assignment

1
BHA4020 Capstone Final Report

• Intro Diabetes Self-Training Education
• Capella University
• Mandy Gibson
• May 29, 2023
• Professor Wanda Allen

2
Diabetes Self-Management Training to Improve
Secondary Complications

• Statement of the Problem
• Factors Examined Units of Measurement
• Summary of Literature Key Findings
• Data Presentation
• Data Analysis
• Evidence Based Recommendations
• Conclusion
• References

3
Statement of the Problem

• Poor health equity among patients, if not
  addressed, may result in underserved communities
  and poor overall community health rates (Regis,
  2022).
• Diversified, equitable healthcare for all
  community members

4
Factors Examined Units of Measurement

• Total population vs. leading population
• Major chronic diseases and the leading age group
• Leading hospitalizations
• Number of adults with diabetes diagnosis, age
  group, educational level

5
Summary of Literature Key Findings

• Covid 19 current major cause of death
• Lowered nutritional trend since 2002
• Leading age range first diagnosed with diabetes
  65
• 17.9 of adults diagnosed with diabetes gthigh
  school education
• Non controlled diabetes leads to kidney disease,
  cardiovascular disease, complications and death.

6
Diabetes Correlation
7
Prevalent Health Conditions For This Group
8
Resulting Analysis
Underserved Portion of Population Emerges
Year used 2021

• High-Risk Populations (Related to Ages 65 with
  Diabetes DX)
• Ages 50 or older
• People who live in a nursing home or long-term
  care facility
• Cardiovascular conditions
• Diabetes and/or severe obesity
• Renal failure or diagnosis of ESRD
• (Center for Disease Control, 2022)

9
Class Schedule for Panama City Gulf Coast
Hospital HCA Affiliate 6 Months Out (HCA
Florida Gulf Coast Hospital, Calendar 2023)
June 2023 June 2023 June 2023 June 2023 June 2023 June 2023 June 2023
1 2 3
4 5 6 7 8 9 10
11 12 13 14 15 16 17
18 19 20 21 22 23 24
25 26 27 28 29 30

July 2023 July 2023 July 2023 July 2023 July 2023 July 2023 July 2023
1
2 3 4 5 6 7 8
9 10 11 12 13 14 15
16 17 18 19 20 21 22
23 24 25 26 27 28 29
30 31
August 2023 August 2023 August 2023 August 2023 August 2023 August 2023 August 2023
1 2 3 4 5
6 7 8 9 10 11 12
13 14 15 16 17 18 19
20 21 22 23 24 25 26
27 28 29 30 31

October 2023 October 2023 October 2023 October 2023 October 2023 October 2023 October 2023
1 2 3 4 5 6 7
8 9 10 11 12 13 14
15 16 17 18 19 20 21
22 23 24 25 26 27 28
29 30 31
November 2023 November 2023 November 2023 November 2023 November 2023 November 2023 November 2023
1 2 3 4
5 6 7 8 9 10 11
12 13 14 15 16 17 18
19 20 21 22 23 24 25
26 27 28 29 30 31
September 2023 September 2023 September 2023 September 2023 September 2023 September 2023 September 2023
1 2
3 4 5 6 7 8 9
10 11 12 13 14 15 16
17 18 19 20 21 22 23
24 25 26 27 28 29 30
Breastfeeding Class Childbirth Class And Labor And Delivery Tour Heart Ed. Diabetes Ed. Kidney Ed.
10
Recommendation Introduce Diabetes
Self-Management Training

• What is DSMES?

Benefits

• Reduce hospital admissions
• Reduce co-morbidity rates
• Educate the underserved on diagnosis and
  prevention
• Contribute to community that HCA services
• Introduce new service and generate income for
  organization

• Training for patients to control diabetes
• Must obtain certification before working with a
  patient
• Licensed RN or higher must train patient
• Reimbursable from Medicare and other insurance
  payers
• Accreditation earned from ADA and ADCES
• The process can take time and certification is
  not guaranteed

• Benefits

11
Projected Costs/Earnings
12
Conclusion

• There was a high hospitalization rate from
  Covid-19
• When cross referenced with comparative data an
  underserved population does emerge
• Bay County, Florida has an underserved population
  65 with diabetes diagnosis
• Many of these individuals have co-morbidities of
  renal failure and cardiovascular disease
• HCA is missing an opportunity to not only serve
  the community but introduce a new service that is
  payable from Medicare and other insurances payers

13
References

• 2021 Florida diabetes Report - Florida Department
  of Health. (n.d.). https//www.floridahealth.gov/
  5C/diseases-and- conditions/diabetes/Diabetes- R
  esources/_documents/2021-dac-report.pdf
• Calendar. HCA Florida Gulf Coast Hospital.
  (n.d.-a). https//www.hcafloridahealthcare.com/loc
  ations/gulf- coast-hospital/calendar/ce-landing-p
  age/search
• Center for Disease Control, C. (2022, September
  30). DSMES accreditation and Recognition process.
  Centers for Disease Control and Prevention.
  http//www.cdc.gov/diabetes/dsmes- toolkit/accredi
  tation-recognition/index.html
• Centers for Disease Control and Prevention.
  (n.d.). CDC Covid Data tracker. Centers for
  Disease Control and Prevention.
  https//covid.cdc.gov/covid-data-tracker/covidnet
  -hospitalization-network

14
References

• Clinic, M. (2021, October 19). Diabetic
  nephropathy (kidney disease). Mayo Clinic.
  https//www.mayoclinic.org/diseases- conditions/d
  iabetic-nephropathy/symptoms causes/syc20354556
  textDiabetic20nephropathy20causes,and20cause
  20high20blood 20pressure. Calendar. HCA
  Florida Gulf Coast Hospital. (n.d.-a).
  https//www.hcafloridahealthcare.com/locations/gu
  lf-coast-hospital/calendar/ce-landing-page/search
  
• Florida, S. of. (2020a). Behavioral risk factor
  surveillance system (BRFSS). Behavioral Risk
  Factor Surveillance System (BRFSS) Florida
  Department of Health. https//www.floridahealth.go
  v/statistics-and-data/survey- data/behavioral-risk
  -factor-surveillance-system/ Centers for Disease
  Control and Prevention. (n.d.). CDC Covid Data
  tracker. Centers for Disease Control and
  Prevention. https//covid.cdc.gov/covid-data-track
  er/covidnet- hospitalization-network

15
References

• Florida, S. of. (2020b). Florida Community Health
  Assessment Resource Tool Set. Florida Community
  Health Assessment Resource Tool Set Florida
  Department of Health. https//www.floridahealth.go
  v/statistics-and- data/data-and-statistics/florida
  -community-health-assessment-resource-tool-set/ind
  ex.html Calendar. HCA Florida Gulf Coast
  Hospital. (n.d.-a). https//www.hcafloridahealthc
  are.com/locations/gulf-coast- hospital/calendar/c
  e-landing-page/search
• Florida, S. of. (2022). FLHealthCHARTS. Chronic
  disease profile. https//www.flhealthcharts.gov/C
  hartsDashboards/rdPage.aspx?rdReportChronicDiseas
  e.ReportrdRequestForwa rdingForm Centers for
  Disease Control and Prevention. (n.d.). CDC Covid
  Data tracker. Centers for Disease Control and
  Prevention. https//covid.cdc.gov/covid-data-track
  er/covidnet-hospitalization-network
• Gulf Coast Hospital. HCA Florida Gulf Coast
  Hospital. (n.d.). https//www.hcafloridahealthcare
  .com/locations/gulf- coast-hospital

16
References

• Healthcare, H. (2021). Diversity, equity, and
  Inclusion One Year Later - HCA Healthcare.
  https//hcahealthcare.com/util/documents/2021/202
  1-One-Year-Later-Commitment-infographic-a.pdf.
  https//hcahealthcare.com/util/documents/2021/202
  1-One-Year-Later-Commitment-infographic-a.pdf
  Calendar. HCA Florida Gulf Coast Hospital.
  (n.d.-a). https//www.hcafloridahealthcare.com/loc
  ations/gulf- coast-hospital/calendar/ce-landing-p
  age/search
• Healthcare, H. (2023). Giving people a healthier
  Tomorrow HCA healthcare. https//hcahealthcare.
  com/util/documents/2023/Annual_EEO-1_Report-2022.p
  df. https//hcahealthcare.com/util/documents/2023
  /Annual_EEO-1_Report-2022.pdf Centers for Disease
  Control and Prevention. (n.d.). CDC Covid Data
  tracker. Centers for Disease Control and
  Prevention. https//covid.cdc.gov/covid-data-trac
  ker/covidnet-hospitalization-network

17
References

• Pálsson, R., Patel, U. D. (2014, May).
  Cardiovascular complications of diabetic kidney
  disease. Advances in chronic kidney disease.
  https//www.ncbi.nlm.nih.gov/pmc/articles/PMC40454
  77/
• United States, C. (2021). CDC Covid Data tracker.
  Centers for Disease Control and Prevention.
  https//covid.cdc.gov/covid-data- tracker/trends
  _cumulativehospitalizations_weeklyhospitaladmissio
  ns100k_12