diabetes management strategies
DESCRIPTION
Diabetes Management Strategies. By: Raimee Schertzberg, Meagan Smoyer, Cindy Thornton, John Woodcox. Why This Service Is Necessary. Diabetes type I and II, as well as prediabetes, can both be managed with diet, exercise, and medications - PowerPoint PPT PresentationTRANSCRIPT
Diabetes Management
Strategies
By: Raimee Schertzberg, Meagan Smoyer, Cindy Thornton, John
Woodcox
Why This Service Is Necessary
Diabetes type I and II, as well as prediabetes, can both be managed with diet, exercise, and medications
The effects of the disease on an individual’s overall physical health can be detrimental if not properly monitored or compliance poses an issue
Complications from diabetes may include heart disease, obesity, kidney disease (including failure), neuropathy, poor wound healing, amputation of limbs, retinopathy (which leads to blindness) stroke, and high blood pressure
The cost of diabetes and its complications is astoundingly in the hundred billion dollar range (American Diabetes Association, 2011
MidMichigan Health offers diabetes programs to reach the community, the services are provided on an outpatient basis only. It is the goal of Diabetes Management Strategies to place home care clients with a diagnosis of diabetes or prediabetes in a “Diabetic Boot Camp” for the length of time they are on service
Mission Statement MidMichigan Healthcare has a mission statement that
focuses on "Excellence." We strive to continue with that focus by providing
essential, comprehensive, and user friendly diabetic education to the clients that are being served in the Mid-Michigan Healthcare-Home Care arena.
We strive to provide easily comprehendible educational and resource information to clients, and to give them the tools to maintain proper management of their diabetes.
Our goal is to reduce re-hospitalizations and other diabetic associated complications for clients who are homebound and need help with management of their diabetes.
Philosophy The philosophy of the program provided by Diabetes
Management Strategies reflects the vision and goals of the entire organization.
Our focus is on the patient and meeting any needs that each may have.
We allow patients to live a more healthy life by gaining knowledge and control over a diagnosis of diabetes.
As part of MidMichigan Health, we hold the values of excellence, integrity, teamwork, and accountability to be fundamental.
Philosophy
We believe that every patient has the right to appropriate education about his
or her diagnosis.
We strive to meet the personal needs that each patient possesses in order to
provide that education.
We believe that each patient has a specific way of learning and will keep our staff up to date on education strategies to most effectively meet these needs.
We will provide the most up to date medical information and teaching to keep
our patients on the edge of modern medicine.
We vow to listen to the voices of patients to make each autonomous in their care.
We appreciate the individuality of each family and respect the cultural, racial, ethnic and religious traditions, which
make them distinct.
OrganizationalGoals
Ensure current diabetes information and services are available to diabetic patients and their families.
Ensure that patients have the medical equipment needed to monitor their blood sugar.
Ensure communication with patient’s physician regarding education and services provided.
Ensure that all diabetic patients have access to the program and its resources.
Ensure that patients are not re-hospitalized due to complications associated with diabetes.
Ensure that diabetic services are being provided to patients that are homebound.
OrganizationalObjectives
To educate diabetic patients on the proper procedure for checking their fasting blood sugar.
To educate diabetic patients and their families regarding the signs and symptoms of hypo/hyperglycemia and the appropriate actions to take.
To educate diabetic patients about the possible health risks associated with improper management of diabetes.
To provide education to diabetic patients on how to check their feet for sores or wounds and the importance of routine eye exams.
To educate diabetic patients how to take their medications or injectable insulin.
To increase self-management of poorly controlled diabetes by helping patients improve overall health and well-being through the use of a multidisciplinary healthcare team.
Organizational Chart
Job DescriptionsMedical Director
It will be the responsibility of the endocrinologist (program medical director) to ensure that appropriate policies and regulations are implemented and to monitor the “standard of health.”
The director of operations will be responsible for making sure daily operations are running smoothly while being a support system to the office manager and communicating providing directions and support.
Participate in marketing activities for the business’ enhancement and profitability to ensure goals in customer satisfaction, clinical outcomes, and financial performance are met” (MidMichigan Home Care, 2012).
Office Manager Office managers are best known
for their support of staff members while promoting patient satisfaction and ensuring agency policies and procedures are being appropriately followed.
Holds the responsibility to supervise and manage nurses, social workers, and dietary services while collaborating with the supervisor of the scheduling department.
Communicate needs to the Medical Director and keep staff informed
Ensure patient and staff needs are being met
Job DescriptionsDietician
Provide assistance in meal planning, monitoring of blood sugar, and responses to hypoglycemia and hyperglycemia
Have Patients use food diaries and blood sugar logs in order to provide feedback regarding appropriate food choices
Teach proper diet using examples from these logs
Provide information on how exercise affects blood sugar levels and how it is beneficial for the diabetic patient.
Wound-Care Nurse
The wound nurse can provide diabetic ulcer education and wound care
Be responsible for addressing patient needs and enlisting the help of the social worker if necessary
Provide proper techniques and supplies that will promote healing and prevent infection
Ensure that patients understand the importance of wound care and provide follow up and referrals if necessary
Job DescriptionsDiabetic Teaching
Nurse As part of the admission process,
the diabetic teaching nurse will provide a thorough assessment to include vital signs, skin, nutritional value, co- morbidities, barriers to teaching or meeting goals, caregiver support (if necessary), and willingness or motivation for change and/or overall improvement of health.
Upon completion, this nurse is to request appropriate referrals for social workers
The diabetic teaching nurse will create a schedule of visits and events to take place at each home visit and provide appropriate documentation in the patient’s chart.
Will collaborate with the Office Manager, Wound care nurse, Dietician, and Social Worker to provide the best care for patients.
Social Worker The role of the social worker can
assist in evaluating “social, emotional, financial, and environmental factors related to the patient’s illness, response to treatment, and adjustment to care as well as identifying stressors that exacerbate the illness” (MidMichigan Home Care, 2012).
Through this evaluation, appropriate services and/or referrals can be made as community resources and support services are assessed.
Will collaborate with the Office Manager, Wound Care nurse, Dietician, and Diabetic Teaching Nurse to meet the needs of patients.
Sample Job Advertisement
Diabetes Management StrategiesJoin Our Team Today!
The positions within our organization through MidMichigan Medical Center offer, autonomy, freedom, and focus for the patients we serve. This allows
for care providers to organize their day in whichever way suits the individual, and maximizes the impact we have on effective diabetes
management. Diabetes Management Strategies offers room for unlimited clinical growth, and the ability to be a part of a team that makes a
difference in the fight against diabetes. As a member of the Diabetes management education team, you have a focused expertise area, which
allows for greater impact with the patients we serve. Diabetes Management Strategies is looking for a dedicated Endocrinologist, a
specialized dietitian with expertise in diabetes management, and two full time Nurses with specific training or certifications in diabetes
management to be a part of a team built to make difference. Please forward your resume and cover letter to Diabetes Management Strategies:
P.O. Box 123, Midland, MI. 48640, or apply online @ Monster.com.
Marketing Plan & Cost of Advertising
The employment advertisement will run in the Midland Daily News that Mid-Michigan utilizes for employment opportunities. The cost for running this advertisement will be $158.00 (Personal Communication, Angela, MDN).
The online version of this circular has a link when you access the classified section that directs the user to Monster.com, and the cost for this portion is $90.00 (Personal Communication, Angela, MDN).
The total cost for placing this employment opportunity is 248.00 (Personal Communication, Angela, MDN).
The final arena in which we will advertise is in the American Journal of Nursing (AJN).
The cost for running this employment advertisement will be $2675.00 for a 1/8th page section in the journal (AJN, 2012).
Budget PlanFTE’s For Staffing:
Wound nurse 2 Registered
nurses Dietician Manager Director
Endocrinologist
Salaries Salaries for Staff per year:
Wound nurse $53,300/year at $25/hr
2 Registered nurses $49,900/ year each at $24/hr
Dietician $41,600/year at $20/hr
Manager $60,000/year at $29/hr
Director $76,000/year (indeed.com)
Endocrinologist $118,000/year (indeed.com)
Productive hours (without vacation, holiday & sick time) would be 1872
Non-productive hours are 208 with 15 days of vacation, 7 days of holiday, and 4 sick day
Hours of OperationMonday- Friday from 8am-5pm
BudgetGovernment
Reimbursement MidMichigan Home Care’s
primary source of reimbursement is provided by Medicare Part A while Medicaid, other private insurance companies, and charitable funds make up the remaining sources of reimbursement for services provided
Supplies & Operating Expenses
Our supplies should include: Glucometers/test strips/lancets Wound care supplies Computer equipment Office supplies Teaching resources Lab supplies
Operating expenses should include: Any applicable diabetic
seminars for staff to have the most current information regarding diabetes to ensure that up to date care is being provided.
References American Diabetes Association (2011). Diabetes statistics. Retrieved from
http://www.diabetes.org/diabetes-basics/diabetes-statistics/
Center for Medicare and Medicaid Services. (n.d.). Retrieved from http://www.medicare.gov/publications/pubs/pdf/10969.pdf
Mayo Clinic (2012). Type 1 diabetes. Retrieved from http://www.mayoclinic.com/health/type-1-diabetes/DS00329
Mayo Clinic (2012). Type 2 diabetes. Retrieved from http://www.mayoclinic.com/health/type-2-diabetes/DS00585
MidMichigan Home Care. (2012). Competency-based job description and performance standards. Retrieved from the J drive of MidMichigan Home Care public folder
MidMichigan Health. (2011). MidMichigan launches innovative multidisciplinary diabetes program. Retrieved from http://www.midmichigan.org/about/news/2011/midmichigan-launches-diabetes-program/
Yoder-Wise, P.S. (2011). Understanding and Designing Organizational Structures. In, Leading and managing in nursing (pp.137-156) 5th ed. St. Louis, MS: Elsevier Mosby. American Diabetes Association (n.d.). Diabetes basics. Retrieved from http://www.diabetes.org/diabetes-basics/prevention/pre-diabetes/