Assignment: Assessing a Healthcare Program\/Policy Assessment
\nProgram\/policy Assessment is a valuable tool that can help strengthen the quality of programs\/policies and improve outcomes for the populations they serve. Program\/policy Assessment answers basic questions about program\/policy effectiveness. It involves collecting and analyzing information about program\/policy activities, characteristics, and outcomes. This information can be used to ultimately improve program services or policy initiatives.
\nNurses can play a very important role assessing program\/policy Assessment for the same reasons that they can be so important to program\/policy design. Nurses bring expertise and patient advocacy that can add significant insight and impact. In this Assignment, you will practice applying this expertise and insight by selecting an existing healthcare program or policy Assessment and reflecting on the criteria used to measure the effectiveness of the program\/policy.
\nTo Prepare:
\nReview the Healthcare Program\/Policy Assessment Analysis Template provided in the Resources.
\nSelect an existing healthcare program or policy Assessment or choose one of interest to you and get approval to use it from your Instructor.
\nReview the healthcare program or policy Assessment and reflect on the criteria used to measure the effectiveness of the program or policy described.
\nThe Assignment: (2\u20133 pages)
\nBased on the program or policy Assessment you selected, complete the Healthcare Program\/Policy Assessment Analysis Template. Be sure to address the following:
\nDescribe the healthcare program or policy outcomes.
\nHow was the success of the program or policy measured?
\nHow many people were reached by the program or policy selected?
\nHow much of an impact was realized with the program or policy selected?
\nAt what point in program implementation was the program or policy Assessment conducted?
\nWhat data was used to conduct the program or policy Assessment?
\nWhat specific information on unintended consequences was identified?
\nWhat stakeholders were identified in the Assessment of the program or policy? Who would benefit most from the results and reporting of the program or policy Assessment? Be specific and provide examples.
\nDid the program or policy meet the original intent and objectives? Why or why not?
\nWould you recommend implementing this program or policy in your place of work? Why or why not?
\nIdentify at least two ways that you, as a nurse advocate, could become involved in evaluating a program or policy after 1 year of implementation.
\nEvaluating a Diabetes Prevention Program
\nThe diabetes prevention program selected for this Assessment is a community-based lifestyle intervention called the National Diabetes Prevention Program (National DPP). This program was launched in 2017 with the goal of preventing or delaying the onset of type 2 diabetes through lifestyle changes.
\nThe primary outcomes targeted by the National DPP included reducing body weight by 7% and increasing physical activity to at least 150 minutes per week for those at high risk for developing diabetes. Success of the program was measured through metrics such as weight loss, changes in waist circumference and BMI, as well as participation in and adherence to the lifestyle recommendations.
\nOver the first year of implementation, the National DPP reached over 500 high-risk individuals across five counties in our state. Participation was voluntary and individuals were referred by primary care providers, diabetes educators and through community outreach efforts.
\nPreliminary one-year results show that 60% of participants achieved the weight loss goal of 7% or more. Average weight loss among all participants was 9 pounds. In addition, 75% reported meeting the physical activity target of 150 minutes per week. These impacts have the potential to delay or prevent new cases of diabetes in this at-risk population over time.
\nThis initial program Assessment was conducted approximately 12 months after launch, allowing sufficient time for participants to complete the core year-long lifestyle intervention. Data was collected through medical record reviews, participant surveys, and utilization of a centralized database to track biometric and participation metrics.
\nOne unintended positive consequence identified was that participants reported improved cholesterol levels and blood pressure in addition to weight loss. However, it was also found that participation among minority and low-income groups was lower than expected. Barriers to access for these populations will need further exploration.
\nStakeholders engaged in providing feedback included participants, primary care providers, community centers that hosted sessions, and county public health officials. Participants and providers would benefit most from reporting on improved health outcomes and potential cost savings from diabetes cases avoided.
\nOverall, the National DPP appears to have met its original objectives of facilitating weight loss and increased physical activity to prevent diabetes based on the first year results. Continued Assessment will be important to track longer term health impacts and cost-effectiveness. As an advocate for patients, I could get involved by Helping with the participant survey process or serving on an advisory board to identify ways to improve access and participation among underserved groups.
\nIn summary, this initial program Assessment demonstrates the National DPP’s effectiveness at reducing risk factors for diabetes through lifestyle changes. With some enhancements to address equity issues, it shows promise as an intervention worth implementing in more communities. Ongoing monitoring will further strengthen the program and outcomes over time.<\/p>\n","protected":false},"excerpt":{"rendered":"
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