Diabetic Patient Detection Plan Paper

Since the hospital is part of a larger accountable care organization, infrastructure exists between primary and specialty care settings. This affiliation will serve identify affected patients and provide continuity between the disciplines. A standardized protocol will be used to direct the implementation steps. Providers and staff will be educated on this protocol to ensure successful implementation. To capture the clear majority of type 2 diabetic patients in the system, a member of the health information management team would be assigned the task of identifying these individuals via the shared patient data base using ICD-10 codes for screening purposes. Referrals would then be directed to a designated diabetes educator. Going forward, newly diagnosed patients will be referred to the diabetes educator as they present. The diabetes educator would then be responsible for contacting referred individuals and arranging a preliminary meeting to complete the specified assessment tools and offer education, to include printed materials. Following, the assessment data would be analyzed by the diabetes educator to determine the individuals current exercise capacity, self-efficacy, and level of glucose control. Next, a counseling session would be initiated to …show more content…
Additionally, it may be necessary to hire an additional educator, as the provision of assessments and counseling will require additional man power. As for printed materials, they will be necessary for personnel and patients alike. Printed materials will include assessment tools, such as pre- and post-test for assessing patient and staff knowledge and self-efficacy, patient logs, educational pamphlets, as well as the program protocol itself. Education of primary care office staff is estimated at one hour per week for the initial start-up period and on an as needed basis