CU Community Health Program Evaluation Tobacco Prevention and Cessation Plan Paper

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gbz23

Health Medical

Columbia University in the City of New York

Description

You will be asked to explore the issues surrounding program evaluation for community health/population health programs, the importance of having an effective plan to obtain high quality data and information to make decisions, as well as issues surrounding the sharing of such information. This Case Study is for a program evaluation designed to determine whether a direct service intervention program is effective.

Part 1: Program Evaluation (Does not use EHR Go)

Instructions

Answer the questions below based on the Casey Study provided in your course – see Week 8 course content to download the Case Study. While this is not a formal paper, please be sure to cite your sources (you must cite a minimum of at least 1 source) using APA format when providing your answers.

Please note that by completing this assignment you are abiding by the following academic honesty statement:

I hereby attest that by submitting this assignment, that the work and writing are my own, that any direct quotations have been properly cited and that I have properly cited references where I have used someone else’s ideas.

Additional resources for completing Part 1:

Centers for Disease Control and Prevention. (2017). A framework for program evaluation. Retrieved from https://www.cdc.gov/eval/framework/

Measure Evaluation: http://www.measureevaluation.org/

Questions

Answer the following questions about the program evaluation using an established framework for program evaluation.

1. Identify a framework that can be used for the program evaluation and its key features.

2. Who are the potential stakeholders for this program. Please list and indicate why each person, or representative of a group should be included.

3. What strategies will be used to engage the stakeholders with the program evaluation goals, share power and resolve conflicts?

4. Provide a description of the intervention that is being evaluated. What is it that the program is trying to accomplish? What need is the program serving? How does the program fit into the larger goals of the organization?

5. What types of evaluation questions would you ask? Is a formative or summative evaluation most appropriate, or would you use both? Explain your answer.

6. What are the intended results of the program? Specify the outcomes. What will the program need to do to be considered successful?

7. What criteria can be used to judge program performance? What standards of performance on the criteria must be reached for the program to be considered successful? You may use a table for this answer.

8. What evidence will indicate performance on the criteria relative to the standards?

9. What are the sources of the evidence or data for each of the criteria for the program evaluation?

10. What processes could be put in place to make the data collection for the program evaluation is easy to use, valid, and reliable? Reliability refers to the reproducibility of the data. Validity refers to whether the measure is truly measuring the concept, or outcome.

11. How can the program evaluation data be shared with stakeholders? Health care providers? Health information exchanges? Funding agency?

12. Summarize how the health informaticist can create value in the transformation of data to information to support goals of a program evaluation.


HINF 550 Week 8 Assignment – Part 1 Case Study

You are a health informaticist who is a member of a team for a city health department that is charged with developing an evaluation plan for its tobacco prevention and cessation program. The program includes a smoking quit line, chronic diseases program to reduce the burden of tobacco-related diseases and is planning to develop a program to reduce e-cigarette use among youth. The program also provides outreach to provide educational services about tobacco prevention and cessation to members of the community.

The city has a higher rate of smokers than the average for the state and also the national average. Recently, there has been an influx of Hispanic immigrants to the community, but many members of that community are hesitant to use healthcare services. The city is seeking state grant funds to support its work and needs to have a clearly developed plan for evaluation of the program.

Last year, the program was denied grant funds because the evaluation submitted for the use of the previous year’s grant funds was missing data and did not adequately justify the use of the funds. The agency wants to submit a grant application to cover the direct costs of the services and needs to develop a more comprehensive evaluation plan.

Unformatted Attachment Preview

General Instructions for submission of work Provide your answers directly on this activity document as you complete all 3 Parts of this final Week 8 assignment. When you are finished, save this activity document to your device and upload this activity document with your answers to your Learning Management System (LMS), also referred to as Engage. Note that this Week 8 Assignment has 3 Parts: • Part 1 - Answer the Program Evaluation Case Study Questions • Part 2 - Data Visualization • Part 3 - National Data Set Analysis Part 1: Program Evaluation (Does not use EHR Go) Instructions Answer the questions below based on the Casey Study provided in your course – see Week 8 course content to download the Case Study. While this is not a formal paper, please be sure to cite your sources (you must cite a minimum of at least 1 source) using APA format when providing your answers. Please note that by completing this assignment you are abiding by the following academic honesty statement: I hereby attest that by submitting this assignment, that the work and writing are my own, that any direct quotations have been properly cited and that I have properly cited references where I have used someone else’s ideas. Additional resources for completing Part 1: EHR Go Knowledge Activity: Orientation to Data Visualization IV (Informatics) IK1026.2 Archetype Innovations LLC ©2020 1 • • Centers for Disease Control and Prevention. (2017). A framework for program evaluation. Retrieved from https://www.cdc.gov/eval/framework/ Measure Evaluation: http://www.measureevaluation.org/ Questions Answer the following questions about the program evaluation using an established framework for program evaluation. 1. Identify a framework that can be used for the program evaluation and its key features. 2. Who are the potential stakeholders for this program. Please list and indicate why each person, or representative of a group should be included. 3. What strategies will be used to engage the stakeholders with the program evaluation goals, share power and resolve conflicts? 4. Provide a description of the intervention that is being evaluated. What is it that the program is trying to accomplish? What need is the program serving? How does the program fit into the larger goals of the organization? 5. What types of evaluation questions would you ask? Is a formative or summative evaluation most appropriate, or would you use both? Explain your answer. EHR Go Knowledge Activity: Orientation to Data Visualization IV (Informatics) IK1026.2 Archetype Innovations LLC ©2020 2 6. What are the intended results of the program? Specify the outcomes. What will the program need to do to be considered successful? 7. What criteria can be used to judge program performance? What standards of performance on the criteria must be reached for the program to be considered successful? You may use a table for this answer. 8. What evidence will indicate performance on the criteria relative to the standards? 9. What are the sources of the evidence or data for each of the criteria for the program evaluation? 10. What processes could be put in place to make the data collection for the program evaluation is easy to use, valid, and reliable? Reliability refers to the reproducibility of the data. Validity refers to whether the measure is truly measuring the concept, or outcome. 11. How can the program evaluation data be shared with stakeholders? Health care providers? Health information exchanges? Funding agency? 12. Summarize how the health informaticist can create value in the transformation of data to information to support goals of a program evaluation. EHR Go Knowledge Activity: Orientation to Data Visualization IV (Informatics) IK1026.2 Archetype Innovations LLC ©2020 3 Part 2: Knowledge Activity: Orientation to Data Visualization IV (Informatics) Learning objectives 1. Analyze data to identify trends. 2. Evaluate administrative reports using appropriate software. Prerequisites 1. Use of Microsoft Excel® is required to complete this activity 2. This activity is the fourth activity in a sequential 5-activity series. Completion of the activities below is required to successfully complete this activity: • Orientation to Data Analytics I • Applied Data Analytics II • Applied Data Analytics III Student instructions 1. If you have questions about this activity, please contact your instructor for assistance. 2. You will review the de-identified chart that accompanies this activity. Your instructor has provided you with a link to the Orientation to Data Visualization IV (Informatics) activity. Click on 2: Launch EHR to review the patient chart and begin this activity. 3. Refer to the patient chart and any suggested resources to complete this activity. 4. Document your answers directly on this activity document as you complete the activity. When you are finished, you will save this activity document to your device and upload this activity document with your answers to your Learning Management System (LMS). Introduction The goal of data visualization is to extract meaningful insights from data to help with identifying trends, making decisions, and driving change. (Meyer, 2017). In the healthcare field, this may involve analyzing population health data, operational data (like claims and costs), performance data (like length of stay), and other patient health data. With the growth of EHRs, more and EHR Go Knowledge Activity: Orientation to Data Visualization IV (Informatics) IK1026.2 Archetype Innovations LLC ©2020 4 more data are becoming available, and the importance of accurately interpreting results is concurrently on the rise. Methods for data visualization vary from summary tables, to graphs and charts, to sophisticated storyboards and dashboards. Regardless of the type of visual, it’s important to know the target audience and what information they value – then summarize it as clearly and concisely as possible. In general, simpler is better. (Bresnick). This activity and subsequent data visualization activities in EHR Go will use Microsoft Excel®. There are many other software options available and you are encouraged to experiment with using additional tools. Another important aspect of data visualization is accuracy so as not to mislead the audience with how the data are presented. Ensuring your data set is comprehensive, accurate, and unbiased is the first step before beginning to analyze it. Understanding the difference between correlation and causation is critical when drawing conclusions. Correlation is a statistic that describes the relationship of two or more variables. Two sets of data may be strongly correlated but a change in one may not be the cause of a change in the other. Whereas with causation, one event is the result of the occurrence of the other event. (Statistics). A popular example of this in healthcare is that smoking is correlated with alcoholism but is not the cause of alcoholism. However, smoking does cause an increase in the risk of developing lung cancer. (iPerceptions, 2016). If you’re not careful, it’s easy for correlation to confound the results of a study. The activity Review the de-identified EHR that accompanies this activity under 2: Launch EHR and answer the following questions. Microsoft Excel® for data visualization Using the leading causes of death data set provided from the Centers for Disease Control and Prevention (CDC) Data Visualization Gallery website, replicate the chart pictured below to present the results. Then explore other ways to view the data and draw conclusions. In the following steps, the bar chart shown below will be re-created using Excel. Follow each step carefully. EHR Go Knowledge Activity: Orientation to Data Visualization IV (Informatics) IK1026.2 Archetype Innovations LLC ©2020 5 (Tejada-Vera B, 2019). Open the resource CDC Leading Causes of Death Data Set Excerpt (found under 1: Overview & Resources along with this activity document) in Excel. A data set with 5 columns should appear as pictured below. EHR Go Knowledge Activity: Orientation to Data Visualization IV (Informatics) IK1026.2 Archetype Innovations LLC ©2020 6 Making pivot tables Click and drag to select the 5 columns of data. Select Insert|PivotTable. Leave the default settings at the dialog box and select OK. EHR Go Knowledge Activity: Orientation to Data Visualization IV (Informatics) IK1026.2 Archetype Innovations LLC ©2020 7 A new worksheet will open to begin the pivot table process. • • • Use the pivot table to summarize the age-adjusted death rate for each type for the year 2015. To do so: Click and drag the ‘Year’ field to the Filters area. This will allow each year to display. Click and drag the ‘Cause Name’ field to the Rows area. This will list each cause as a row in the table. Click and drag the ‘Age-adjusted Death Rate’ field to the ∑ Values area. It should appear as ‘Sum of Age-adjusted Date Rate’. This will display the total number of deaths for each cause. EHR Go Knowledge Activity: Orientation to Data Visualization IV (Informatics) IK1026.2 Archetype Innovations LLC ©2020 8 • Next, specify the year in the resulting table. Select the dropdown arrow in cell B1 where it currently states ‘All’. Then check the Select Multiple Items box and specify only 2015. Then OK. The data table will automatically update to only show the number of deaths for the year 2015. • Remove the data listing for ‘All Causes’ so the table only displays the specific causes of death. Select the dropdown arrow in cell A3 where it states ‘Row Labels’ and uncheck the ‘All Causes’ option followed by OK. EHR Go Knowledge Activity: Orientation to Data Visualization IV (Informatics) IK1026.2 Archetype Innovations LLC ©2020 9 To create a similar bar graph as displayed by the CDC, the table needs to be sorted to display the lowest number first, instead of alphabetically. • Select the death rate for Alzheimer’s (cell B4). Right click and select Sort followed by Smallest to Largest. The resulting data table should look like this: EHR Go Knowledge Activity: Orientation to Data Visualization IV (Informatics) IK1026.2 Archetype Innovations LLC ©2020 10 Making bar graphs Select any cell in the pivot table then select ‘Analyze’ in the top, center of the Excel window. Choose PivotChart. Select the Bar option then OK. • The chart will be inserted. Move the chart on the page and make it larger (click and drag one of the corners) to see all the data. EHR Go Knowledge Activity: Orientation to Data Visualization IV (Informatics) IK1026.2 Archetype Innovations LLC ©2020 11 • • Adjust the chart to make it more visually appealing. Click on the small legend box on the right where it says ‘Total’ and delete it. • Next, click on the title field where it currently says ‘Total’ right above the bar graph. Type in the new title, “Age-adjusted Death Rates for the 10 Leading Causes of Death: United States, 2015”. EHR Go Knowledge Activity: Orientation to Data Visualization IV (Informatics) IK1026.2 Archetype Innovations LLC ©2020 12 The chart is showing the 10 leading causes. Remove the six least common causes. • Select the ‘Cause Name’ dropdown and uncheck the following causes: Septicemia, Chronic liver disease and cirrhosis, Essential hypertension…,Parkinson’s disease, Homicide, and Pneumonitis... Then OK. The chart will automatically update. • Add some color. Right click on any of the existing bars in the chart and select Format Data Series... EHR Go Knowledge Activity: Orientation to Data Visualization IV (Informatics) IK1026.2 Archetype Innovations LLC ©2020 13 • Select the Fill & Line icon (emptying paint bucket) then select the Vary colors by point option. Hold off on closing this window. • Also use the Format Data Series options to change the thickness of each bar. Select the Series Options (column chart) icon then decrease the Gap Width field to about 10%. Close the window by clicking the small ‘x’ in the upper right. The chart will update. (Note: the colors won’t be the same as the CDC display – that’s okay). EHR Go Knowledge Activity: Orientation to Data Visualization IV (Informatics) IK1026.2 Archetype Innovations LLC ©2020 14 • Next, scale the x-axis. Double-click on any of the x-axis values to open the Format Axis settings. Change the Maximum Bounds to 250. In the Number section, select ‘Number’ from the Category dropdown and select 1 for the Decimal places • Finally, add a label to the x-axis. Click anywhere on the chart then select the Design menu at the top of the screen. Select Add Chart Element then Axis Titles and Primary Horizontal. Click on the new text box that currently says Axis Title and enter the new title “Rate per 100,000 U.S. standard population”. EHR Go Knowledge Activity: Orientation to Data Visualization IV (Informatics) IK1026.2 Archetype Innovations LLC ©2020 15 • Now that the chart is complete, right click on the white space above the chart, just above the title, and choose Copy. Paste the chart into a Word document or PowerPoint and it will appear without the pivot data fields. EHR Go Knowledge Activity: Orientation to Data Visualization IV (Informatics) IK1026.2 Archetype Innovations LLC ©2020 16 Communicating the data One of the most important parts of data visualization is being able to clearly communicate the findings, both visually and through text. Questions 13. Paste the bar graph you created here. 14. Describe the bar graph in 50 words or less. Part 3. Data Set or Chart Analysis (Does not use EHR Go) Instructions: The following questions relate to publicly available data available through the Centers for Disease Control and Prevention. Data.cdc.gov The informaticists in the city health department in the program evaluation section above wants to demonstrate the value of its tobacco prevention and cessation program by using comparative data. 15. Identify a data set or chart from the Centers for Disease Control and Prevention that is related to tobacco prevention and cessation. Provide the full name of the data set or chart and a link to it. Indicate why this data or chart would be useful for comparative data for the program evaluation. 16. What variables or data elements are available in this data set or chart that can be used for this analysis? EHR Go Knowledge Activity: Orientation to Data Visualization IV (Informatics) IK1026.2 Archetype Innovations LLC ©2020 17 17. Identify a specific observation that can be made in examining this data set or chart that would be useful to the city health department. 18. Go back to the week 1 assignment and review the community health needs assessment (CHNA) that you selected for that assignment. Did the CHNA identify tobacco use as a problem in the community? If so, what was the data source and what is the plan for the organization to address the problem? Please provide a link to the CHNA and identify the page number. If the CHNA didn’t identify tobacco use as a problem, does the CDC data set or chart downloaded provide any clues for its lack of inclusion? Submit your work Document your answers directly on this activity document as you complete the activity. When you are finished, save this activity document to your device and upload this activity document with your answers to your Learning Management System (LMS). You answers for all 3 Parts of this assignment should be included on this ONE document. If you have any questions about submitting your work to your LMS, please contact your instructor. References Bresnick, J. (n.d.). Using Visual Analytics, Big Data Dashboards for Healthcare Insights. HealthIT Analytics. Retrieved from https://healthitanalytics.com/features/using-visual-analytics-big-datadashboards-for-healthcare-insights iPerceptions. (2016). Causation vs Correlation – What’s the difference. Retrieved from https://www.iperceptions.com/blog/causation-vs-correlation Meyer, M. (2017). The Rise of Healthcare Data Visualization. Journal of AHIMA. Retrieved from https://journal.ahima.org/the-rise-of-healthcare-data-visualization/ Statistics, A. B. (n.d.). Statistical Language - Correlation and Causation. Retrieved from http://www.abs.gov.au/websitedbs/a3121120.nsf/home/statistical+language++correlation+and+causation Tejada-Vera B. (2019). Leading causes of death: United States, 1999–2017. National Center for Health Statistics. Retrieved from https://www.cdc.gov/nchs/data-visualization/mortality-leadingcauses/index_2.htm (with “Select Data Year” adjusted to “2015”) EHR Go Knowledge Activity: Orientation to Data Visualization IV (Informatics) IK1026.2 Archetype Innovations LLC ©2020 18
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Explanation & Answer

Hi tom23,I have attached the final paper with the original formatting, another with only the answers to every question and an outline.I have really enjoyed working on this assignment as it was so insightful.Thank you for believing in me and allowing me to tackle this assignment for you.I am looking forward to working on more of your future assignments.Feel free to assign any available assignments that you have to me.Hoping to hear from you once you see this.Many many thanks! 😍

Running head: COMMUNITY HEALTH PROGRAM EVALUATION

Community Health Program Evaluation
Student Name
Institution Affiliation

1

COMMUNITY HEALTH PROGRAM EVALUATION

2

Community Health Program Evaluation
Thesis statement: This paper tries explores the issues surrounding program evaluation for
community health/population health programs, the importance of having an effective plan to
obtain high quality data and information to make decisions, as well as issues surrounding the
sharing of such information. This Case Study is for a program evaluation designed to
determine whether a direct service intervention program is effective.
1. Program evaluation framework
a. Impact evaluation
2. Potential stakeholders
a. City health department
b. Program team
c. Youths
d. Chronic and tobacco-ailed patients
e. Local, regional, and city coalitions
f. Funds providing agencies
g. State and city agencies
h. Program critics
3. Strategies on stakeholders engagement
a. Building a participatory program
4. Intervention description
a. Develop a succinct, clear, and terse description of the program
5. Evaluation questions
a. Formative evaluation
6. Intended results
a. Short-term expected results

COMMUNITY HEALTH PROGRAM EVALUATION
b. Intermediated outcomes
c. Expected long-term outcomes
7. Program performance
a. Refining the outcomes
8. Performance evidence
a. Data and evidence collection
9. Evidence sources
a. City people
b. Observations
c. Documents
10. Easy evaluation
a. Validity
b. Reliable
11. Data sharing
a. Recommendations
12. Health informaticist
a. Value in the transformation of data to information

3


General Instructions for submission of work
Provide your answers directly on this activity document as you complete all 3 Parts of this final Week 8
assignment. When you are finished, save this activity document to your device and upload this activity
document with your answers to your Learning Management System (LMS), also referred to as Engage.

Note that this Week 8 Assignment has 3 Parts:
• Part 1 - Answer the Program Evaluation Case Study Questions
• Part 2 - Data Visualization
• Part 3 - National Data Set Analysis

Part 1: Program Evaluation (Does not use EHR Go)
Instructions
Answer the questions below based on the Casey Study provided in your course – see Week 8
course content to download the Case Study. While this is not a formal paper, please be sure to
cite your sources (you must cite a minimum of at least 1 source) using APA format when
providing your answers.
Please note that by completing this assignment you are abiding by the following academic
honesty statement:
I hereby attest that by submitting this assignment, that the work and writing are my own, that any
direct quotations have been properly cited and that I have properly cited references where I have
used someone else’s ideas.
Additional resources for completing Part 1:

EHR Go Knowledge Activity: Orientation to Data VisualizationIV (Informatics) IK1026.2
Archetype Innovations LLC ©2020

1




Centers for Disease Control and Prevention. (2017). A framework for program evaluation.
Retrieved from https://www.cdc.gov/eval/framework/
Measure Evaluation: http://www.measureevaluation.org/

Questions
Answer the following questions about the program evaluation using an established framework for
program evaluation.

1. Identify a framework that can be used for the program evaluation and its key features.

In the development of an evaluation program for the tobacco prevention and cessation
plan, an impact evaluation framework is the best to use. It assesses and gauges the success levels
of the project in terms of the previously stated goals and objectives ("Framework for Program
Evaluation - CDC", 2017). It assesses the evaluated interventions and their effects on the
intended and unintended outcomes. Its proper implementation demands for counterfactuals (with
vs. without) of the possible results when interventions are excluded. Key features when applying
an impact evaluation framework are:
a. Decision to continue with the program evaluation.
b. Identification of the key questions for the evaluation.
c. Program theory embedded evaluation design.
d. Comparison groups to serve the counterfactual purpose
e. Triangulated findings from the program evaluation.

EHR Go Knowledge Activity: Orientation to Data VisualizationIV (Informatics) IK1026.2
Archetype Innovations LLC ©2020

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f. Properly contextualized program evaluation.
Impact evaluation is not feasible when conducted on all projects. Rather, it is feasible in
projects that require evidence with strong bases in different contexts guiding the policy-makers
("Evaluation Frameworks - Rural Services Integration Toolkit", 2020). The case for the
application of this framework is essential when developing an evaluation program for tobacco
prevention and cessation.
2. Who are the potential stakeholders for this program. Please list and indicate why each person, or
representative of a group should be included.

In developing a tobacco prevention and cessation evaluation program that involves
smoking exit lines, reducing chronic and tobacco-related illnesses, and trim down e-cigarette
usage, several collaborations will be involved (MacDonald et al., 2001). The key stakeholders
will include:
a. City health department – the department will support the program evaluation by
requesting support of resources in terms of human resources and finances from the state
and national governments. It will be charged with the program control and
implementation responsibility.
b. Program team – a team from the city health department, will be charged with the role of
conducting the program evaluation plan right from the initial stages to its completion. A
project manager will lead the team, and members will be some staff of the city health
department.

EHR Go Knowledge Activity: Orientation to Data VisualizationIV (Informatics) IK1026.2
Archetype Innovations LLC ©2020

3

c. Youths – the youths addicted to e-cigarettes will be essential stakeholders as efforts of the
program will be driven towards reducing their addiction and usage of e-cigarettes.
d. Chronic and tobacco-ailed patients – sampling patients with chronic and tobacco-related
illnesses will be essential in this program evaluation as the program will try to reduce
their magnitude and frequencies.
e. Local, regional, and city coalitions – Coalitions interested in the reduction of the usage of
tobacco will be critical stakeholders to be involved in this program.
f. Funds providing agencies – these will include the state and national governments that
will provide funds in support of the program.
g. State and city agencies –these would be interested parties, including education agencies,
law enforcement agencies, among others.
h. Program critics – they are essential in the identification of issues around the information
and strategies in the program that would need change or get discredited.
3. What strategies will be used to engage the stakeholders with the program evaluation goals, share
power and resolve conflicts?

The involvement and considerations of the stakeholders' interests and perspective is vital
in pursuing acceptance of the program. They are involved at various levels of engagement.
Engaging the different stakeholders is key to building a participatory program evaluation
approach (MacDonald et al., 2001). The strategies used to involve these stakeholders at the
different levels of engagement include:
a. Stakeholders' identification
EHR Go Knowledge Activity: Orientation to Data VisualizationIV (Informatics) IK1026.2
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b. Stakeholders' roles identification
c. Representation of discrete stakeholders and their organizations.
d. Respect and understanding of the stakeholders' values.
e. Plan creation for the involvement of the stakeholders.
f. Identification of areas requiring the input of stakeholders.
g. Unite the stakeholders as required.
h. Key stakeholders targeting to frequent participation.
i. Evaluation questions suggestions by stakeholders.
It is, however, essential to interact, engage, and involve stakeholders with caution. Their
motives and roles in the program must be well defined to keep in check their progress.
4. Provide a description of the intervention that is being evaluated. What is it that the program is
trying to accomplish? What need is the program serving? How does the program fit into the larger
goals of the organization?

In the evaluation process, it is essential to develop a succinct, clear, and terse description
of the program. By doing this, the purpose, capacity, and activities of the program in reducing
the use of tobacco and improving the health of the city residents will be defined. The description
ensures that all stakeholders have the same understanding intensities on the anticipated
outcomes, implementation, and components of the program. Deeper thinking towards the
program will be fostered. The intervention that will be evaluated here will be the health
predicaments and consequences to the community and the city that result from tobacco use. The
program will assess the intensity of this problem and its magnitude in the city. All the health

EHR Go Knowledge Activity: Orientation to Data VisualizationIV (Informatics) IK1026.2
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troubles arising from tobacco and e-cigarette use will be well determined and the target groups.
In this program, the target groups in the city will mainly be the youths who are addicted to ecigarettes, the patients with chronic and tobacco-related illnesses among other parties. The
program evaluation will determine the trends and changes occurring and will make
recommendations of the same (MacDonald et al., 2001). Available state data will also need to be
considered by the program teams to help address the health aspect of specific community groups.
The program will try to accomplish the following:
a. Prevent tobacco use initiation among the youths and the young.
b. Promote tobacco use exit of both adults and young populace.
c. Eliminate the exposure of nonsmokers from the tobacco smoked environments.
d. Identify and eliminate all tobacco use related disparities and the potential effects in the
city and diverse groups.
With the primary goal of the program being the elimination of the exposure to tobacco
smokes environments; it will serve the following needs:
a. Develop a smoking exit plan
b. Develop a chronic disease program that will be aimed at reducing the tobacco-related
illnesses burden.
c. Develop a plan that reduces the e-cigarette addiction and use among young people.
d. Develop an outreach plan that is educative on pre...


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