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WAUKEGAN TOWNSHIP TOWN PLACE (http://www.waukegantownship.com/park-place.html)
Format: Use the following topics in the rubric below for each section of the paper, APA format is required.  The paper should be a maximum length of 10 pages. Be sure to ensure confidentiality by removing ALL identifying information.
Community Partner Site Assessment and Health Promotion Plan
Paper and Presentation Rubric
Description    Max
Points    Points Earned
I.  Assessment of the Community Setting (Neighborhood):
Description and Characteristics of the Geographical Community
(Data gathered from the City of Chicago, Census Data, etc.)
?    Demographics – Population, age, gender, ethnicity, etc.
?    Socioeconomic status – Education level, employment, etc.
?    Government and Politics
?    Crime and Violence
?    Organizations and Groups present    15
II.  Assessment of the Community Partner Site (CbSL Site):
Description and Characteristics of the Community Partner Organization
?    Mission Statement/Vision
?    History of Organization
?    Organizational Structure and Staffing
?    Funding Sources
?    Programs and Services
?    Demographics of Target Population served    15
III.  Community Diagnosis:
Identification of a significant Health Care Need for the population served by the Community Partner Site
?    Brief summary of Community Assets
?    Brief summary of Community Needs
(Identify any gaps between the assets and needs)
?    Identify health disparities, social and cultural factors
?    Prioritize the primary Health Care Need as the Community Diagnosis for this population as the focus of the Health Promotion Plan
(Most significant health care need that can realistically be addressed, the population affected, and the risk to the community)
IV.  Healthy People 2020 Topic and Objective:
Overview of the topic and objective relevant to the primary Health Care Need of the Community Partner Site population
•    Overview of the Topic – Description and rationale of importance
•    Overview of the Objective – Description and rationale of importance
(Specifically related to the Partner Site Population)
•    Description of the Current Status of the objective
•    Description of the Measurable Goals for improving the objective
(Cite 1 scholarly paper discussing the status and measurable goals of the objective)
V.  Site Specific Health Promotion Plan:
Description of the Health Promotion Plan to address the Community Diagnosis related to the Healthy People 2020 Topic and Objective
•    Identify a potential Health Promotion Plan that addresses the Community Diagnosis and could realistically be replicated at the Community Partner Site
•    Goals and Objectives of the Health Promotion Plan and how it addresses the Healthy People 2020 Topic and Objective
(Cite 1 scholarly paper discussing the Health Promotion Plan)
•    Description and example of the Health Promotion Plan intervention, activities, tools, etc. and how it would be altered specifically to the Community Partner Site and population
•    Implementation Process and how it would be altered specifically to the Community Partner Site and population
1. Who would participate? (leaders and participants)
2. When or how long might this take? (timeline)
3. Where would it be conducted?
•    Evaluation Process and how it would be altered specifically to the Community Partner Site and population
1. How would the efficacy of the Health Promotion Plan be evaluated? (short and long term evaluation of goals and objectives)
2. How would you ensure that the Plan is sustainable?
•    Next steps to be conducted to begin discussion and implementation of the Health Promotion Plan at the Community Partner Site
1. Have you already discussed and began to collaborate on the Health Promotion Plan with your site?
2. What current barriers and facilitators are present to conducting such a Health Promotion Plan?
VI.  Graduate Level Writing:
?    APA format, structure and conclusion, spelling, grammar, punctuation
?    Integration of course content
?    3 Evidence-based references cited
(Health related, objective resources of clinical relevance)
?    Professional, creative, and engaging writing and PowerPoint presentation
VII.  Individual Participation and Peer Evaluation:
•    Contributed to ideas and planning
•    Available for communication and meetings
•    Completed fair share of work in a timely manner
•    Contributed to the overall success of the paper and presentation    5
Total    100

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