Procedure
I n i t i a l A D V O C A T E Selection
PURPOSE
This Operational Statement describes the alternative scenarios that could identify and arrange for the mentoring assistance of the initial functions by a community’s Advocate Panel, viz., Community HEALTH Forum. Initially, it is possible that an Advocate Panel might begin its function in the absence of a Congressionally Chartered mandate for NATIONAL HEALTH. Without a Congressionally Chartered NATIONAL HEALTH, this Operational Statement could become an initial template for guiding the unique formation of a Community HEALTH Forum within any State.
Given the diversity of circumstances involving the local conditions underlying 729 or more HEALTH Forums, the formation and evolution of their improvement are likely to be highly variable. Ideally, the average hospital days for each resident person for every Community HEALTH Forum will decrease steadily despite our aging population. With the widespread acknowledgment of hospitalization trends (viz., a reverse social capital surrogate) and each community’s improvement of their Survival Commons, the hospitalization usage is likely to drop slowly but steadily over five years in association with the functions of a co-occurring Forum.
Each HEALTH Forum would eventually search for regular opportunities to collaborate with their adjacent communities for enhancing each other’s respective Community HEALTH Plan. This collaboration would offer opportunities to acknowledge each other’s progress with certain collective action strategies for improving population HEALTH.
GLOBAL INSTITUTIONAL TASKS
I. ORGANIZE SYSTEMS
A. Recognize the presence of coincidental factors that may promote a sustainable CommunityHEALTHForum should their social networks already demonstrate a commitment to Primary and Secondary Education, early childhood education, juvenile justice, locally-originating disaster mitigation projects, and solvent retirement funding by locally-originating public institutions.
B. Recognize the willingness of a small group of resident persons from among the community’s public and private institutions
- to initiate a preliminary CommunityHealthForum,
- to serve briefly as its initial governing body while they complete a feasibility evaluation, and if applicable,
- to select the Advocates for a permanent CommunityHealthForum including provisions for their Global Institutional Tasks.
C. Chose the initial population base for the Forum based on the occurrence of a Congressionally Chartered equivalent of NATIONAL HEALTH.
COMMENT This operational statement represents a possible scenario to form a COMMUNITY HEALTH FORUM in the absence of a Congressionally chartered institution with the attributes of NATIONAL HEALTH. The scope of this operational statement anticipates the possible occurrence of a future institution with the attributes of NATIONAL HEALTH.
II. PURSUE ‘ V I S I O N ‘
A. Identify the local expertise and data sources for mapping the availability of Primary Healthcare among the neighborhoods of the Forum’s population base including any applicable HEALTH attributes of these neighborhoods.
B. Consider the alternative needs for assessing the equitable availability of Primary Healthcare as a basis for resolving the current of future needs of the population base.
III. BUILD COMMUNITY
A. Consider the local options for assembling a continuously updated and accessible description of the current Survival Commons available to the population base.
B. Consider the local options for assembling an annually updated COMMUNITY HEALTH PLAN, especially in collaboration with adjacent counties.
IV. MANAGE RESOURCES
A. Begin a data analysis project to report monthly data reflecting the community’s combined activities among its resident person for improving each person’s HEALTH, initially reported monthly as a two year running average of monthly hospital use per person of the population base.
COMMENT The details of this data collection and analysis would not collect data using any person’s individual identification. Several Sub-Chapters of this Chapter describe this process in greater detail. Remember again that our nation’s health spending is currently at 18% of our national economy. The other 34 OECD nations are mostly lower than 13%. There are many factors connected with excessive health spending. The proposal for NATIONAL HEALTH assumes that the excess health spending is largely, but not completely, related to the Social Determinants of HEALTH that affect most of our resident persons, but especially those associated with poverty, limited social mobility, and entrenched social isolation.
Hospital utilization would best represent how well each of a community’s resident persons receives the care they need for survival. Furthermore, the aging of our population will eventually produce an increased need for hospital-level healthcare. In effect, hospital utilization will vary from month to month based on a variety of factors for which a monitoring tool would permit a precise measure to plan for prevention, mitigation, and amelioration strategies. How else would we know whether or when western forest fires a mid-west community’s HEALTH?
In the future, certain other health measures might be reported as well. The sooner a community-wide reporting and interpretive analysis strategy can be developed, the sooner this process can inform the community’s progress for improvement.
B. Identify continuing sources of economic support.
C. Identify administrative support for the affairs of the Community HEALTH Forum and its Advocates including the management of any direct financial funding.
V. DEVELOP SKILLS
A. Establish a plan for the affairs of the Forum to be exposed to new ways of think about population HEALTH, especially the factors that predispose a person’s level of human suffering during a lifetime.
B. Plan a strategy to honor new Advocates as well as the Advocates leaving their appointment as a member of the Forum Advocates.