LA+8

Note: this was cut and paste from a Word document that Tina and I completed in class. I will also post this on Black Board if you find the formatting difficult to follow. -CM

Part A
 * 1) 1. The Office of Nursing Policy (ONP) was created to strengthen focus on nursing policy issues within Health Canada.
 * 2) 2. It is responsible for advising Health Canada on the nursing perspective for various policy issues and programs that contribute to formation of health policy and program development and working with the nursing community to develop advice to the Minister and the department.
 * 3) 3. The ONP has raised awareness to the short supply of nurses by increasing placements in nursing schools. They have also developed strategies to build collaborative practice environments to increase the quality of the workplace.

Part B
 * 1) 1.
 * 2) a. Health determinants that apply to our scenario include:
 * Creating supportive environments- E-health technology improves support systems for the community by increasing accessibility and the overall level of care, especially for those that live in remote places or have difficulty finding appropriate transportation.
 * Reorienting health services- E-health technology changes the current style of home care, by eliminating physical visits to a more productive and efficient way of caring for clients through the use of technology.
 * 1) b. Principles of population health and how they would guide our project
 * Evidence based decisions- make decisions about project based on relationship between health determinants and health. E.g. acknowledging that some of the older adult population may be of lower income and lack resources for transportation
 * Multi-level and multi-sectoral responsibility- identify issues and coordinate action to address population health issues. E.g. communicate about project plans to nursing and healthcare leaders
 * Partnerships- working together with individuals, organizations, businesses, service systems, and government to achieve goals. E.g. partner together with technology support workers to understand e-health technology so we are better able to serve the community
 * Shared accountability- each sector is accountable for health outcomes. E.g. as nurses we are accountable for delivery of health care services and also hold others accountable for their.
 * Upstream focus- prevent and reduce future health problem. E.g. treating clients earlier in the stages of their illness and therefore decreasing potential of worsening health status
 * <span style="font-family: 'Times New Roman',serif; font-size: 12pt;">Equity- Provide equal opportunity for older adults to access Telehealth
 * <span style="font-family: 'Times New Roman',serif; font-size: 12pt;">Holistic view of health
 * 1) <span style="font-family: 'Times New Roman',serif; font-size: 12pt;">c. Population health process
 * <span style="font-family: 'Times New Roman',serif; font-size: 12pt;">Assessing the health of population- we would speak to the older adult population, the nurses involved (home health team), and other people that are involved in the community to find out more information about the health status of this population group.
 * <span style="font-family: 'Times New Roman',serif; font-size: 12pt;">Deciding appropriate strategy- based on feedback and review of research, we could determine the best strategy to take for this project
 * <span style="font-family: 'Times New Roman',serif; font-size: 12pt;">Taking an action- first we would involve IT and nursing leader to set up the appropriate Telehealth program for the home health team and their clients to use. We would implement the Telehealth pilot project by taking it into the community, involving only a few nurses and a small client group.
 * <span style="font-family: 'Times New Roman',serif; font-size: 12pt;">Evaluating outcomes- communicating with the involved parties (nurses, clients, and IT) and gathering feedback about the project. E.g. what improvements should be made? What went well? Did it increase nurses contact with clients and improve their health as a result? What are the disadvantages?
 * 1) <span style="font-family: 'Times New Roman',serif; font-size: 12pt;">d. We are located at steps 4-6, public awareness, political engagement, and interest group activation. Our action plan is focus on steps 4 and 5 of the policy design process, choosing instruments and adopting & implementing the policy. Choosing instruments refers to using the most relevant and effective Telehealth technology and forming an appropriate staff and team. Adopting and implement the policy refers to forming policies for this program that will help deliver and implement home health services to the older adult population. Our political allies and interest groups include the federal and provincial government, local health care authority (VCH), local community center, home health team, organizations that support older adults, and CNA, CNO, and BCNU.