OSP Group Presentation

1. OSP Group Presentation Lindsey Koch-Tiffini Jarstfer-Toya Ozark-Wendy DeBruyn

2. Introduction Clare County Diabetic Education Foundation • Located in Clare County, Michigan • Clare County lacks education and resources surrounding diabetes and diabetic care • Improve outcomes of diabetic community members • Raise awareness of interventions to prevent being diagnosed with diabetes • Primary focus is diabetes management, pre-screening and risk factors, and diabetes prevention

3. Philosophy • Diabetic education is crucial to health and well-being • Best chance at longevity without complications • Access to tools to live life to the fullest potential • Accessible resources to be as healthy as possible • Extremely committed and knowledgeable staff

4. Our mission is to provide health services to improve the quality of life of diabetic individuals in Clare County. Our focus is to assist low-income residents by educating them on the disease process and management of diabetes.

5. Goals • Integrate health promotion strategies • Use evidence-based practice • Restore and maintain diabetic health • Reduce number of undiagnosed diabetes by 30% • Reduce diabetes health complications by 30% • Promote healthy lifestyle changes • Lower the risk of developing diabetes by 50%

6. Objectives • To educate diabetic clients on identifying the signs and symptoms of hypo/hyperglycemia on the first clinic visit • To familiarize the community about signs and symptoms of diabetes and the need for treatment if these symptoms are present • To teach diabetic clients how to check their glucose level at home on the first clinic visit • To educate diabetic clients on proper disposal of lancets and needles on the first clinic visit • To educate the diabetic client on how to read food labels and identify sugar content, sodium, fats, carbohydrate, fiber, total caloric intake on food labels and establish a target blood glucose range on second clinic visit

7. Objectives Cont. • To teach diabetic patient to inspect feet daily and to wear properly fitting foot attire at all times on second clinic visit • To educate diabetic clients to exercise 30-60 minutes most days of the week in order to improve their overall health on third clinic visit • To educate diabetic clients to have kidney function, cholesterol, eye exam and dental exam yearly and Hemoglobin A1C drawn twice a year on fourth visit • To educate the diabetic client on identifying and reducing own risk factors for obesity, hyperlipidemia, hypertension, stroke, and cardiovascular disease on fourth clinic visit • To educate the community on identifying and reducing their own risk factors for developing diabetes at the diabetes awareness health fair

8. Organizational Chart

9. Job Descriptions Chief Executive Officer (CEO) • Responsible for day to day overall operations • Must be a physician • Will attend meetings as required • Analyzes data to better the organization • Evaluates organization for status of short and long term goals

10. Community Education Manager • Must be Registered Nurse (RN) with Bachelor's Degree in Nursing (BSN) • Management experience required • Can work in clinical area of clinic when needed • Creates schedule for staff • Leads monthly staff meetings • Oversees staff on a daily basis • Evaluates staff members with semi-annual evaluations

11. Diabetic Nurse Educator RN with speciality certification in diabetes education • Completes thorough patient assessments • Collaborates with clients, families, and other healthcare staff • Ensures progression towards goals • Teaches signs and symptoms that require immediate medical attention • Coordinates to ensure smooth running community health fairs • Provides handouts and educational materials on diabetes treatment and prevention

12. Volunteer • Assists with random tasks another staff member needs help with • Assists with clients’ needs as directed by the diabetic nurse educator • Provides support to the diabetic nurse educator at the local community health fairs as needs arise throughout the health fair • In charge of keeping supplies/handouts filled in the office and at the community health fair booths • Assists the community scheduler with scheduling clients for appointments • Makes copies of brochures, flyers, and other educational materials used by the diabetic nurse educator

13. Financial Services Officer • Ensures that the budget is as balanced as possible to the best of his/her ability • Collaborates between the financial services office and the diabetic nurse educator will occur to secure funding for clinic expenses and health fairs as needed • Works on grants to facilitate funding for the diabetic education program needs • Makes sure that employee salaries are accurate and paid out on time • Handles all incoming and outgoing money and donations • Makes payments for any rent, utilities, or other bills that may arise • Attempts to come up with ways to conserve finances while still being able to provide appropriate care to the clients per organizational objectives

14. Community Scheduler • Answers incoming telephone calls, acts upon return telephone calls when needed, and makes appointments for clients as desired • Assists with incoming referrals from outside agency • If schedule adjustments are essential for the diabetic nurse educator or client the community scheduler, the community scheduler will execute this duty • Assembles materials sought after for the community health fairs in conjunction with the volunteer. • Establishes dates and times for community health fairs in the local area

15. Nutritionist • Holds classes regarding proper label analysis to attain the exact nutrition value of the food • Explains and demonstrates what portion sizes are in regards to actual consumption amounts • Educates on the carbohydrate to sugar ratio for accurate administration of diabetic medications for coverage of blood glucose levels • Explains what groceries are indicated as low sugar, no sugar, or to only be eaten while hypoglycemia is current • Clarifies what groceries and ingredients can lead to hyperglycemia • Instructs diabetic clients with healthy diabetic friendly meals • Answers meal and food related questions from the clients

16. Marketing Ad Clare County Diabetic Education Foundation Job Description Clare County Diabetic Education Foundation is currently seeking candidates for our Volunteer Services position to be a part of our Diabetic Education Team, located in Clare, MI. This foundation services diabetic clients throughout Clare County, Michigan. Do you want to improve the quality of life for diabetic individuals? Our purpose is to assist all individuals in prevention, education and management of diabetes regardless of economical and insurance status. Your important work will ensure diabetic clients receive the support, tools and education they need to successfully prevent or manage their chronic disease. You will be working with a team of health care professionals such as community education manager, diabetes nurse educator, nutritionist, and community scheduler. Volunteer Job Requirements: Keep supplies and handouts filled in the office and at the community health fair booth. Assist the community scheduler with scheduling clients for appointments. Make copies of brochures, flyers, and other educational materials used by the diabetic nurse educator. Provide assistance to community education manager, diabetes nurse educator, nutritionist, and community scheduler. Education: Ability to read, write, and communicate effectively in English. Experience: No previous volunteer experience required, will train qualified candidate. Please send resume to : www.clarecountydiabeticeducationfoundation.org Attention: CEO This is a volunteer position. However, a reference letter will be provided for satisfactory performance.

17. Budget Estimated operating expenses will be $650,000 per year. Common office supplies: computers, phones, file cabinets, a copy/printer machine, fax machine, tables, and chairs Diabetic supplies: cotton balls, lancets, glucose meters, band-aids, alcohol wipes, test strips, syringes, sharps disposal containers, first aid kit, blood pressure machine, a scale, and an eye examination tool Supplies to hold community events: show tents, tables, and chairs Educational materials: papers for pamphlets, practice insulin supplies, diabetes education books, and sample food labels Other Materials: lab draw slips from the community lab to have clients A1C, kidney function, and cholesterol checked and sent to their primary care doctor

18. Salaries (Per Year) Chief Executive Officer: $100,000 Community Education Manager: $55,000 Community Scheduler: $28,000 Diabetes Nurse Educator: $58,000 Financial Services Officer: $30,000 Certified Nutritionist: $50,000 Volunteers: Unpaid Each paid position is full time and will include health insurance, retirement, paid time off, and paid holidays. Benefits cost approximately $8.000 per employee per year.

19. References Mid Michigan Health (2014). Diabetes. Retrieved from:https://www.midmichigan.org/conditions-treatments/diabetes/ National Center for Health Statistics. (2012, September). Diabetes-related Deaths and Death Rates Clare County Residents, 1989-2012. Retrieved May 28, 2014, from http://www.mdch.state.mi.us/pha/osr/Chi/CRI/CriticalInd/Crico.asp?TableType=Diabetes-related&CoName=Clare&CoCode=18 United States Census Bureau (2014). Clare County, Michigan. Retrieved from: http://quickfacts.census.gov/qfd/states/26/26035.html