Service Plan Brief for Diabetes Support and Education Clinic
Steph Revia Western Governors University D030: Leadership and Management in Complex Healthcare Systems Dr. Dolores Northrup October 02, 2021
Diabetes Support and Education Clinic 1
Introduction and Importance The service brief plan idea is supporting and educating the community about diabetes, preventions, and risks. I work in a Transplant and Nephrology clinic in a large hospital organization, and I see that most of our patients are diabetic. In fact, diabetes is the most common cause of kidney failure (MUSC, n.d.). Setting up a free-standing service clinic to engage healthcare workers to provide resources and educate the local community will decrease the likelihood of developing type 2 diabetes (niddk.nih.gov, n.d.). Diabetes has been on the rise in Charleston, South Carolina since 2011 and had the 6th highest prevalence of diabetes among adults in the nation in 2019 (scdhec, n.d.). The community is at risk for not only diabetes, but hypertension, obesity, high cholesterol, and multiple hospitalization stays. Educating people about prevention of diabetes will give them the knowledge, tools, and skills necessary to make lifestyle changes and improvements. It is important for the person to know about how to make better food choices and options on how to create healthier options at home. The need to be able to count carbohydrates and check their blood sugars regularly. Exercise options, local free classes, and online programs that they can do straight from home for convenience. Changes in food and diet can be crucial in preventing a pre-diabetic patient from becoming fully blown type 2 (Watson, 2020). The clinic can also provide the resources for blood pressure monitoring, blood glucose supplies, and guides on how to check and monitor diabetic feet. Market Analysis The target population in the state of SC with diabetes are male African Americans being highest risk with an age great than 65 years old. Diabetes is the 7th leading cause of death in SC.
Diabetes Support and Education Clinic 1
The comorbidities that are most affected are those individuals that have high blood pressure at 75.3%, high cholesterol at 66.3% but obesity is the highest rate at 88.1% that increases an individual to be at risk for developing diabetes. Diabetes diagnosis in SC cost $610 million in 2019 and the treatment for those with diabetes was an estimated cost of $5.89 billion (scdhec, n.d.). The potential referral for diabetes testing could come from any healthcare provider to endocrinology. The actual diagnosis must come directly from the doctor. They perform an A1C blood test to determine the level of risk from normal, prediabetic to diabetic type 2 (scdhec, n.d.). Potential competitors for the planned service brief endocrinology, primary care providers, health departments, and planned parenthood. The positivity of the planned service brief tent is that it creates an ease and smaller, more personal service for the local community. SWOT Analysis Strengths Joint credited for Diabetes management
Weaknesses Not enough endocrine support
DMS resources readily available
Lack of access for outpatient education
Education that is readily available to utilize
Lack of clinical space
Supplies and capability for point of care testing and labs
Lack of monitoring regularly of hemoglobin A1C
Opportunities Starting a mobile clinic for the community
Threats Funding not available
Prevent patients from developing diabetes or progressing to Diabetes type 2 Ease of access for the community
Confrontation with the local endocrine service Lack of knowledge of available services and resources for the community Compliance from patients
Free education, cost effective for the patient to reduce hospitals stays
Diabetes Support and Education Clinic 1
SWOT Analysis Results A SWOT (strengths, weaknesses, opportunities, and threats) analysis is necessary to provide data showing the internal and external factors to contribute towards a successful plan. This not only shows current but also the future potential of a business (Kenton, et, al. 2021). The opportunity to provide a service that creates ease, comfort, and builds repour with individuals so that patient is wanting to participate and be compliant to prevent developing diabetes or the progression of their disease is most certainly a positive. This provides free education on many subjects including blood pressure, diet, exercise, and how to really make lifestyle changes to benefit their health. This in turn will reduce hospital admissions and readmissions. The challenge with starting a mobile clinic is always funding, convincing investors to hand over money for providing free services requires them to be onboard with the long-term project and vision. This may cause pushback from the local providers in endocrine because these may be their patients, and this will cause a loss of revenue for their business. Getting the word out that there is this resource for the community takes time. Also, you can get the patients into the clinic but when they leave, compliance is always an issue.
Cost-Benefit Analysis
Diabetes Support and Education Clinic 1
Category
Description of the Service Plan Costs
The Organization
Funding for tent Space on campus/carpark Supplies Marketing services to advertise clinic Available staff Collaborations within interprofessional team; dietician, nurse, lab Staff for education and training Insurance, Medicaid/Medicare should cover services Ease of access for patient as clinic appointment and “homework” services are in Rutledge Tower at Medical University of South Carolina (MUSC) Trial and error Cost of training and wages Coordination within a team Promoting within the community Point of care testing Laptop and internet Education materials
Operations The Client/Patient The Staff Technology
Category
Description of Service Plan Benefits
The Organization
Meeting ACO measures= more money Reduce admissions-readmissions Reduce burden on other disciplines Reduce time in clinic-normal provider clinic appt Reduce time that coordinators spend educating and phone calls with better management of diabetes Reducing clinic appts for diabetes management Ease of access Building relationships Reducing long-term side effects of diabetes Patient is empowered with their ability to manage their disease Fulfilled with good education and training for their patients Develop meaningful relationships with their patients Maintenance of skills Generate income with POC and lab Readily available results Cost effective
Operations
The Client/Patient
The Staff Technology
Risk Assessment and Strategies