You have been invited to a department meeting to help develop a budget request for the upcoming legislative session. A new strain of the flu has been sweeping your region, and the vaccine FluQ has just been approved for children under age 12. The public health department you work for is taking the lead in vaccinating children in 30 elementary schools in the region. During the meeting, the program manager presents the following information.The program will have three components. First, education is needed in each of the schools. The program manager wants to do a series of five in-person, 2-hour meetings—with one doctor, two nurses, and two administrative staff per meeting—as well as providing each child with an educational coloring book. Each school has 1,200 children.Second, the vaccination clinics will be held at the schools. Children will be vaccinated when their parent or guardian signs the permission slip. Some health conditions rule out certain chil-dren as good candidates for vaccination. It is estimated that each school has 1,000 children who should receive the FluQ vaccination. In other states similar to yours, approximately 8% of parents refuse to have their child vaccinated. Vaccinations and associated supplies cost $2 per dose. On each vaccination clinic day, a doctor must be present. Nurses will be responsible for administer-ing the vaccine. On average, it takes approximately 6 minutes to process a child and administer the vaccination.Lastly, federal and state regulations require the reporting of all FluQ vaccinations adminis-tered. Additionally, the school administration and the parents have requested aggregated reports regarding the vaccination coverage in the region. It is estimated that for each child receiving the vaccination, 10 minutes will be required to record and save the necessary data in the various databases. For children not receiving the vaccine (either because of parental refusal or because the child was not a good candidate for the vaccine), it will take 5 minutes to record and save the necessary data. An additional 3 weeks of analysis and reporting are estimated to be required at the conclusion of each FluQ vaccination season to meet reporting requirements. Assume two administrative staff are working on the entire reporting segment.While FluQ is a new vaccination, it is anticipated that it will need to be administered every year for the next 3 years to the same group of children. Population growth in your region has been stable for some years and is expected to remain stable in the near future.You have the following information:The average wages for department staff are as follows: doctors—$95/hour; nurses—$64/hour; administrative staff—$32/hour.Because these are temporary roles, the only benefits are the legally required FICA, HI, workers’ comp, and unemployment benefits. The last two are estimated at 2% of payroll. Coloring books (including design and printing) had a cost of about $1.75 per book when used in another project that was similar to this one. Based on other vaccination campaigns, the cost of this campaign will be about $10,000 for data-base administration and computer setup for the program each year.1. Prepare a cost estimate using the format of Appendix A to this module.2. As a substantial project, choose a topic involving a potential program within your locality and prepare a cost estimate.
***Make a Comment***
When considering Substance Use Disorder (SUD), it is often the generalized goal of all providers that achieving sobriety and remaining abstinent of substances is what is needed. However, with substance use comes numerous obstacles an individual faces when considering overall health, the reason for use, treatment options available, and willingness to become sober (Dukakis, 2017). Often, individuals with SUD do not have a desire to cease use (Dukakis, 2017). For example, an individual adapting to homelessness that also uses substances may use methamphetamines to assist in staying awake and being alert to avoid attacks and use heroin to put the mind at ease, cope with trauma, and sleep (Dukakis, 2017). While, this might be viewed It should be noted that substance use is nondiscriminatory, and has the potential to influence all populations. Harm Reduction is intended to assist individuals with SUD that are not ready to stop use mitigate the acute and chronic health issues related to substance use (Dukakis, 2017). In 2010, Colorado legalized the first Harm Reduction Action Center to begin to scratch the surface of substance abuse and the opioid epidemic. These sites focus on the overall well-being of the individuals, providing access to clean needles and syringes, education on vein health, preventing infections and communicable diseases, reduction of overdoses, and connection with counseling and substance use resources when warranted (Dukakis, 2017). Much of the staff at these action centers are volunteers that have used substances previously or have been impacted by individuals who have used or used substances, this provides a greater understanding and trust between patients and staff members (Dukakis, 2017). There are also medical and behavioral health services on-site that assist in education process (Dukakis, 2017). It is imperative to consider those in the population that do not view substance use as an issue and the resources and focus on harm-reduction approaches such as a clean needle exchange program or reduction of use (Blanch et al., 2019). One of the biggest barriers is the cost of treatment, taking a community approach to these treatment options allows for opportunities by providing a variety of sobriety resources attainable for all (Blanch et al., 2019). Addiction Medicine has developed over time as research of substance use and insight into mental health continues to grow (Blanch et al., 2019).