Assessment 2 | Report
Vulnerable groups diabetes profile
In this assessment, we ask you to examine the demographic and current health status profiles of the 2770 postcode geography and identify which groups you think might be more or less vulnerable to diabetes and its clinical and social consequences. We have defined the characteristics of ‘vulnerability’ in module 3 of this subject. Feel free to use that model of vulnerability but if you modify it, remember to explain how and why you have done so.
This assessment task addresses the subject learning objectives:
A: Consider the key imperatives for meeting health service objectives related to safety, quality, cost-effectiveness and jurisdictional legislative requirements within a governance context;
B: Critically appraise contemporary strategies and frameworks designed to manage quality, risk and cost within the healthcare environment;
C: Propose improvements in safety, quality and cost-effectiveness at a local healthcare organisation level by identifying issues, considering ethical implications, offering policy direction and formulation and recommending priorities for action;
D: Create a variety of ways in which complex issues can be effectively communicated for a variety of target audiences.
Course intended learning outcome(s):
1.1 Critique, interpret and synthesise data and research findings to develop safe, effective and creative evidence-based solutions to healthcare challenges.
1.2 Propose relevant problem solving and human factors theories to the analysis and research of common and complex issues inherent in the management and evaluation of healthcare services.
2.2 Develop and contribute to research and quality improvement activities in order to maintain currency, influence healthcare practice and policy and expand the discipline’s body of knowledge and skills.
3.1 Create and lead social and ethical accountability to ensure efficient use of resources and equity of access to optimal and safe health care.
3.2 Validate the importance of integrating stakeholder partnerships in all healthcare decision-making activities.
5.1 Demonstrate respect and value for world view differences and in particular Australian Indigenous ways of knowing, being and doing.
5.2 Critically reflect upon the impact of ongoing colonisation and its pervasive discourse on Indigenous Australians and their health and wellbeing.
5.3 Recognise the diversity of Indigenous Australians and integrate this knowledge into practice.
Length: 1500 words (Reference list is not included in the word count)
References: APA 7th* (No minimum number or range of references.)
Formatting requirements: 12pt, double-spaced - no other requirements.
Scenario: Diabetes in Postcode 2770
Chronic disease is a major concern in Australia and across the world.
Population ageing, rising disability and complex and co-morbid conditions have profound impacts on people’s lives including individuals, families and communities. They are also expensive to treat and can follow a progressive, episodic pathway to increased frequency and severity, up to and including acute interventions.
Diabetes in 2770:
One of these conditions is diabetes, especially Type 2 diabetes which is growing in prevalence in many communities across Australia. General Practice data indicates rates have been rising, not falling, in recent years.
2770 has a very diverse community with a substantial Indigenous population and an immigrant demography with many cultures, languages and cultural backgrounds. It is also, generally speaking, a lower socio-economic environment although urban development is pushing west into the 2770 area, and more medium to high rise apartments are being built.
As health managers involved in clinical services, programs and event-specific projects, this is the kind of scenario you will encounter as you progress in your career. If you work in aged care, disability and related fields, these health problems will often be major factors in your client’s lives.
Demographic map for 2770
This document downloadprovides a couple of maps and a link to the Australian Bureau of Statistics. See the link below:
2016 Census Community Profiles: 2770, NSW (abs.gov.au)
1. Briefly define your definition of vulnerability and its connection to chronic disease and diabetes in particular in approximately 250 words.
2. Identify which demographic groups in the postcode 2770 you think are likely to meet these criteria for intersecting vulnerability status and diabetes risk in approximately 250 words (you can use data here, as long as it is kept brief).
3. Suggest some options (these could be one or a mix of clinical, non-clinical, policy-based, service-based or community-focused) for improving effective management of (rising) levels of diabetes in 2770 community in approximately 500 words.
4. Identify how these steps might improve quality outcomes, risk management and community benefit in 2770 in approximately 500 words.
Assessment 2: Vulnerable groups diabetes profile
Assessment 2: Vulnerable groups diabetes profile
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeIdentify, describe vulnerable groups from a health service perspective.
Identifies and describes vulnerable groups or groups at risk of diabetes in postcode 2770 from a health services perspective. 40 to 34.0 pts
HD (High distinction)
A succinct, clear and comprehensive description of and rationale for original ideas for the management of chronic diseases in the case study community from a health services perspective. Justifies choice of an approach based on scholarly, government and institutional literature and resources. 34 to 30.0 pts
Clear description and rationale for selection for original ideas for the management of chronic diseases in the case study community from a health services perspective. Correct use of evidence-based literature for justification. 30 to 26.0 pts
Description and some rationale for the selection of original ideas for the management of chronic diseases in the case study community from a health services perspective. The use of evidence-based literature is adequate to justify selection of approaches however, further reading would enhance this section 26 to 20.0 pts
Basic explanation of Ideas for the management of chronic diseases in the case study community description. Rationale is and or health services perspective is limited. There is a superficial attempt to justify the use of approaches based on evidence from the literature. 20 to 0 pts
No/unclear explanation of ideas for the management of chronic diseases in the case study community from a health services perspective. And/or no or irrelevant use of evidence-based literature to justify the selection of approaches.
This criterion is linked to a Learning OutcomeIdentify, use data to support argument
Identifies and utilises data in a way which is brief, relevant and informs the argument 30 to 25.5 pts
HD (High distinction)
Correct identification and use of data, which is described succinctly and clearly and which clearly supports their argument for their selection of groups more or less vulnerable to diabetes. Draws on scholarly, government and institutional literature and resources. 25.5 to 22.5 pts
A clear description of the data used to support their argument for their selection of groups more or less vulnerable to diabetes. Correct use of evidence-based literature. 22.5 to 19.5 pts
Description of the identification and justification for their selection of groups more or less vulnerable to diabetes. Use of evidence-based literature is adequate to support this section however, further reading will enhance this section. 19.5 to 15.0 pts
A basic explanation of identification and justification of the selection of groups more or less vulnerable to diabetes. There is a superficial attempt to use evidence-based literature in this section. 15 to 0 pts
No/unclear explanation of identification and/or justification of the selection of groups more or less vulnerable to diabetes, or no groups selected. And/or no or irrelevant use of evidence-based.
This criterion is linked to a Learning OutcomeManagerial perspective
Maintains a managerial (rather than clinical) perspective 20 to 17.0 pts
HD (High distinction)
Maintains a managerial perspective throughout the assignment. 17 to 15.0 pts
Maintains a managerial perspective through the majority of the assignment. 15 to 13.0 pts
Maintains a managerial perspective through most of the assignment. 13 to 10.0 pts
Demonstrates a managerial perspective in the assignment. 10 to 0 pts
Limited or no managerial perspective in the assignment.
This criterion is linked to a Learning OutcomeGrammar, style, referencing
Produces a document utilising correct grammar, spelling, formatting, style and reference list 10 to 8.5 pts
HD (High distinction)
Fluent writing style with consistent formatting, use of headings and sub-headings, and accurate referencing. 8.5 to 7.5 pts
Clear language with consistent formatting, use of headings and sub-headings, and accurate referencing. 7.5 to 6.5 pts
Generally clear language with mainly consistent formatting and few errors in referencing. 6.5 to 5.0 pts
Writing is less clear, with deficits in spelling, grammar, punctuation or referencing. Inconsistent formatting. 5 to 0 pts
Writing is unclear, with numerous deficits in spelling, grammar, punctuation, formatting, or referencing.
Total Points: 100
Guide from assessor:
The word allocation is just a GUIDE. You will not be penalised for writing 300 words in one place and 450 in another. The four steps in the description are meant to assist you in staying within the 1500 word limit which. This means you need to focus on quality and conciseness rather than length and that is a good skill to have. The rubric covers some of the other key points such as use of data (you can appendicise data if that helps you stick to the work count) and obviously we mark for content, quality, academic referencing and the usual things on this subject and elsewhere across the course.
-Step 3 is about identifying a mix (and NOT just the clinical) steps for potentially intervening in the progressive rise of diabetes prevalence in 2770. This is a local area focus for a lot of reasons including convenience for students but also to practice the kind of project management focus a lot of managers will be involved in the early stages of their managerial careers. Step 4 is about explaining how the elements in step 3 are likely to impact on the quality of outcomes in that community in relation to diabetes, improve risk management (because this subject's focus includes vulnerabilities, risks, quality, and safety issues/concerns) and community benefit (not always a focus of the acute system with its treatment emphasis). So, in step 4 you have an easy 3 points of focus for you connecting from step 3's proposed activities.-
On a final note, I should emphasise, this is a practice activity - no one expects to you 'fix' diabetes in 2770 or anywhere else. What we are exploring and developing is an understanding of the complexities of chronic disease in society and the role that managers may find themselves in once they step outside of their traditional clinical roles.
One of the other 'learnings' we are trying to develop is an appreciation of what other disciplines bring to the health equation in developing our understanding of complex societal problems and they may be better addressed - and why sometimes they persist so unequally and even intractably. One of the geriatricians I used to work with said that health problems were often the outcomes of other things - poverty, inequality, poor care, poor decisions, societal indifference etc.
Community Demographic Profile of 2770
You can find the demographic profile of 2270 at the Australian Bureau of Statistics.
Parks and Open Spaces in the 2770 Area
General Practitioners in the 2770 Area