Policy Proposal Presentation
Heather Winkler
Capella University
 NURS-FPX 6004: Health Care Law & Policy
 Lisa Cox
October, 2021

Policy Proposal
 Mercy Medical Center benchmark metrics fall significantly lower than National standards.
 A policy needs to be developed to improve dashboard metrics for routine testing and exams.
 Areas affected:
 Foot exams
 Vision exams
 HgbA1c testing

Dashboard Metrics
 Mercy Medical Center Dashboard Metrics
Total Patients: 563
                1st quarter                        2nd quarter                    3rd quarter                       4th quarter
 Eye exams      41 (7.2%)                28 (4.9%)             16 (2.8%)                27 (4.8%)
 Foot exams    73 (12.9%)              62 (11%)                7 (1.2%)                  3 (0.53%)
 HgbA1c test   123 (22%)               32 (5.6%)             13 (2.3%)                 6 (1%)

National Benchmarks  Foot exams: 84 %
 Vision exams: 75.2%
 HgbA1c testing: 79.5%

Benchmarking
 Quality
 Best-practice
 Improvements through Standardization

Proposed Policy and Practice
 Prioritize goal setting; address patient barriers; utilize evidence-based practices to plan care.
 Promote active patient involvement through educating patients on diabetes and self-management techniques.
 Utilize updated systems such as electronic medical records.
 Identify available resources within the community including peer support programs
 Work with insurance companies to streamline cost.
 Use patient-centered, individualized planning for lifestyle, self-management, and treatment team approaches.

Resources and Tools Medicine Charts
 Medication Assistance Programs
 Diabetes Information Sheets
 Blood Pressure Tracking
 Local or National Diabetes Support Programs
 YMCA
 CDC
 American Diabetes Association

Stakeholder Involvement
 Patient and Family
 Registered Dietician
 Nursing Staff
 Administration
• Director of Nursing
• Diabetic Educator
• Physicians
• Patient Navigator
• Pharmacists

Stakeholder Involvement
 Scope of Practice
 Limitations
 Collaboration

Stakeholder Involvement
Success!

Conclusion
 Metrics Review
 Benchmarking
 Policy Proposal/Updates
 Resources and Tools
 Stakeholder Involvement

References American Diabetes Association (ADA). (2021). Get to know your diabetes care team. Medication & Treatments. 
https://diabetes.org/healthy-living/medication-treatments/your-health-care-team
 Agency for Healthcare Research and Quality (AHRC). (2021). Diabetes quality measures compared to achievable
benchmarks. National Healthcare Quality and Disparities Reports. 
https://nhqrnet.ahrq.gov/inhqrdr/National/benchmark/table/Diseases_and_Conditions/Diabetes
 American Heart Association (AHA). (2021). Diabetes tools and resources. Diabetes. 
https://www.heart.org/en/health-topics/diabetes/diabetes-tools–resources
 CMS.gov. (2021). Quality measurement and quality improvement. Centers for Medicare & Medicaid Services. 
https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/MMS/Quality-Measure-and-Quality-Impro
vement-
 National Institute of Diabetes and Digestive and Kidney Diseases (NIDDKD). (2021). Diabetes. Health Information. 
https://www.niddk.nih.gov/health-information/diabetes#:~:text=An%20estimated%2030.3%20million%20people%20in
%20the%20United,affected%20by%20diabetes.%20Learn%20about%20diabetes%20health%20problems.

References Ross LW, Bana F, Blacher RJ, McDivitt J, Petty J, Beckner J, et al. Continuous Stakeholder Engagement:
Expanding the Role of Pharmacists in Prevention of Type 2 Diabetes Through the National Diabetes
Prevention Program. Prev Chronic Dis 2020;17:190374. DOI: http://dx.doi.org/10.5888/pcd17.190374
 Schmittdiel, J. A., Desai, J., Schroeder, E. B., Paolino, A. R., Nichols, G. A., Lawrence, J. M., O’Connor, P.
J., Ohnsorg, K. A., Newton, K. M., & Steiner, J. F. (2015). Methods for engaging stakeholders in
comparative effectiveness research: a patient-centered approach to improving diabetes
care. Healthcare (Amsterdam, Netherlands), 3(2), 80–88. https://doi.org/10.1016/j.hjdsi.2015.02.005
 Vila Health (2020). Dashboard and health care benchmark evaluation. Public Health Dashboard-
Diabetes. Retrieved from http://media.capella.edu/CourseMedia/nhs6004element17010/wrapper.asp

Slide 1
Policy Proposal
Dashboard Metrics
Benchmarking
Proposed Policy and Practice
Resources and Tools
Stakeholder Involvement
Stakeholder Involvement
Stakeholder Involvement
Conclusion
References
References

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