NURS 6720 Week 6 implementation plan example

Evenings, Saturdays and a Clean List First: How the Catch-Up Outreach Program Will Run

Student Name

College of Nursing, Walden University

NURS 6720: Population-Based Public Health Nursing Interventions

Instructor Name

Month Day, Year

Evenings, Saturdays and a Clean List First: How the Catch-Up Outreach Program Will Run

Purpose

This plan describes how the selected intervention, registry-based reminder and recall by bilingual community health workers followed by public health nurse home visits, will reach the program's families: those with a child younger than 12, resettled here within three years, whose registry record still shows an unfinished catch-up series. It covers who does the work, where and when contact happens, what it costs and who is assumed to pay, and the order in which the program starts. Every element is tied to one of the five objectives set in Week 5. The program and its budget are illustrative, and each funding line is labeled known, estimated or assumed so a reviewer can see where the plan is exposed.

Staffing

Table 1

Roles, Time, Duties and Supervision

The two community health workers are recruited from the aggregate's two largest language communities, and each speaks at least one other language common among the families.

Why the Roles Are Set This Way

Community health workers carry most of the contact because the evidence review found that personal outreach reaches families that letters and automated calls do not (Rodewald et al., 1999), and because workers who share a family's language and experience can answer questions a reminder cannot. The nurse's half-time role is sized to Process Objective 2: at the expected referral rate, one nurse working half time can complete about eight visits a week, enough to reach 75% of referred families within nine months. The registry analyst's hours are small but essential, since every contact list depends on the analyst's review.

Where and When Contact Happens

Table 2

Delivery Sites and Hours

Resources and Funding Assumptions

Table 3

Cost Categories and Assumed Sources

Known means a source exists and the program qualifies; estimated means the source exists but the amount must be negotiated; assumed means the source has not yet agreed.

The Vaccines for Children Line

Vaccine for eligible children is assumed to come through the federal Vaccines for Children program, which since 1994 has covered the cost of vaccines for children whose families might not otherwise be able to afford them, supplying vaccine to enrolled providers (Zhou et al., 2024). The plan does not describe eligibility rules or ordering, which belong to the program's own guidance and the partner health center. It names the line as known because the partner center is enrolled and most children in the aggregate are expected to be eligible, but each child's eligibility is confirmed at the visit.

Training and Data Sharing

Before any contact, the community health workers complete training in three areas: the program's contact protocol and log, how to explain catch-up vaccination without giving clinical advice, and how to protect families' information. The nurse leads the training, and the immunization program provides a session on the registry. A data sharing agreement between the health department and the resettlement agency sets out what contact information the agency may share, for what purpose and how it will be protected, since the agency often holds more current phone numbers and addresses than the registry. Immunization information systems are designed to support exactly this kind of reminder and recall work, but only when their records are accurate and linked to current contact details (Groom et al., 2015).

Phased Start

The program starts in three phases. Phase one, the first three months, is registry cleanup: the analyst reviews every open-series record on the first list for duplicates, merges confirmed duplicates and enters overseas records families have already provided. No calls are made until this phase ends, because reminders generated from records that split one child into two would reach families whose children are complete and miss those who are not. Phase two, from the fourth month, begins community health worker calls and drop-in contact. Phase three, from the fifth month, begins nurse home visits for families referred after unsuccessful contact. Each phase has a named owner, the analyst, the community health workers and the nurse, and the nurse reviews progress against the process objectives at the end of each month. If phase one runs late, the start of calls moves with it rather than overlapping, and the delay is reported to the immunization program manager so the first quarterly report explains why contact began later than planned.

References

Groom, H., Hopkins, D. P., Pabst, L. J., Murphy Morgan, J., Patel, M., Calonge, N., Coyle, R., Dombkowski, K., Groom, A. V., Kurilo, M. B., Rasulnia, B., Shefer, A., Town, C., Wortley, P. M., & Zucker, J. (2015). Immunization information systems to increase vaccination rates: A Community Guide systematic review. Journal of Public Health Management and Practice, 21(3), 227-248. https://doi.org/10.1097/PHH.0000000000000069

Rodewald, L. E., Szilagyi, P. G., Humiston, S. G., Barth, R., Kraus, R., & Raubertas, R. F. (1999). A randomized study of tracking with outreach and provider prompting to improve immunization coverage and primary care. Pediatrics, 103(1), 31-38. https://doi.org/10.1542/peds.103.1.31

Zhou, F., Jatlaoui, T. C., Leidner, A. J., Carter, R. J., Dong, X., Santoli, J. M., Stokley, S., Daskalakis, D. C., & Peacock, G. (2024). Health and economic benefits of routine childhood immunizations in the era of the Vaccines for Children program: United States, 1994-2023. Morbidity and Mortality Weekly Report, 73(31), 682-685. https://doi.org/10.15585/mmwr.mm7331a2