DNP 825 Topic 5 Discussions 1 GCU Nov 2021
Topic 5 DQ 1
In creating a new community-based health program, what program development model would
you use and why? What recommendations would you suggest to make the program successful
and sustainable? Provide examples and relevant literature to support your response.
When creating a new community-based health program, it is important to start by assessing the
needs and resources of the community, and developing a plan about how to identify local
needs and resources, and finally identifying the assets and resources of the community. You
then need to plan by developing a framework or model of change, creating strategic and action
plans, and then overviewing the vision, mission, objectives, strategies, and action plans
(VMOSA).
Planning provides overall direction on the road that leads from where things are now to where
we hope they will be. It can be helpful for a group to develop a clear vision, a mission statement,
objectives, strategies, and an action plan (Community Tool Box, 2020). Once you have
identified something you are passionate about and your community care about, acting is the next
step. You need to develop an intervention, mobilize people by increasing participation and
membership, and conducting a direct-action campaign to carry your intervention. You will then
evaluate to see if your initiative is working and if it needs adjustments. Sustaining the initiative
is particularly important to making sure your labor is not in vain. You need to develop strategies
to sustain your initiative and plan for long-term institutionalization.
A program development model that I would use will be the Population-Based Models. The
models are applied to various diseases and can be sustain over a period from good health to end
of life care. It is a continuum process and patients can move from one area of health into
another. These models are designed to offer both telephone and field care in prevention, disease
, management (DM), care management, case management and care integration. Outreach to
patients may depend on their acuity levels, and the frequency of contacts may depend on the
clinical assessments and care planning of the patients. DM programs often have a care
coordination component, which can provide such things as assistance in placing patients in a
medical home, medical transportation (to help reduce the overuse of emergency medical services
and ED care), or help in finding funding sources for medication management (to avoid disease
exacerbations due to medications not being filled), and so on (Cupp Curley, 2020).
A good example of a DM program will be the Depression Care Management (DCM) program
that was implemented within our organization about a year ago. This program was developed
due to the loss of service within our mental health department. An assessment was conducted
determining that patients were lost to service and not taking their medication and having higher
hospitalization rates for suicidal attempts. We had to implement a program to keep patient
engaged in service. Each patient ordered an antidepressant was contacted by a mental health
Registered Nurse (RN) to for care management for a period of 6-8 months until stable on the
medication. This was also to see if there were improvement in our SAIL (Strategy Analytics for
Improvement and Learning) measures. We as mental health RNs were responsible for making
sure we impact some of the measures by improving our depression screening (PHQ-9) and
Topic 5 DQ 1
In creating a new community-based health program, what program development model would
you use and why? What recommendations would you suggest to make the program successful
and sustainable? Provide examples and relevant literature to support your response.
When creating a new community-based health program, it is important to start by assessing the
needs and resources of the community, and developing a plan about how to identify local
needs and resources, and finally identifying the assets and resources of the community. You
then need to plan by developing a framework or model of change, creating strategic and action
plans, and then overviewing the vision, mission, objectives, strategies, and action plans
(VMOSA).
Planning provides overall direction on the road that leads from where things are now to where
we hope they will be. It can be helpful for a group to develop a clear vision, a mission statement,
objectives, strategies, and an action plan (Community Tool Box, 2020). Once you have
identified something you are passionate about and your community care about, acting is the next
step. You need to develop an intervention, mobilize people by increasing participation and
membership, and conducting a direct-action campaign to carry your intervention. You will then
evaluate to see if your initiative is working and if it needs adjustments. Sustaining the initiative
is particularly important to making sure your labor is not in vain. You need to develop strategies
to sustain your initiative and plan for long-term institutionalization.
A program development model that I would use will be the Population-Based Models. The
models are applied to various diseases and can be sustain over a period from good health to end
of life care. It is a continuum process and patients can move from one area of health into
another. These models are designed to offer both telephone and field care in prevention, disease
, management (DM), care management, case management and care integration. Outreach to
patients may depend on their acuity levels, and the frequency of contacts may depend on the
clinical assessments and care planning of the patients. DM programs often have a care
coordination component, which can provide such things as assistance in placing patients in a
medical home, medical transportation (to help reduce the overuse of emergency medical services
and ED care), or help in finding funding sources for medication management (to avoid disease
exacerbations due to medications not being filled), and so on (Cupp Curley, 2020).
A good example of a DM program will be the Depression Care Management (DCM) program
that was implemented within our organization about a year ago. This program was developed
due to the loss of service within our mental health department. An assessment was conducted
determining that patients were lost to service and not taking their medication and having higher
hospitalization rates for suicidal attempts. We had to implement a program to keep patient
engaged in service. Each patient ordered an antidepressant was contacted by a mental health
Registered Nurse (RN) to for care management for a period of 6-8 months until stable on the
medication. This was also to see if there were improvement in our SAIL (Strategy Analytics for
Improvement and Learning) measures. We as mental health RNs were responsible for making
sure we impact some of the measures by improving our depression screening (PHQ-9) and
