Community health centers were started to respond to the many health needs of some of the poorest and sickest communities in the nation. Centers were developed to serve the needs of communities beyond just medical care, but to provide resources for food access, housing, sanitation, and employment. Over time community health centers became known for understanding the populations they served and for offering superior primary care services. However, due to the rising costs of medical care, many community health centers veered away from public health interventions, health education, and environmental controls. Funding has been restricted to the delivery of personal medical services.

Using the weekly readings, the South University online library resources, and the Internet, research the role of community health centers in providing primary care services.

Based on your research, respond to the following:

• Do you think it’s possible for community health centers to once again become more community-centered in their approach to population health with the goal of improving the health of communities?
• What are some ways that they might do this?

Give reasons and examples in support of your responses. Be sure to cite any relevant resources.

Write your initial response in approximately 300 words. Your responses should clarify your understanding of the topic. They should be your own, original, and free from plagiarism. Follow the APA format for writing style, spelling and grammar, and citation of sources.

By the due date assigned, post your response to the appropriate Discussion Area. Through the end of the Week, review and comment on at least two peers’ responses. Participate in the discussion by analyzing each response for completeness and accuracy and by suggesting specific additions or clarifications for improving the discussion question response.

Evaluation Criteria:

• Explained if it’s possible for community health centers to become more community-centered in their approach to population health with the goal of improving the health of communities.
• Recommended ways for community health centers to achieve this.
• Responses demonstrated in-depth research and analysis.
• Justified your answers with appropriate research and reasoning.
• Commented on the postings of at least two peers.

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Comment 1

Knowing scientific management theory as defined as supervising by way of focusing on task accomplishments rather than interpersonal relationships (Huber 2014). Some routines in health care that seem to be inefficient in regards to scientific management are the overwhelming focus on tasks, the evaluations based on tasks accomplished, and the pressure to join committees to add more tasks to nurses’ duties. A lot of times nurses have trouble tending to the needs of their patients because they are so focused on getting the tasks done so as to not get in trouble. Many times tasks are added to the nurses’ workload making it hard to complete everything on time. This causes incidental overtime which is also greatly frowned upon. Finally, the committees are supposed to be a good thing, allowing nurses to participate in shared governance. The issue arises when the requirements for the committees capitalize on the time the nurse should be working or decompressing from the stress of daily work. Some examples of participative decision-making at the hospital that I work at are unit forums and shared governance council. The unit forums allow for nurses and aides in the unit to meet and discuss issues to resolve amongst themselves. Shared governance councils allow for nurses to meet with administration to discuss issues at the bedside that can only be fixed by administration.

Comment 2

The scientific management theory states that humans are motivated by money, and there should be a separation between managers and workers. The expected result is a dramatic increase in productivity of the workers and profits for the organization. Some of the routines in the health care setting that are inefficient is nurse-to-patient ratio and staff retention. I feel the nurse-to-patient ratios are unsafe as it overloads the nurse and nursing assistants in carrying for high acuity patients with a higher prevalence of medical errors and oversight. When staffing is is done according to census instead of census it creates an unsafe environment for the patients and the staff. Without adequate staffing, patient care is inadequate and the patients suffer. Which in turns causes patient surveys to report negative feedback giving the hospital low numbers.Staff retention is important to ensure there is adequate staff to meet the demands of an aging population with numerous chronic illnesses. When facilities ignore the concerns of staff or do not provide attempt to implement change that benefits the staff and the patients, morale falls and staff leave. When nurses feel their safety and license are in jeopardy, they will seek out a better work environment they feel safe in. The facility I work for currently does annual retention surveys that allow its employees to voice any concerns and share what they feel the facility is doing well or could improve on. The nurses are asked various questions in regards to the leaders and managers they work directly under and whether their needs are being addressed. The facility offers committees that focus on allowing staff to have voice. Some include unit base council for each unit of the facility, committee for staffing concerns and safety committees that focus on sentinel events. 

 

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Comment 1

The first step to gaining the support and funding with your idea to improve patient care is to perform research and be prepared. One should be able to support their ideas with literature and evidence based practice. I would input my idea along with the evidence based practice into a neatly design PowerPoint. The presentation would last approximately 10 minutes. The presentation will clear and simple for the upper management team to understand. The presentation would state the purpose of the idea, benefits of the idea, cost of the idea, and the population that the idea is targeting. I would show compassion for my idea while connecting with the upper management. At the end of the presentation there will be allotted time for any questions that upper management may have.

Top tips for presenting an effective presentation: Show compassion and connect with the audience, focus on the audience needs, keep it simple, smile and make eye contact, start strong, keep slides to the minimum of 10-30, tell stories, use your voice effectively, body language, and relax, breath, enjoy (Anderson, 2013).

Comment 2

My idea to improve patient care, I would use visual presentation.  The visual presentation would be a PowerPoint presentation with charts and possibly graphs.  This type of communication tool would be great because (a picture is worth a thousand words). The upper management individuals are usually busy.  It is the first impression that counts.  The presentation would be kept short, simple, and to the point. It is not about shoving the idea and its numerous merits down your audience’s throat.  Think about how you can carefully usher your idea through the approval process. I would want them to remember what I presented. They would not remember through words but through charts or graphs.  “Graphs or charts help people understand data quickly (mindtools.com). Whether you want to make a comparison, show a relationship, or highlight a trend, they help your audience see what you are talking about.

Good communicators use the KISS (“Keep It Simple and Straightforward”) principle. They know that less is often more, and that good communication should be efficient as well as effective (mindtools.com)

“Project management success” retrieved from: www.mindtools.com

 

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• Conduct a literature search to explore such words as planning, public health, and evaluation. Select an article on a health issue, disease, or an issue of your choice.
• After selecting your article, explain the public health program and evaluation process. Respond to the following giving examples from your research:
• Define the significance of public health programs and address the saliency of the framework.
• What are some conditions that you might use to conduct an evaluation? Explain in detail with a minimum of three examples.
• Explain the logic model. Why are the contributions of program development, implementation, and evaluation vital to the model?

 

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