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Community Needs Assessment Worksheet
POINTS
This is a written assignment and is worth 75 points.
RUBRIC
The assignment rubric provides specifics of how this assignment will be graded and is located at the bottom of this page. This is an example of the Community Needs Assessment Worksheet.
PURPOSE
The goal of this assignment is to submit the Community Health Assessment Worksheet Form. This form should include detailed data regarding the selected community of interest.
The Interprofessional Collaborator (IPC) will work with the student to help identify the community of interest and complete the Community Needs Assessment. Additional collaboration will take place as the community action plan is implemented and evaluated.
FORMAT
Students will complete and upload the Community Health Assessment Worksheet for this assignment.
Rubric
Community Health Assessment Worksheet Rubric
Community Health Assessment Worksheet Rubric
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeCommunity Description
Include a detailed and specific description of the selected community: location, type of community, major industries, primary employers, etc. Describe geography, weather, number of schools, universities, parks, grocery stores, restaurants (and type), produce markets, hospitals, clinics, public transportation.
15 to >10.0 pts
Proficient
Information provided clearly indicates student has thoroughly described the selected community.
10 to >5.0 pts
Developing
Information provided indicates student has mostly described the selected community. Some details are missing.
5 to >0 pts
Beginning
Information provided indicates student has not thoroughly described the selected community. Many details are missing.
15 pts
This criterion is linked to a Learning OutcomeCommunity Demographics
Include a detailed and specific description of the demographics of the selected community. Include population, gender distribution, data for married/single, elderly, employment, number of households, housing, mean income, etc.
15 to >10.0 pts
Proficient
Information provided clearly indicates student has thoroughly described the demographics of the selected community.
10 to >5.0 pts
Developing
Information provided indicates student has mostly described the demographics of the selected community. Some details are missing.
5 to >0 pts
Beginning
Information provided indicates student has not thoroughly described demographics of the selected community. Many details are missing.
15 pts
This criterion is linked to a Learning OutcomeCommunity Health Data
Include detailed and specific health data information of the selected community. Include incidence and prevalence of chronic diseases, infectious diseases, and major risk factors such as smoking, alcohol consumption, teen pregnancy, etc.
15 to >10.0 pts
Proficient
Information provided clearly indicates student has thoroughly described the health data of the selected community.
10 to >5.0 pts
Developing
Information provided indicates student has mostly described the health data of the selected community. Some details are missing.
5 to >0 pts
Beginning
Information provided indicates student has not thoroughly described the health data of the selected community. Many details are missing
15 pts
This criterion is linked to a Learning OutcomeSocial Data
Include detailed and specific social data of the selected community. Community sports, recreation, religious organizations, spiritual practices, volunteer organizations, support networks community partnerships.
15 to >10.0 pts
Proficient
Information provided clearly indicates student has thoroughly described the social data of the selected community.
10 to >5.0 pts
Developing
Information provided indicates student has mostly described the social data of the selected community. Some details are missing
5 to >0 pts
Beginning
Information provided indicates student has not thoroughly described the social data of the selected community. Many details are missing
15 pts
This criterion is linked to a Learning OutcomeTop 3 Healthy People 2030 Goals
1. Identify Top Three Chronic Diseases & related Healthy People 2030 Goal
2. Identify Top Three Infectious Diseases & related Healthy People 2030 Goal
3. Identify Top Three Risk Factors & related Healthy People 2030 Goal
10 to >7.0 pts
Proficient
Student identifies the top three chronic and infectious diseases and related Healthy People 2030 goals, as well as the top three risk factors and related Healthy People 2030 goal.
7 to >4.0 pts
Developing
Student identifies some of top three chronic and infectious diseases and related Healthy People 2030 goals, as well as the top three risk factors and related Healthy People 2030 goal.
4 to >0 pts
Beginning
Student does not identy the majority of the top three chronic and infectious diseases and related Healthy People 2030 goals, as well as the top three ris