...of the public health policy issue you have selected for your Final Project. Asthma is classified as chronic disease because there is no cure for it is sickness. Asthma epidemic is defined clearly by the National Heart, Lung and Blood Institute (NHLBI) (2012), as " a chronic (long-term) lung disease that inflames and narrows the airways. Asthma is a serious lung disease that commonly affects children in the United State. The children make up 40% of all asthma cases, which is count around 25% of the population (NHLBI (2012). The public health addressed asthma many decades as one of major public health concern that affects millions of children in the United State. As Spagnola & Fiese, (2010) point out that, Asthma become one of the public health prevalence due to increasing rates of morbidity among young and low-income children. Asthma is a leading cause of lost school days. A recent study estimates as many as 7.5 million students nationally are chronically absent each year (Spagnola & Fiese, 2010). Every day that a student misses class is a lost learning opportunity that holds our youth back which is lead to risk of losing their future....
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...The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) has long been the designated accreditation agency for hospitals and other health care facilities. In 1997, JCAHO added quality measurement requirements to existing requirements for participation in the accreditation process for hospitals and long-term care facilities in an initiative called ORYX. In 2003, The Joint Commission launched project activities to examine Children’s Asthma performance measures for inclusion in the ORYX performance measurement initiative. This work was conducted in collaboration with national children’s health care organizations, particularly, the National Association of Children’s Hospitals and Related Institutions (NACHRI), Child Health Corporation of America (CHCA), and Medical Management Planning, Inc. (MMP). An advisory panel was convened to...
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...area: 1942 1,884.0 188,929 Total licensed beds: Inpatient days: Emergency room visits: 341 74,218 50,725 KEY LEADERSHIP AT KFH-OAKLAND Nathaniel L. Oubré, Jr. Belia Marshall, RN, MPA Dennis Morris John Loftus, MD Shirley Steinback Julie Hadnot Glenda Monterroza Senior Vice President and Area Manager Chief Operating Officer Area Finance Director Physician in Chief Medical Group Administrator Public Affairs Director Interim Community Benefit/Community Health Manager 227 Consolidated Community Benefit Plan 2012 Kaiser Foundation Hospital – Oakland Northern California Region THE 2010 COMMUNITY HEALTH NEEDS ASSESSMENT SUMMARY AND FINDINGS 2010 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) SUMMARY The 2010 CHNA for KFH-Oakland is based on secondary data analyzed and reported by the Alameda County Department of Public Health (DPH) and primary data collected through a series of community focus groups. The East Bay Area contracted with the county DPH as part of a collaborative that included Eden Medical Center and Sutter Health and was managed through the East Bay Section of the Hospital Council...
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...Madison Children’s Hospital: Chronic Health Illness Program HSM 270 Abstract Madison Children’s Hospital has been serving the multi-cultural rich county of Orange, California since 1960. For more than 50 years, Madison Children’s hospital (MCH) has been steadfastly committed to providing the highest quality medical care to children. MCH has provided medical care to over 1 million children in the county of Orange. Our regional pediatric healthcare network includes a state-of-the-art main hospital facility in the City of Orange. Madison Children’s Clinic also offers many primary and specialty care services to the community. Madison Children’s hospital has recorded an increase in the amount of children and adolescents ages 0-21 with chronic illnesses. This has brought a concern to the community as well as Madison Children’s Hospital. MCH is dedicated to assisting and enriching health services, as well as developing programs to benefit the families of Orange County. MCH is proposing a funding opportunity to become a leader in research and discover, educated future generations, and enhance the health and well being of not only the children in the county of Orange, but worldwide. Madison Children’s Hospital is proposing funding for the Chronic Health Illness Program (CHIP). The CHIP program will provide all its services in a family-centered in-patient and out-patient facility to ensure continuity and cost effective care. The program serves infants to young adults in...
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...Epidemiology of Asthma: Asthma is a chronic inflammatory disease of the airways which causes episodic wheezing, shortness of breath ,chest tightness, and coughing. Asthma effects people of all ages, backgrounds , religion and gender. According to one article no one risk factor is responsible for asthma morbidity; rather asthma risk factors include living in poverty, in the inner city being uninsured or Medicaid enrolled and being African American. (Kimberly P Toole, 2013) Asthma is a significant health problem in the United States and Massachusetts. Asthma is one of the most common chronic childhood illnesses in the United States where prevalence nearly tripled from 3.6% in 1980 to 9.1% in 2007. Asthma impacts both society and the individual causing millions of lost school days. (Woodin, Tin, Moy, Palella, & Brugge, 2010) Nationally the total cost of asthma in 2007 was 19.7 billion dollars, in Massachusetts the total charges for acute care hospital utilization for asthma was over 136 million dollars in 2006. (Zotter & huisingh, 2009). According to the CDC 1:11 children have asthma in the U.S., that amounts to seven million children in 2010 and the prevalence of asthma is increasing in the United States and in Massachusetts. Studies done by the CDC indicate that in children more boys than girls have asthma. The surveys also indicated that socioeconomic status plays apart in asthma prevalence. Families with an annual household income of 75,000 dollars or...
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...Asthma has had a major impact on the health of Americans as well as on the US healthcare system. 1 in 11 children in America have asthma. On a similar note, 1 in 12 adults in America have asthma. Each year asthma is responsible for about 5000 deaths, nearly 500,000 hospitalizations, and 2 million visits to emergency departments. Asthma also restricts people’s activity and is the leading cause of absence from school and work. In 2008, asthma caused 10.5 million missed days of school and 14.2 million missed days of work resulting in an estimated $3.8 billion from loss of productivity. As of 2009, the economic costs of asthma totaled $56 billion per year, with the average yearly medical expenditure on a child with asthma equaling $1039. The burden of asthma falls disproportionately on some minorities and particularly on children (“Asthma Facts”). The burden of asthma falls disproportionately on children under age 18. For the period 2008–2010, asthma prevalence was higher among children than adults. This is evidenced in the rates of asthma-related use of health care services, which are two to three times higher for children than for adults. . Asthma is the third leading cause of hospitalization among children under the age of 15. Only the asthma mortality rate is lower for children (“Asthma Facts”) Asthma Disparities and...
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...NHPA | Summary | Why selected (all selected for similar reasons; finical impact on health care system) | Determinants as risk factors | Health promotion Program | CardiovascularHealth | Refers to maintaining healthy functioning of the heart and blood vessels. CVD encompasses all diseases and conditions of the heart and blood vessels (including coronary heart disease, stroke and peripheral vascular disease) caused mainly by blood supply to the heart, brain and legs. | -To improve cardiovascular health by reducing CVD.-CVD is leading cause of premature death and second leading cause of burden of disease.- CVD is also largely preventable and places a large economic burden on the health care system. | 1. biological: cholesterol levels, age, sex and genetics. high blood pressure-indicates that the heart is already working harder and under pressure, which can lead to stroke and kidney disease.Body weight- excess body weight places greater strain on heart and increases hypertension and cholesterol levels.2. Behavioural: physical activity, tobacco smoking poor nutrition-diets high in saturated fat such as cholesterol can contribute to overweight and obesity. Low intake of fruit and vegetables can contribute to increased snacking on high fat and high sugar foods, increasing obesity, which heightens risk of CVD.Physical enviro: air quality (tobacco smoke) Access to recreational facilities-if lacking access, they might not exercise as much as otherwise might. Heightens risk of CVD...
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...PARTNERS IN ASTHMA CARE NIH P UBLICATION N O . 95-3308 OCTOBER 1995 N ATIONAL I NSTITUTES OF H EALTH National Heart, Lung, and Blood Institute i T ABLE OF C ONTENTS PREFACE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NURSES’ ASTHMA EDUCATION WORKING GROUP . . . . . . 1. PATHOPHYSIOLOGY OF ASTHMA . . . . . . . . . . . . . . . . . 2. PRACTICAL GUIDE TO ASTHMA MANAGEMENT . . . . . . GOALS OF ASTHMA MANAGEMENT . . . . . . . . . . . . . . . GENERAL PRINCIPLES OF ASTHMA MANAGEMENT . . . FOUR COMPONENTS OF ASTHMA MANAGEMENT . . . . Asthma Management Component 1: Objective Measures of Lung Function . . . . . . . . . . . . Spirometry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Peak Flow Monitoring . . . . . . . . . . . . . . . . . . . . . . Actions/Implications for Nurses: Objective Measures . . . . . . . . . . . . . . . . . . . . . . . . . Asthma Management Component 2: Environmental Control Measures. . . . . . . . . . . . . . . . Allergens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Irritants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Actions/Implications for Nurses: Environmental Control . . . . . . . . . . . . . . . . . . . . . . Asthma Management Component 3: Pharmacologic Therapy . . . . . . . . . . . . . . . . . . . . . . . Two Major Groups of Asthma Medications: Anti-inflammatory and Bronchodilator . . . . . . . . Step-Care for Chronic Asthma and Acute...
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...Asthma HCS/245 May 23, 2015 Asthma What is Asthma? Asthma is a chronic disease that obstructs the flow of air, the obstruction is reversible. What is Asthma? • Inflammation (swelling) • Mucous in the airways • Tightening in muscles around the airways Asthma is most common chronic disease in childhood, almost 9 million children in America have asthma, (Over 100,000 in Wisconsin). Children under 6 years old have the highest rates for hospital admissions, this is the #1 reason children are admitted into hospitals and this is also one of the main reasons children are absent from school, children miss about 7 days of school due to asthma. Causes of Asthma: (There is no one single onset of Asthma) • Hereditary • Exposure to or not enough exposure to “triggers: • Exposure to environmental tobacco smoke • Air pollution Asthma is more common in families where someone already has the condition. If one parent has asthma, the chance of their child developing asthma is approximately double that of children whose parents don't have asthma. We also know that a mother has a greater risk of passing on asthma than a father, though the reasons are not clear. Environmental Tobacco Smoke is the #1 trigger of asthma, but also studies have shown that exposure to ETS can cause the onset of the disease of asthma. Having a plan and goals of asthma management is the next step that should be taken for children and adults after being diagnosed with this chronic respiratory...
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...Asthma HCS 245 Rajdeep Grewal September 22, 2014 Asthma is a chronic long-term lung disease that inflames and suppresses the airways. Asthma causes recurring periods of wheezing, chest tightness, shortness of breath and coughing. It can affect people of all ages but usually starts during childhood. In children it is known to often refer to eczema in which a child might suffer from skin inflammation. People suffering from asthma will have attacks that will make it difficult to exhale then inhale which can cause over inflammation of the chest and with impaired lung infections. Most asthma attacks can be treated by drugs, inhalers and injections. Primary prevention in asthma can be reduced or avoided by personal exposure to primary risk factors to be started during pregnancy and childhood. It is beyond the scope of work and ability of any health care system to achieve changes in environmental standards, which are very important in reducing the population's exposure to disease determinants and pollution risks. Also, the community needs to be involved actively in prevention. A healthy lifestyle, such as eating healthier, doing exercise regularly and by avoiding tobacco and allergens. Secondary prevention in asthma can be done by early detection of occupational asthma which is vital to prevent further progression. According to COPD, they have suggested many programs for early detection of COPD would be cost effective. Even though asthma cannot be cured it can be treated...
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...Prevalence of Asthma in a Primary Care Setting Asthma is a major health problem in the United States as stated by the National Institute of Health, twenty- two million Americans have asthma, and nearly 1.8 million emergency room visits a year is the result of an asthma flare-up. Tem million of people missed work days a year because of asthma and the estimated cost are the healthcare is of $19 billion a year. Asthma is a major cause of missed school days for children and parents to missed work because of their children. Many adults and older children have several respiratory infection each year that may them visit the primary care centers; those who suffers from asthma have exacerbation of his or her medical condition because of this reason (Akinbani, 2010). The purpose of this paper is to analyze the prevalence of asthma in the Hispanic population and the importance of the recognition of risk factors for asthma symptoms, proper assessment, and treatment in the primary care setting. In order to treat this population is crucial to know their culture, believes, and practices to received their cooperation in the prevention and care of their medical condition. Hispanic population traces their ancestry to countries that were previously under Spanish rule, including Mexico, large part of Central and South American, and some Caribbean islands. Many of the Hispanic have variable proportion of European, Amerindian,...
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...Current Health Promotion Pamphlet Health-care is undergoing many problems ranging from politics, insurance, and mandatory regulations. Healthcare agencies are seeking reasons not to pay for hospital visit. These agencies are becoming the major decision maker concerning care given to the patient making hospitals more vigilant. This is warranting most institutions to establish learning needs assessment and appropriate strategies to prevent illnesses and promote public health and awareness of diseases. This public health promotion and health awareness can be spread through several technological enhancements like Internet, newspaper, radio and especially health promotion self explanatory brochures According to American Academy of Allergy Asthma & Immunology (2007) Asthma is the number one leading cause of emergency room visit, missed school and work, disability, morbidity, and mortality rate in the United States. Approximately 34.1 million Americans diagnosed with asthma in their lifetime and 3,384 deaths associated to asthma annually. Asthma accounts for 13million missed school days in children and 10.1million missed work days in adults annually. Approximately 500,000 hospitalizations each year because of asthma and about $19.7 billion of both direct and indirect income lost annually. About 217,000emergency room visits...
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...Asthma An important issue that needs to be further researched in the health care field is Asthma. Asthma is a disease that affects the lungs; it causes wheezing, breathlessness, chest tightness, and coughing (CDC, 2014). Asthma affects children and adults, but is deemed the most common long-term disease among children (CDC, 2014). It is a prevalent disease in the United States affecting 25.7 million people, including 7.0 million children (CDC, 2015). The reason it is important to continue further research on Asthma is because in most cases, the causes remain unknown. With such a large number of people affected by this disease, research related to this issue is important from an organizations perspective. Organizations have the duty to ensure that health care is affordable and accessible to those who are in need of health care. Curing asthma would be a great start in cost reduction; price cuts are a necessary component in making health care more affordable. Research There are a multitude of research applications that can be applied to one’s thinking and decision making as a heath care professional in regards to Asthma. Health care professionals must direct their research to the cause of Asthma. Without knowing the cause, a cure will be obsolete and treatment options will only be help to control the disease, never cure. Programs such as the National Center for Health Statistics and the National Center for Chronic Disease Prevention and Health Promotion are working...
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...Physical Education Apart from the time and effort it may take to come up with an appropriate curriculum, quality physical education is best understood as the way an educator teaches students about the importance of health and wellness, for the reason that its main programs are an effort to create a healthy physical lifestyle for all students. While there are surely more pros than cons regarding physical education, there are issues at hand which teachers, parents, administrators, and students are faced with when providing or receiving quality physical education. Some parents may feel that the standards are set too high, while teachers may feel the standards aren’t high enough. There may be some children who have developmental or health issues, which will require the physical education teacher to reorganize the curriculum. With that said, administrators are basically stuck in the middle as they have obligations to teachers, students, and parents. While quality physical education is of extreme importance, especially within the elementary school setting, there are many issues educators will stumble upon more often than not. Child obesity and asthma are becoming more and more of a problem, which more than likely stems from their home environment, or a health problem. There are budget constraints, teaching methods, and students with special needs. Despite the fact that all of these factors will come about, it is still important to emphasize the importance of quality physical...
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