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Instruction comment.docx
Develop proactive strategies to change the culture of the organization by incorporating evidence-based practices.

CRITERION:Summarize windshield survey and environmental analysis findings for executive leaders.

DISTINGUISHED

PROFICIENT

BASIC

NON-PERFORMANCE

Basic

Provides a summary that is insufficient to support reasonable conclusions about community health needs.

Faculty Comments:“

Summarizes windshield survey and environmental analysis findings for executive leaders. A significant portion of the population has poor housing, which threatens their health outcomes. Public health improvement should focus on means to improve the housing condition. Secondly, although there is access to health services, it improved by providing additional health centers. Lastly, overdependence on the food shelf and the evidence of empty buildings show low economic activity and socioeconomic outcomes. Government interventions to rejuvenate the local economy of Jordan City would be welcome to enhance the locals� income and health wellbeing.

However, the windshield survey and environmental analysis table is not included.

Instruction 2.docx
Assess the health care needs of a selected community by completing an environmental analysis and a virtual windshield survey. Summarize the results of your assessment in a 2–3-page executive summary.

Health care must be evidence-based, effective, efficient, and affordable; it must provide resources that meet the needs of the community. Nurse leaders must understand and thoroughly evaluate the environment to enable the efficient and equitable allocation of resources. A useful tool for this type of assessment is commonly called a windshield survey. Windshield surveys are what you might expect from the name. They are a way of gathering information about specific aspects of a community while driving around, such as the condition of roads, buildings, and housing.

This assessment provides an opportunity to examine the prevailing health conditions and social determinants of health in a community by completing an environmental analysis and a virtual windshield survey based on communities within the Vila Health system. Although Vila Health is a virtual lab, the communities represented in this simulation are real, enabling you to conduct an actual community health assessment.

Preparation

Executive leaders at Vila Health have asked you to provide them with your assessment of the health conditions in one of the communities served by the Vila Health system. Knowing that a windshield survey is needed to validate any underlying assumptions about the needs of the community and inform evidence-based decision making and strategic planning, you have decided to conduct a first-hand exploration of the community, followed up by an environmental analysis. An environmental analysis examines the factors that can influence the performance of a health care organization, which is important in a rapidly changing health care environment.

To prepare for the assessment, you are encouraged to begin thinking about how an environmental analysis and windshield survey contribute to assessing community health care needs. In addition, you may wish to:

· Review the assessment requirements and scoring guide to ensure that you understand the work you will be asked to complete.

· Review the Guiding Questions: Assessing Community Health Care Needs document linked in the Resources of this assessment, which includes questions to consider and additional guidance on how to successfully complete the assessment.

Requirements

Complete this assessment in two steps:

1. If you have not already done so, complete the Vila Health: Environmental Analysis and Windshield Survey simulation.

2. Write an executive summary of your community health assessment, based on your windshield survey and environmental analysis.

The community health assessment requirements outlined below, correspond to the grading criteria in the scoring guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed. The Guiding Questions: Assessing Community Health Care Needs document provides additional considerations that may be helpful in completing your assessment. In addition, be sure to note the requirements below for document format and length and for citing supporting evidence.

· Assess, via a windshield survey, the general condition and needs of a community from a public health perspective.

· Analyze the environmental factors affecting population health in a community.

· Identify the social determinants of health in a community.

· Summarize windshield survey and environmental analysis findings for executive leaders.

· Write clearly and concisely in a logically coherent and appropriate form and style.

· Support findings and conclusions with relevant and credible evidence.

Document Format and Length

· Use the Community Health Assessment Template, linked in the Resources of this assessment. An APA Style Paper Tutorial is also provided to help you in writing and formatting your assessment. If you would like to use a different worksheet for your community health assessment, obtain prior approval from faculty.

· The executive summary portion of your survey and analysis should be 2–3 pages in length.

· Be sure to apply correct APA formatting to all source citations and references.

Required Resources

Community Engagement and Needs Assessment

· Ballantyne-Rice, M., Chopp, K., Evans, L., Ho, V., Hsiung, W. P., Simon, M. A., . . . Donnelly, T. T. (2016). A client-centered community engagement project: Improving the health and wellness of older adults in an assisted living facility. Journal of Gerontological Nursing, 42(8), 44–51.

1. Addresses drawing on the community as a practice partner to help promote health and wellness, using different methods of getting the community involved.

1. Gallagher, M. R., & Stevens, C. A. (2015). Adapting and integrating photovoice in a baccalaureate community course to enhance clinical experiential learning. Journal of Nursing Education, 54(11), 659–662.

2. Describes the method of creating a photographic depiction of the community that is used as a part of the windshield survey to give greater context to the needs of the community.

1. Lightfoot, A. F., De Marco, M. M., Dendas, R. C., Jackson, M. R., & Meehan, E. F. (2014). Engaging underserved populations in Affordable Care Act-required needs assessments. Journal of Health Care for the Poor and Underserved, 25(1), 11–18.

3. Describes a community health needs assessment in an underserved community.

Assessing Community Health Care Needs Scoring Guide

CRITERIA

NON-PERFORMANCE

BASIC

PROFICIENT

DISTINGUISHED

Assess, via a windshield survey, the general condition and needs of a community from a public health perspective.

Does not assess, via a windshield survey, the general condition and needs of a community from a public health perspective.

Assesses, via a windshield survey, the general condition and needs of a community from a public health perspective, but misses important indicators of health needs within the community.

Assesses, via a windshield survey, the general condition and needs of a community from a public health perspective.

Assesses, via a windshield survey, the general condition and needs of a community from a public health perspective. Specifies applicable safety concerns and the limitations of the survey.

Analyze the environmental factors affecting population health in a community.

Does not analyze the environmental factors affecting population health in a community.

Analyzes the environmental factors affecting population health in a community, but does not include all available information or overlooks key factors affecting population health outcomes.

Analyzes the environmental factors affecting population health in a community.

Analyzes the environmental factors affecting population health in a community. Clearly articulates key health issues, opportunities, and threats. Conclusions are well-supported by credible evidence.

Identify the social determinants of health in a community.

Does not identify the social determinants of health in a community.

Identifies the social determinants of health in a community, but makes unsubstantiated claims or overlooks important contextual factors related to culture and behavioral norms.

Identifies the social determinants of health in a community.

Identifies the social determinants of health in a community. Draws well-reasoned conclusions from credible evidence and articulates underlying assumptions and uncertainties.

Summarize windshield survey and environmental analysis findings for executive leaders.

Does not summarize environmental analysis and survey findings for executive leaders.

Provides a summary that is insufficient to support reasonable conclusions about community health needs.

Summarizes environmental analysis and survey findings for executive leaders.

Summarizes environmental analysis and survey findings for executive leaders. Information is detailed, accurate, and logically organized. Provides insightful lessons learned.

Write clearly and concisely in a logically coherent and appropriate form and style.

Does not write clearly and concisely in a logically coherent and appropriate form and style.

Writing lacks clarity or conciseness, is loosely structured, or includes errors in grammar, mechanics, or APA formatting that inhibit effective communication or detract from good scholarship.

Writes clearly and concisely in a logically coherent and appropriate form and style.

Writes clearly and concisely in a logically coherent and appropriate form and style. Main points, ideas, arguments, or propositions are well-developed and engaging. Adheres to all applicable disciplinary and scholarly writing standards and conventions.

Support assertions, arguments, propositions, and conclusions with relevant and credible evidence.

Does not support assertions, arguments, propositions, and conclusions with relevant and credible evidence.

Sources lack relevance or credibility, or the evidence is not persuasive or explicitly supportive of assertions, arguments, propositions or conclusions.

Supports assertions, arguments, propositions, and conclusions with relevant and credible evidence.

Supports assertions, arguments, propositions, and conclusions with relevant, credible, and convincing evidence. Skillfully combines error-free source citations with a perceptive and accurate synthesis of the evidence.

NHS-FP6218_KoromaKehtaindey_Assignment 2.docx
Running head: COMMUNITY HEALTH ASSESSMENT

Community Health Assessment

Kehtaindey Koroma

Capella University

Community Health Assessment

This community assessment focuses on the Jordan community in Minneapolis, MN. The community health assessment is meant to highlight current health and environmental issues in Jordan City to launch interventions to enhance people's health in the city. The community's development demands cooperation from the community and the health care experts for the community and its well-being development process (Ballantyne-Rice, et al., 2016).

General Condition and Public Health Needs

The windshield survey of Jordan City shows that the general condition is a healthy community with some obvious areas that need improvement. The city has a good road network, which allows access to different parts and good transportation. Additionally, the city has essential facilities that are considered necessary for good health. Radermacher's Fresh Market provides access to fresh groceries and vegetables necessary for healthy feeding. The city also has access to medical services available at St. Francis Health Services Center (Vila Health). The people have access to government services as shown by the availability of the city hall. Furthermore, an overview of the city presents no apparent signs of a health problem affecting the city in general. Therefore, the people are healthy, and their health and wellness needs are taken care of from the general overview of the city.

On the other hand, several areas need improvement and present the main public health needs. One such area is the housing situation in some areas of Jordan City. As revealed in the assessment, many houses in the downtown area are in poor shape and pose a risk to people's health (Vila Health). Secondly, there is a need for more access to care since the ratio of patients to primary care physicians is higher in Jordan, Scott County, than the overall Minnesota score. In Jordan, the ratio is 1,740:1 as compared to the overall Minnesota ratio of 1,120:1 (County Health Rankings & Roadmaps, n.d.). This ratio shows that there are fewer primary care physicians in Jordan on average as compared to Minnesota in general. Therefore, in terms of public health needs, there is a need to improve the current house conditions in downtown Jordan and increase access to care by introducing more healthcare centers.

Environmental Analysis

Moreover, Jordan City has a great environment that promotes local residents' health and is likely to produce positive health outcomes. The city has many green spaces that may be used for recreation, including Lagoon Park and the baseball park. It also has a community center where people can gather and engage in healthy practices. The area is well-connected using roads, which facilitate access to different areas conveniently (Vila Health). This road network and buildings in the city provide a suitable environment for business activity, which could alleviate people's economic status in the city, a crucial determinant of health. The environment of Jordan city thus presents opportunities for development and public health improvement.

Additionally, there are several social determinants of health in the city. Education is a social determinant, and Jordan is served by the Jordan Public Schools system, which has an elementary, middle, and high school (Vila Health). Access to schools enhances the opportunity for development and health improvement. Additionally, the physical environment, including the condition of houses, is another health determinant affecting the city. Although neighborhoods in the city periphery have new houses, downtown has poor housing structures that could affect the people's health and result in harm (Vila Health). Therefore, housing is a crucial health determinant. Access to food options is another determinant. As earlier highlighted, there is a fresh market in the city, but over 20 families rely on the food shelf every weekend (Vila Health). There is the need to expand access by expanding the food shelf to help economically disadvantaged families access food better.

Conclusions

Although the population of Jordan City is healthy, it faces several challenges. First, a significant portion of the population has poor housing, which threatens their health outcomes. Public health improvement should focus on means to improve the housing condition. Secondly, although there is access to health services, it improved by providing additional health centers. Lastly, overdependence on the food shelf and the evidence of empty buildings show low economic activity and socioeconomic outcomes. Government interventions to rejuvenate the local economy of Jordan City would be welcome to enhance the locals’ income and health wellbeing.

References

Ballantyne-Rice, M., Chopp, K., Evans, L., Ho, V., Hsiung, W. P., Simon, M. A., . . . Donnelly, T. T. (2016). A client-centered community engagement project: Improving the health and wellness of older adults in an assisted living facility. Journal of Gerontological Nursing, 42(8), 44-51. doi:http://dx.doi.org.library.capella.edu/10.3928/00989134-20160531-03

County Health Rankings & Roadmaps. (n.d.). Primary care physicians: Minnesota. https://www.countyhealthrankings.org/app/minnesota/2020/measure/factors/4/data

Vila Health: Environmental Analysis and Windshield Survey

1002 Windshield Survey.docx
Introduction

Vila Health: Environmental Analysis and Windshield Survey

Effective health care leadership relies on assessments based on reliable information. One key tool is the windshield survey �with a practiced eye, one can make valuable judgments about the health conditions of a community while performing a mobile survey.

In this simulation, you will conduct a virtual windshield survey in either a rural or an urban environment. You will also be provided with resources to help you begin the environmental analysis of one of the two communities. You will use the information you gather to prepare a presentation in which you summarize your findings and propose changes to the health care system.

Location Choices

In whatever order you prefer, select each location to perform your windshield survey. Jordan is a small town in the Minnesota countryside. Armatage is a neighborhood on the south side of Minneapolis.

Jordan

Instructions:

Click and drag to explore the map of Jordan, Minnesota. You may also use the button panel to navigate the map. Click a Map pin to learn about that particular location. Once you have visited all 25 pins, answer the questions that follow.

Jordan City Hall

210 1st St. E.

Jordan's motto is “warm country feeling, minutes from the cities,” and the quaint downtown City Hall reflects that sentiment. Jordan's old City Hall, built in 1885, had a brief stint as an events venue, but is currently vacant.

Jordan Middle School

500 Sunset Dr.

The Jordan public schools offer a student and family friendly single campus. The renovated middle school opened in 2015 and is adjacent to the Jordan Community Education and Recreation Center (CERC).

Jordan High School

600 Sunset Dr.

Jordan High School has a student population of approximately 540 students. The school offers athletics, arts programs, and academic extra-curricular activities. Students can also attend vocational classes through Southwest Metro Educational Cooperative where they can earn credit at vocational schools and North Hennepin Community College.

Jordan High School

600 Sunset Dr.

Jordan High School has a student population of approximately 540 students. The school offers athletics, arts programs, and academic extra-curricular activities. Students can also attend vocational classes through Southwest Metro Educational Cooperative where they can earn credit at vocational schools and North Hennepin Community College.

Jordan Elementary School

815 Sunset Dr.

Jordan Elementary School offers programs and specialists in Special Ed, ESL, Title One services, Gifted and Talented, and a variety of other interventions and enrichment programs. Technology is embedded in the daily curriculum in order to encourage the development of 21st century learning skills.

Scott County Library - Jordan

275 Creek Ln. S.

The Jordan public library is open four days a week (Mon & Wed 1-8; Tue & Thur 10 - 5) from May to September and five days (Saturday 10 - 2) from September to May.

St. Francis Health Services

265 Creek Ln. S.

St. Francis Health Services is aligned with Allina Health and Park Nicollet Health Services, two of the largest health providers in the region. The facility provides a full range of inpatient, outpatient, and emergency care.

Jordan Community Education and Recreation Center

500 Sunset Dr.

Completed in January 2016, the new Community Education and Recreation Center includes a 3-gym station with a multipurpose floor, an elevated walking track, a fitness center, community locker rooms, and a community room with kitchenette.

Hope Lutheran Church

201 Hope Ave.

Hope Lutheran Church is one of two Lutheran Churches in Jordan. Other churches include Zion United Methodist Church, Immanual Methodist, St. John the Baptist Catholic Church, St. Paul Lutheran Church, and Tree of Life Church. To the best of our knowledge, there are no synagogues or mosques in Jordan.

River Valley Education Center

100 Hope Ave.

Provides students in grades 5-8 with academic and social skills instruction. These students may have average or above-average learning potential but have been unsuccessful in other special education settings.

St. John the Baptist Church

215 Broadway St. N.

St John the Baptist Catholic Church. Other churches include Zion United Methodist Church, Immanuel United Methodist Church, St. Paul Lutheran Church, Hope Lutheran Church, and Tree of Life Church. To the best of our knowledge, there are no synagogues or mosques in Jordan.

Street Signage

2nd St E and Broadway

Signage reflecting politcal and community climate.

Food Shelf

131 1st St. E.

The food shelf has over 100 active volunteers. On average, the Jordan Food Shelf serves about 20 families a weekend. Clients leave with bags of bread, meat, eggs and milk, along with other groceries. The board is exploring a move to a larger space and would also like to offer free medical care and a thrift store.

City Council / History Center

110 1st St. E.

The City of Jordan operates under a Council-Administrator form of government. The Mayor and Council members are elected for staggered 4-year terms.

Jordan's Downtown District

Broadway St. & Water St.

Jordan's downtown is a mix of modern and quaint, run-down and up-and-coming. Moola's Bar and Jack's Bar and Grill are both located in downtown. Roets Jordan Brewery and the Nicolinn Mansion B&B represent the tourist-friendly focus the town is trying to project.

Lagoon (Veteran's) Park

102 Park Dr.

Park features a small creek and falls, 16-acre Mill Pond, as well as a sand swimming beach, playground, gazebo, picnic shelters and grills, fishing pier, volleyball court, horse shoe pits, and restrooms. Ice skating rink and warming house on Mill Pond in winter. The entrance�s patriotic display features a flagpole ensemble, historic cannon, and a bench dedicated to home-town hero Spc. Joshua R. Anderson, killed in action in Iraq, January 2008. Running paths and sidewalks are common in Jordan.

Residential Area

Timber Ridge Court, just north of Sunset

Located near the High School, this neighborhood is characterized by large lots, well maintained homes, and an abundance of recreational vehicles and boats.

Oak Terrace Senior Living

622 Aberdeen Ave.

Oak Terrace Senior Living of Jordan is a retirement community that offers Independent Living, Assisted Living, and Memory Care.

Residential Area

Intersection of Stone Creek, Prospect Pointe

While Jordan does not have named neighborhoods, the residential areas are quite different in appearance and apparent socio-economic makeup. This section of Jordan features homes in subdivisions such as Bridle Creek.

Radermacher's Fresh Market

500 2nd St. W.

In 1954, Roman Radermacher opened his first grocery store on Water Street in Jordan. In 1972, the family built a modern supermarket on First Street. In 1981, the store in Jordan moved to its current location on 500 West 2nd Street.

Jordan Baseball Park

401–599 Rice St. S.

Jordan's baseball field, sometimes referred to as the “Mini-Met” also features a basketball court, skateboard park, and winter ice skating rink.

Downtown Area Neighborhood

2nd St. E. & Mill St.

This neighborhood near the downtown district reflects a lower socio-economic standard than the newer housing areas on the outer boundaries of town.

Jordan Town Sign

Approximately 4200 Country Trail W.

Jordan's population is actually closer to 6500 residents and the town has numerous retail, service and industrial businesses. The City of Jordan boasts that “as growth occurs, the people and the Jordan City Council strive to keep the community�s small-town flavor.”

Residential Area

4th St. W & West St. N.

While Jordan does not have named neighborhoods, the different residential areas do have individual characteristics. This area appears to be a middle-class neighborhood.

Immanuel United Methodist Church

301 N. Varner St.

Immanual Methodist is one of two Methodist Churches in Jordan. Other churches include Zion United Methodist Church, St. John the Baptist Catholic Church, St. Paul Lutheran Church, Hope Lutheran Church, and Tree of Life Church. To the best of our knowledge, there are no synagogues or mosques in Jordan.

Shopping Plaza

310 El Dorado Dr.

While economic conditions are overall good in Jordan, there are vacancies and empty buildings both downtown and in outlying shopping areas.

An environmental analysis can provide important information to planning and program implementation.

Here are some links to get you started on the environmental analysis for Jordan, Minnesota:

http://jordanmn.gov/city-departments/economic-development/

https://datausa.io/profile/geo/jordan-mn/

Armatage

Instructions:

Click and drag to explore the map of the Armatage neighborhood in Minneapolis, Minnesota. You may also use the button panel to navigate the map. Click a Map pin to learn about that particular location. Once you have visited all 25 pins, answer the questions that follow.

Cindy's Barber Shop

5408 Penn Ave. S.

Cindy's Barbershop captures the personality of the neighborhood and serves as a gathering spot for young and old.

Dreadlocks for Dingoes

5410 Penn Ave. S.

Dog ownership is very popular in Minneapolis and this boutique serves the local populace and their pets.

Kwan's Chinese Cuisine

5412 Penn Ave. S.

One of several eateries in the community, Kwan's has been a neighborhood staple for quick, classic Chinese food for over 30 years.

Red Wagon Pizza

5416 Penn Ave. S.

The Armatage neighborhood has several pizza establishments - ranging from Dominoes to Pizzaria Lola, an upscale fusion pizzaria.

Snap Fitness

5409 Penn Ave. S.

A local fitness center. Snap Fitness centers specialize in a “no frills” model that offers no-contract memberships and 24 hour access to the facility.

Settergren Ace Hardware

5405 Penn Ave. S.

An independent hardware store, Bayer's had been in business for over 45 years before Settergren's opened this store next door to Bayers.

Pennhurst Cleaners

5401 Penn Ave. S.

Pennhurst Cleaners was a family owned business and been in business for over 25 years. The building now has a For Lease sign and a boarded up window.

Bus Stop

54th St. & Penn Ave. S.

Public Transportation makes this neighborhood very accessable to downtown and city government buildings.

Jump! Children's Publisher

5357 Penn Ave. S.

Jump! Library is a local book publisher.

Penn Avenue Family Dental

5346 Penn Ave. S.

Drs. Robert McNab and Fred Allis have been shared this neighborhood dentistry practice for several years.

Road Construction

54th St. & Penn Ave. S.

Road construction in the Armatage neighborhood.

Caf� Maude

5411 Penn Ave. S.

A neighborhood bistro named for Maude Armatage, the neighborhood's namesake.

Lutheran Church of Christ the Redeemer

5440 Penn Ave. S.

Lutheran Church with a progressive focus. This is the only church in the Armatage neighborhood.

Armatage Community Center

2500 W. 57th St.

The Armatage Community Center participates in the Minneapolis Summer Meal Program for youth 18 and under.

Residential Housing

Penn Ave. S. & 56th St. Area

While most homes are smaller homes built in the 50s and 60s, teardowns are not uncommon.

Multi-family Units

Xerxes and 55th St.

While housing is primarily single family units, there are several multifamily apartments as well.

Pizzaria Lola

5557 Xerxes Ave. S.

More restaurants in the Armatage neighborhood.

Cave Vin

5555 Xerxes Ave. S.

An upscale neighborhood restaurant, Cav� Vin is a family owned local restaurant with a French and new-American menu.

Armatage Elementary School

2501 W. 56th St.

Armatage Montessori School is a public magnet in Southwest Minneapolis. The Montessori education method is designed to offer child-centered environment that encourages children's natural learning impulses.

Super USA Convenience Store

5965 Penn Ave. S.

A neighborhood convenience store.

Dominos Pizza

5957 Penn Ave. S.

Dominos Pizza provides national fast food options to residents.

Gas Stations

6001 & 6004 Penn Ave. S.

BP and Minnoco Gas provide gas and automobile servicing to residents of the area.

Wagner's Nursery

6024 Penn Ave. S.

Wagners has been a business in the neighborhood for many years. Note the farmers market stand in the parking lot.

Residential Housing

Penn Ave. S. & 56th St. Area

Mid-century ramblers are common in this neighborhood.

An environmental analysis can provide important information to planning and program implementation.

Here are some links to get you started on the environmental analysis for the Armatage neighborhood in Minneapolis, Minnesota:

http://www.minneapolismn.gov/neighborhoods/armatage/index.htm

http://armatage.org/

Conclusion

You have completed the windshield survey activity. After surveying your chosen community, you should have a better sense of the prevailing health conditions and social determinants in that location.

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