Академический Документы
Профессиональный Документы
Культура Документы
Michigan
By Ashley Gran
Amy Neveau
Lisa Thornburg
Wendy Ackel
Demographics
The United States Census Bureau in July, 2014 estimated Lake County to
have a population of 11,341. Median household income is $30,656
compared to Michigan's median income of $40,200.
The number of people per primary care physician (PCP) in Lake County is
5,749. The state of Michigan has 1,246 per PCP.
The population of Lake County rates 28.3% poor general health compared
to Michigan at 17.2%.
Those with a chronic condition of diabetes is high at 14% compared to local District
Health Department # 10 at 10.2%.
Health behaviors are ranked at 79. This includes obesity, food environment
and physical activity.
Clinical care is rated number 77. This includes lack of health professional to
the population, uninsured and the need for diabetic monitoring.
Overall one in ten people have diabetes and one in five are over the age of 55.
The ultimate goal for this community project is to improve the health of
residents in Lake county, Michigan. Lake county has a higher rate of diabetes
compared to other counties in Michigan.
In order to assess whether the desired outcomes were achieved, the results
from nursing interventions must be evaluated.
Evaluation
Evaluation is the process of collecting and analyzing information to
assess the effectiveness of the plan in action for future planning efforts
and to improve and implement health promotion programs to provide
positive outcomes for communities. (Harkness & Demarco, 2016).
Evaluation is essential to understand whether a quality improvement
activity is accomplishing planned goals, whether goals and actions are
ultimately improving the health outcomes of the population, and what
adjustments are necessary. (AHRQ, 2008).
Evaluation
The six steps in the evaluation process:
Engaging stakeholders-those planning and directing the program and
operations.
Describing the program
Focusing and evaluation design-identifying the purpose of the evaluation,
methods, roles and responsibilities.
Gathering credible evidence
Justifying conclusions-when consensus is reached and evidence gathered is
credible
Ensuring use and sharing lessons learned
(AHRQ, 2008)
Evaluation
Intermediate Outcomes:
Achieve and maintain a healthy weight
Obtain glucose levels in the target range of 70-110
Keep Hemoglobin A1c levels below 7%
Keep blood pressures below 130/80Keep cholesterol below 200 mg/dl
Monitor Long Term Outcomes:
Prevention of diabetes-related complications
Tracking incidence and prevalence of blindness, kidney failure, amputations,
and cardiovascular disease.
(District Health Department #10, 2015).
References
Evaluation of patient education programs: How to do it and how to use it (1996, p. 86-93).
American Diabetes Association. Retrieved from http://journal.diabetes.org/
diabetesspectrum/96v9n02/evalu.htm
Diabetes Care Quality Improvement: A Resource Guide for State Action (2008). Agency for
Healthcare Research and Quality (AHRQ). Retrieved from http://archive.ahrq.gov/
professionals/quality-patient-safety/quality-resources/tools/diabguide/
diabqguidemod5.html
Area Agency on Aging of Western Michigan. (2016). Lake county classes. Retrieved from:
http://www.aaawm.org/classes/pdf?type=county&county=lake
Hughes, K., Morse, J. (2015). District health department #10: 2015 annual report.
Retrieved from: http://www.dhd10.org/images/AnnualReportFY15compressed.pdf
References
District Health Department #10 Behavioral Risk Factor Survey. (2014).Health profile
chartbook 2014, Lake County. Michigan Behavioral Risk Factor Surveillance
System.Retrieved from: http://dhd10.org/files/Chartbook_2014_Lake.pdf
District Health Department #10 Behavioral Risk Factor Survey.(2015).Health profile
chartbook 2015, Lake County. Michigan Behavioral Risk Factor Surveillance System.
Retrieved from: http://dhd10.org/images/Lake_Chartbook__2015.pdf
Obesity Society. (2015). Your weight and diabetes. The Obesity Society. Retrieved from:
http://www.obesity.org/content/weight-diabetes
International Diabetes Federation. (2015). Diabetes: Facts and figures. Retrieved from:
http://www.idf.org/about-diabetes/facts-figures
Schulze, M.B., Hu, F. B. (2005). Primary prevention of diabetes: what can be done and
how much can be prevented? Annual Review of Public Health 26, p. 445-467. DOI:
10.1146/annurev.publhealth.26.021304.144532