • Note: Remember that you can submit all, or a portion of, your draft plan to Smarthinking Tutoring for feedback, before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.
    Instructions
    Evaluate key aspects of a chronic population health concern. In addition, select members for a collaborative, interprofessional coalition that you would lead to achieve the stated goal. Coalition membership can include, but is not limited to, key community members and organizations, clinical providers, and local and state agencies.
    Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:
  • Assessment 1 Example [PDF].
  • Document Format and Length
    Format your paper using APA style.
  • Use the APA Style Paper Tutorial [DOCX] to help you in writing and formatting your paper. Be sure to include:
    • A title page and references page. An abstract is not required.
    • Appropriate section headings.
  • Your paper should be 6–8 pages in length, not including the title page and references page.
  • Supporting Evidence
    Cite 4–5 credible sources published within the last five years from peer-reviewed journals, other scholarly resources, professional industry publications, and assigned readings to support your case assessments and recommendations.
    Assessment Grading
    The assessment requirements outlined below correspond to the grading criteria in the scoring guide, so be sure to address each of the seven main tasks. Read the performance-level descriptions for each criterion in the scoring guide to see how your work will be evaluated.
  • Analyze the impact of factors that contribute to this chronic population health concern.
    • Examine the situation from a population health perspective.
    • Provide context surrounding this concern.
    • Identify the affected groups, and the environmental, social, and financial factors.
  • Form a collaborative, interprofessional coalition to address this chronic population health concern.
    • Consider, among others, key community members and organizations, clinical providers, and local and state agencies when making your selections.
    • Select 5–10 members.
      • Who must be included?
      • Why?
    • How will member selection contribute to the goal?
    • What potential issues might arise affecting interprofessional collaboration?
    • What strategies are needed to optimize collaboration and communication among coalition members?
  • Explain potential ethical issues that might be relevant for the coalition to consider in addressing its mission.
    • Consider access to care, financial barriers, environmental constraints, and the distribution of resources.
    • Explain how ethical principles would apply in particular situations on a micro or meso level.
      • Micro level: individual care encounters.
      • Meso level: how systems are organized to deliver and ensure quality care for patients and populations (Ho & Pinney, 2016).
    • Consider ethical codes of conduct applicable across disciplines represented in your coalition.
    • What evidence supports your conclusions?
  • Explain the principles of diversity and inclusion applicable to the formation of your coalition and its interactions with the community.
    • Consider the impact of a diverse team on achieving coalition goals.
    • How would you work within the coalition to establish a culture of inclusion, respect, and value?
    • How would you promote community engagement, cultural awareness, health equity, and access to resources? Resources can include, but are not limited to medications, transportation, and environmental resources.
    • What are some best practices for interprofessional communication for this group?
    • What evidence supports your conclusions?
  • Explain how literature and research in the field can be used to develop best practices for addressing this chronic population health concern.
    • Locate two current, peer-reviewed studies that coalition members should consider as foundational to developing an evidence-based intervention for the situation.
    • Briefly explain how each study is relevant to the chronic population health concern.
  • Organize content so ideas flow logically with smooth transitions.
    • Proofread your writing to avoid errors that could distract readers and make it more difficult for them to focus on the substance of your evaluation.
  • Apply APA style and formatting to scholarly writing.
    • Apply correct APA-formatting to your document, including headers, headings, spacing, and margins.
    • Apply correct APA-formatting to all source citations.
  • Portfolio Prompt: You may choose to save your evaluation to your ePortfolio.
    References
    Graffunder, C., Sakurada, B., & Nordisk, N. (2016). Preparing health care and public health professionals for team performance: The community as the classroom. National Academy of Medicine. doi: https://doi.org/10.31478/201604b
    Ho, A., & Pinney, S. (2016). Redefining ethical leadership in a 21st-century healthcare system. Healthcare Management Forum, 29(1), 39–42.
    Competencies Measured
    By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
  • Competency 1: Apply interprofessional collaboration, communication, and leadership best practices to advance population health.
    • Analyze the impact of factors that contribute to a chronic population health concern.
    • Form a collaborative, interprofessional coalition to address a chronic population health concern.
  • Competency 2: Apply professional ethics and the principles of diversity and inclusion to advance population health.
    • Explain potential ethical issues that might be relevant for a health care coalition to consider in addressing its mission.
    • Explain the principles of diversity and inclusion applicable to the formation of a health care coalition and its interactions with the community.
  • Competency 3: Explain how scholar-practitioners function as leaders in the field of health care.
    • Explain how literature and research in the field can be used to develop best practices for addressing a chronic population health concern.
  • Competency 4: Produce written work that demonstrates critical thinking and application of knowledge, in accordance with Capella’s writing standards.
    • Organize content so ideas flow logically with smooth transitions.
    • Apply APA style and formatting to scholarly writing.
• SCORING GUIDE
  Use the scoring guide to understand how your assessment will be evaluated.
  VIEW SCORING GUIDE

Title of Assignment: 

Disorders of the genitourinary system

Purpose of Assignment: 

Health care providers must be aware of the issues related to sexually transmitted infections. This recent news release from the Centers for Disease Control and Prevention (CDC):

Retrieved from: https://www.cdc.gov/nchhstp/newsroom/2018/press-release-2018-std-prevention-conference.html

Course Competency(s):

· Determine pathophysiologic alterations that affect the reproductive and endocrine systems.

Content:

Review information in your assigned readings to work on the assignment. The website below also has a variety of information to support your readings for the week. 

Instructions:

Select a sexually transmitted infection (STI)( Genital Herpes) and do research on it. Write a 3-page paper about the condition/issue.  Create a concept map (not a paper) about the condition/issue. In the paper discuss the concepts below:

· What is the pathophysiology of one STI

· What is the etiology of the selected STI

· What are the clinical manifestations of the selected STI

· What is the treatment for the selected STI

Use at least FOUR scholarly sources to support your findings. Examples of scholarly sources include academic journals, textbooks, reference texts, and CINAHL any nursing PROSPECTIVE. Be sure to cite your sources in-text and on a References, page using APA format.

WRITE FROM NURSING PERSPECTIVE NOT LITERATURE AND INCLUDE ALL DETIAL CONCERPT.

Due 5/11/2021. Please ASAP. Very late on this assignment.

Compare vulnerable populations. Describe an example of one of these groups in the United States or from another country. Explain why the population is designated as “vulnerable.” Include the number of individuals belonging to this group and the specific challenges or issues involved. Discuss why these populations are unable to advocate for themselves, the ethical issues that must be considered when working with these groups, and how nursing advocacy would be beneficial.  

Epidemiologic Principles and Measures Used to Address the Practice Problem

     Chronic obstructive pulmonary disease (COPD) is the fourth leading cause of death on a global scale and in the United States (U.S.) (National Heart, Lung, and Blood Institute, 2021; Alwashmi et al., 2020; Bhansali et al., 2020; Ammary-Risch et al., 2019).  Between 2016 – 2017, the global prevalence of COPD was approximately 300 million (Ferguson et al., 2020; World Health Organization, 2017).  Identified as the fourth leading cause of death in the U.S., COPD claims the lives of 150,000 people every year (National Heart, Lung, and Blood Institute, 2021; Ammary-Risch et al., 2019).  Additionally, women are now found to be equally or more afflicted than their male counterparts and also make up almost 60% of COPD cases (National Heart, Lung, and Blood Institute, 2021; Centers for Disease Control and Prevention, 2018d; World Health Organization, 2017).  A significant risk factor often associated with COPD is smoking.  Cigarette smoking has been noted as the greatest factor in the development of COPD (Duan et al., 2020).  Air pollution has been noted as the second biggest contributor to COPD development (Duan et al., 2020). 

Use of Descriptive and/or Analytic Epidemiology to Address the Practice Problem

     The research consensus reveals that millions of people suffer from COPD in the U.S. and that number is expected to rise as many more suspected COPD sufferers remain undiagnosed, as well as those with continued exposure to toxins, an aging population, and others with long-term respiratory ailments (Ferguson et al., 2020; Ammary-Risch et al., 2019; Centers for Disease Control and Prevention, 2018d; World Health Organization, 2017). Age-adjusted death rates in women living in the U.S. have not changed greatly between 1999 and 2014 and are 35.6/100,000 from 35.3/100,000 (Center for Disease Control and Prevention, 2018b). Whereas the age-adjusted death rates in men living in the U.S. have decreased between 1999 and 2014, and are estimated at 44.3/100,000 from 57.0/100,000 (Center for Disease Control and Prevention, 2018b).

     Florida was ranked 33rd in the nation for the number of deaths caused by COPD in 2017 (National Center for Health Statistics, 2018).  Florida Department of Health’s Bureau of Tobacco Free Florida (TFF) program has made considerable improvements in reducing tobacco use rates from 21% in 2006 to 14.8% in 2019 (About Us | Tobacco Free Florida, 2020). As a result, there have been almost $18 billion saved in health care costs related to smoking during the years 2007 to 2015 (About Us | Tobacco Free Florida, 2020).  It is unfortunate to report that it has been estimated that with the current smoking rate, the children in Florida who are less than 18 years of age will die prematurely due to tobacco use (About Us | Tobacco Free Florida, 2020). To that end, in children between ages 11 and 17, there has been a reduction in cigarette smoking from 10.6% in 2006 to 2.2% in 2018; an estimated reduction greater than 75% since 2007 (About Us | Tobacco Free Florida, 2020). 

     The prevalence of global warming affects the COPD patient population. Damage to the human systems and body organs can be caused by exposure to pollution in ambient air (Duan et al., 2020). Respiratory tracts are particularly vulnerable to air pollution as exposure to external surroundings is direct (Duan et al., 2020). The complex mix of gases, vapors, and particles from synthetic and natural sources creates air pollution (Duan et al., 2020). Particulate matters (PM) form industrial emissions and aerosols in the atmosphere that when inhaled, can accumulate in the upper and lower respiratory tracts, therefore, affecting persons with COPD (Duan et al., 2020). Primary non-infectious elements include air pollution contributing to the increased COPD-related rate in mortality (Duan et al., 2020). 

     A comprehensive understanding of local barriers and challenges allows providers to understand and identify ways to prevent, diagnose, treat, and manage COPD (Ammary-Risch et al., 2019).  Some research has focused on the care of rural residents with chronic obstructive pulmonary disease (COPD).  The research discussed the difficulty in accessing care due to the unavailability of services, financial expenses, cultural perceptions, and distance of travel to seek specialty services (Croft et al., 2018).  The reported plans aimed to remove barriers and/or improve access to treatments such as oxygen therapy, pulmonary rehabilitation, and effective comprehensive self-care programs (Croft et al., 2018).

Recommend additional measures required to integrate proposed changes into practice

     Upon examination and review of several research articles, various interventions and prevention recommendations were revealed to manage and treat COPD.  Shared recommendations consisted of education regarding the prevention of exacerbations, prioritizing COPD management efforts to slow declining lung function, and increasing access to the appropriate treatments (National Heart, Lung, and Blood Institute, 2021; Ammary-Risch et al., 2019; Jang et al., 2019; Etminan et al., 2018; World Health Organization, 2017).  Current research assents that specific recommendations and policies to reduce exacerbation events and mortality are important and the use of predictive tests, statistical methodologies that aim to reveal the association between the severe COPD exacerbation occurrences and risk of subsequent severe COPD exacerbations; the use of various technological applications, and the use of pharmacological treatments will provide improvement of COPD exacerbation awareness, implementation of adept and integrated programs/policies, data collection and objective analysis necessary for a positive impact (National Heart, Lung, and Blood Institute, 2021; Alwashmi et al., 2020; Bhansali et al., 2020; Jang et al., 2019; Etminan et al., 2018; Centers for Disease Control and Prevention, 2018e; World Health Organization, 2017).

     Community partners and health care providers can promote collaboration and participation in positive interventions by encouraging the use of The COPD National Action Plan (Croft et al., 2018). The focus of this plan is on research to improve accessibility in limited geographical areas. Another focus is the development of clinical decision tools for providers who serve residents who live in rural areas (Croft et al., 2018).  Additionally, online community accessibility is also a focus of research as access to the internet in some areas is difficult (Croft et al., 2018).  The COPD National Action plan is attempting to overcome those barriers (Croft et al., 2018).  Plans aimed to remove barriers and/or improve access to treatments such as oxygen therapy, pulmonary rehabilitation, and effective comprehensive self-care programs (Croft et al., 2018).  Coordinated and collaborative efforts promoted by federal agencies are seeking to educate health care providers, patients, and the public about the importance of the prevention, treatment, and diagnosis of COPD (Croft et al., 2018). 

Share your professional experience related to the topic

     In my professional experience over the years, I have had many experiences in caring for patients with COPD.  Aside from patients experiencing typical COPD exacerbations, many patients also experience anxiety related to dyspnea, access to treatments, and managing oxygen therapy.  Depression is also an issue I have seen in patients who experience years of COPD burdens and negatively affects their quality of life.  These patients can become terse and seek to control what they can.  I have cared for patients who have passed from end-stage COPD and supported their families through the process.  It is an insidious disease that has become too common.  Based on the symptoms, the goals are to recommend strategies necessary to manage and monitor treatments to improve long-term outcomes (Bhansali et al., 2020). Many factors involve providing quality care and outcomes are affected by various aspects.  As COPD continues to play a significant role in the healthcare industry, accessible and integrative strategies must remain a top concern for the best outcome.      

-Isabel 

References

About Us | Tobacco Free Florida. (2020). About Us. https://tobaccofreeflorida.com/about-us/

Ammary-Risch, N., Atkins, G., Cramb, S., Croft, J., Davis, L., Dolor, R., Doyle, D., Elehwany, M., James, C., Johnson, L., Kiley, J., Knudson, A., Linnell, J., Mannino, D., Moore, P., Punturieri, P., Rommes, J., Sood, A., Stockton, E., . . . Yawn, B. (2019). COPD and Rural Health: A dialogue on the national action plan. The Journal of Rural Health, 35(4), 424-428. https://doi.org/10.1111/jrh.12346

Bhansali, A., Lee-Chiong, T., Peyerl, F., Riley, D., & Trout, D. (2020). A quality improvement initiative for COPD patients: A cost analysis. Public Library of Science, 15(7), 1-14. https://doi.org/10.1371/journal.pone.0235040

Center for Disease Control and Prevention. (2018b). COPD death rates in the United States. https://www.cdc.gov/copd/data.html

Croft, J., Cunningham, T., Holt, J., Liu, Y., Lu, H., Matthews, K., Wang, Y., Wheaton, A., & Lu, H. (2018, February 23). The Centers for Disease Control and Prevention. Morbidity and mortality weekly report: Urban-rural county and state differences in chronic obstructive pulmonary disease – United States, from 2015., 67(7), 205-211. http://dx.doi.org/10.15585/mmwr.mm6707a1

Duan, R.-R., Hao, K., & Yang, T. (2020). Air Pollution and Chronic Obstructive Pulmonary Disease. Chronic Diseases and Translational Medicine, 1-10. https://doi.org/10.1016/j.cdtm.2020.05.004

Ferguson, G., Han, M., Rodríguez-Roisin, R., Román-Rodríguez, M., Singh, D., & Vogelmeier, C. (2020). Goals of COPD treatment: Focus on symptoms and exacerbations. Respiratory Medicine, (166). https://doi.org/10.1016/j.rmed.2020.105938  

National Center for Health Statistics. (2018, April 13). Stats of the State of Florida. Centers for Disease Control and Prevention. https://www.cdc.gov/nchs/pressroom/states/florida/florida.htm

I NEED A COMMENT FOR THIS DISCUSSION BOARD WITH AT LEAST 2 PARAGRAPHS AND 3 SOURCES NO LATER THAN 5 YEARS.