Case Study Of The Indiana Department Of Public Health

Diabetes affects nearly 10% of the total population and national cost of more than $200 billion each year in the United States (Center for Diseases Control and Prevention, 2017). Before the patient protection and affordable care act (PPACA), many low-income diabetes patients had no or very limited access of health insurance coverage due to financial disadvantage. PPACA Title II-Role of public programs expanded Medicaid coverage to individuals under 133% of the federal poverty level (Obamacarefacts.com, 2013). Nurses directly interact with low-income diabetes patients to guide, advocate, educate and navigate the complex healthcare system to deliver the best evidenced care (Marquis &

Understanding that diabetes has reached epidemic proportions globally, the ADA has set up a yearly “wake up call” event that hopes to reach as many individuals in the workplace, homes, clinics, and everywhere in America and have them take the Association’s 60 second survey called the “Type 2 Diabetes Risk Test” ("American Diabetes Association Alert Day," 2017). This event is held every year on the last Tuesday of March, and is called the “American Diabetes Association Alert Day” and all companies and organizations that want to make a difference in this diabetes epidemic can definitely make a difference by sharing via social media, email, digital banners, posters, risk test handouts, and educational resources provided on the ADA’s website. This event focuses on awareness, as prediabetes is a condition that can be reversed with weight loss, active lifestyle, healthy food choices, healthier lifestyle modifications and lastly medications regimen ("American Diabetes Association Alert Day," 2017). As nurses, it is imperative to become involved with associations like the ADA to assist communities with education, screenings measures, and

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

American Diabetes Association has a long history of research support and engagement. The first direct ADA research were awarded in 1952, and in the late 1970s, the ADA research funding was centralized into a program model after that of the National Institute of Health (NIH), with operational and scientific oversight housed in the national office. Founded in October 1994, the ADA Foundation was created to substantially accelerate the Association 's ability to raise major gifts to directly fund diabetes research. Now the ADA is a volunteer-driven organization, with about 90 local offices above the United States. The goal of the ADA is to prevent and cure diabetes and to improve the lives of all people affected by diabetes. The burdens of diabetes are enormous and escalating at an alarming rate. About 26 million Americans have the disease, and over 10% of the total adult population and over 25% of the population aged 65 years and older. If present trends continue, as many as one in three Americans adult will be diagnosed with diabetes by 2050; in majority of cases will include older adults and racial ethnic minorities.

According to Rural Health Information Hub (2017), the fundamental purpose of disease prevention is to keep individuals healthy. One implements health promotion interventions in an effort to promote healthy behaviors and to decrease the risks of developing chronic illnesses (RHIH, 2017). According to the ADA (2016) individuals that participate in health promotion behaviors are more likely to have better health outcomes compared to those who do not. The EBP change project has shown that educating patients with prediabetes can increase diabetes knowledge and promote an increase in health promotion behaviors. The EBP change project outcome has indicated that participants who completed the 6-week diabetes education program were able to increase their knowledge regarding type 2 diabetes. Therefore, with the positive outcome of the EBP change project, the EBP change project site can incorporate certain aspects of the diabetes education program into their patient education to increase diabetes knowledge, picking healthier food options and participants in activities that would increase physical fitness.

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,

• Funding from CDC, allows the NYSDOH to support other organizations to “develop and implement a range of diabetes prevention and management activities in community and healthcare settings” (New York State's Approach to Diabetes. (2017, June).

The Division of Diabetes Treatment and Prevention within IHS has developed the Diabetes Care and Outcomes Audit to monitor diabetes clinical care, and has created diabetes surveillance systems for tracking diabetes prevalence and related health complications (US Department of Health and Human Services [USDHHS], 2015). The IHS also established the Special Diabetes Program for Indians (SDPI). The SDPI is a federally funded program that focuses on diabetes treatment and prevention programs and activities in hundreds of tribal communities within the US. The SDPI encompasses several efforts including the community-directed diabetes program, which focuses on local treatments and prevention programs (USDHHS, 2015). The Program also includes Indian Health Diabetes Best Practices. Developed by Native American health system professionals, these consensus-based approaches are used to implement or improve diabetes treatment and prevention. These Best Practices emphasize adult weight management, nutrition and physical activity, scientific research, diabetes program evaluations, and treatment and prevention of cardiovascular and kidney disease (USDHHS, 2015). The IHS also supports and funds external research programs and interventions

Type II diabetes is a disease that affects millions of people in the United States and is also a disease that is continually growing in numbers. The cost of the individual and national health care systems is also a number that is growing. Policy for prevention of diabetes and pre-diabetes is something that while has changed some in the past, has been basically the same for the past 20-25 yeas. This disease affects many throughout the country, but effects those in the middle and lower classes due to the cost of eating healthier being greater than the alternative and also due to the fact that these groups are less likely to go for routine health care.

As Executive Director, I will provide staff leadership for Better Health Association. Our goal for the company is to improve the well-being of individuals. Audiences of all ages will be able to take part in learning about living a healthy lifestyle and developing the skills needed to make healthy choices to prevent diseases and ameliorate conditions for those already afflicted with illnesses. Over the course of the following year, it is my responsibility to develop and lead the staff, management structure, dedicated to achieving the mission for Better Health Care Organization. I plan to make significant changes to our organization, to help guide individuals in Central Ohio, to living a better and healthier lifestyle. My goal is to empower the staff with the training needed to meet our company’s standards.

Healthcare is one of the significant functions of every state government. In the state of Iowa, one of the organizations that play a major role in ensuring Iowan’s community health is the Iowa Department of Public Health (IDPH). Does IDPH effectively manage to ensure quality health services in Iowa considering the ever growing population and the demographic differences exhibited by the state’s inhabitants? If it does, how does it do it? This study is a report on Iowa Department of Public Health. The report intends to answer the questions posed above and to provide comprehensive information about the organization.

After reflecting on my own nursing practice, I decided to search the literature on the need for better education associated with DMI. Certain ethnic and cultural groups have an increased risk for DMI and educating those at risk is a key component in the management process. If nurses use more individualized teaching processes and meet their patients’ teaching needs, then their patients will feel more comfortable in taking care of themselves at home and in schools. By reviewing the literature on the need for enhanced diabetes

The Centers for Disease Control and Prevention (CDC) DSME driver document describes four drivers for DSME. These drivers are Program availability, Payers and payment mechanisms, Referral policies and practices, and People with diabetes willing to go to DSME. Research indicates that if employed these drivers can increase access, reimbursement, and referral for DSME. These four drivers can be used concurrently to improve DSME

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

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