Running head: Diabetes training session 1

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 Diabetes training session 2

Policy Implementation Training Session

A policy can be defined as a set of rules that an organization follows to attain a specific

goal. Many businesses start complying with municipal, regional, or federal health regulations.

Furthermore, many companies adopt strategies to govern their staff, particularly new workers

who are inexperienced with corporate success, due to variations in testing HgbA1C and

performing foot tests. Their prediction methods are problematic compared to the established

guidelines, resulting in legal ramifications and poor diabetes patient care. As a result, significant

hospital policies are needed to set rules and guidelines for screens and measuring tests, allowing

diabetic patients to receive better care(Vila Health, 2020).

The requirement for developing policy and practice guidelines

To begin, regulations in a hospital must comply with municipal, statewide, and federal

health regulations. That legislation and rules change frequently, and the hospital staff must keep

up with them. Some health and safety laws are outdated, and your medical professional may not

be aware of them. Whenever the law punishes the hospital for failing to follow a policy, it

ignores that some employees were unaware of the policy. As a result, the facility and its

executives must adopt policies that educate their employees about current and upgraded policies

to assure compliance.

The policy is also crucial because it establishes control. The hospital expresses the

desired strategy and expected outcome through procedures, giving workers a feeling of mastery.
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Mercy Medical Center, for illustration, should design a program to regulate diabetic patients'

testing and the participant's outcome(CDC, 2019).

This company's existing guideline is HgbA1C testing for all individuals over 45 years old

diagnosed with diabetes and who are at risk for prediabetes. Nonetheless, the present situation is

that not all prospective patients are examined, and the changes happen every quarter. A foot

examination is also necessary for each diabetes patient at each visit, although this has not been

done. Deficiencies and noncompliance impact the individuals' care at MMC. An impaired

glucose tolerance patient, for example, cannot be detected and properly trained to control

diabetes until their HgbA1C is checked. A diabetic person isn't given the foot exam he needs. In

that situation, it could result in neuropathy being undetected or a diabetic foot ulcer culminating

in an amputation that could have been averted (American Diabetes Association, 2015). As a

result, employee happiness suffers from low patient satisfaction. Patient dissatisfaction results in

lower revenue and a negative impression for the institution(Holliday et al., 2019).

Enhance Targeted Benchmarked Achievement with an Evidence-Based Practice

Guideline

Monitoring the testing findings on the prediabetic and diabetic populations is one

possible technique for removing discrepancies in the experiments. Monitoring the outcomes

entails monitoring the tests' impact on tested and untested patients. The products will show that

individuals who undergo HgbA1C testing have always had an easier time managing their

diabetes and that prediabetics are better informed about modifiable risk factors. Furthermore, the

findings suggest that people who already had their feet examined have a better probability of
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having their diabetes treated successfully sooner. The second technique is to look at all of the

reasons for the discrepancy in testing. Considering the underlying cause aids in identifying the

issue, the acquisition of practical alternatives, and performance management. HgbA1C levels

must be examined as part of diabetes treatment(Kutz and colleagues, 2018).

I propose having a staff of certified diabetes instructors who identify all individuals with

diabetes and prediabetes as part of the monitoring approach. The procedure entails polling both

people who have taken the test to those who have not. After then, the team must get in touch and

distinguish between the two groups of patients. To determine the root cause, I advise

interviewing all MMC healthcare professionals responsible for arranging the tests for reasoning

why they believe the foot and HgbA1C testing have been contradictory. The discussion will

serve as a platform for providing solutions and improving compliance outcomes (Holliday et al.,

2019). The patient's data must be handled with integrity and privacy to ensure ethical measures

are taken. Another policy recommendation is to impose hard stops on the charts of individuals.

The surgical staff will not continue with the EMR documentation when the appropriate test is not

performed. Establishing alarms and hard stops aids the team in performing proper patient

assessments (Edwards, 2017).

Environment Variables' Potential Effect on Recommended Practice Guidelines

The confidentiality of clients' knowledge is one legislative factor that could impact the

recommendation for maintaining clients' data(Ghazisaeidi et al., 2015). The data analysis team
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may or may not be made up of MMC medical practitioners. As a result, patients' personal

information may slip through the cracks, violating HIPPA legislation.

Financial and staffing limits are two resources that could impact the rules. Finances must

be provided to assemble a team and assist in procuring all materials required to determine the

information and generate alerts with complex stopping measurements to each graphic. In

particular, new personnel must be hired to perform the investigations and determine the source of

the inconsistencies in the tests. Due to a lack of staffing and their hectic schedules, MMC

healthcare providers can still take time off to perform the study. Even if employees volunteered

for the experiment, it would've been classified over time, putting the institution in a financial

bind.

Participation of stakeholders

Mainly in the healthcare industry, there are many different stakeholders. The patient is

amongst the most significant stakeholders. Some other essential stakeholder is the patient's

family. Whenever a patient is hospitalized at a military hospital, a family member often acts as

the client's legal representative. These people must be kept up to date on the participant's various

levels of care and any changes in their overall health.

Administration is another essential stakeholder. Development process may be aided by

executives such as the nurse manager or the chief operating officer. These specialists may join a

quality committee to pool their knowledge and ensure that correctly implemented the planned

solutions. Senior administration leaders can help develop a culture of safe operation among
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healthcare professionals by creating were included and conveying the organization's performance

improvement standards regularly. Nursing workers should also be included because they deal

with patients daily. The management and suppliers of care shall collaborate to ensure that the

plans are carried out transparently. It will bring in a diverse range of viewpoints, provide a place

for debate and discussion, and ensure that all stakeholders vote on strategic choices. As a result,

practical design and implementation policy will necessitate collaboration between clinic

administrators and care providers.

There is the hospital, legislators, and executives establish policies. Professionals are in

charge of researching and communicating numerous local, statewide, and federal health

regulations to staff at the hospital. In order for the study to be practical, legislators must also

approve additional workers and funding. When there are complaints about noncompliance, the

leaders are in charge of investigating and implementing a policy that follows the established

principles.

All of these parties are reliant on each other and the. Clients, physicians, and nurses must

disclose guidelines to legislators and leaders. Physicians and caregivers, but in the other hand,

rely on leadership to advise them and develop initiatives that improve patient customer

experience. The center's healthcare personnel and leaders must treat the clients with compassion.

Because all parties work collaboratively, conformity and improved healthcare treatment are

provided.
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Conclusion

Mercy Medical Center requires rules to follow local, state, and government medical

requirements when treating diabetic patients. Screening individuals and assessing the

consequences of patients who are HgbA1C checked vs those who are not are two MMC

strategies for performance enhancement. Some other policy is to figure out what's causing the

discrepancies in the testing and fix it. Clients, healthcare professionals, and healthcare

administrators are the most important stakeholders. Variables influence how effective policies

are. Financial and personnel constraints are two possible restraints for the hospital. Nonetheless,

the regulations will guarantee that foot inspections and HgbA1C tests are performed consistently

and satisfied customers.

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References

American Diabetes Association (2015). 1. Strategies for improving care. Diabetes Care,

39(Supplement 1), 56-112. https://doi.org/10.2337/dc16-s004

CDC. (2019). For People with Diabetes. Center of Disease. https://www.cdc.gov/diabetes/ndep/

people-with-diabetes/index.html

Edwards, E. L. (2017). Evidence-Based Practice Change: Implementation of a Collaborative

Practice Model for Diabetes. Sigma.Nursingrepository.Org. Retrieved from

https://sigma.nursingrepository.org/handle/10755/622571

Ghazisaeidi, M., Safdari, R., Torabi, M., Mirzaee, M., Farzi, J., & Goodini, A. (2015).

Development of performance dashboards in the healthcare sector: Key practical issues.

Acta Informatica Medica, 23(5), 317–321. Retrieved from

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4639357

Holliday, C. S., Williams, J., Salcedo, V., & Kandula, N. R. (2019). Clinical Identification and

Referral of Adults with Prediabetes to a Diabetes Prevention Program. CDC: Preventing

Chronic Disease, 16. https://doi.org/10.5888/pcd16.18054

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Kutz, T. L., Roszhart, J. M., Hale, M., Dolan, V., Suchomski, G., & Jaeger, C. (2018). Improving

comprehensive care for patients with diabetes. BMJ open quality, 7(4), e000101.

https://doi.org/10.1136/bmjoq-2017-000101

Vila Health. (2020). Dashboard and Health Care Benchmark Evaluation.

http://media.capella.edu/CourseMedia/NHS6004/DashboardandHealthCareBenchmarkEv

valuation/media.asp#intro