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A.   Provide a 3-5 sentence introduction describing the selected county, including the county and state and the overall health outcome ranking.
The introduction is provided, including the county and state of interest, the overall health outcome ranking, and 3–5 sentences describing the county.
Note: The overall health outcome ranking is found on the County Health Rankings & Roadmaps website in the County Health Outcomes section.   Review the bubble graph in the County Health Outcomes section to determine if your selected county is ranked at, below, or above the state average.  
B.   Complete the “Sociodemographic Profile” section by doing the following:
1.   Provide a screenshot of the state map with your chosen county highlighted. Include the screenshot as a labeled figure (Figure 1).
The screenshot of the state map is provided with the chosen county highlighted and is labeled correctly.
Note: Include the source of your map.
2.   Complete Table 1, “Sociodemographic Profiles for [County, State] and the United States,” by providing data for each of the listed population characteristics for both the selected county and the United States using the “Census.gov QuickFacts” web link.
All of the population characteristics for the chosen county and the U.S. are provided in Table 1, and each characteristic is accurate.
Note: Include the source of your data.
3.   Discuss the data provided in part B2, comparing the county data to the United States data, and summarize your findings.
The discussion of the data from part B2 is provided, compares county data to U.S. data, and includes a summary of findings.
C.   Complete the “County Health Outcomes” section by doing the following, using the “County Health Rankings” web link for charts and data:
1.   Select seven health trends for the chosen county, and provide one trend graph for each health trend, resulting in a total of seven health trend graphs. Include these health trend graphs as labeled figures (Figures 2–8).
1 trend graph for each of the 7 selected health trends is provided and labeled correctly.
Note: Include the source of your graph. You may copy and paste an existing graph from anywhere on the “County Health Rankings & Roadmaps” website (such as health behaviors, clinical care, social and economic factors, and the physical environment) if available. If a trend graph is not provided for a selected health trend, you will need to create a trend graph for that health trend using an application of your choice (e.g., Excel). Created trend graphs should include your selected county and state data along with the United States data and show a trend of data over time.
2.   Complete the “County Health Trends and Rankings Discussion” subsection by discussing each of the seven health trends selected in part C1, including what the health outcome is and whether each trend is improving, worsening, or remaining stable.
D.   Complete the “Health Factors” section by doing the following, using the “County Health Rankings & Roadmaps” web link for data:
1.   Complete Table 2 by providing data for each of the listed factors influencing health for the selected county, the state, and the United States.
Data for each of the factors influencing health in Table 2 is provided for the chosen county, the state, and the U.S., and all of the data are accurate.
Note: Include the source of your data.
2.   Discuss the purpose of comparing county health ranking data to both state and United States data.The discussion on the purpose of comparing county health ranking data to both state and U.S. data are provided.
3.   Discuss successes and challenges for the selected county when comparing the data to the state and United States.The discussion of successes and challenges when comparing your selected county data to state and U.S. data is provided.
Note: Review selected county data using Table 2.
E.   Complete the “Analysis and Proposal” section by doing the following:
1.   Complete the “Significant Findings” subsection by summarizing one of the seven health trends selected from part C1 that has the potential to be improved by the creation of a service or program.The summary of a health trend from part C1 that has the potential to be improved by a created service or program is provided.
2.   Complete the “Service or Program” subsection by creating a new service or program that may be introduced by the advanced professional nurse in the county to address the identified health trend from part E1.The new service or program that could be introduced by the advanced professional nurse in the county has been created, and the service or program would address the health trend identified in part E1.
3.   Complete the “Action Plan” subsection by describing the initial steps needed by the advanced professional nurse for planning and implementing the service or program created in part E2.The description of the steps needed by the advanced professional nurse to plan and implement the service or program from part E2 is provided. The steps described are complete and relevant, and they would contribute to the implementation of the service or program.
4.   Complete the “Raising Public Awareness and Promoting Public Engagement” subsection by discussing how the advanced professional nurse could use two forms of technology to raise public awareness of and promote public engagement in the service or program from part E2.The discussion of how the advanced professional nurse could use 2 forms of technology to raise public awareness of and promote public engagement in the service or program from part E2 is provided.
5.   Complete the “Evaluating the Service or Program” subsection by describing how you would evaluate the effectiveness of your program. Include the data collection tool that could be used to visually represent your collected data.The description of how the effectiveness of the service or program from part E2 will be evaluated and the data collection tool that could be used to visually represent the collected data are provided.
Note: Refer to page 61 in the course of study to review information on data visualization.
F.   Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.
G.   Demonstrate professional communication in the content and presentation of your submission.
The submission includes in-text citations for sources that are properly quoted, paraphrased, or summarized and a reference list that accurately identifies the author, date, title, and source location as available.Content reflects attention to detail, is organized, and focuses on the main ideas as prescribed in the task or chosen by the candidate. Terminology is pertinent, is used correctly, and effectively conveys the intended meaning. Mechanics, usage, and grammar promote accurate interpretation and understanding.

Activity 6
Health and Human Services
A community assessment begins with a basic windshield survey where each community subsystem is explored.  Health and human services are resources necessary to maintain and enhance the health and well-being of individuals and families.  Meet with Mayor Franklin Hill who will provide additional insights into these subsystems. 
Click on the Enter Sentinel City® continue your virtual experience by taking a bus tour of Sentinel City®.  Feel free to choose any bus speed and/or get off the bus at any time to walk around.  As you take the tour, write down your observations, specifically focused on the following subsystems: health and social services.  Compile your observations and any demographic information addressing each item listed in the first column of the rubric.  You are encouraged to add other relevant characteristics you observe that may not be listed in the first column as you complete this activity. 
Reading and Resources
DeMarco & Healey-Walsh (2020) Read Chapter 19
Visit World Health Organization – Determinants of Health
Visit Healthy People 2020 Determinants of Health
Visit Healthy People 2030 Objectives
Visit Health Disparities
Find the health rankings for the county where your practice learning site is located by visiting: “Health Rankings for Your State & County”  
Watch the Levels of Prevention Video
Additional Instructions
Listen to Windshield Survey Guidelines and Tips
Play Video
All submissions should have a title page and reference page.
Utilize a minimum of two scholarly resources.
Adhere to grammar, spelling and punctuation criteria.
Adhere to APA compliance guidelines.
Adhere to the chosen Submission Option for Delivery of Activity guidelines.
Submission Options for Delivery of Activity
*Choose one option
Instructions
Paper
2 to 4-page paper. Include title and reference pages.

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