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Self Management Education Program Diabetes Essay

AYM1 SERVICE PLAN BRIEF

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Service Plan Brief for

[Barbour Diabetes Self-Management Education Program]

Western Governors University

Service Plan Brief for Barbour Diabetes Self-Management Education Service

Service Idea (suggested length 23 pages)

The proposed service idea is a diabetes self-management education program to be implemented in Barbour County, Alabama. According to the Center for Diseases Prevention and control, 34.1 million American adults aged 18 and over (13 percent of the population) have diabetes, with the highest prevalence reported among those aged 65 and over (CDC, 2020). The CDC identifies diabetes as the seventh leading cause of death in the US, accounting for approximately 270,000 deaths (crude rate of 83.1 per 100,000 deaths) annually (CDC, 2020). Diabetes management is multifaceted and complex, with many patients struggling to cope with the high self-care levels required for effective diabetes-control (Fenwick et al., 2013). A key barrier to effective diabetes-management is lack of knowledge on self-care activities. Studies have associated diabetes self-care education with better diabetes-management, improved health outcomes, and reduced mortality (Zhang & Chu, 2018; Fenwick et al., 2013).

According to the CDC, Alabama has the third highest prevalence of diabetes in the US; yet over 60 percent of the states counties do not have a licensed diabetes education program. This plan proposes the development of a diabetes self-care education service in Barbour County in southeastern Alabama. Only one of the 13 counties in the southeastern part of Alabama, Houston, has accredited self-care education programs.

The service will serve diabetes patients in Barbour and the neighboring counties, equipping them with health education on nutrition, self-monitoring of glucose levels, and adherence to medication (Zhang & Chu, 2018). The program will provide educational sessions lasting between 30 minutes and 1 hour to groups of between 10 and 15 patients during their routine visits to Barbour Medical Center. Each participant will attend a minimum of 5 education sessions, where face-to-face instruction, pictures illustrating food choices and portion size, and education materials on coping with stress and foot care will be provided (Mash et al., 2012). The program aims at improving knowledge levels of diabetes patients and empowering them to minimize complications, thus improving their quality of life.

Market Analysis

The target population is the 610,000 diabetes patients living in Alabama (American Diabetes Association, 2014). Potential referral bases are the 44 medical centers across Barbour and its neighboring counties. The proposed program faces competition from the 62 diabetes education programs accredited by the American Association of Diabetes Educators to offer health education services across Alabama (Alabama Public Health Department, 2019). In the southeastern part of the state however, there are only six diabetes education service programs, all of which are located in Houston County, forcing residents in the upper counties such as Barbour to travel across several counties to access diabetes education services (Alabama Public Health Department, 2019).

SWOT Analysis

Strengths

Weaknesses

Qualified personnel the initiator is a certified nurse leader with postgraduate qualifications, working with licensed diabetes educators

Limited coverage - The service focuses on diabetes education only, ignoring other co-occurring chronic conditions such as kidney failure

The program is designed to make use of a variety of educational strategies, including face-to-face instruction and take-home flip charts with pictures

The service is yet to be licensed by the American Association of Diabetes Educators, denying it national recognition

The service is to be based within the Barbour Medical Centre, the most popular hospital among diabetic patients in the county, which ensures a regular and huge flow of clients

The hospital-based setting and group instruction limits the ability to have a closer interaction with the person, caregivers, and family members

The program will rely on donor funding to...

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…Sept to 30th October

Formulate the design for the proposed program

Advisory committee

1st November 30th November

Curriculum Development, including determination of topics to be covered

Advisory committee

1st November 30th November

Recruitment of diabetes educators and administrative staff

Program coordinator and representatives of the advisory committee

1st to 30th November

Development of a mission and vision

statement; quality measures, and program goals

Program coordinator, diabetes educators, and staff

1st to 10th December

Development of a business plan for external funding

Program coordinator and diabetes educators

10th to 31st December

Purchase of equipment and facilities such as furniture

Program coordinator, administrative staff

31st to 15th January 2021

Obtain initial Accreditation by the Diabetes Education Accreditation Program

Program coordinator

1st January to 31st March 2021

Finalization of contractual obligations with the Barbour Medical Centre, where the program is to be based

Program coordinator

15th March to 31st March 2020

Executive Summary (suggested length 1 page)

According to the CDC, Alabama has the third highest prevalence of diabetes in the US; yet over 60 percent of the states counties do not have a licensed diabetes education program. The proposed service idea is a diabetes self-management education program to be implemented in Barbour County, Alabama. The service will servediabetes patients in Barbour and the neighboring counties, equipping them with health education on nutrition, self-monitoring of glucose levels, and adherence to medication. There are 62 accredited diabetes education programs across Alabama. In the southeastern part of the state however, there are only six diabetes education service programs, all of which are located in Houston County, forcing residents in the upper counties such as Barbour to travel long distances to access education services. The services main strengths are its subsidized prices. However, as it is located in a rural county, the potential market is significantly small as compared to the urban centers. The program will market itself as a low-price service to build a greater appeal among low-income earners than…

Sources used in this document:

References

Alabama Public Health Department (2019). AADE Accredited or ADA Recognized Programs by County. Alabama Public Health Department. Retrieved from http://www.alabamapublichealth.gov/diabetes/assets/dsmemap.pdf

American Diabetes Association (2014). The Burden of Disease in Alabama. American Diabetes Association. Retrieved from http://main.diabetes.org/dorg/PDFs/Advocacy/burden-of-diabetes/alabama.pdf

ASHRM (2011). Risk-Management Handbook for Healthcare Organizations (6th ed.). New York, NY: John Wiley & Sons.

CDC (2020). National Diabetes Statistics Report. Center for Diseases Prevention and Control (CDC). Retrieved from https://www.cdc.gov/diabetes/pdfs/data/statistics/national-diabetes-statistics-report.pdf

Fenwick, E. K., Xie, J., Rees, G., Finger, R. P., & Lamourex, E. L. (2013). Factors Associated with Type 2 Diabetes using the Diabetes Knowledge Test Validated with Rasch Analysis. Plos One, doi: org/10.1371/journal.pone.0080593FSA (2019). USDA Designates Barbour County, Alabama as a Primary Natural Disaster Area. Farm Service Agency (United States Department of Agriculture). Retrieved from https://www.fsa.usda.gov/news-room/emergency-designations/2019/ed_2019_0920_rel_0102

Gurses, A. P., & Xiao, Y. (2006). A Systematic Review of the Literature on Multidisciplinary Rounds to Design Information Technology. Journal of the American Medical Association, 13(3), 267-76.

Mash, B., Levitt, N., Steyn, K., Zwarenstein, M., & Rollnick, S. (2012). Effectiveness of Group Diabetes Education Program in Underserved Communities in South Africa: Pragmatic Cluster Randomized Control Trial. BMC Family Practice, 126(13), doi: org/10.1186/1471-2296-13-126QIO Program (2016). Business Plan Guide for Diabetes Self-Management Education Programs. Quality Improvement Organizations. Retrieved from https://qioprogram.org/sites/default/files/editors/141/DSME_Business_Tool_Kit_COMM.pdf

Zhang, Y., & Chu, L. (2018). Effectiveness of Systematic Health Education Model for Type 2 Diabetes Patients. International Journal of Endocrinology, 1(1), 1-9.

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