POLICY P

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Dec 6, 2023

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1 Ryen Biggio Capella University NHS-FPX6004 (section 3) Dr. Mary Burke April 2023

2 Based on the information shown by the Mercy Medical Center dashboard, there is a decrease in the HgbA1c and foot exams for diabetic patients. The dashboard helps indicate if benchmarks are being met for the healthcare organization according to local, state, and federal laws or policies. Mercy Medical Center is recognized for being one of the region’s top choices in the healthcare field, but there is always room for growth opportunities. Diabetic foot exams have decreased drastically from 2019 to 2020. With this neglect of doctor check-ups, outside resources and interventions are required to implement changes and improvements. Due to the expense of changes in a hospital, there is a strong need for organizational policy that can address this shortfall. Policies establish a structure that benefits the organization, patients, and the community. The need for creating policy and practice guidelines to address a shortfall in meeting a benchmark metric helps enhance the quality of the organization, as well as the quality of patient-centered care. When benchmarks are not being met, underperformance comes into play and can cause a negative cascade effect on the organization if not handled promptly. Underperformance is non-compliance, or not meeting high standards within a healthcare setting. It can be beneficial to understand what aspects the organization is falling short on and where the improvements can be made (Ghazisaeidi et al., 2015). Policy Proposal Main objective is to increase patient and staff satisfaction, improve quality of life for patients, enhance clinical outcomes, reduce costs, and have a higher patient flow throughout the facility while increasing the percentage of exams for Diabetic patients. External resources, money and new programs would be needed in order to make this policy a part of the organization. This also leads to the opportunity to lessen hospitalization. Once new policies are implemented, compare data from previous years, figure out where the decline is and what is working within the strategies, a bigger outcome for patients will come ( Value of Diabetes Educators-CDC, n.d.).

3 Strategies to Resolve Decreased Diabetic Exams Nutritionists, doctors, nurses, and CDE’s (Certified Diabetic Educator) can help provide educational programs for patients to learn about the importance of exams and the negative outcomes of not prioritizing their health. Holding educational training and meetings for the staff to discuss what is best to be talked about and which approach is beneficial will encourage patients to attend classes where they can gain more information on Diabetes and their health. With the group classes, flyers can be handed out as well for them to have that information as a reference and give the opportunity to join the class remotely from a computer at home. After staff holds these classes, open ended questions will be used to see where the patients are still struggling and where the classes have helped ( Service staffing and Delivery Models 2022). Educating patients can be beneficial to allow them the opportunity to understand the importance of regular checkups and give them the information they need to be aware of their own symptoms at home and when to reach out to a doctor for help or concerns. In order to lessen hospitalization for Diabetic patients, it is necessary to include CDE’s on a multidisciplinary team in implementing changes for this community. CDE’s are now a fading profession that seem to have a huge impact on these patients and helping promote self-management opportunities for treatment goals. With this information, it will be crucial to include higher stakeholders in order to establish these professionals and bring them to the team ( Diabetic Foot Exam, n.d.). Stakeholder Involvement in Implementing Policy Stakeholders’ involvement is necessary to implementing change within a healthcare organization in a timely and strategic manner. Working as a multidisciplinary team allows for different educational backgrounds and additional expertise to come together in creating a better organization and policies. This also allows members to work interdependently to then consult and share objectives. As healthcare is

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4 always changing throughout the year and new steppingstones occur, it gives opportunity to add other stakeholders as those changes occur to create an even bigger outcome. The CEO, COO, and Director of Nursing are the top stakeholders when it comes to implementing change. These are the individuals that can enforce policies, form a quality committee, propose strategies, and understand the financial impact those changes will make. The stakeholder’s role in implementing change within a healthcare organization is to fulfill the obligation of ensuring the quality of patient care and to always strive to improve that care through mandated policies or procedures. They should regularly go over the action plan to improve healthcare outcomes and patient care, as well as monitor the trends of the exams to ensure the goal is being met. Stakeholders will go about creating policies in a “plan-do- study-act” cycle that brings all stakeholders from different levels together, testing interventions, developing a plan, and then approach the problem to implement change. (Alshammary 2021) Conclusion Healthcare organizations have an obligation to acquire the best quality of patient safety and care and to strive for improvements with the ever-so changing environment. We want to ensure that our Diabetic patients are up to date on their exams in order to prevent any further repercussions. Without regular check-ups and education, patients can’t be certain about health complications such as nerve damage, poor circulation, or infections. Neuropathy is very common with diabetic patients, so this is something te organization should focus on and encourage staff to give that knowledge to the community ( Diabetic Foot Exam, n.d.).

5 References Alshammary, S. A., Abuzied, Y., & Ratnapalan, S. (2021). Enhancing palliative care occupancy and efficiency: A quality improvement project that uses a healthcare pathway for service integration and policy development . BMJ Open Quality, 10 (4), e001391. Centers for Disease Control and Prevention. (2022, December 30). Service staffing and Delivery Models . Centers for Disease Control and Prevention. Retrieved April 25, 2023, from https://www.cdc.gov/diabetes/dsmes-toolkit/staffing-delivery/index.html Diabetic Foot Exam. (n.d.). https://medlineplus.gov/lab-tests/diabetic-foot-exam/ Ghazisaeidi, M., Safdari, R., Torabi, M., Mirzaee, M., Farzi, J., & Goodini, A. (2015). Development of Performance Dashboards in Healthcare Sector: Key Practical Issues. Acta Informatica Medica: AIM: Journal of the Society for Medical Informatics of Bosnia & Herzegovina: Casopis Drustva Za Medicinsku Informatiku BiH, 23(5), 317. https://doi.org/10.5455/aim.2015.23.317-321 Value of Diabetes Educators-Building the Business Case for DSMES/DSMES Toolkit/Diabetes CDC . (n.d.). https://www.cdc.gov/diabetes/dsmes-toolkit/business-case/educators.html

POLICY P

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