Dsmes Program Evaluation Plan

After reviewing the outcomes listed above, do you feel the program prepared you to meet these outcomes? If not, which ones do you feel you did not meet?

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

As an endemic health problem in the United States, diabetes affects everyone either directly or indirectly. In Alachua County, there has been a steady increase of preventable diabetic related hospitalizations as well as an increase of forty percent death rate (Alachua County Community Health Profile, 2012). Diabetes education is needed not only for those with diabetes but those that are indirectly affected. This can include relatives, friends, and/or teachers. With the aim of preventing or maintaining this disease, it is important to have education classes to increase public awareness. Education is an important tool for day to day self-management of diabetes. People with diabetes have extensive learning needs. These needs focus on managing

Yuen/Terao (2003) states, “Program planning is an organized process through which a set of coordinated activities or interventions is developed to address and facilitate change in some or all of the identified problems.” “Program Evaluation is the application of different social research designs in assessing the needs and results of programs.” In short, Program Planning and Program Evaluation is the process of assessing needs, organizing an

A health promotion strategy that may be of benefit in Webb County is increasing community diabetes education. Diabetes self-management classes that utilize the Trans-theoretical Model of Change have proven successful in reducing GHb levels. The Trans-theoretical model of behavior change evaluates an individual's willingness to adopt healthy behaviors and provides methods to guide the individual through the stages of change to achieve self-efficacy. A study published by the American Diabetes Association concluded that “self-management education improves GHb levels at immediate follow-up, and increased contact time increases the effect” (Norris, Lau, Smith, Schmid, & Engelgau,

In an effort to design an evaluation for a specific program, some approaches emphasize working with clearly stated program goals and objectives so that the degree to which such goals and objectives are achieved can be measured. “This has been the most prevalent model used for program evaluation. Examining goals and objectives seems to be an essential aspect of evaluation; it is important to judge a program relative to its particular structure and what it is designed to achieve” (Posavac & Carey, 2007, p.23-25). It is very important for organizations to clearly and closely examine their

Another challenge is that traditional health-care systems currently in operation in the county and other communities in Texas, are designed to provide symptom-driven responses to acute illnesses, and are often poorly configured to meet the needs of the chronically ill. Further, successful management of chronic diseases including diabetes is challenging due to lack of information technology in outpatient settings; multiple sources of nonintegrated information; limited access to and use of diabetes specialists including education services, and time constraints.

Program evaluators have to make a determination in the planning of their evaluations as to what success means or looks like. They also have to be ready for data gathered that was not intended or expected. Each of the evaluation models discussed help to paint a picture of the worth of a program whether subjectively or objectively using qualitative and quantitative methods of data gathering. The result is the review of program efficiency, effectiveness, and impact and that all wraps up into whether the program did what it said it would all while showing a return on the investment both in non-exorbitant spending and sustained behavior change that positively moves the needle toward an organizational

Diabetes mellitus is a major public health problem in the US. High diabetic prevalence rates and negative health outcomes were linked with lack of health literacy among the population. Health literacy is necessary to create awareness and improve self management skills among the patients. This will help prevent diabetes and delay the complications associated with it through educated care choices and self management ability. This research focuses on health literacy interventions and their impact on diabetic patient health outcomes. Firstly, this section of the paper discusses details about diabetes in terms of how it is caused, the symptoms, the types, statistics, and costs of care, complications, and diabetic facilities in Colorado and then provides explanation on health literacy and discusses the impact of different kinds of health literacy interventions on health outcomes among diabetes patients.

As you know Diabetes (DM) is a growing health disparity in the United States (U.S.). Today we are going to take a closer look at how we can improve the management of DM in the rural communities within Iowa. Particularly looking at improving the primary care aspect of these patients in three rural counties in central Iowa. Currently Grinnell Regional Medical Center (GRMC) affiliated clinics attempt to manage DM on the primary care level and then will refer patients to Internal Medicine and/or endocrinology specialists within a larger health care system. By improving the current process throughout the clinics within this network, and creating a streamlined process we can decrease the referral rates to other clinics, decreasing patients

Linnan and Steckler (2002) describe the following key process evaluation components: Context-aspects of the larger social environment that may affect implementation; Reach-the proportion of the intended audience to whom the program is actually delivered; Dose-delivered-The amount of intended units of each program component that is delivered; Dose-received-the extent to which participants engage with the program; Fidelity-the extent to which the intervention was delivered as intended ( Bartholomew et al., 2011. p.526).

Improving the management and prevention of diabetes is at the forefront of public quality initiatives improvements. Government agencies such as, The National Institute of Diabetes and Digestive and Kidney Disease and The Centers for Disease Control and Prevention (CDC), work together to fund research studies to improve disease management and prevention initiatives across the nation. The most effective initiatives are those that center on the health care team, and the interactions between the team and patient (Shojania et al., 2006). Team based initiatives that focus on education and patient involvement highlight the correlation between increased health literacy and improved disease management and prevention.

Whereas in Kleberg county, in Kingsville, with a population of 10,000 its 8.6% Although, there are diabetes management program available in south Texas the diabetes rate is increasing every year because of the lack of education about diabetes. Therefore, to increase awareness in south Texas we chose to establish a diabetes management clinic in HEB #401 pharmacy. Furthermore, unlike other diabetes management programs in Kleberg, our program will be more patient oriented; a hands-on approach. We feel our program’s strategy will be more successful than other programs because we offer personalized, individual consultations to aid in the prevention and treatment of diabetes. We will perform blood glucose, blood pressure, and A1C monitoring. The program will also offer diet advice and MTM for a complete 6 month enrollment. Furthermore, our program is supported and adapted using the American Diabetes Association

Magon M. Saunders, diabetes educator, health coach, and registered licensed dietitian presently serves as a Program Development Consultant in the Program Implementation Branch of the Division of Diabetes Translation at the Centers for Disease Control and Prevention (CDC). At CDC, Magon works to provide technical assistance and support to state and national grantees. Magon also provides her expertise to various groups at CDC, including, the Center’s health equity, community health workers, and community clinical linkages workgroups. Nationally, Magon represents the agency as a member of both the American Diabetes Association’s Cultural Competency Workgroup as well as its African American Diabetes Action Council.

The outcome evaluation focuses on the effectiveness and impact of the program, is the program successful or failing. The outcome evaluation measures how well the program is doing when it comes to fulfilling goals, objectives or mission. The evaluation will look at the clients life, has it gotten better or has it stayed the same or gotten worse, (the success rate for clients). The evaluation could look at short or long term outcomes of survivors' immediate safety, survivors' increased knowledge about domestic violence, survivors' increased awareness of resources and options and community's knowledge about domestic violence.