Description
Part 1 Instructions –
• Step 1 – Choose a Vulnerable Population Category – In Module III, you learned about
Vulnerable Population Categories (see Table 1 below). o Resources to use:
▪ Each category be found in Stanhope & Lancaster reference to help you learn more about specific vulnerable population.
▪ Appendix C (Vulnerable Population Categories with websites) – This resource can help you select one of vulnerable population that interests you.
▪ Bon Secours has already completed a CHNA and is a great place to start your search for a vulnerable population and then narrow down to your selected vulnerable population to a county, city, or locale.
Bon Secours 2022 Community Health Needs Assessment – direct link: https://www.bonsecours.com/about-us/community- commitment/community-health-needs-assessment
You will need to scroll down to view Richmond.
o Example of Step 1 using Table 1 below: let’s pick “Children & Adolescents” category.
Table 1
Children & Adolescent Men
Women
LBGQT
Older Adult
Other Special Populations:
Stanhope & Lancaster Stanhope & Lancaster Stanhope & Lancaster Stanhope & Lancaster Stanhope & Lancaster Stanhope & Lancaster
Vulnerable Population Category
Resource
• • • •
Poverty & Homelessness
School populations
Employee populations Correctional population Populations affected by Disasters
Step 2 – Pick a Specific Vulnerable Community – Now that you selected a vulnerable category, you need to narrow this down to one specific vulnerable community. There are many v
o
▪ ▪
your selection.
ulnerable
communities to consider. To help you with this, review appendix A to help you get started with
Please note:
Appendix A has a list of vulnerable communities with an introductory weblink to help you
get started.
Appendix E will help you locate current Community health Needs Assessments as well
other evidence-based data to start your start your search of information about vulnerable
populations
o Example of Step 2: In step 1, the Children & Adolescent Category was selected. Now we need to narrow down this category to select a specific vulnerable population. For this example, from the “Children & Adolescent” category. “Children between the ages 5 – 7years of age” was selected from Appendix A.
Step 3 – Choose one Determinant – Next, we need to think about what you want to learn more about this vulnerable community. What disparity or determinant would you select? To help you select a health disparity or social determinant, refer to Appendix B.o Example of Step 3 – so far, we have selected the “Children & Adolescent” category. Then we narrowed the vulnerable population down to “Children 5-7 years of age”. After looking at Appendix B, the determinant picked for this example is “Biological Determinant”.
Step 4 – Select a Health Disparity for your selected vulnerable population from Appendix B.Example of Step 4 – so far, we have selected the “Children & Adolescent” category. Then we narrowed the vulnerable population down to “Children 5-7 years of age”. After looking at Appendix B, the determinant picked for this example is “Biological Determinant” and the health disparity is “childhood obesity” is selected.
Step 5 – Pick a location that has your selected community There is one more step before you have your selected vulnerable population. What location do you want to know more about? Where is your vulnerable population located? Is it a school, state, region, or neighborhood?Example of Step 5 – We have selected the Children & Adolescent category. Then we narrowed the vulnerable population down to “Children 5-7 years of age”. After looking at Appendix B, the determinant picked for this example is “Biological Determinant” and “childhood obesity” was selected. The location is Richmond City Schools.
Step 6 – Select which Community Health Needs Assessment you will use to support the needs of your selected vulnerable population. (See Appendix E)
Step 7 – Document your selected vulnerable population information in the Virtual Community Health Needs Assessment Template (see Appendix D) under step 1.
Step 8 – Submit your completed Part 1 on your virtual Community Health Needs Assessment Template in blackboard under the Assignments tab.______________________________________________________________________
Part 2 Instructions –
Part 2 – Complete Part 2 includes completing a virtual community health needs assessment template on your selected vulnerable population (See Appendix D).
Use Fawcett article to learn more about what you need to know about your vulnerable population.
Use the website provided to start researching your selected vulnerable population.
Use other resources to learn more about your selected vulnerable population described in Part 1.
Document your findings on the provided template in part 2.
This part of the template will take time to complete so make sure you allow the time you need to complete.
Upload completed the community health needs assessment template (completed Part 1 and Part 2 sections) into the submission slot located in the Assignment > Vulnerable Population Project._____________________________________________________________________
_Part 3 Instructions –Part 3 – Elevator Speech -You will advocate for your vulnerable population in a 90 second video
To prepare for your elevator speech:
o Select your one opportunity you identified from the “Community Opportunities for
Improvement” section from your virtual community assessment template (Appendix D). o Reflect on what you have learned about your vulnerable population from your community
assessment, select a problem/issue and create a solution.
o What model of care would you use to implement your solution? (Healthcare delivery, value
based, Triple AIM, etc.)
o What resources/partnerships would you need to make the solution a reality?
Send me a one page paragraph to say in the :Record a 90 second Advocacy Video for your selected community opportunity. o Make sure you mention the following in your video:
▪ State the name of your vulnerable community
▪ Important characteristics of your vulnerable community
▪ Evidence based information identifying ONE issue/concern/problem/need
▪ A specific intervention/resource to support that ONE identifiedissue/concern/problem/need that could support your community
▪ You use the recoding resource (Panopto) on blackboard under Books & Toolso Must demonstrate Professionalism by:
Greeting to introduce self
Must be dressed professionally and wearing an ID badge
Must be professional in demeanor, attitude, and presentation style
Makes eye contact & engages with the audience
Uses proper grammar/diction during presentation
Imagine this scenario: Here is the setting in which you will be presenting your 90 second elevator speech.
o You are attending the Virginia Nurses Association nursing conference at The Jefferson Hotel. You arrive at the conference site and see that your conference educational session is on the tenth floor. You go to the elevator, push the up button, and wait for the elevator to arrive. The elevator door opens, you walk in and push the 10th floor button. As the door closes, you discover the CEO of Bon Secours Mercy Health is standing in the elevator, and you are the only two people standing there. This is your chance! You have worked hard to learn about your vulnerable community, and now you have the chance to advocate for an intervention/resource to support your community in need.
▪ What would you say?
▪ Remember you only have 90 seconds to go from the first floor to the 10th floor. ▪ Good luck!
Upload your 90 second elevator speech in appropriate admission slot in blackboard as per course calendar due date and include your video with a direct link to your video and video time.
At the conclusion of this assignment, you will have completed the Module Objective Competency based objectives to apply knowledge of health promotion strategies to promote the delivery of just and equitable care that reflects cultural humility, inclusivity, consideration of social determinants of health, and advocacy.
In summary, here is what you have accomplished:
o Identified a vulnerable population and its determinants
o Provided a description of the selected vulnerable community
o Completed a community assessment documented on a virtual community assessment
template on a selected vulnerable community.
o Selected a problem/need
o Created a solution using a model of health care
o Created a 90 second advocacy video for your identified need/problem in your selected
community needs.
o Uploaded your 90 second elevator speech into blackboard
See Blackboard for grading rubric.
Scroll down to see Appendixes A, B, C, D and E
6
Appendix A – Vulnerable Population Categories
Selecting a Vulnerable Population in the Commonwealth of Virginia. •
There are many other vulnerable populations and this appendix giving you a start to identify your vulnerable
population. If you want to investigate another vulnerable community not listed here or is not in the
Commonwealth of Virginia, please seek the approval of your faculty.
Vulnerable Population Categories
Weblinks:
click on the links to learn more about these vulnerable populations
1 Asian-Americans/Chinese Americans
2 Black (African) -Americans
3
4 Correctional Facilities
5 Essential Workers (i.e., longhaulers, food industry):
6 Front Line workers (i.e., First Responders, Health CareWorkers):
7 Hispanic
8 Homelessness
9 LBGQT
10 Native American/Alaska Native
11 Non-essential Workers
12 Nursing Homes/Long CareFacilities
13 Older Americans (65 yr. andolder)
15 Pregnant Women/Maternal Illness
16 Refugee
17 Rural communities
https://www.cdc.gov/healthequity/features/asian-pa… https://www.cdc.gov/vitalsigns/pdf/2017-05-vitalsi…
https://www.usa.gov/corrections https://thecommonwealthinstitute.org/2020/04/22/profile-of-essential-workers-in- virginia-during-covid-19-women-people-of-color-and-immigrants-are-important- contributors-in-front-line-virginia-industries/ https://mhanational.org/covid19/frontline-workers
https://www.cdc.gov/vitalsigns/hispanic-health/ind… https://www.cdc.gov/coronavirus/2019-ncov/need-extra- precautions/homelessness.html
https://www.cdc.gov/lgbthealth/index.htm https://www.cdc.gov/nchs/fastats/american-indian-h… https://www.betterteam.com/what-is-a-nonessential-… https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/people-in- nursing-homes.html https://www.cdc.gov/chronicdisease/resources/publications/factsheets/promoting- health-for-older-adults.htm
https://www.cdc.gov/reproductivehealth/maternalinfanthealth/pregnancy- complications-data.htm
https://www.cdc.gov/immigrantrefugeehealth/index.h… https://www.cdc.gov/chronicdisease/resources/publi… -in-rural-communities.htm
COVID – 19
https://www.kff.org/coronavirus-covid-19/issue-brief/communities-of-color-at- higher-risk-for-health-and-economic-challenges-due-to-covid-19/
https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/people-with- medical-conditions.html
People with underlying medical conditions (you need to select which underlying medical condition you are researching):
https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/people-with- medical-conditions.html AND https://www.cdc.gov/coronavirus/2019- ncov/vaccines/recommendations/underlying- conditions.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus %2F2019-ncov%2Fvaccines%2Frecommendations%2Fspecific-groups%2Fhigh- risk.html
14
Environmental
Factors related to physical Hazards of poor housing, unsafe
Appendix B – Step #3 of Vulnerable Population Project
Determinants of Population Health Resource: Stanhope & Lancaster Pg. 405 – 407
Determinants
Determinant Definition
Health Disparity
Biological
Factors related to human biology that influence health and illness (i.e., age, developmental level, genetic inheritance, and physiological function.)
hemophilia, sickle cell disease, heart disease, cancer, childhood obesity
Psychological
Factors related to both internal and external phycological environment.
depression, low self-esteem. Suicide, substance abuse, family violence, and obesity, homelessness
conditions
working conditions
Sociocultural
Factors related to employment, economics, politics, ethics and legal influences, and attitudes towards specific health problems
Fear and stigma attached to HIV, substance abuse, mental illness, family violence, adolescent pregnancy, immunization of children, smoking, occupation
Behavioral
Factors related that promote or impair health
Dietary habits, recreation and exercise, substance use and abuse, sexual activity, and use of protective measures
Health System
Factors that relate genetics,
behavior, environmental and
physical influences, medical
care, and social factors. These
five categories are
interconnected.
Availability, accessibility, adequacy, affordability and appropriateness, acceptability, and usage. Also consider patient cooperation, type of patient illness, provider competence, provider motivation/ satisfaction, patient socio-demographic factors and provider socio-demographic variables.
Appendix C – Examples of how you can select your vulnerable community for this assignment.
•
This is only a few of the many choices you can make.
The yellow highlighted areas represent the example as per the guideline instruction.
Step 1 – Choose a Vulnerable population Category
Step 2 –
Pick a specific vulnerable population
Step 3 – Choose one (1) Determinant
Step 4 – Select a Health Disparity
Step 5 – Select a location that has your selected community
Children & Adolescent
Childhood ages 5 -7 years old with
Behavioral
Childhood Obesity
Richmond, Va. Schools
Children & Adolescent
Men and Women LBGQT Older Adult
Men and women Men and women
Adolescents
Women
Youth Older Women
Women Women
Sociocultural
Biological
Health System Sociocultural
Sociocultural Health System
Pregnant
Breast Cancer
Homelessness Dementia
Pregnant/ maternal illness Asian-American
Powhattan County, VA
Outpatient Clinics
Virginia Richmond Nursing Homes Goochland County, VA Virginia
Men and Women
Men
Biological
Heart disease
Adult Day Care Centers in Virginia
Men and Women
Men
Psychological – include both internal and external physiological environment.
Homelessness
Richmond, Va.
Appendix D _ Virtual Community Health Needs Assessment Template
Use this template to record your findings and then when complete submit as per calendar due dates on blackboard > Assignment > Vulnerable Population Project.
As you type in this template, the sections will automatically expand to accommodate your data.
Please see the Vulnerable Population Project Guidelines for more information in the Assignment Tab.Student Name
Project Part 1
Vulnerable Population
Name Vulnerable community
Identified (use steps 1 – 6 to identify your vulnerable population).
Example:
1.Children & Adolescent
2. Children ages 5 -7 years old 3.Childhood Obesity
4. Richmond, VA’s Elementary Schools
5. CHNA Source:
Bon Secours 2022 Community Health Needs Assessment
***Use this space to describe your selected vulnerable population – See example in the left-hand column)***
Vulnerable Population: ______________________
Determinant: ______________________________
Health Disparity: ___________________________
Location: _________________________________ (selected vulnerable population locationneeds to be in the county you selected for community health assessment)
Community Health Need Assessment (CHNA) source – identify the source to support the needsof your selected vulnerable population. (Refer to appendix E)
Note: Choose a vulnerable population that is in the Commonwealth of Virginia.
Vulnerable Population Project Part 2
Community Description
What should I be looking for?
(Note: Remember to use in text citation and this resource to your reference list.)
Social interactions, common goals, interests
General information about the community. You may want to consider the following:
o Common Goals/Interests
o Culturalpractices o Spoken languages o Physical
characteristics/Gen
etic factors o Physiological
Factors
o Behavioralfactors
****Use this space to record your findings in this column****
Challenges/Threats/Hazards Barriers
Environmental health concerns
Nutritional/metabolic Value/Belief patterns/Myths
Geopolitical, Financial, Ethics Socioeconomic
Nutrition/Foods/Metabolic
Perception of the community by others
Health perception. You may want to consider the following:
o Health management o Resilience/Health
State
Resources* – You may want to consider the following:
o Availableresources o Limited/missing
resources
o Potentialresource
needs
*Click on this link to identify current health resources and discover may be needed, for the community you are researching, by zip code: https://www.findhelp.org
Vaccines/Immunizations. You may want to consider the following:
o Belief about vaccines/
immunizations?
11
o Risk for COVID, Flu and
o COVID data tracker
Respiratory
syncytial (RSV)
Other evidenced based data
What else do you want to You will need to consider cultural practices, belief systems, and the physical and mental limitations of know? the population/community selected.
Communities Strengths
List 5 (five) community strengths.
1.
Summarize YourCommunity’sNeeds/Issues/Concerns/ Problems.
After you have completed your community assessment, use this section to identify your community needs. List 5 (five) needs of your community.
1.
Community Threats – After you have completed your community assessment, use this section to identify thiscommunity’s threats to meeting the community’s needs. List 5 (five) threats of your community.
1.
1
Community Opportunities for Improvement –
After you have completed your community assessment, use this section to identify the oneopportunity you will advocate for this community. Identify the resources that will meet this community need. (Refer to resource section in Part 2) *
1.
Reference List –
1.
Vulnerable Population Project Part 3
1. Create your 90 second elevator speech advocating for your vulnerable population.
2. You can use Panopto to record you video. Look on the left-hand side of the course page >click on Books and Tools > look on the right-hand side of course page > click on Panopto > click the
“+” to create.
3. Check the rubric to make sure you have included everything required.
4. Submit your video and its direct link (in case your video does not work).
5. Upload to the blackboard submission slot in the Assignment > Vulnerable Population Project by
the calendar due date.
Congratulations!
You have completed your Vulnerable Population Project! You are making a difference!
13
Appendix E – Where to find Evidenced Based Data for Your Selected Vulnerable Population
Community Health Need Assessments (CHNA) – Bon Secours has already completed a CHNA and is a great place to start your search for a vulnerable population and then narrow down to your selected vulnerable population to a county, city or locale.
Richmond Community Health Needs Assessments
o Bon Secours 2022 Community Health Needs Assessment – direct link:
file:///C:/Users/dfsmith/Downloads/FINAL%20BON%20SECOURS%20RICHMOND %202022%20CHNA%20(5).pdf
Local County Community Health Needs Assessment
Alexandria Community Health Needs Assessment 2022 – direct link: https://www.inova.org/sites/default/files/about-in…
Bay Aging – Bay Aging’s primary service area is the 10 counties of the Middle Peninsula and Northern Neck of eastern Virginia. direct link: https://bayaging.org/wp-content/uploads/2022/05/2022-Community-Needs- Assessment.pdf
Children’s Hospital of Richmond at Virginia Commonwealth University – Children’s Rehabilitative Services – A Community Health Needs Assessment 2019 – direct link: https://www.chrichmond.org/- /media/D266346223B243E69BF9DFBDF7E6EFC8.ashx
Goochland County – direct link: https://www.vdh.virginia.gov/content/uploads/sites/84/2019/05/Goochland- CHA-Final-Report-with-Appendix.pdf
Greater Prince William County – direct link: https://www.behealthybehappyprincewilliam.com
Hanover County – direct link: https://www.vdh.virginia.gov/content/uploads/sites…
Henrico County – direct link: https://henrico.us/assets/Henrico-CHA-draft_5.8.18…
Planning District 9 (PD9) which includes the counties of Fauquier, Rappahannock, Culpeper, Madison, andOrange 2020 – direct link: https://www.vdh.virginia.gov/content/uploads/sites…
Riverside Doctors’ Hospital of Williamsburg 2016- direct link: file:///C:/Users/dfsmith/Downloads/RDHW-Final-CHNA-and-Implementation-Strategy-Document-2016-ENGLISH.pdf
Maternal, Infant, and Early Childhood Home Visiting Programs in Virginia from VDH – direct link:https://www.vdh.virginia.gov/content/uploads/sites/124/2022/02/Final-VA-MIECHV-Needs-Assessment- 2.8.21.pdf
Richmond – direct link: https://societyhealth.vcu.edu/media/society- health/pdf/RPN_Community_Needs_Assessment.pdf
Richmond City – direct link: https://www.vdh.virginia.gov/content/uploads/sites/119/2017/09/RCHD-CHA- Aug-2017.pdfCounty Improvement Plans
Commonwealth of Virginia Improvement Plan – direct link: http://www.vahealthinnovation.org/wp- content/uploads/2016/07/Virginia-State-Health-Innovation-Plan-06.01.2016.pdf
Goochland improvement plan – direct link: https://www.vdh.virginia.gov/content/uploads/sites/84/2020/03/Goochland-CHIP-Report-Final-March- 2020.pdf
14
Hanover Improvement plan – direct link:https://www.vdh.virginia.gov/content/uploads/sites…
Henrico County Population Health Community Health Reports – direct link: https://henrico.us/health/population-health/
Virginia Department of Health (VDH) – direct link: https://www.vdh.virginia.gov/chickahominy/community- health-assessment/Evidenced Based Data/Statistics Websites:
Centers for Disease Control and Prevention (CDC) website – Data and Statistics – direct link:
https://www.cdc.gov/datastatistics/index.html
o This site has Births (Data & Statics), Disability & Health Promotion, Adolescent Behaviors & Experiences and many more topics of chronic health and health concerns. A good place to start your research.
Virginia Department of Health (VDH) Data Portal website: https://www.vdh.virginia.gov/data/ o
Community Toolbox – This website looks to Identify possible community health indicators and data sources that could be found in your selected vulnerable population. Direct link: https://ctb.ku.edu/en/assessing- community-needs-and-resources/examples/example7
o This website provided possible community health indicators related to sociodemographic characteristics.
Examine state health data on community; direct link: https://www.cdc.gov/places/
o PLACES: Local data for Better Health is a collaboration between CDC, the Robert Wood Johnson
Foundation, and the CDC Foundation. PLACES provides health data for small areas across the country. This allows local health departments and jurisdictions, regardless of population size and rurality, to better understand the burden and geographic distribution of health measures in their areas and assist them in planning public health interventions. PLACES provides model-based, population-level analysis and community estimates of health measures to all counties, places (incorporated and census designated places), census tracts, and ZIP Code Tabulation Areas (ZCTAs) across the United States
Examine state health data on community – direct link: https://www.cdc.gov/places/
Community Health Needs Assessment Trends – direct link: https://www.vhcf.org/data/community-health-trends/
Look for census data on your selected vulnerable population.
This data portal was developed to provide a convenient access point for health-related data for
Virginia. This portal is a comprehensive source for community health assessment, public, and
population health data. Each data portal page provides interactive data at the most granular level
available.
15