HEALTH EXPLOSION West Central Cluster Summit “Moving Ahead With Spread” November 8-10, 2004 Dallas, TX
Mid Delta Health Systems, Inc. • Provides Primary, Preventive, Behavioral, and Specialty Health Care. • Three Clinic Locations: • Clarendon, AR – 2 staff providers plus scheduled cardiologist, pediatrician, psychologist, and dentist • Holly Grove, AR – 1 provider • DeValls Bluff, AR – 1 provider and a scheduled pediatrician Serves Monroe, Prairie, Arkansas, Lee and other counties Provides assistance programs for low-income families without insurance Participates in community programs for health education promotion
AIM STATEMENT • To redesign the system of care to provide our diabetic patients with the highest quality of care. Mid-Delta will accomplish this by making changes in the following areas: >90% of our patients will obtain two HgbA1cs within the 12 months with average being <8.0. The documentation of self-management goal setting will reach 70% by implementing the components of the Chronic Care Model to the two off site facilities within six months of implementation.
MID DELTA HEALTH SYSTEMS, INC • TEAM MEMBERS • Alvin Sliger, Executive Director • Dr. Troy Moore, Provider Champion • Maybell Richardson DON, Team Leader • Angie Cote Lpn, Patient Care • Lisa Woo Revelett, IS Contact • Team Leader Contact Info: • email@example.com • 870-747-3381 (phone) 870-747-3631 (fax)
THE BEGINNING: • Mid Delta Health Systems, Inc • 2001 Collaborative Participation • Diabetes II Collaborative • Initial Population of Focus: • Clarendon Clinic • 1 Provider • 98 patients in registry
Lessons Learned • Teamwork is everything • New staff training is imperative to the continuance of the program • Patient involvement by using self-management goals is crucial • Sharing ideas with other CHCs is helpful • Perseverance is a necessity
Best Practice • Gathering ideas from collaborative meetings • Updating flow-sheets to meet patient needs • Having education classes • Support from on staff providers and nurses
Biggest Challenges/Barriers • Staff turnover • New staff training • Patient comprehension of self-management
Next Steps • Restore monthly meetings in each clinic for progress review • Spread DEMS to DeValls Bluff site • Training for new staff members • Instate use of self-management tools for CVD patients
One Success Story • With teamwork from the provider and nursing staff, education for self-management for Diabetes was presented to a patient. By using handouts for nutrient and diet, foot care, eye and dental exams, the patient was able to gradually decrease her diabetic medication with an end result of discontinuing it completely. She now controls her diabetes with diet and exercise.