Centura Health had the opportunity for a workshop presentation by Dominique Morgan-Solomon, a population health expert. Dominique Morgan-Solomon, MPH, works as a consultant in health care delivery, device management, and for health care organizations on population health strategies and program implementation. Prior to consulting, Dominique was the Chief Operating Officer of Steward Medical Group and Vice President of Population Health for Steward Health Care from February 2012 until October of 2015. She was responsible for the strategic planning and execution of its quality performance, clinical integration care management, and population health programs. Last year she was awarded “Young Healthcare Executive of the Year” for her leadership in this promising field by the National Association of Health Service Executives (NAHSE). She has exceeded in her career after receiving a Bachelor of Arts from Cornell University in Biology and Political Science and a Master of Public Health in Health Policy from the University of Michigan.
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,
Centura Health is their region’s largest hospital system that is faith based and not-for-profit, located in Colorado and Western Kansas. This system includes 15 hospitals plus more affiliated hospitals, over 100 physician practices, senior living communities, Flight for Life, Centura Health at Home, and laboratory services (Centura, 2014). The power, size, and large scale of this system causes it to be a god system to analyze during states of change. Currently, there are a lot of changes that are occurring throughout the healthcare system due to the Patient Protection and Affordable Care act that was signed into law by President Barak Obama. This act has called for a change to increase accessibility to healthcare, reduce the costs that are associated with healthcare, reduce the amount of duplication, and reduce the amount or errors (Herrington, 2010). Centura has created a strategic plan to address these changes and many other changes. Centura Health’s strategic plan is known as the Centura Health 2020 strategic plan. This strategic plan outlines long and short term goals. These goals, as well as previous goal, will be analyzed to understand how they plan on creating the need for change to ensure the successful implementation, as well as, understanding their historical approach to strategic change. Many organizations will look at past successes and failures to understand what went right and wrong to recreate, or avoid, those successes
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.
This essay will focus on type 2 diabetes, which is becoming one of the fast growing chronic health conditions in the United Kingdom (UK). Approximately 700 people are diagnosed with type 2 diabetes each day in the UK (Diabetes Uk, (2014)a). It is costing the NHS about £10billion pounds each year to treat diabetes along with its complication and it is expected to rise in the next couple of years (Diabetes UK, (2014)b).
As a patient, coping with being newly diagnosed with diabetes mellitus, can be very stressful for the patient and family members involved in the patient plan of care. The patient will have to make drastic lifestyle changes in order to be in compliance with the recommended treatment by the members of the health care team. Being a patient, making the necessary lifestyle adjustment will assist with management of the newly diagnosed illness. This essay will discuss a family member who was recently diagnosed with diabetes mellitus type II and has to take insulin. The family member is trying to gain knowledge in order to have a clear understanding of this illness. A questionnaire has been created for the family member regarding being diagnosed with diabetes mellitus. The results from the questionnaire will be discussed and further analyzed. There will be a discussion on how the patient, family and friends are accepting and their impact on the patient being diagnosed with diabetes mellitus. Finally an analysis of the care plan developed for diabetes mellitus will be discussed. The purpose of this essay is to help facilitate the patient and family members involved in the patient plan of care with education and management of diabetes mellitus.
Individuals that have been diagnosed with type 2 diabetes are cared for by a variety of people like podiatrist, district nurses, DSNs, GPs, and practice nurses. Good communication between these professionals and the person with type 2 diabetes can lead to better insight into the individual’s life, therefore helping to plan and provide the best care for that person. This can reduce repetition, improve quality of care for people with diabetes type 2 and
In relation to systemic factor, Brown, J. et al (2002) reported that most doctors often have limited time to study and abide to Clinical Practice Guidelines (CPG) that sometimes provide multiple guidelines and implementation changes within short time. This additional task although aids to improve effectiveness strategy in practice somehow considered troublesome especially when the healthcare system unable to address this issue. Brown, J. et al (2002) concluded that challenges arise in type 2 diabetes management were not caused by one factor instead, each roles (patient, doctor and healthcare system) play crucial responsibility and influences the elements that could be important to the others. In regards to the findings, development of diabetes management model that integrate and incorporate the patients together with other roles in diabetic care treatment was recommended by Brown, J. et al (2002). Several limitations were found in the study include the small sample size and the selection process were not explicitly
During the last four weeks we have covered many topics on chronic illnesses and I chose to research Diabetes Mellitus Type 2. In the first week, I learned more about the different types of Diabetes Mellitus, such as Type 1, Type 2 and Gestational Diabetes; morbidity and co-morbidities of diabetes, and the cost to people that suffer from Diabetes. I also developed a questionnaire to administer to a person with Diabetes Mellitus. In the second week,
Type 2 diabetes has become an epidemic in the United States. Diabetes affects 25.8 mil-lion people of all ages, which is 8.3% of the total population in the United States (NDIC, 2011). Type 2 diabetes accounts for 90-95% of all diabetes cases and is strongly associated with obesity, age, and physical inactivity (NDIC, 2011). Apart from its prevalence, diabetes involves direct medical costs of $116 billion, and medical expenditures for those with the diagnosis are 2.3 times higher than expenditures would be in the absence of diabetes (NDIC, 2011). Practitioners need to focus on finding the perfect treatment regimen, which may include physical activity along with diet modifications and pharmacologic interventions, in an effort to decrease the financial burden, control blood glucose levels, and improve the overall health of this population. The com-plications of untreated type 2 diabetes can be fatal, with heart disease, stroke, hypertension, blindness, kidney disease, and amputation among the more serious problems (NDIC, 2011). As a future family nurse practitioner, I will treat hundreds of adults and even children with type 2 di-abetes or at risk for it, and knowing the most successful interventions is foundational to being able to provide the best care to this patient population.
Population Health Management is the iterative process of managing clinical, financial and operational entities to help boost health outcomes and patient engagement, while also decreasing expenses (Mellin & Funk, 2014). This capstone project will depict what Population Health Management (PHM) is and how it is incorporated within the military and civilian healthcare industry. It will focus on what PHM can bring to healthcare organizations as well as discussing the challenges they could face. PHM can be powerful instrument for improving the health of the community when utilized correctly. New technologies, laws and regulations will be broken down and discussed to show how they each play a role in implementing a PHM program. Gardner (2014) stated
As the rate of diagnosed diabetes cases continues to increase, health care workers are presented with the challenge of preventing additional cases and managing current cases. It is predicted that nearly 1 out of 3 adults in the United States will be diagnosed with diabetes by the year 2050 (Centers for Disease Control and Prevention [CDC], 2011a). If left untreated, diabetes can lead to life-threatening complications that can affect many organ systems including the kidneys, heart, vascular system, eyes and nervous system. While quality of life is greatly affected, diabetes and its complications also produce a heavy financial burden for both patients and health care institutions (CDC, 2011a). Due to the increase in the number of diagnosed cases
According to Dogba, Dipansui, Chipenda Dansokho, Legare, and Witteman (2018), in 2014, an estimated 422 million adults, representing 8.5 % of the global population, were living with diabetes. The economic burden
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
Introduction: This topic that I am embarking upon is very broad, diabetes is a disease which affects people globally, but I will keep focus mainly on a community that means a lot to me. First and foremost I want to educate you about diabetes and then travel with you for a while.
Substantial demographic factors with this preliminary study within both the interview and chart review results include the lack of sources of patients adhering to protocols. These protocols included symptoms and sequelae, causation, cure, current treatment methods, costs, medical pluralism and the complexity of treatment, the diabetic diet, social support, and findings of medical chart review. High-quality clinical diabetes care or diabetes education is to a great extent inaccessible in the municipalities discussed earlier. A critical diagnoses proportion of diabetes was incidental. Patients were only aware of their effects on diabetes when they were exposed to diabetes-related vision problems or vision loss. The minority of patients felt that diabetes could be cured or bringing upon a life-long regimen of control was not necessary based on religious reasons. Informants who followed a
Population health improves treatment outcomes among specific patient groups in the community. In the past, there has been a disconnect between technology and clinical practice. This circumstance has made it a challenge to coordinate medical services and resulted in suboptimal treatment outcomes. Population health management helps care provider organizations overcome this barriers by improving patient satisfaction and reducing medical costs.