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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