Assessing Cultural Competence and Population Health Approaches in Healthcare Organizations

Overview of Final Project Guidelines and Rubric

Task:

Final Project Submission: Case SInstructions Submit your case study analysis and proposal with recommendations that will evaluate the cultural competence of an organization and the ways it provides services from a population health approach framework. For additional details, please refer to the Final Project Guidelines and Rubric document study Analysis and Proposal IHP 410 Final Project Guidelines and Rubric Overview The final project for this course is a case study analysis with recommendations that will evaluate the cultural competence of an organization and the ways it provides services from a population health approach framework. It is important for healthcare organizations to use strategies for improving services to a diverse population in order to provide quality care to all patients.

A population health approach unifies, integrates, and balances prevention and promotion, health protection, diagnosis, treatment, and care. It acknowledges and reflects evidence that factors outside of the healthcare system can significantly affect health. It considers the entire range of individual and collective factors and conditions—and their interactions—that have been shown to be correlated with health status. Commonly referred to as the “determinants of health,” these factors currently include income and social status, social support networks, education, employment/working conditions, social environments, physical environments, personal health practices and coping skills, healthy child development, biology and genetic endowment, health services, gender, and culture. A population health approach focuses on improving the health status of a population, rather than of individuals. Such a focus necessitates reducing disparities, or inequalities in health status among population groups. The outcomes or benefits of a population health approach, therefore, extend beyond improved population health outcomes to include an integrated health system and increased social cohesion and citizen engagement. The project is divided into three milestones which will be submitted at various points throughout the course to scaffold learning and ensure quality final submissions. These milestones will be submitted in Modules Three, Four, and Six. The final project will be submitted in Module Seven. In this assignment, you will demonstrate your mastery of the following course outcomes:

Evaluate health promotion and disease management strategies for their efficacy in addressing factors that determine population health status ? Evaluate healthcare organizations’ patient engagement activities and communication strategies for the extent to which they demonstrate cultural competence for improving population health outcomes ? Assess the extent to which healthcare organizations use the population health approach to reduce costs and improve quality of care ? Propose recommendations that improve healthcare organizations’ effectiveness in advancing the population health approach Praompt Evaluate the cultural competence of the healthcare organization presented in the Integrated Safety-Net Health Care System case study using a population health approach. Please also read the supplemental Interpreting Services Program document to ensure that you have all of the information about the Montefiore Medical Center you will need to address the critical elements. Specifically the following critical elements must be addressed: I. Patient engagement activities and communication strategies a) Critique the organization’s translation and interpretation services that may be available to non-English-speaking patients. In other words, does the organization provide such services? How many different languages are supported? How might the organization communicate with a speaker of a language that is not supported? Be sure to provide evidence that supports your claims. b) Analyze the extent to which educational resources and materials are available in languages other than English. Be sure to provide specific examples. c) Assess organizational staff training on patient engagement and communications for its potential to foster cultural competence. Be sure to provide evidence to support your claims. d) Identify gaps or deficiencies that may exist in the organization’s patient engagement and communications strategies, and provide evidence to support your claims. If you feel there are none, be sure to explain your reasoning. II.

Importance of Using Strategies for Improving Services to a Diverse Population

Health promotion and disease prevention and management strategies a) Assess the organization on its efforts to promote healthy living by examining programs (e.g., fitness classes, blood pressure clinics, first aid training, nutrition education, etc.) that it may offer to patients. Be sure to provide evidence to support your claims. b) How appropriate are the organization’s disease prevention and management programs and services (such as discharge planning, home health services, vaccination services, etc.) for addressing factors that determine population health status? Be sure to provide evidence to support your claims. c) Assess non-programmatic services (such as transportation, on-site child care, etc.) that may be offered by the organization for their impact on factors that determine population health status. d) Identify gaps or deficiencies that may exist in the organization’s health promotion and disease prevention and management efforts, and provide evidence to support your claims. If you feel there are none, be sure to explain your reasoning. III. Financial incentives and quality improvement processes a) Analyze population health-oriented policies (such as non-discrimination in hiring, care and treatment, Patient Bill of Rights, financial assistance, etc.) that the organization may have implemented for reducing costs and improving overall quality. Be sure to provide evidence to support your claims. b) To what extent is the organization’s approach to care considered patient-centered? Be sure to cite specific examples to substantiate your claims. c) What specific strategies (such as eliminating unnecessary procedures and providing only essential treatments or interventions) does the organization employ in its population health approach to reduce costs and improve overall quality? d) Describe gaps or deficiencies that may exist in the organization’s use of the population health approach in reducing costs and improving quality of care, and provide evidence to support your claims. If you feel there are none, be sure to explain your reasoning. IV. Recommendations a) Recommend strategies for improving the organization’s cultural competence with regard to patient engagement and communications. Be sure to use research to support your reasoning. b) Suggest health promotion and disease prevention strategies for improving outcomes in terms of population health status. Be sure to use research to justify your suggestions. c) Recommend policies and strategies that increase the organization’s use of a population health approach to reduce costs and improve overall quality of care. Be sure to use research to substantiate your recommendations. Milestones Milestone One: Patient Engagement Activities and Communication Strategies In Module Three, you will submit Section I of the case study, in which you will address the patient engagement activities and communication strategies of the health organization. Specifically, you will critique the organization’s translation services, educational materials, and staff training options. You should consider things such as variety of language options, how well the organization meets the language requirements of its service demographic, and how well staff training addresses key cultural competence issues. This milestone should be two to three double-spaced pages. This milestone is graded with the Milestone One Rubric. Milestone Two: Health Promotion and Disease Prevention and Management Strategies In Module Four, you will submit Section II of the case study, in which you will address the organization’s health promotion and disease prevention and management strategies. Specifically, you will critique the organization’s healthy living programs, disease prevention and management programs, and nonprogrammatic services. You will assess the cultural competence of these services using the population health approach.

What is a Population Health Approach and Why is it Important?

Be sure to consider issues such as how well the organization’s health promotion and management strategies address a wide range of cultural beliefs and whether the organization’s programs and nonprogrammatic services help to reduce inequalities among members of the population. This milestone should be two to three double-spaced pages. This milestone is graded with the Milestone Two Rubric. Milestone Three: Financial Incentives and Quality Improvement Processes In Module Six, you will submit Section III of the case study, in which you will address the organization’s financial incentives and quality improvement processes. Specifically, you will critique the organization’s population-health-oriented policies, the organization’s approach to care and the extent to which it is patientcentered, and any strategies the organization uses in its population-health approach. This milestone should be two to three double-spaced pages. This milestone is graded with the Milestone Three Rubric. Final Submission: Case Study Analysis and Proposal In Module Seven, you will submit your case study analysis and proposal using a population health approach framework. It should be a complete, polished artifact containing all of the critical elements of the final product. It should reflect the incorporation of feedback gained throughout the course. This submission is graded with the Final Project Rubric. Deliverables Milestone Deliverables Module Due Grading 1 Patient Engagement Activities and Communication Strategies Three Graded separately; Milestone One Rubric 2 Health Promotion and Disease Prevention and Management Strategies Four Graded separately; Milestone Two Rubric 3 Financial Incentives and Quality Improvement Processes Six Graded separately; Milestone Three Rubric Final Submission: Case Study Analysis and Proposal Seven Graded separately; Final Project Rubric Final Project Rubric Guidelines for Submission: Written components of the project must follow these formatting guidelines when applicable: double spacing, 12-point Times New Roman font, one-inch margins, and APA-style citations. The case study analysis and proposal should be 7 to 8 pages in length, not including cover page and resources. Critical Elements Exemplary (100%) Proficient (85%) Needs Improvement (55%) Not Evident (0%) Value Engagement and Communication: Translation Services Meets “Proficient” criteria and expands on the impact beyond patients, encompassing internal stakeholders Critiques organization’s translation and interpretation services and provides evidence that supports claims Critiques organization’s translation and interpretation services, but does not provide evidence that supports claims Does not critique organization’s translation and interpretation services 6.5 Engagement and Communication: Educational Resources Meets “Proficient” criteria and expands on the impact beyond patients, encompassing internal stakeholders Analyzes the extent to which educational resources and materials are available in languages other than English, and provides specific examples Analyzes the extent to which educational resources and materials are available in languages other than English, but does not provide specific examples Does not analyze the extent to which educational resources and materials are available in languages other than English 6.5 Engagement and Communication: Training Meets “Proficient” criteria, and assessment is exceptionally well informed and integrates current theories and research Assesses organizational staff training for its potential to foster cultural competence and provides evidence that supports claims Assesses organizational staff training, but does not address cultural competence, or does not provide evidence that supports claims Does not assess organizational staff training 6.5 Engagement and Communication: Gaps or Deficiencies Meets “Proficient” criteria and includes the drawbacks of identified gaps or deficiencies Accurately identifies gaps or deficiencies and provides evidence to support claims, or explains reasoning if none exist Inaccurately identifies gaps or deficiencies, or does not provide evidence to support claims, or does not explain reasoning if no gaps or deficiencies exist Does not identify gaps or deficiencies 6.5 Promotion and Prevention: Health Promotion Meets “Proficient” criteria and expands on the impact beyond patients, encompassing internal stakeholders Comprehensively assesses the organization’s health promotion efforts and provides evidence to support claims Assesses the organization’s health promotion efforts, but with gaps in detail, or does not provide evidence that supports claims Does not assess the organization’s health promotion efforts 6.5 Promotion and Prevention:

Course Outcomes for Mastery

Disease Prevention Meets “Proficient” criteria, and evaluation demonstrates keen insight into the relationship between programs and services and population health determinants Comprehensively evaluates efficacy of disease prevention and management programs and services in addressing population health determinants and provides evidence that supports claims Evaluates efficacy of disease prevention and management programs and services in addressing population health determinants, but with gaps in detail, or does not provide evidence that supports claims Does not evaluate efficacy of disease prevention and management programs in addressing population health determinants 6.5 Promotion and Prevention: NonProgrammatic Meets “Proficient” criteria, and analysis demonstrates keen insights into the relationship between services and population health determinants Accurately analyzes nonprogrammatic services for their impact on population health determinants Analyzes non-programmatic services for their impact on population health determinants, but with gaps in accuracy Does not analyze nonprogrammatic services and their impact on population health determinants 6.5 Promotion and Prevention: Gaps or Deficiencies Meets “Proficient” criteria and includes the drawbacks of identified gaps or deficiencies Accurately identifies gaps or deficiencies and provides evidence to support claims, or explains reasoning if no gaps or deficiencies exist Inaccurately identifies gaps or deficiencies, or does not provide evidence to support claims, or does not explain reasoning if no gaps or deficiencies exist Does not identify gaps or deficiencies 6.5 Financial and Quality Improvement: Policies Meets “Proficient” criteria, and analysis demonstrates keen insight into cost reduction and quality improvement methodologies Comprehensively analyzes population health-oriented policies and provides evidence that supports claims Analyzes population healthoriented policies, but with gaps in detail, or does not provide evidence that supports claims Does not analyze population health-oriented policies 6.5 Financial and Quality Improvement: Patient-Centered Meets “Proficient” criteria and assessment is exceptionally well informed and integrates relevant theories and research Assesses the extent to which the organization’s approach is considered patient-centered and cites specific examples to substantiate claims Assesses the extent to which the organization’s approach is considered patient-centered, but does not cite specific examples to substantiate claims, or examples cited do not substantiate claims Does not assess the extent to which the organization’s approach is considered patientcentered 6.5 Financial and Quality Improvement: Strategies Meets “Proficient” criteria, and analysis demonstrates keen insight into cost reduction and quality improvement methodologies Comprehensively analyzes specific strategies the organization employs to reduce costs and improve overall quality Analyzes specific strategies the organization employs to reduce costs or improve overall quality, but not both, or analysis lacks detail Does not analyze specific strategies the organization employs to reducing costs and improving overall quality 6.5 Financial and Quality Improvement: Gaps or Deficiencies Meets “Proficient” criteria and includes the drawbacks of identified gaps or deficiencies Accurately identifies gaps or deficiencies and provides evidence to support claims, or explains reasoning if no gaps or deficiencies exist Inaccurately identifies gaps or deficiencies, or does not provide evidence to support claims, or does not explain reasoning if no gaps or deficiencies exist Does not identify gaps or deficiencies 6.5 Recommendations: Cultural Competence Meets “Proficient” criteria, and recommendations demonstrate keen insight into engagement and communications strategies for diverse populations Recommends appropriate strategies for improving organization’s cultural competence with regard to patient engagement and communications and supports reasoning with research Recommends strategies that are not appropriate for improving organization’s cultural competence with regard to patient engagement and communications, or does not support reasoning with research Does not recommend strategies for improving organization’s cultural competence with regard to patient engagement and communications 6.5 Recommendations: Health Status Meets “Proficient” criteria, and suggestions evidence keen insight into outcomes improvement Suggests appropriate health promotion and disease prevention strategies for improving outcomes in terms of population health status, and justifies suggestions with research Suggests health promotion and disease prevention strategies that are not appropriate for improving outcomes in terms of population health status, or does not justify suggestions with research Does not suggest health promotion and disease prevention strategies for improving outcomes in terms of population health status 6.5 Recommendations: Approach Meets “Proficient” criteria, and recommendations demonstrate keen insight into cost reduction and quality improvement methodologies Recommends appropriate policies and strategies that increase the organization’s use of a population health approach to reduce costs and improve quality of care and substantiates recommendations with research Recommends policies and strategies that are not appropriate for increasing the organization’s use of a population health approach to reduce costs and improve quality of care, or does not substantiate recommendations with research Does not recommend policies and strategies that increase the organization’s use of a population health approach to reduce costs and improve quality of care 6.5 Articulation of Response Submission is free of errors related to citations, grammar, spelling, syntax, and organization and is presented in a professional and easy-to-read format Submission has no major errors related to citations, grammar, spelling, syntax, or organization Submission has major errors related to citations, grammar, spelling, syntax, or organization that negatively impact readability and articulation of main ideas Submission has critical errors related to citations, grammar, spelling, syntax, or organization that prevent understanding of ideas