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Assessment 2: Evidence-Based Population Health

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Improvement Plan

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Student Name

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NURS-FPX 6011 Evidence-Based Practice for Patient-Centered Care and Population

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Health
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Prof. Nam
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MAR 24, 2024

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Evidence-Based Plan for Enhancing Population Health
– Type 2 Diabetesm
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Introduction
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Type 2 Diabetes Mellitus poses a significant health challenge among adults in Florida,
impacting their physical, emotional, and mental well-being (CDC, 2019). Addressing this
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chronic condition requires evidence-based interventions tailored to the community's

needs. This presentation delves into the environmental and epidemiological data on
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diabetes in Florida's adult community, identifying healthcare issues. Subsequently, an

ethical health improvement plan is outlined, accompanied by a communication strategy
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to foster community engagement. The relevance and appropriateness of utilized

resources in devising the health improvement plan are also discussed.
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Community Data Assessment Findings

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The prevalence of diabetes in Florida is substantial, affecting approximately 12.5% of

the adult population, with around 2,164,009 individuals diagnosed, and 148,613 new
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cases annually (ADA, 2018). Type 2 diabetes constitutes the majority of diagnosed
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cases, ranging from 90-95% (Florida Department of Health, 2022). The associated
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medical expenses are notably high, with diabetics incurring 2-3 times more costs
compared to non-diabetics, totaling $19.3 million in direct medical expenses (ADA,
2018). Complications such as chronic kidney disease and vision loss further exacerbate
the burden of this condition.

Environmental Factors and Health Challenges

Environmental factors, including access to unhealthy food, socioeconomic status, and

limited recreational areas, contribute to poor health outcomes among individuals with
diabetes. Unhealthy dietary options and low health literacy hinder effective diabetes
management. Moreover, socioeconomic disparities impede access to essential medical
facilities and medication adherence. A sedentary lifestyle, exacerbated by inadequate

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parks and recreational spaces, exacerbates the risk of complications. Geographic
disparities persist, particularly in participation rates in diabetes management programs,
further widening health inequities (Khan et al., 2021).

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Health Improvement Plan – Addressing Community Needs

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To address these challenges, the health improvement plan proposes expanding the
Diabetes Self-Management Education and Support (DSMES) program. Culturally

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sensitive education materials will be developed, catering to Florida's diverse population.
Collaboration with Medicaid will enhance coverage, benefiting individuals from low
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socioeconomic backgrounds. Telehealth-based DSMES programs will mitigate
geographic disparities, ensuring accessibility for all. Ethical considerations, including
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patient privacy and informed consent, will be prioritized in program implementation.

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Criteria for Evaluating Plan Outcomes

The plan's success will be evaluated based on improved health behaviors, reduced
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diabetes prevalence, increased cultural inclusivity, and enhanced access to care. These
criteria directly align with the goals of the health improvement plan, reflecting its
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effectiveness in addressing community needs.

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Communication Plan Identification of Key Stakeholders

Critical stakeholders include the Diabetes Advisory Council, healthcare providers,

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community health centers, and relevant organizations. Collaborative efforts are

essential for successful plan implementation and improving diabetes outcomes.
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Communication Strategy:

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The strategy emphasizes transparency, cultural sensitivity, and community engagement.
Clear articulation of goals, aligned with stakeholders' objectives, fosters trust and buy-in.
Storytelling, and showcasing success stories enhances community engagement and
motivation.

Data Privacy Considerations

Respecting patient privacy is paramount. Adherence to HIPAA guidelines ensures

secure data exchange, enhancing community trust and participation.

Simplifying Medical Concepts

Utilizing layman's terms and providing translations facilitates understanding and

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engagement, catering to varying health literacy levels.

Relevance and Value of Resources

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The selected resources underscore the importance of culturally sensitive interventions,

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collaboration with insurance programs, and telehealth solutions in improving diabetes
outcomes. These resources align with the plan's objectives and address identified
community needs.

Conclusion
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Type 2 diabetes presents a significant health challenge in Florida, necessitating tailored
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interventions to improve outcomes. The proposed health improvement plan, focusing on

culturally competent DSMES programs and telehealth solutions, addresses community
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needs ethically and effectively. Collaboration with key stakeholders and adherence to
privacy guidelines are integral to successful plan implementation.
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References
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● ADA. (2018). The burden of diabetes in Florida. [Link]

● Alenazi, F., Bressington, D., Shrestha, M., Peddle, M., & Gray, R. (2021).
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Effectiveness of adherence therapy in adults with type 2 diabetes: A systematic

review. International Journal of Environmental Research and Public Health,
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18(9). [Link]
● America’s Health Rankings. (n.d.). Explore physical inactivity – ages 65+ in
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Florida | AHR. [Link]

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● Florida Department of Health. (2022). Type 2 diabetes | Florida department of
health. [Link]
● Goff, L. M., Moore, A., Harding, S., & Rivas, C. (2020). Providing culturally
sensitive diabetes self-management education and support for black African and
Caribbean communities: A qualitative exploration of the challenges experienced
by healthcare practitioners in inner London. BMJ Open Diabetes Research and
Care, 8(2), e001818. [Link]
● Khan, M. M., Roberson, S., Reid, K., Jordan, M., & Odoi, A. (2021). Geographic
disparities and temporal changes of diabetes prevalence and diabetes
self-management education program participation in Florida. PLOS ONE, 16(7),
e0254579. [Link]
● Litchman, M. L., Kwan, B. M., Zittleman, L., Simonetti, J., Iacob, E., Curcija, K.,

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Neuberger, J., Latendress, G., & Oser, T. K. (2022). A telehealth diabetes
intervention for rural populations: Protocol for a randomized controlled trial. JMIR
Research Protocols, 11(6), e34255. [Link]

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● Noor Mohamed, S. S., & Srinivasan, K. (2023). A comprehensive interpretation
for medical VQA: Datasets, techniques, and challenges. Journal of Intelligent &

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Fuzzy Systems, 44(4), 5803–5819. [Link]
● Powers, M. A., Bardsley, J. K., Cypress, M., Funnell, M. M., Harms, D.,

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Hess-Fischl, A., Hooks, B., Isaacs, D., Mandel, E. D., Maryniuk, M. D., Norton,
A., Rinker, J., Siminerio, L. M., & Uelmen, S. (2020). Diabetes self-management
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education and support in adults with type 2 diabetes: A consensus report of the
American Diabetes Association, the Association of Diabetes Care & Education
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Specialists, the Academy of Nutrition and Dietetics, the American Academy of

Family Physicians, the American Academy of PAs, the American Association of
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Nurse Practitioners, and the American Pharmacists Association. Journal of the

American Pharmacists Association, 60(6). [Link]
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● Solimini, R., Busardò, F. P., Gibelli, F., Sirignano, A., & Ricci, G. (2021). Ethical
and legal challenges of telemedicine in the era of the COVID-19 pandemic.
Medicina, 57(12), 1314. [Link]
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