Diabetes: Continuum of Care
Source: Worcestershire Diabetes: a New model of care Stakeholder event (2007)
The continuum of care for diabetes begins at the moment that the individual is found to have diabetes and continues across the individual's health care providers and across the varying stages of progression of the disease and the age progression of the individual with Diabetes. This continuum of care should be addressed by health care providers, Medicare/Medicaid, as well as the Centers for Disease Control and Prevention.
Changes in the workforce in developing the diabetes continuum of care is stated to have included the following: (1) Increase in number of dieticians; (2) Increase in number of diabetic specialist nurses; (3) Increase in podiatrists; (4) Education for primary care team; (5) Move DSN to primary care to take straight referrals; (6) Insulin for life training with continuous CPD support; (7) Increase capacity in general practice; (8) Psychologist input; (9) DSN provides education/advice for practices; (10) Increase confidence of G.Ps and Practice nurses to deliver care; (11) Out of hours service accessibility to advice post 6 p.m. (for patients and clinicians); and (12) DSN for elderly. (Worcestershire Diabetes: a New model of care Stakeholder event, 2007)
Clinical accommodations were stated to include: (1) Care pathways; (2) Identification of patient on admission to acute to pharmacist, DSN; (3) Continuity of care throughout the service where possible patient sees the same clinician; (4) Need shared templates, guidelines, protocols; (5) Retinal screening; and (6) Eye screening for housebound. (Worcestershire Diabetes: a New model of care Stakeholder event, 2007)
Communication accommodations supporting diabetes continuum of care included: (1) Countywide register accessible to all clinicians; (2) Increase family/school liaison; (3) Developed links between services; (4) Diabetic link nurses on all wards; (5) Shared templates/paperwork; (6) Use of available technology email referrals/advice etc.; (7) Information that flows freely to all parts of the service; and (8) Good data. (Worcestershire Diabetes: a New model of care Stakeholder event, 2007)
Public health and education accommodations to support diabetes continuum of care included: (1) Better transport; (2) Healthy diet; (3) Playing fields; (4) Educating parents, children on healthy lifestyles; and (5) Tie diabetes to other strategies to tackle obesity. (Worcestershire Diabetes: a New model of care Stakeholder event, 2007)
Patient education accommodations for supporting diabetes continuum of care is stated to include: (1) Structured patient education for type 2; (3) Structured patient education for type 1; and (3) Cluster-based training for newly diagnosed diabetics. The action along with the purpose taken in this diabetes continuum of care initiative are listed in the following table labeled Figure 2.
Diabetes Continuum of Care Actions/Purposes
Action
Purpose
Diabetes Network core group to meet
To agree terms of reference, structure and function of the network
Agree communication strategy.
Make final agreement on model of care following feedback
Decide how to deliver recommendations from the stakeholder event
Begin detailed action plan for circulation
Set up the Diabetes Structured Education Self-Care Group
To address the recommendations and requirements of NICE guidance, both technology appraisals and clinical guidelines, in relation to structured patient education, patient information and self-monitoring in accordance with the Worcestershire Model of Care for Diabetes. The group will be chaired by Sian Finn, Self-Care Programmes Manager for the PCT.
Complete the Diabetes Commissioning toolkit data collection
To benchmark our services. To provide baseline data to evaluate changes against. To ensure action plans can be prioritized appropriately based on health needs analysis.
To identify financial implications
Communicate outputs from Stakeholder event widely and gain feedback especially with patients groups.
To ensure all those with vested interest have a chance to contribute to the future of diabetes care in Worcestershire.
Identify and cost workforce options for delivering the model of care
To ensure robust workforce plans can be produced to support model of care
To allow open decision making process
Worcestershire Diabetes: a New model of care Stakeholder event (2007)
The 'elements of care' stated in the Diabetes continuum of care program are listed in the following table labelled Figure 3.
Diabetes Continuum of Care Elements
SUPPORTED Self-CARE
GP/PRACTICE NURSE
INTERMEDIATE CARE (DSN LED in the COMMUNITY)
ACUTE CONSULTANT LED
Prevention type 2
Heart disease/stroke##
Screening
Self-management information packs (1 group's idea that these should be provided for all patients)
Structured Patient education
Screening
Diagnosis type 2 adult
Initial management type 2
Continuing care type 1
Continuing care type 2
Regular surveillance adults
Erectile dysfunction
Foot issues (surveillance)
Proteinuria
Treatment change e.g. insulin
Institutional care (moving to 3 as clinically appropriate)
Elderly/housebound (moving to 3 as clinically appropriate)
Diagnosis type 1 adult (3 groups)
Initial management...
Originally, this included 120 days of hospital benefits and 120 days of nursing-home benefits. General revenue funds from the program would also be applied towards hospital construction equipment purchase and grants to teaching hospitals. The second part of the law, also known as Part B, concerned physician visits. Initially, Part B was known as Eldercare, the American Medial Association's (AMA) alternative to Medicare. Mills however reformed it to become an
These stakeholders are also vital in the promotion of the application of standards-based technology. This is critical as it enhances the safety and security of the citizens as they pursue low-cost health care services and products within the context of the United States. The federal and state governments have also been influential in the development and implementation of policies towards addressing security and privacy issues in relation to the utilization
Specialist doctors will normally examine only those patients who have been referred to their clinic by a general practitioner. (U.S. Department of State, n. d.) The Government of Netherlands is not responsible or the ongoing management of the healthcare system on a daily basis which is offered by private healthcare service providers. However the government is charged with the accessibility and ensuring appropriate standards of the healthcare. A new healthcare
Evolution of Health Care Information Systems Before 1990, the 80s brought in a new health era. The U.S. health care system turned out to be an organization that would grow continuously. Especially in the sector of health care information technology. The research shows that the development can be looked at as an effort to stereotype people's disjointed health care service. It is obvious that the health care information technology is no
The infant mortality rate is of 8.97 deaths per 1,000 live births. This rate places Kuwait on the 160th position on the chart of the CIA. The adult prevalence rate of HIV / AIDS is of 0.1 per cent. In terms of economy, Kuwait is a relatively open, small and wealthy economy. It relies extensively on oil exports -- petroleum exports for instance account for 95 per cent of the
2.) Based upon your personal, non-professional experiences, briefly discuss 2 or 3 applications of it which have enhanced or hindered your financial or medical well being. It and cyber-commerce/e-commerce do not exist devoid of context; thus please help define and shape this context. The advent of computerized billing and medical coding has undoubtedly streamlined the process of managing a hospital's income and expenditures, but this aspect of healthcare it has been
Our semester plans gives you unlimited, unrestricted access to our entire library of resources —writing tools, guides, example essays, tutorials, class notes, and more.
Get Started Now