SOLVED| GRADED A+
Phases of budget cycle Prepare requests, evaluate revenue potential, formulate document,
send to legislative body, legislative review and authorization, execute the budget (run the
program), evaluation and review
Performance budget Summarizes program activities performed in terms of the cost of
specified accomplishments.
Ex: what it costs to supervise a food bank, or what it costs to screen 200 children for anemia
Funding Public health departments derive a portion of their income from GENERAL
REVENUE (TAXES), and federal, local, or foundation grants.
Implementation requires administrative support, realistic budget, staff commitment,
support of target population.
1. Educate
2. Enable
3. Skill development
"ED ENdangers Snakes."
ORDER MATTERS WITH THESE THREE
,Educate Increase awareness, knowledge, options (cognitive learning)
(a) Scientifically sound information explained to client so they can understand
(b) To reach large numbers: use media, hotlines, point-of choice or point of purchase (POP)
intervention
(c) In health fairs, evaluate nutritional risk using BMI
Enable reduce barriers that make it easier for people to act
(1) Enabling intervention relate to the 4 "P's" of marketing
(2) The product should be acceptable, the place accessible, the price reasonable, and the
promotion tailored to enable attention and acceptance
Skills development competencies necessary to make and sustain new eating habits
(psychomotor learning)
(1) One on one counseling, small group sessions, school fitness programs, worksite cafeteria
programs
(2) Teach how to: select appropriate foods, budget for healthful foods, how to obtain Food
Stamps if needed, how to develop new eating behaviors
Exam question: Which is in the correct order for implementation? 1. Educate
2. Enable
3. Skills development
,Is the nutrition strategy working to resolve the diagnosis, its etiology, and or signs and
symptoms
Nutrition monitoring REVIEW OR MEASUREMENT OF A NUTRITION CARE INDICATOR.
Indicator = something we measure
Nutrition evaluation *COMPARE* FINDINGS WITH GOALS OR STANDARDS. IT DETERMINES
THE DEGREE TO WHICH PROGRESS IS BEING MADE, AND OUTCOMES ARE BEING MET.
Compare to standards
Critical thinking skills needed in monitoring/evaluating select appropriate indicators, use
appropriate reference standards, define where patient is now in terms of expected outcomes,
explain variance from expected outcomes, determine factors that help/hnder progress, decide
between discharge or continuation of care
Monitoring and evaluation data is used to create an outcomes management system It is
collected and analyzed timely, so performance can be adjusted and improved.
Evidenced based outcomes research documents the clinical effectiveness of MNT Example:
Multidisciplinary diabetes education programs that include nutrition therapy have been shown
to be effective in improving glycemic control, with nutrition interventions observed to have the
largest statistically significant effect.
, Outcome categories that evaluate the quality of patient care Direct nutrition outcomes
Clinical and health status outcomes
Patient-centered outcomes
Health care use and cost outcomes
Nutrition care indicators (M/E) Provide information about the type of PROGRESS MADE,
when the nutrition problem is resolved, and what aspects of nutrition intervention are not
working.
Nutrition care outcomes (M/E) (1) Represent results that the practitioner and NUTRITION
CARE IMPACTED INDEPENDENTLY
(2) Can be linked to nutrition INTERVENTION GOALS
(3) Are MEASUREABLE with tools and resources available
(4) Occur in REASONABLE TIME PERIOD and can be attributed to the nutrition care
(5) Are logical and biologically or psychologically plausible stepping stones to other health care
outcomes
(6) DISTINCT HEALTH CARE OUTCOMES BECAUSE THEY REPRESENT THE NUTRITION
PROFESSIONAL'S SPECIFIC CONTRIBUTION TO CARE
(6A) FOOD AND NUTRITION RELATED HISTORY, LAB DATA AND MEDICAL TESTS,
ANTHROPOMETRICS, NUTRITION FOCUSED PHYSICAL FINDING (4 nutrition outcome categories
that we measure)