In addition to a variety of learning activities, there are 3 instructor-evaluated activities associated with PH 417: (1) complete the individual exercise; (2) participate in a multi-learner conferencing exercise; and (3) complete and submit the assessment quiz. Each of these is explained below.
Learning Activities (Note: these ARE NOT to be submitted!)
A series of individual learning exercises for this module are provided below. Completing these exercises will familiarize you with the knowledge, skills and attitudes that relate to the competency expectation for this module that is described above. Note that learners are not required to submit written response for these learning exercises. Completing these exercises, however, will prepare you for components of this module that are assessed and scored.
Read Chapter 7, Public Health: What It Is and How and Works, 3rd Edition.
Each learner will submit a response to the following exercise. Produce your response on a separate document to be uploaded at the "Submit Assignments" link. Please use "PH 417 Individual Exercise" as the title of your submission.
Complete the following activities related to program development and evaluation. These call for you to develop an appropriate intervention by formulating a problem statement, analyzing the problem for its determinants and contributing factors, establishing outcome, impact and process objectives, developing a work plan and budget, and designing an evaluation strategy. Each student will complete and submit the information required for Exhibits 1 through 5, as described below, PLUS an Executive Summary of their proposal (not to exceed one page). The completed exhibits (or equivalents) will be judged based on how well you develop the problem statement, desired outcome objective, problem analysis, objective setting, work plan, and evaluation plan. The Executive Summary will be judged on how effectively the arguments for your proposal are communicated.
You have been staffing a citywide planning group that has proposed priorities for the city's Health Improvement Plan at the request of the Mayor. The priority setting process has progressed well and priorities have been defined. To that end, the Mayor and City Council have assured an appropriation of $1,000,000 for the next fiscal year to begin an intervention program for "Health Problem X." (Each student will select the health problem that they will address. Consider a health problem identified as a priority by one or more of the groups from the Module 6 Conferencing Exercise or some other health problem that you believe is important.). The overall goal is to reduce mortality and morbidity due to Health Problem X in the City of Chicago. All of the available resources are to be directed toward this goal.
A. State the Health Problem and the Desired Outcome Objective: You should identify and access whatever information and data you believe is necessary for you to be able to:
- Characterize the current state of the art for control of Health Problem X
- Develop a carefully designed problem statement that includes the magnitude and extent of the problem, the population at risk and pertinent trends
- Determine the resources available to address the problem and any additional resources that might be needed, and
- Develop a desired outcome objective for the health problem
Then, record your problem statement and desired outcome objective in a format similar to Exhibit 1
General Format for Exhibit 1
Health Problem Statement:
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Desired Outcome Statement:
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B and C. Develop an Intervention Strategy and Impact Objectives: After completing the following activities, record your work in a format similar to that of Exhibits 2 and 3.
- Analyze Health Problem X in terms of the factors most amenable to intervention
- Identify the two most important determinants, and for each, two major contributing factors
- Upon completion, this logic model should describe potential pathways through which mortality from Injury X can be reduced. Record your 2 determinants and their contributing factors in a format similar to Exhibit 2. (Refer back to Chapter 2 of the text for a description and illustration of the health problem analysis model.)
- Develop an intervention strategy that would address one or both determinants for the health problem. To do so, select one determinant and its associated contributing factors for which to develop an impact objective and at least 2 process objectives. Consider the state of the art and available resources in developing your objectives. Record your impact objective on Exhibit 2 and the 2 process objectives on Exhibit 3.
- Examine the projected impact objective and the associated process objectives. On the basis of these objectives, evaluate the desired outcome objective and modify it as needed to develop the expected outcome objective. Record the expected outcome objective on Exhibit 2.
General Format for Exhibit 2
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Determinant A:
Impact Objective for Determinant A: |
Contributing Factor A-I: Contributing Factor A-II: |
Health Problem:
Expected Outcome Objective for Health Problem:
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Determinant B:
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Contributing Factor B-I: Contributing Factor B-II: |
General Format for Exhibit 3
Contributing Factor I: Process Objective:
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Contributing Factor II: Process Objective:
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D. Develop a Work Plan: After completing the following activity, develop a summary of the work plan to achieve each process objective in a format similar to Exhibit 4. For each of the process objectives identified above, specify the major tasks (activities) that must be performed by program personnel to achieve the objective, such that:
- The tasks are in logical sequence and will lead to the achievement of the process objective
- The person(s) or position(s) generally responsible for each task is (are) identified
- Necessary deadlines are specified
- The budget of $1,000,000 is not exceeded
General Format for Exhibit 4
Tasks |
Who |
When |
Cost |
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E. Develop an Evaluation Strategy: Prepare a summary report of the evaluation plan as part of your report, addressing questions such as "What is the evidence that this intervention approach will really work?" and "How will we know that this valid approach is really working in this situation?"
- Describe how you will evaluate each of the following: activities, process objectives, impact objective, and outcome objective. For each evaluation process include information on items to be measured or counted, sources of information, and periodicity of monitoring.
- Assume that you achieve all of your process objectives and that your outcome objective is (a) 80 percent achieved and (b) 40 percent achieved. Discuss the appropriate actions based on these evaluation scenarios.
General Format for Exhibit 5
Summary of Evaluation Strategy:
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Action Plan for 80% Achievement Level:
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Action Plan for 40% Achievement Level:
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F. Develop an Executive Summary: You may develop your Executive Summary in any way that you choose, but it should summarize the problem (why is this important?), the approach (what will be accomplished?) and how progress and success will be tracked. The Executive Summary should be developed in a format suitable for submission to the Health Committee of the Chicago City Council and should be brief (about 300 words).
Add your contributions to this multi-learner conferencing exercise after reviewing any available submissions by other learners. Produce your response on a separate document to be uploaded at the "Submit Assignments" link. Please use "PH 417 Conferencing Exercises" as the title of your submission.
Review the current recommendations of the Task Force on Community Preventive Services. These are published and updated periodically as the Guide to Community Preventive Services. Then select an innovative program from APHA's Public Health Innovation Exchange that provides some form of community preventive service. Based on the Guide to Community Preventive Services, is this innovative program recommended as one that is based on solid evidence of effectiveness? If not, explain why.
Follow the LearningSpace link to the Assessment Quiz. You may be asked for your login ID and password to access the quiz through your Preparedness Center Personal Page. Complete the quiz and submit your responses. You make take the quiz several times.
Course Evaluation: All learners are asked to electronically complete a Course Evaluation Questionnaire; this is available to you as an electronic form and will be transmitted to a data base without your identity being known, and your instructor will have no way to link your identity to your comments. Before participating in these course evaluation activities, students should review the specific learning objectives established for this course (and others you may have taken as part of this series); these are available in the Syllabus. Evaluation of the course should focus on the extent to which these objectives were achieved.
PH 417 Exercises last revised June 30, 2005 (dkapadia)