H. E. B Diabetes Management Plan

Saline County, Kansas population 55,606 ranks 48 out of 102 counties for health outcomes (County Health Rankings and Roadmaps, 2015) and has a diabetes diagnosis of 8.8% for the total population. Additional statistics of diabetes diagnosis reveals 24.4% for Medicare age and 12% of residents age 20-64 being diagnosed with diabetes (Robert Woods Johnson Foundation, 2016). Prior needs assessment identified a lack of outpatient diabetes education and self-management support (DSMES) for person with diabetes (PWD) for Saline County and surrounding counties. Additionally, a previous Logic Model identified resources, key stakeholders, essential activates, outputs and short and long term program goals of the DSMES program. Identification of

Dominique presented on Population Health Management and Standardized Care in Type 2 Diabetes. The meeting was held November 1st at 3:00-4:00pm in the Corporate Auditorium at Centura Health Corporate Building. The concentration of her presentation was based on Figure 2 and Figure 2 maps. Figure 1 represents the increase shade of blue proportional to the increase of percentage being told they had diabetes (Centers for Disease Control and Prevention,

The population for this evidence based project are African Americans diagnosed with prediabetes at a local primary care facility in Tallahassee, Florida. The intended age group is for this evidence based practice change project are patients from the ages of 18- 60 years of age. Participants must be English speaking African American males or females between the ages of 18-60 years of age old and clinically diagnosed with pre-diabetes with an a1c of 5.7 % to 6.4%.

Analyzing the current Distribution Strategy for Panhandle Health as pertaining to the Diabetes Education program, the logical solution was to incorporate the same ideas established in their Breast Cancer program. This model is what we recommend Panhandle Health to pursue in the Diabetes program hoping to mirror the success of the other, with one exception: stick to the plan. According to the website (Panhandlehealthdistrict.org), Panhandle is part of a Health Group who’s main goal is education not treatment of clients. This being the case our recommendation is that Panhandle Health cater to the other “competing” clinics in the area by having them refer clients to Panhandle facilities for educational services. In return, Panhandle will refer

Upon completion of the twenty-five day on-site Joslin affiliate training program, the endocrinologist, certified diabetes educator and medical assistant can begin servicing the diabetic patients. During the twenty-five days of on-site training the following services are to be implemented and customized according to the program’s outline; appointment schedulers for the physician and CDE are to be completed within the first week of training, EMR progress notes, EMR templates, diagnostic and laboratory testing orders entered to database, and entry of specified CPT coding along with corresponding insurance reimbursement for each code. Coordinate all these tasks with the practice manager to ensure consistency and accuracy as these tasks are added to the existing EMR’s data base.

The effectiveness of diabetes program that is offered in Sacramento County can be measured and converted into indicators and variables. Different hospitals in Sacramento County measure and convert the concept into indicators differently. Indicators may include the number of patients, changes in mortality, and changes in the nutritional status of the patients. The types of variables that researchers could look at maybe 1) the amount of patients that were serviced in a month to a year at the same facility, 2) the number of people that have diabetes and other illness per 1000 population, and 3) the changes in the weight of diabetic patients.

The Vine Hill Community Clinic serves an inner-city population in Nashville, Tennessee. Approximately 90% of the clinic's patients are on a state form of Medicaid. Like many primary care clinics in the U.S., Vine Hill provides outpatient care to many patients with type 2 diabetes. Diabetes is the leading cause of adult blindness, kidney disease, and amputation. Although almost 18 million people in the U.S. have diabetes, less than optimal care is often provided, particularly in at-risk communities. Improving care for these patients is vital because many complications may be helped or avoided with good care and behavioral changes.

Diabetes is a disease that leads to chronic illnesses such as heart disease, kidney failure, stroke, and eye complications (2016). The high incidence rate is especially important in kingfisher because it ranks in the top five highest counties in Oklahoma in regards to diabetes at 11 percent (2014). The population in Kingfisher is 15.584 people, making it a relevant population to study for this topic (2016). One of the social aspects to a reason why kingfisher may be dealing with high incidents of diabetes is that only 18.6 percent of the people in Kingfisher have health insurance (2016). What this means for the community is a lack of resources provided by healthcare providers, which is leading to a lack of education. After doing the research about diabetes in Kingfisher, it is clear that there is a need for more resources and educational opportunities available to this community.

The goal is to increase the percentage of understanding of diabetes and how to live empowered with diabetes. I will conduct outreach programs in various methods to reach the people to participate in the health program. My objective is done by specific, measurable, achievable, results-focused, and time-bound (SMART) goals. By May 31, 2018, an increase of 40% establishes one-on-one follow up education session with each individual and families through home visits or phone calls to monitor them to improve their lifestyles. By February 30, 2018, an increase of 80% distribution of brochures and with door to door interactions with the individuals in the community. By September 2018, increase 90% of people to engage in community health fair, classes, and exercise activities on diabetes and cardiovascular classes. This will introduce the individuals in social support that allow interactions with teaching and

The rate of diabetes in the United States is one of the highest compared to other developed countries. An estimate of 9.3% of the population have diabetes, of those with diabetes 27.8% have yet to be diagnosed (Centers for Disease Control and Prevention [CDC], 2014). This means that approximately 8.1 million people are currently living with diabetes, but are unaware of it. As of 2012, 12.3% of people with diabetes were 20 years old or older, the largest population diagnosed with diabetes were adults 65 years old or older. 25.9% of this population lives with diabetes (CDC, 2014). On a national level, the CDC have launched initiatives that focus on prevention and disease management. The National Diabetes Prevention Program is an example of one such initiative. This program focuses on lifestyle changes,

This pamphlet is written on a third grade reading level, making it very easy for just about everyone to read and understand what it has to say. This is vital, because it is estimated that 25.8 million people in the US have diabetes (Diabetes, 2011). That includes children and adults, nearly

One very prevalent issue that has more than doubled since the 1980’s and is growing rapidly is diabetes. In fact, “diabetes prevalence is particularly high among people age sixty-five and older, and it doubled among Medicare beneficiaries between 1987 and 2008, rising from 11.3 percent to 22.6 percent” (Thorpe, 2012, p. 61). The ACA granted the Centers for Disease Control and Prevention

Diabetes is associated with wide range of complications such as chronic renal failure, blindness, amputations, heart disease, high blood pressure, stroke, and neuropathy (Alotabi, A., et al., 2016). There is no known cure for diabetes, but the disease can be controlled through health management that includes multiple perspectives of care such as medications, blood glucose monitoring, diet, nutrition, screening for long-term complications and regular physical activity (Alotabi, A., et al., 2016). Managing diabetes may be complicated and requires the knowledge and skills of both healthcare providers and the clients. Studies have shown that to prevent or delay diabetic complications due to diabetes, counseling and other lifestyle interventions are the effective therapy. Even with many policies set up for diabetes, 8.1 million Americans are undiagnosed with diabetes mellitus, and approximately 86 million Americans ages 20 and older have blood glucose levels that considerably increase their risk of developing Diabetes Mellitus in the next several years (CDC, 2015). For diabetes care to be successful there needs to be a good understanding of the disease and management by both patients and healthcare providers,

Health objectives and campaigns are designed to set the foundation for addressing health care issues prevalent across the nation. Diabetes is a disease that affects millions of people. Due to the complications that can often go along with diabetes, public health policies are implemented to clarify issues that will improve the health of individuals. As presented in the health campaign part one, there are numerous government agencies, which exploit health information on federal, state, and local levels to develop policies and allocate resources to programs and necessary organizations. Many models and systems are used to manage diabetes and bring forth

Several nationwide programs and incentives were administered in the last couple of decades to promote awareness of diabetes and hopefully help prevent millions of Americans from developing diabetes. Health Agencies, such as World Health Organization (WHO) and Center of Disease Control and Prevention (CDC), have developed objectives to tackle diabetes. Some of these objectives include conducting surveillance and obtaining diabetes data to identify trends in the population, spreading awareness about the condition, and developing programs that will enhance diabetes care and ensure the longevity of the patients. Various programs have been developed but while some excel, others fail to benefit the lives of the patient.