Grant Proposal Health, Medicine, Nursing Essay Paper

You just found out that the intervention program report you completed in week 5 was accepted by the Director of the Department of Health. She wants to move forward with a proposal to receive grant funding to create and implement the program. It all comes down to this; everything you have learned is now being put to the test. You can affect the lives of the residents of Anytown.
Based on all the information you have gathered regarding the opioid crisis, create a mini-grant proposal to submit to the Director of the Department of Health.
In your grant proposal, be sure to include:
1. A needs assessment:
Discuss the reason for a needs assessment.
Include the goals and desired outcomes of this assessment.
Determine the stakeholders you would seek to help you complete the assessment. Explain your rationale for your selection.
Explain the strengths and weakness of this assessment.
List the resources you would recruit from the community to help you accomplish your goals.
2. An intervention program to combat the opioid crisis (from your week 5 assignment):
State your null hypothesis.
Examine the type of intervention you would use.
Describe the population sample you would target, why you chose this population, and how you would recruit your participants.
Include any other stakeholders who were not included in your needs assessment.
Discuss how you would ensure that the intervention is culturally appropriate.
3. The evaluation process:
Determine the desired outcome for this program.
Detail the types of evaluations you would carry out for this program.
Assess the type of statistical analysis appropriate for this intervention program.
Explain the type of budget that would be appropriate for this process.
4. The effects of this program on Anytown, U.S.A.:
Analyze whether the results of this program are applicable to the general population.
Based on your anticipated results, what local policies would you advocate for implementation, and what community stakeholders would assist with supporting these policies?
5. Conclude with the potential effects of this proposal.
Your proposal should be 5–7 pages in length, excluding title and reference page. Use current APA 7th edition formatting to style your paper and to cite a minimum of four sources. Integrate a minimum of four scholarly sources into the paragraphs. Use internal citations pointing to evidence in the literature and supporting your ideas. You will need to include a reference page.

vii. Reducing inappropriate access by monitoring hospitals for drug diversions, increasing take back days, increasing the number of prescription drug drop boxes for public medication disposal
viii. Use of local media to disseminate information on the locations and proper use of drop boxes for public medication disposal
ix. Engage pharmacies, prescribcrs. and nursing staff statewide to promote proper medication storage to customers/patients, including the use of personal medication lock boxes for opioids.
x. Education on proper disposal of excess medication.
b. Expanding access to medication-assisted treatment (MAT):
i. Work with Medicaid and other insurance companies to expand coverage for MAT
ii. Support adoption of MAT in community settings.
iii. Screen and evaluate patients for potential substance abuse disorders and provide them with effective substance abuse treatment services
c. Increasing naloxone access:
i. Help local jurisdictions to implement effective strategics to increase naloxone access in communities where drug addiction is common.
ii. Educate communities at high risk on the availability of naloxone without prescription at local pharmacies.
iii. Create protocols for co prescription/availability of naloxone for patients on oral morphine equivalence of over lOOmg per day.
2. Whv is the lead organization well-positioned for this role?
As the county's only academic medical center, the University of California. Irvine (UC Irvine Health) has access to a large and diverse patient base where we have experience implementing standardized prescribing guidelines through effective changes that lead to improved patient safety.

Request for Applications - Application Narrative
Regional Opioid Safety Coalitions:
Bringing Communities Together to Prevent Overdose Deaths
Introduction
The Orange County Collaborative on Prescription Drug Abuse (OCCPDA) is committed to developing a county wide initiative to reduce opioid-related overdose deaths. This county plan is closely aligned with the national plan. Epidemic: Responding to America’s Prescription Drug Abuse Crisis, and identifies specific recommendations for action. Prescription drug abuse is Orange County’s fastest growing drug problem and impacts our county in multiple ways. Parents suffering from drug addiction can compromise the health and well-being of their families, often leading to greater social services agency involvement. Young people may view prescription drugs as a “less harmful” drug of choice, derailing healthy development and their ability to succeed. Workers who abuse prescription drugs contribute to poor work performance, injuries, absenteeism, and lack of economic productivity. Prescription painkillers (opioids) are now the most commonly involved drugs in unintentional overdose deaths.
A study done in collaboration with the Orange County Health Care Agency and Orange County Sheriff-Coroner Department found that the overall rate of drug/alcohol overdose deaths in the County increased by 51% between 2000 and 2012. Key findings of the report include:
• Drug/alcohol overdoses, or poisonings, resulted in over 5,000 hospitalizations and nearly 600 deaths among Orange County residents each year.
1. More than half (54%) of all such hospitalizations involved drugs, most of which were poisonings due to benzodiazepine tranquilizers (e.g., Xanax, Valium) or opioid substances

One in six UC Irv ine Health admissions are opioid-tolerant (that is, on higher than 60mg of oral morphine equivalents) prior to entering the hospital. An even larger proportion of patients are discharged from another?? hospital on significant quantities of opioids from their inpatient stay or from emergency department visits. This data can be replicated in most hospitals. (Gulur et al Opioid tolerance—a predictor of increased length of stay and higher readmission rates. Pain Physician. 2014 Jul- Aug: 17(4): E503-7.) Project lead Dr. Example is the Director of UC Irvine Health Pain Management Services and has a significant research background in opioid use and misuse. Although UCI has made strides in improving the safety of our patients, we recognize the importance of leading this change into the community is critical from a population health perspective. With partners such as the Orange County Health Care Agency, Hospital Association of Southern California. CalOptima and the OC District Attorney's Office, we believe this coalition can result in the most effective reduction in prescription drug abuse in Orange County.
3. How will vou launch and support the coalition during the 18-month «rant period?
An initial convening meeting will be required to determine the incipient agenda for the coalition and to create the steering committee. Further task forces with all appropriate stakeholders including leaders and representatives of local communities invited will be formed for the goals identified. Following that the project manager will help coordinate quarterly meetings for the steering committee and all taskforces, which will take place with all parties present to ensure that goals are met in a timely fashion and to change protocols as necessary. We anticipate the need for a dynamic and flexible action plan, therefore, we will increase the frequency of meetings to twice a quarter if we are not meeting targeted goals in the first 6 months.
Goals will include the conduct of multiple community outreach programs, informational and interactive educational sessions to engage the community. These will be supported by the project manager and administrative staff. Partners will promote the coalition's work through their own traditional, online and social media channels.
4. How will vou measure the effects of the coalition's work?

(e.g., OxyContin, heroin). Coroner investigations found that prescription medications were the most frequently used substances, the majority of which involved opioid pain medications (e.g., OxyContin, Hydrocodone).
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ORANGE COUNTY COLLABORATIVE ON PRESCRIPTION DRUG ABUSE (OCCPDA) is a coalition designed to promote coordinated planning, implementation, and evaluation of quality prevention services to reduce the impact of prescription drug abuse epidemic on children, youth, and families of Orange County. The goals of the OCCPDA arc to (1) Identify opportunities for coordination and collaboration on prevention initiatives serving the same populations, utilizing common strategics, or aiming for similar outcomes; (2) Promote implementation of evidence-based prevention practices at the county level, a. Supporting safe prescribing practices:
i. Establishing safe opioid-prescribing guidelines across OC hospitals and clinics. Standardize the evaluations of patients who are at risk of abuse using standardized opioid-risk stratification tools prior to initiation or continuation of chronic opioid treatment.
ii. Use proscription drug monitoring programs.
ill. Prescribe the lowest effective dose and only the quantity needed for each patient.
iv. Link patients that have substance use disorders to effective substance abuse treatment services.
v. Improve surveillance to better track trends, identify high-risk communities at risk, and target prevention strategics.
vi. Look at the data and practices of state Medicaid and worker's compensation programs to identify and reduce inappropriate proscribing.

a. Reduce opioid prescription overdose deaths by 20% over the course of 18 months.
b. Decrease the amount of opioids not accounted for by regulated patient use by 20% over 18 months, thereby decreasing availability for recreational drug use.
c. Standardize opioid prescribing practices throughout the network of opioid prescribes,
e.g.prescription drug monitoring, use of opioid contracts, scheduled urine toxicology screening to ensure not only the absence of drugs of abuse but also the presence of drugs that are being prescribed, medication reconciliation through accurate pill counts to prevent pill hoarding.
d. Increase available disposal facilities for prescription drugs of abuse by 100%. e. Surveys during educational informational sessions.
5. How will vou sustain progress after the collaborative is over?
a. Implement protocols that will become the standard of care for all opioid prescribers.
b. Engage local communities to continue to lead and monitor progress.
c. The agencies involved will continue to monitor the frequency of regional opioid prescription deaths to ensure that the numbers do not trend negatively after dissolution of the collaboration.
d. Encourage ongoing communications amongst all coalition partners even after the coalition is dissolved.
6. Describe anv collaborative, multi-organization work on opioid safety that the region has done so far (if anv) and explain what the CHCF collaborative would enable vour region to do that it has not been able to achieve to date. How would in-kind support and the grant funds be leveraged to advance this work?
While Orange County has seen multiple efforts to curb drug- and alcohol-related morbidity in our community, this coalition will bring together major stakeholders that have individually launched initiatives with the goal that increased collaboration, and sharing of experience and resources will help make seamless gains in reducing prescription drug abuse and its resultant deaths in Orange County.

The coalition's strength is the involvement and leadership of hospitals and their associated clinics, which form the bulk of the county's prcscribcrs. as well as?? with public health, insurers and law enforcement. The grant funds would help support the collaborative group through project management and administrative support.
Some county initiatives include:
• National Council on Alcoholism and Drug IXpvrnkiKc - Orange County (NCADD PC). Community Alliance Network (CAN)
CAN is the prevention arm of NCADD-OC and is dedicated to creating and implementing prevention strategics that reduce underage drinking. Project staff provides education, training and technical assistance in the cities of Costa Mesa. Tustin and Mission Viejo. Using mass media campaigns, efforts focus on increasing adult awareness of the prevalence and consequences of underage drinking, as well as identifying cfleetivc prevention strategics that address this problem.
• The Parenting Initiative’s mission is to increase parent involvement with their children and strengthen their community tics in order to reduce alcohol and other drug (AOD) use among the youth of Orange County. The Parenting Initiative uses a multi-pronged approach, which includes:
o Mass media campaigns to increase parents' awareness of their roles in preventing AOD use in their children, using banners, posters, and videos, o Community networking to form partnerships with community organizations and schools that share the same goal of youth AOD prevention by involving parents. Share parenting resources, presentation curricula, newsletters, etc. o Training and technical assistance for those seeking help in implementing a parenting program of their own that addresses alcohol and other drug issues.