Organizational Systems and Structure in Healthcare

 

• Read “Case Study 1” p. 12 – 22, located in Lovasi, G., Bader, M., Rundle, A. & Neckerman, K. (2018). Healthy and unhealthy food sources in New York City. In R. A. Hiatt (Ed.), Population health: The translation of research to policy case studies and commentary https://www.milbank.org/wp-content/uploads/2018/09/MMF-HHS-The-Case-Studies-all.pdf. Robert Wood Johnson Foundation. Milbank Memorial Fund.
Respond to these Discussion prompts:
Choose one or two commercial blocks near your home or employer (look for a commercial block near to HCA Florida Mercy Hospital) and list the food outlets (stores and restaurants) on these blocks. Include all stores that sell food, even if they are not grocery stores or restaurants. If there are food trucks or sidewalk stands that sell food regularly, include these as well.
• Which outlets should be considered “healthy” or “unhealthy” and why?
• Based on the research described in the case study, what local policies (if any) would you recommend to make this micro-food environment more supportive of healthy eating?
• Apply this content in your practice this week by actually doing an assessment with a patient, client, or co-worker. Assess any food insecurity or healthy food access issues that may impact their health. What strategies did you use (or could use) with your clients (or coworkers if you do not work in direct client care) to promote a healthy intake?

Organizational Systems and Structure in Healthcare

Discussion: Organizational Systems and Structure
The World Health Organization defines social determinants of health as the conditions in which people are born, grow, live, work, and age. Social determinants of health influence the health of a community, and in turn they also influence what is needed from healthcare organizations.
In your discussion, this week, include the following:
• Discuss how economic, environmental, social, and demographic factors contribute to the evolution of healthcare organizations located within communities that have vulnerable populations.
• How are nurses and nurse leaders uniquely positioned to foster positive relationships between healthcare systems and local communities?
• Consider a healthcare organization within which you currently work or have previously worked. Did that organization develop community partnerships that addressed the needs based on social determinants of health? If so, what were they? If not, what partnerships would you recommend?