Running head: NMTHI

Organizational Strategic Plan: Northern Michigan Teen Health Initiative Jessi Chipman, Lisa Dust, Dana Knoll, Sasha Gapczynski, Cassie Schulte, Emily Vance & Amber Vanderstow Ferris State University

NMTHI Abstract

The purpose of this paper is to introduce the stakeholders of Munson Healthcare to the prospective nonprofit, Northern Michigan Teen Health Initiative (NMTHI), an affiliation of Munson Healthcare and operating out of Kalkaska Memorial Health Center. This paper will introduce the services provided by NMTHI, our mission statement, philosophies, organizational goals and objectives. An organizational chart will be provided and job descriptions of prospective staffing needs will be reviewed. Attached is a job advertisement for the position of Educator (RN). Lastly, a 2014-2015 startup budget will be presented regarding personal/nonpersonal expenses and an overhead of project costs.

NMTHI Organizational Strategic Plan: Northern Michigan Teen Health Initiative

Teen sexual health and education is an important topic often ignored largely in part to our cultures taboo surrounding serious conversations about teen sex. In Michigan, schools are required to provide information regarding sexually transmitted infections (STI) and abstinence must be taught as the best method to prevent STIs (Michigan Department of Education, 2007). There are no state acts preventing schools from taking the initiative to develop a more comprehensive sexual education program, but current statistics related to teen pregnancy and STIs show a need for improved educational measures. As this group has previously explored, rates of teen pregnancy in Kalkaska County are among some of the highest in the state of Michigan and the countys schools provide abstinence-only sexual education (District Health Department #10 [DHD#10], 2012). It is within the best interest of the countys health care providers, such as Munson Healthcare, to provide the necessary resources to reduce these rates of teen pregnancy and STIs. Services NMTHI will provide educational courses and access to community resources, free of charge, to participating school systems. Registered nurses will travel to area schools to evaluate the current state of sexual health education and knowledge of the students. The curriculum will cover topics such as pregnancy prevention, STI prevention, safe sexual practices, abstinence, relationship communication skills, and resources available in the community. Additionally, nurse educators will provide information regarding personal growth and development, encouraging adolescents to pursue their genuine interests for educational and career attainment. For decades, research has shown that low educational attainment is largely correlated with increased teenage pregnancy rates (Moore & Waite, 1977; Ruedinger & Cox, 2012). Topics will

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be adjusted according to age so that education can be provided across multiple age groups in an appropriate manner. Mission Statement Our mission is simple: we wish to improve the condition of sexual health and knowledge of our communitys adolescents by coordinating with the areas school systems to provide educational opportunities and access to resources. Philosophy NMTHI believes that young men and young women are equally responsible for making decisions about their sexual activity and their actions to prevent pregnancy and STIs. To empower young adults to make responsible life choices, we must provide them with access to comprehensive and effective sexual health education, regardless of race, religion, gender, sexual identity and socioeconomic status. Additionally, adolescents should be inspired to excel and take advantage of all opportunities that life may offer to improve educational and career pursuits. Initiative Goals and Objectives NMTHI developed four main goals and objectives that provide the foundation for measurement. NMTHIs outcome statements define what goals the initiative is trying to accomplish. The objectives are clear, concise, precise, and measurable actions that support the established goals. Our goals and objectives allow for NMTHI to gauge performance, improve performance, and manage accountabilities. Goals (1) Ensure that teens have knowledge to access resources within their community. (2) Serve as an expert in adolescent pregnancy, prevention, and healthy sexual development.

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(3) Provide sources and supportive materials, training, and technical assistance to school systems. (4) Promote cultural shift within the community to recognize the ability of young adults to make informed choices regarding their sexual health Objectives (1) Increase number of teens educated on sexual health throughout Northern Michigan. (2) Decrease rates of teen pregnancy within the schools NMTHI works with. (3) Reach out to all Northern Michigan schools during NMTHIs first year of practice to showcase services. (4) Increase knowledge of community resources available to young adults. Initiative Chart Munson Healthcares (MH) advisory board and board of directors regulate employees of NMTHI as well as the initiative. Job titles include; program coordinator, educators (Registered Nurses), and an administrative assistant. Collaboratively, all positions communicate and work together to promote the initiative, and encourage positive outcomes by upholding the philosophy, goals, and objectives. The educators and administrative assistant will report to and work in partnership with the program coordinator, who is in direct contact with MHs board of directors. The administrative assistant will also report to and work in partnership with the educators. An organizational chart was created to clarify reporting. (See Appendix I) Job Descriptions Program Coordinator The program coordinator oversees administration, program, and strategic plan of the initiative. This position also collaborates with board and staff to ensure that the mission is

NMTHI fulfilled through programs, strategic planning, and community outreach. The program

coordinator will supervise and educate staff on implementing the curriculum and also establish and/or maintain a working relationship with school boards. The coordinator maintains sufficient resources to ensure the financial health of the Northern Michigan Teen Health Initiative including; overseeing and implementing appropriate resources to ensure that the operations are appropriate, managing the development, distribution, and maintenance of all resources (i.e. newsletters, academic journals, brochures, print material) to all schools, develops, implements, and evaluates all communication plans across the network and communities, and writes grant proposals and reports to corporate, foundation, and government funders. It is essential for this position to initiate and maintain positive relationships with current and potential schools, and cultivate and nurture ongoing relationships with current and potential donors. The program coordinator will provide ongoing leadership, coordination, and supervision to the educational staff as well as works collaboratively with school staff to strengthen and enhance program delivery. Nurse Educator (RN) The educators (Registered Nurse) will present the educational component and analyze outcomes of the curriculum by participating in the planning, evaluation, and professional development. This position provides ongoing leadership and coordinates in partnership with school's educational staff. The Registered Nurses will participate in the dissemination of current research based information emphasizing and expanding upon current student knowledge regarding teen sexual health. The position will counsel and support students with sexual health educational topics and conduct assessments and/or observations that enhances student learning by analyzing results to create and implement action plans for individualized educational goals.

NMTHI Administrative Assistant The administrative assistant position entails setting up, coordinating, and making

arrangements for committee, board, or other meetings. This also includes providing general administrative and clerical support regarding mailing, scanning, faxing, and copying management. The administrative assistant will maintain the electric hard copy filing system and prepare or modify documents that include correspondence, reports, drafts, memos and emails. Job Advertisement The job advertisement will be promoted in Northwestern Michigan Colleges publication, White Pine Press, Traverse City Record Eagle, and the nursing journal Nurse Educator for the Educator (RN) position. The White Pine Press advertisement cost is $31.25 weekly for a two inch by one inch box with color. The Traverse City Record Eagle online advertisement costs $195 for 30 days. The Nurse Educator includes a quarter of a page with color for $2035. It distributes to over 10,000 people bimonthly. The advertisement (See Appendix II) for the Educator will read: Northern Michigan Teen Health Initiative, associated with Munson Healthcare, is seeking Registered Nurses to work on a collaborative team to educate Northern Michigan teens on sexual health. This position travels to northern Michigan school locations to educate and elaborate on the importance of healthy sexual behavior including pregnancy and STI prevention, development, and safe sex practices. The nurse educators report to and work in partnership with the program coordinator. Requirements: knowledge of nursing as normally acquired through a Bachelors degree of Science in Nursing; Must hold current RN license in the State of Michigan; Previous leadership experience; Embodies leadership skills needed to effectively direct a group; Proficient in Microsoft Word, Excel and PowerPoint; Demonstrates excellent communication

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skills (written, verbal, interpersonal); Can handle sensitive information with the highest degree of integrity and confidentiality. Job description: Provide ongoing leadership and coordination in partnership with schools educational staff; Participate in the dissemi nation of current researchbased curriculum and emphasize and expand upon current knowledge of teen sexual health; Provide instructional support and coaching to the classroom staff and conduct demonstrative lessons; Conduct assessments and/or observations that enhance student learning and analyze the results to create and implement action plans for individualized program goals. Budget Proposal See: Appendix III Conclusion NMTHIs goals are to increase the sexual health knowledge base among teens in Northern Michigan as well as reduce the number of pregnancies and STIs. NMTHI aims at promoting healthy sexual lifestyles and providing resources to make that possible. With dedicated registered nurses from Munson Healthcare, this goal can be attainable for struggling Northern Michigan school districts. Adequate resources and funding to promote this initiative will open the doors of opportunity for many schools that do not have the means necessary to provide sexual education amongst teens. Teens will be provided with support from visiting nurses to empower them in making responsible healthy life and sexual choices. Opportunities for growth within communities should start with the most vulnerable populations; teens. Reducing teen pregnancy rates will in return reduce poverty levels and allow teens a chance at healthy growth and development.

NMTHI References

District Health Department #10 [DHD#10]. (2012). Health profile chartbook 2012: Kalkaska county, 1-17. http://dhd10.org/images/Kalkaska_Chartbook_2012_April_2_2013.pdf Michigan Department of Education (2007). Provisions regarding the teaching of HIV/AIDS, sex education, health education, and physical education in michigan schools. Retrieved from: http://www.michigan.gov/mde/0,4615,7-140-28753_64839_38684_29233_29803--,00.html Moore, K. & Waite, L. (1977). Early childbearing and educational attainment. Family Planning Perspectives, 9(5), 220-225. Retrieved from: http://www.jstor.org/stable/2134432 Ruedinger, E. & Cox, J. (2012). Adolescent childbearing: Consequences and interventions. Current Opinion in Pediatrics, 24(4), 446-452.

NMTHI Appendix I

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Munson Healthcare Advisory Board

MH Board of Directors

Program Coordinator

Educators

Administrative Assistant

NMTHI Appendix II

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NMTHI Appendix III Budget Proposal Recipient: Northern Michigan Teen Health Initiative Today's Date: 18 February 2014 Fund Source: Munson Healthcare Prepared by : Jessi Chipman Signature: Jessi Chipman

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Year 2014-2015
Item Personnel Expenses Program Coordinator Educators Supervision 3-staff working 2 locations ($250/location) per week for 12 months Annual Salary = $ 70,000 3 x $250 x 2 x 52 = $ 78,000 Description Estimated Amount ($Cost)

Non-Personnel Expenses Travel Supplies/Printing Equipment Advertisement Overhead

3 Munson Healthcare vehicles with fuel ($44) per week for 12 months 2 locations ($50/location) per week for 12 months 3 MacBook Pro 3 postings for 2 months 20% of project costs TOTAL REQUEST

3 x $44 x 52 = $ 6,964

2 x $50 x 52 = $ 5,200 3 x $1300 = $ 3,900 3 x $ 115 x 8 = $ 2760 $ 22,076 x .20 = $ 4,415 $ 171, 239

1. Travel: 300 miles at 28 mpg at $ 4/gallon per week per vehicle. 2. Supplies: Kalkaska Memorial Health Center office supplies: printer, paper supplies, stapler, paper clips, and markers/location, etc. 3. White Pine Press advertisement cost is $31.25 weekly for a two inch by one inch box with color. Traverse City Record Eagle online advertisement costs $195 for 30 days. Nurse Educator includes a quarter of a page with color for $2035