Diabetes. Obesity. Asthma. Chronic Obstructive Pulmonary Disease (COPD) prevention of complications of diabetes, reduction of health care utilization …
Notable Practices in Community Benefit
|Category please check one |Condition if applicable |
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|Health promotion/healthy |Diabetes |
|communities |Obesity |
|Chronic disease management |Asthma |
|Increasing access |Chronic Obstructive Pulmonary Disease |
|Other |COPD |
| |Heart related CHF, hypertension |
| |Mental health |
| |Other |
|Program Title maximum 25 words |
|program SPONSORSHIP check one |
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|Problem Statement |
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|PROGRAM GoalS |
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|Strategies briefly describe up to 5 |
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|Performance Measurement please provide any quantitative data |
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|Key Lessons |
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|System /Regional Contact name, organization, phone and email |
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Notable Practices in Community Benefit
Instructions for completing form
Category - check only one category description If you check
Other, please
provide a very brief description of the practice two to three words
Condition - check condition addressed by practice, if applicable If you
check Other, please provide a brief description of the health condition
addressed by the practice
Problem Statement - What problem/opportunity does the program address poor
nutrition, diabetes, asthma?
Goals- What are the anticipated outcomes for the people who participate in
this program eg improved pregnancy outcomes, prevention of complications
of diabetes, reduction of health care utilization by people with chronic
diseases? Indicate any quantitative targets associated with these goals
Strategies - Describe 3 to 5 major activities that were used to achieve
program goals Intervention strategies can include health services, health
education, and counseling
Performance Measurement -Describe the impact of the program and how you are
measuring program effectiveness Impact may be described as change in 1
skills/knowledge eg improved asthma self-management skills, 2
attitude/opinion, 3 behavior eg rates of smoking, or 4 health
condition
Include any metrics being used to assess program effectiveness
Key Lessons - In
your view what are the key elements or processes that need
to be in place in order for the program to achieve its goals?
