Vine Hill Community Clinic Study

Managing diabetes needs continuum of care to improve the health of the population, reduce per capita costs of care and improve the experience of care. Continuum of care is defined as a care system that guides and tracks the clients through a myriad of health services at all levels, stages and intensity of care (HIMSS.com, 2015). The provisions of Title II-Subtitle E provide new options for long-term services and support. The provision of community first choice allows the lower income diabetes patients to have access to long-term healthcare at an affordable cost (Obamacarefacts.com, 2013). Empowered by HIT, nurses can find community resources, develop patient

According to the American Diabetes Association, more Americans die each year from diabetes than from AIDS and breast cancer combined. As a result, researchers have extensively studied the causes, treatments, and interventions for diabetes. Despite efforts to ameliorate its effects, diabetes remains a prevalent danger in society. In 2014, 7% of U.S. adults were living with diagnosed diabetes (Centers for Disease Control and Prevention [CDC], 2016). In Louisiana that number was even higher - 10.4% of adults have been diagnosed with diabetes. Breaking it down by age group, however, in Louisiana 3% of people aged 18 and 44 have been diagnosed, and 15.2% of people 45-64. (Centers for Disease Control and Prevention [CDC], 2015a). Several studies have predicted future rates of diabetes both in the United States and worldwide - nearly all of these studies reached a similar conclusion: rates of diabetes will continue to rise (Boyle et al., 2001).

Diabetes as describes by health. NY. GOV is a disease in which blood glucose (blood sugar) levels are above normal ("Diabetes Basics," 2007). This can lead to a range of serious health consequences, “including vision loss, nerve damage and numbness, high blood pressure, kidney disease, heart disease and death” (DiNapoli, 2015). Diabetes is a growing epidemic in New York City among all age group but has grown significantly over the years among adults especially African American and other minority groups. In 2007, data report from the New York City Health Department reported that “diabetes was higher in NYC than in the U.S. overall (9.1% vs 7.5%). (NYC health data).

Many clinics have found the addition of services a natural fit to their brick-and-mortar setting because the right resources were already in place. By blending staff and resources, a person might be drug-tested for a job at an urgent care clinic, walk into that same clinic for an initial worker injury, and be seen for follow-up care. This level of care has made it possible for clinics to stand out from others in the immediate area.

Diabetes pertains to a group of illnesses that is characterized by an unusually increased amount of glucose in the blood of the person. Because of this, the person experiences problems in the shortage of insulin. This disease can result to significant complications that can even kill the person who has this condition. However, the good news is that diabetic people can be able to do certain measures to make sure that they are able to manage this disease and reduce the possibility that more complications would emerge. Diabetes is actually one of the primary causes of mortality and incapacity in America, and the overall expenses connected to the treatment of this disease is estimated to around the $200 billion every year. This paper will discuss the urban health problem of diabetes among African Americans.

Background: Uninsured patients with diabetes are at increased risk for poor outcomes and often have limited access to health and prescription services necessary to manage diabetes. The Cooper Rowan Clinic is a medical student-run, attending-supervised free clinic that offers primary care to the

As a 1305 grantee, the Indiana Department of Public Health is expected to increase use of diabetes self-management education and support services (DSMES) in community settings and to increase referrals to, use of, and reimbursement for CDC- recognized lifestyle change programs for the prevention of type 2 diabetes. Indiana is working to expand DSMES access across the state and to scale and sustain the National Diabetes Prevention Program (National DPP) by achieving coverage for various groups including state employees, Medicaid beneficiaries, and self-insured employers.

Type 2 diabetes is one of the most common chronic conditions encountered in the primary care setting. It is a lifetime condition that requires careful management to prevent debilitating complications, such as peripheral neuropathy, amputations, diabetic nephropathy, kidney failure, diabetic retinopathy, and blindness. It is also a cardiovascular risk factor to heart attack and stroke. Basing on my experience with my patient encounters as a nurse, most diabetics do not fully understand the severity of their condition, thus management of it is being taken for granted. Costs of diabetes care continue to increase each year, causing a huge financial strain for both the patients and the healthcare system.

In the article “Translating What Works: A New Approach to Improve Diabetes Management,” it is suggested that the most effective strategies to increase diabetes control include individual case management, health care teams, patient education and the reporting important medical information to the patients primary care physician(Phillips). An intervention aimed at being patient centered to increase the quality of care for diabetics, was implemented in Miami, where seven health care centers participated. They had a care management team that made pre-visit phone calls to diabetic patients who had an upcoming appointment. The purpose and goal of these phone calls was to increase patient knowledge and self-management goals. They also recorded important

The critical need to work effectively with other disciplines has been discussed many times in literature. A major barrier to improving patient outcomes is that health care organizations are fragmented and duplicate many of their services. In addition, many organizations are poorly designed for the coordinated delivery of chronic care for diabetic patients (American Diabetic Association (ADA), 2015). “The rules of the game have changed, and it’s now about achieving the best outcome for the best cost” (Hill-Mischel, Morrissey, Neese, & Shoger, 2016, p.1). Currently, 90% of diabetes care is delivered by primary care providers, often these providers fail to consult with a qualified diabetes educator (CDC, 2017). The CCM goal is to improve ambulatory care though guided clinical quality initiatives (Stellefson, Dipnarine, Stopka, 2013). Studies have shown that patient engagement was essential to maximize patient outcomes and the prevention of the exacerbations of diseases (Handmaker & Hart, 2015).

Currently in Iowa there are approximately 300,385 adults who are diagnosed with diabetes, while 75,000 individuals do not know that they have the disease, and an additional 810,000 adults have prediabetes (Burden of Diabetes, n.d., para. 2-4). However, in our rural community there are limited services available that provide preventative disease management and support. With the changes in reimbursement in health care it is imperative that we become innovative in our approach to caring for these individuals in a proactive manner. The current goals of health care is to provide quality care at the lowest cost possible (Milstein & Darling, 2010). The cost of providing a Diabetes Prevention Program to the individual is $450 per year, while

According to the CDC (n.d.) the number of pre-diabetics in the state has increased by 11,000 between the years of 2011 and 2013. While the national age-adjusted rate for diabetics remained steady at 9% between the years of 2011 and 2013, Mississippi’s diagnosed diabetic’s rate rose from 11.6% to 12% (CDC, n.d.). The mortality rate from diabetes is “the seventh largest in the U.S. and is listed on 234,051 death certificates” (CDC, 2014). This is not the most accurate representation due to the fact that diabetes has many sequel of the disease and thus there are secondary cause’s deaths (CDC, 2014).

The grantee is working with 232 HELP/2-1-1 in Lafayette to develop outreach efforts to primary care providers to promote awareness of prediabetes to their patients. 211 is also providing DSME and National DPP information to callers. These contractors is using marketing materials from the American Medical Association and the CDC to increase awareness about diabetes and promote diabetes prevention programs. Also, the grantee conducted site visits to the sites to discuss progress of the current work and plans and renewing the contract for the next grant year. For the amended contract, the 2-1-1 site will focus on increasing awareness about prediabetes to patients and providers focused on primary care. This work will include the distributing the AMA/ CDC Provider toolkit and the use of the CDC and risk test.

Diabetes has been known to be one of the most widespread lifelong disorders among the American people. The brochure chosen was published by The Joint Commission to be a part of the “Speak Up” campaign. The “Speak Up” campaigns were created to be able to promote awareness of the nationwide patient safety goals that were developed by The Joint Commission. This brochure lists the significant ways to be active in your care while a hospital setting. This brochure is most critical and supportive to people who currently live with Diabetes, whether it is type I or type II, and need to improve their way of managing it throughout their life. Client’s with diabetes will also benefit from

Health care organizations and communities must work together to support diabetes care programs. Addressing health care issues, such as diabetes, is challenging for health care systems to achieve without the support of the community. “The Building Community Supports for Diabetes Care (BCS) program of the Robert Wood Johnson Foundation Diabetes Initiative required that projects build community supports for diabetes care through clinic-community partnerships” (Brownson, O’Toole, Shetty, & Fisher, 2007, p. 210). The BCS project’s demonstrates community leadership