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Cheryl Howard, Stephanie Monroe, Michol Popp, Michelle Rowe, Alyson Swinehart
Spring 2012 NURS 440 OSP Project, Ferris State University
Traverse Community
Diabetic Services
Providing diabetes services to outpatient and inpatient population in Grand Traverse & surrounding areas:
• Education
• Medical management
• High quality nursing care
Services OverviewTraverse
Community Diabetic Services
321 Cherry BlvdTraverse City MI 49684
(231)944-4444 www.TCdiabeticservices.c
omMonday – Friday 8:00am to
4:00pm
• 25.8 million children & adults in US living with diabetes
• Cost of diabetes in U.S. was $174 billion in 2007
• Diabetes complications include:• Heart disease• Stroke• Hypertension• Blindness• Kidney disease• Neuropathy• Amputations
Need for Services
Internal Environment• No diabetes clinics in
Grand Traverse or surrounding counties providing inpatient and outpatient diabetes services
• Need for diabetes clinic services providing dietician, physician and nursing care
• Need for collaboration with hospitals and primary care offices
External Environment• 1 million adults in Michigan
have diabetes• Higher prevalence of
diabetes in Michigan than US• Higher rate in counties
surrounding Grand Traverse than in rest of Michigan
• Grand Traverse area has high rates of obesity, inactivity and older population
Needs Assessment
At Traverse Community Diabetic Services our purpose is to provide exceptional diabetes
education, medical management, and provide high-quality nursing care for both acute clients
in an inpatient setting as well as on an outpatient basis to diabetics within the
community.
We strive to provide a multidisciplinary approach to the care of the diabetic client and
are committed to assisting our clients in managing a healthy life with diabetes.
Mission Statement
Clients have the right to:
• Respect & dignity• Person centered,
non-discriminatory care
• High quality nursing and disease management
• Highest level of functioning possible
Nurses have a duty to:
• Uphold professional nursing standards
• Advocate for clients’ rights and needs
• Provide evidence based, holistic care to promote health and well being of clients & community
Philosophy
• Provide education, counseling and direct care relating to type 1 and 2 diabetes on an inpatient and outpatient basis.
• Provide compassionate care to all clients that services are provided to.
• Diabetes education resource for the Traverse area community.
• All care given is supported by current, evidenced based practice.
• Increase awareness of diabetes risk factors, signs and symptoms to members of the community.
• Care, education and services will be provided based on the needs of the individual and the community.
Organizational GoalsImprove the quality of life
of those living with diabetes!
1. To educate the community about awareness, prevention and management of diabetes by providing public education seminars and screening on a monthly bases.
2. To assist clients and families in establishing initial care and education of diabetes both inpatient and outpatient.
3. To provide scheduled ongoing care of diabetes as recommended by the health care provider.
4. To provide care in an interdisciplinary way to communicating with primary health providers and consider referrals to specialist assessment when indicated.
Organizational Objectives
Organizational Objectives continued
5. To improve the quality of life for patients living with diabetes as evidenced by less diabetic complications.
6. To provide comprehensive care for diabetes that aims not only to treat the disease, but to minimize the impact it has on our clients’ lives as evidenced by less hospitalizations.
7. To reduce morbidity and mortality rate by 5% in the community over the next 10 years.
8. To have more than 90% of clients with diabetes have two A1C tests done at least three months apart to ensure adequate glucose control for our clients.
Organizational ChartRN Clinic Director
Physician
Midlevel
provider
Registered
Nurse
Registered
Nurse
Registered
Dietician
Clerical Support
• We offer services in the least complicated manner possible. • Using a phase one shared
governance structure lets the nurse executive retain decision making authority while staff is responsible for practice issues and determining roles, functions and processes.
Job DescriptionsRN Clinical Director• Perform leadership functions of governance and
decision making.• Coordinate all planning, organization and directing
of financial funds.• Collaborate with all staff member and run day-to-
day operations.• Maintain a safe and effective environment where
diabetes management is a shared goal.
Registered Nurses• Collaborate care between physician, nurse
practitioner, and dietitian.• Provide professional care to clients using the
nursing process to achieve desired outcomes.• Report and collaborate with RN clinical director• Develop and maintain client plan of care
Physicians• Provide direct and indirect care to
impatient and outpatient diabetic clients• Collaborate care with nurse practitioner,
dietician and nursing staff.
Mid-Level Nurse Practitioner• Provide direct and indirect care to
impatient and outpatient diabetic clients• Identifies patient needs, skills and
knowledge needed to manage diabetes• Collaborate with the physician, dietician
and nursing staff.
Registered Dietician• Develop specialized diets for diabetic patients• Teach patients and families the importance of
nutrition, diet and food selection.• Evaluate how patients respond to their specialized
diets and make adjustments when necessary• Teach class about diet, nutrition and food related
to managing diabetes.
Clerical Support• Operation of office front desk and schedule
clients appointments.• Assist clinical staff with daily office operations• Handles the filling and finances for the clinic in
collaboration with the RN Clinical Director for budget purposes.
• Advertising • Salaries• Benefits
• Operating costs• Supplies• Equipment
• Funds & Revenue• Critical Appraisal
Budget Components
For staff recruitment & community exposure:1. American Diabetes Journal
• One month ad in the American Diabetes Journal- $4,370.00
2. Local newspaper (Record Eagle)• Three day ad $600.00
3. Brochures & flyers to hospital & healthcare organizations
4. Free electronic resources• E-Bay• Craig's List• Facebook
Job Advertisement
Staff Salaries
020,00040,00060,00080,000
100,000120,000140,000160,000180,000
Salary LowSalary High
Fringe Benefits: $8,000/employee
Operating CostsOperating Expenses
Cost Annually
Electric, Gas, and Heat
$ 13,000
Water $ 3,360
General Waste $ 12,000
Medical Waste $ 3,400
Phone System $ 16,000
Medical Supplies $ 16,400
Office Supplies $ 19,600
Postage $ 2,000
Advertisement $ 17,000
Insurance $ 20,000
Total $122,760
REVENUE & FUNDING• Grants• Donations• Medicare Part A• Medicare Part B• Blue Cross Blue
Shield • Priority Health
Budget: Critical Appraisal
• Expenditures for staffing, advertising and operating costs are justified due to the need of comprehensive, high quality, evidenced based care for diabetic patients.
• Clinic has potential to grow and expand over time
• Funding will be obtained from multiple sources that assist in operating clinic and contribute to the research knowledge base of diabetes care
SummaryTraverse Community Diabetic Services • Clinic created to address serious identified need• Serving patient population with high rate of diabetes • Mission statement, philosophy & goals support need• Plan created for staffing, advertisement and budget
Together We Can Make a
Difference!Photo Credit: healthcarecommunication.worpress.com
References• American Diabetes Association (2012). Diabetes statistics. Retrieved
from http://www.diabetes.org/diabetes-basics/diabetes-statistics/.• Centers for Disease Control and Prevention (2012). County level
estimates of obesity-state maps. Retrieved from http://apps.nccd.cdc.gov/DDT_STRS2/CountyPrevalenceData.aspx?mode=OBS.
• Centers for Disease Control and Prevention (2012). County level estimates of leisure-time physical inactivity-state map. Retrieved from http://apps.nccd.cdc.gov/DDT_STRS2/CountyPrevalenceData.aspx?mode=OBS.
• Mancini, M. E. (2011). Understanding and designing organizational structures. In P. Yoder-Wise, Leading and managing in nursing (5th ed., pp. 137-156). St. Louis, MO: Elsevier Mosby.
• Michigan Department of Community Health. (2011). The impact of diabetes in Michigan. Retrieved from http://www.michigan.gov/documents/mdch/2011_Burden_Report_365233_7.pdf
• U.S. Census Bureau (2010). Profile of general population and house characteristics: 2010. Retrieved from http://factfinder2.census.gov/faces/tableservices/jsf/pages/productview.xhtml?src=bkmk.
• U.S. Department of Health & Human Services (2012). Calculate your body mass index. Retrieved from http://www.nhlbisupport.com/bmi/.
Final Grade
ORGANIZATIONAL STRATEGIC PLAN PROJECT:• The object of this assignment is to familiarize you with the workings of an
organization. You will be working in small groups of 3-4 students to develop a new healthcare service. It can be a program, a clinic, a health center, a care delivery system, or a department. You are only limited by your imagination and the group’s agreement! If any of the group members have a project or service he or she is working on or want to work on related to current or future employment, feel free to use this assignment to assist in its development. Academic work is even more valuable when students can utilize assignments to support them in their work environments.
• This is going to be an on-going project with assignments due every few weeks and a presentation to be presented at the end.