NHS FPX 6004 Assessment 3 Training Session for Policy Implementation

Student Name

Capella University

NHS-FPX 6004 Health Care Law and Policy

Prof. Name

Date

Training Session for Policy Implementation

Slide 1

Hi, I am Mike, a healthcare practitioner. I am here for a training session for healthcare staff to up-skill their knowledge and practices. Briefly overviewing, this session is focused on policy and practice guidelines to enhance care quality and effective diabetes management. Moreover, stakeholders will be discussed for enhanced patient outcomes.

Policy on Managing Diabetes

Slide 2

Mercy Medical Center (MMC) is liable to apply diabetes management policies recommended by the American Diabetes Association (ADA), stating a bi-annual examination of HgbA1c level and annual foot examination (ADA, 2019). The guidelines suggested by ADA and other healthcare agencies, including the Centers for Medicare & Medicaid Services (CMS) and National Healthcare Quality and Disparities Reports (NHDQR), state that patient education is an effective means for diabetes management through self-management techniques (ADA, 2019; CMS, 2023). The agencies also emphasize staff training for integrating technology for the diagnosis, treatment, and data management of diabetes patients. To maintain glucose levels in patients, individual factors must be considered to develop a patient-centered plan to enhance care quality (AlHaqwi et al., 2023). The specific optimal techniques for diabetes management include the following: 

• Regular screening of high blood glucose levels in adults
• Improving access and self-management in diabetes management
• Preventive measures in a population of all ages with pre-diabetic symptoms
• Analysis of risks associated with genetics, hormones, and obesity

Need for Policy

Slide 3

Centers for Disease Control and Prevention (CDC) justifies the need and urgency for diabetes management policy, as it massively affects health and finances. The total number of diabetes patients in 2021 is 38.4 million, of which 8.7 million did not even know they had diabetes. The onset of prediabetes is more concerning, with 97.6 million adults and 27.2 million elders of age above 65. Moreover, the financial impact of treating diabetes in 2022 in total is $413 billion, with direct costs ($307 billion) and indirect costs ($106 billion) (CDC, 2023). MMC needs to address the burden of diabetes on people in a cost-effective manner through self-management involving lifestyle modifications. 

Evidence-Based Strategies for Working with Role Group

Slide 4

Evidence-Based Practices (EBP) are effective and tested ways to address particular issues. It allows for integrating practices considered effective in improving quality, in this case, healthcare quality for diabetic patients (Wang et al., 2023). MMC should train their healthcare staff to practice measures to make diagnosis, treatment, and prevention possible. The healthcare staff for successful implementation involves physicians, pharmacists, and nurses. 

Effective leadership to obtain stakeholders’ buy-in and prepare the role group for successful implementation is essential. The leadership involves guidance, motivation, and supervision of the healthcare team’s activities. To manage diabetes effectively and prevent the conversion of prediabetes into diabetes, clear communication is needed to educate about the rationale behind implementing policy and guidelines (Lim et al., 2020). Training the role group is essential to provide hands-on experience on the dynamics of diabetes prevalence and skill-building in the process.

Engagement among the role group is essential to cross-exchange knowledge, provide support, and develop a sense of ownership and shared responsibility (Ginbeto et al., 2023). For instance, the physician’s expertise in diagnosis and knowledge of personalized treatment, the nurse’s role in educating patients regarding treatment, and cross-communication between patients and other healthcare staff (Sørensen et al., 2020). A pharmacist’s role in raising flags on medication errors, overlapping, and informing about side effects can help develop an effective personalized plan for individuals. Incentives through resource allocation and appreciation are important for role-group buy-in, allowing for participation and involvement through feedback. 

Slide 5

Effectiveness of Strategies 

 The strategies will be effective due to their direct influence on the role group’s work and performance. Training, education, support, feedback, appreciation, and equitable resource availability will reduce workload and enhance the performance of healthcare personnel at MMC for effective diabetes management. The involvement of the role groups in the process, implementation, and a supportive environment, as well as the strategies, will enhance motivation, knowledge, and skills, leading to the successful implementation of policy and associated instructions (Bayot et al., 2022).

Measure for Early Indication of Success

To measure the early indication of successful implementation and buy-in from the role group at MMC, compliance and adoption rate of policy and instructions will help. Additionally, feedback from the role groups, their challenges, and their experience with new policy implementation will help in an early indication of success. Patient outcomes will indicate success, showing controlled blood glucose level, plan adherence, and satisfaction level (Kersting et al., 2020).

Impact of New Policy and Practice Guidelines

Slide 6

Implementing and adhering to new policies and practice guidelines will profoundly impact the standards of care and health outcomes. The new policies and instructions aim to allow for early identification, reducing the chances of irreversible complications and the cost of managing chronic diseases like diabetes. The guidelines associated with a new policy to control diabetes effectively include reducing prediabetes cases through patient education (Duan et al., 2021).

Patient education by role group, including physicians, pharmacists, and nurses, can positively impact quality care and outcomes. The education involves self-management and preventive measures through lifestyle modification. For instance, low sodium intake in dietary and physical activity to manage glucose levels and weight (Ming et al., 2023). Regular screening is also part of the diabetes management guidelines, allowing healthcare professionals to identify diabetes-related concerns in blood glucose, affecting the kidney, heart, vision, and feet (Duan et al., 2021).

Implementation Process 

The following process will be used by physicians, pharmacists, and nurses to implement the new policy effectively. The implementation will involve diagnosis, treatment plan, and follow-up.  

• Risk assessment during diagnosis will involve comprehensive assessment, including family history, lifestyle, and obesity. It will also include symptom assessment related to diabetes, like thirst, frequent urination, and abnormal weight loss (Mathew et al., 2023).
• Blood glucose level screening through glucometers, finger sticks, laboratory tests, and HgbA1c tests to find risk in patients with no symptoms (Mathew et al., 2023). 
• By assessing sensations, comprehensive foot exams will involve evaluating and inspecting signs of diabetes-related issues, like neuropathy, peripheral vascular disease, and foot ulcers (Song & Chambers, 2021). 
• Educating patients on risks, symptoms, and lifestyle modifications for self-management. The physician will inform the patients about the importance of regular screening. Nurses will guide them on factors like diet and physical activity, and pharmacists will advise them to adhere to prescribed medicine (AlHaqwi et al., 2023). 
• Electronic Health Records (EHRs) and Mobile health (mHealth) will be utilized for effective record keeping, comprehensive analysis of patient’s health status, and measuring factors like blood glucose and physical activity to manage diabetes effectively (Kruse et al., 2023). 
• Follow-up and referral based on the patient’s status of diabetes complications, risk factors, and symptoms for long-term and coordinated care provision (Bayable et al., 2022).  

Effect of Policy on Daily Work Routine and Responsibilities of Role Group

Slide 7

The annual and bi-annual policy for foot and HgbA1c tests and associated guidelines will significantly impact daily work routines and responsibilities. It will allow role groups to have ownership of their respective roles. Physicians will spend more time on comprehensive analysis of patient’s health and developing personalized care plans. They will also set follow-ups to ensure the required changes are met timely (Sørensen et al., 2020). Pharmacists will have expanded roles as they will be responsible for medication management and providing medicine counseling to patients.

They will spend time in counseling on the proper use of medicine, adherence importance, side effects, and drug interaction (Nabulsi et al., 2020). Additionally, they will coordinate to review medical treatment or intervention changes. Lastly, the role of nurses would expand from patient assessment and monitoring to care coordination, patient education, and support (O’Flynn, 2022). With the integration of technology, these roles will make the process seamless for the role group, and cost-effective due to reduced prolonged hospitalization and readmissions.

Importance of New Policy and Practice Guidelines

Slide 8

The importance of new policies and guidelines is notable in the prevalence of the disease and its impact on quality of life. The new policy will enable timely patient identification and intervention, improving quality of life (Vasavada & Taub, 2024). It will also allow increased patient satisfaction through coordinated care. The new policy and guidelines also impact healthcare professionals by complying with established standards and contributing to cost-effective measures. The technological integration will help health professionals provide opportunities to develop skills and enhance their knowledge, have the chance to grow professionally, and improve work efficiency. Lastly, the organization will ensure a good reputation for its coordinated care approach and improved patient outcomes (Vasavada & Taub, 2024). 

Role Group’s Importance in Implementing New Policy

Due to their specialties, the role group comprising physicians, pharmacists, and nurses is important for implementing a new policy. Physicians are critical in implementation as their expertise is essential for accurate diagnosis, comprehensive analysis, and personalized care plans and follow-up. Similarly, pharmacists are important for coordinating medicine management and reviewing and educating patients about medicine adherence benefits. Moreover, nurses are leaders, coordinating and communicating between patients and other healthcare staff.

Nurses and physicians are at the forefront of running tests and keeping records of the results, encouraging regular foot and HgbA1c screening at MMC. With their expert opinions and informed guidelines, the success of the policy goal is possible (Taïeb et al., 2022). The strategies implemented with positive contribution of the role group will manifest a healthy future vision of reduced diabetes prevalence and associated complications. The future will have improved quality of life through regular monitoring of glucose level and foot exams, allowing self-management and healthy life-style (Taïeb et al., 2022). 

Learning Activities for a Training Session

Slide 9

Learning activities are at the core of the training session for the role group. Understanding the new policy implications and evaluating several activities can be beneficial. Firstly, case studies are planned so that role groups can analyze cases, find key issues, and suggest coordinated care strategies. Interactive workshops specifying particular aspects of policy, like screenings and educating patients, will engage in activities for hands-on experience (Rowe et al., 2021).

Peer learning and monitoring activities will involve shared decision-making through group discussion to enhance diabetes management. Role-based training modules can also help address specific challenges physicians, pharmacists, and nurses face in their respective fields. Feedback is essential at the end of the training session to review the effectiveness of the learning strategies (Mukurunge et al., 2021). 

Stakeholders’ Involvement and Collaboration Strategies

Slide 10

Apart from the role of group participation in enhancing patient outcomes and effectively managing diabetes, extended stakeholder involvement will further improve outcomes. For regular screening, a patient may require professional assistance from a nutritionist, therapist, or healthcare agency for policy implementation. Utilizing different technologies is the most effective means of collaborating between all stakeholders. Timely communication and input from multiple healthcare professionals will enhance MMC’s quality of care and patient outcomes. Administration can help in resource management, improving the implementation process. Meetings with all stakeholders are essential in a week to discuss potential outcomes of the plan for patients (Ravichander, 2022). 

Conclusion

Slide 11

Summarizing the session for healthcare staff on the implementation of the new policy in diabetes management is crucial for enhancing care quality and patient outcomes. Through stakeholder involvement and evidence-based strategies, including education, training, and technology integration, healthcare professionals can effectively implement the policy and practice guidelines. The role group, comprising physicians, pharmacists, and nurses, is pivotal in ensuring successful implementation and adherence to the new policy. By engaging in various learning activities and collaborating with stakeholders, healthcare professionals can improve diabetes management and promote patient well-being.

Slide 12

Thank you for your time. Questions are welcomed. 

References

ADA. (2019). Standards of medical care in diabetes—2019 abridged for primary care providers. Clinical Diabetes, 37(1), 11–34. https://doi.org/10.2337/cd18-0105 

AlHaqwi, A. I., Amin, M. M., AlTulaihi, B. A., & Abolfotouh, M. A. (2023). Impact of patient-centered and self-care education on diabetes control in a family practice setting in Saudi Arabia. International Journal of Environmental Research and Public Health, 20(2), 1109. https://doi.org/10.3390/ijerph20021109 

Bayable, S. D., Misganaw, A., & Ashebir, Y. G. (2022). Self-care practice and its predictors among adult diabetic patients on follow-up at public health care diabetic referral clinics, Debre Markos, Ethiopia. Preventive Medicine Reports, 30, 102041. https://doi.org/10.1016/j.pmedr.2022.102041 

NHS FPX 6004 Assessment 3 Training Session for Policy Implementation

Bayot, M. L., Tadi, P., & Hopko, N. C. S. (2022). Work culture. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK542168/#:~:text=%5B12%5D%20Positive%20work%20culture%20will 

CDC. (2023). By the numbers: Diabetes in America. Centers for Disease Control and Prevention. https://www.cdc.gov/diabetes/health-equity/diabetes-by-the-numbers.html 

CMS. (2023). Medicare Diabetes Prevention Program (MDPP) expanded model. Www.cms.gov. https://www.cms.gov/priorities/innovation/innovation-models/Medicare-diabetes-prevention-program

Duan, D., Kengne, A. P., & Tcheugui, J. B. E. -. (2021). Screening for Diabetes and Prediabetes and their Prediction. Endocrinology and Metabolism Clinics of North America, 50(3), 369–385. https://doi.org/10.1016/j.ecl.2021.05.002 

Ginbeto, T., Debie, A., Geberu, D. M., Alemayehu, D., & Dellie, E. (2023). Work engagement among health professionals in public health facilities of Bench-Sheko zone, southwest Ethiopia. BMC Health Services Research, 23(1). https://doi.org/10.1186/s12913-023-09680-5 

Kersting, C., Kneer, M., & Barzel, A. (2020). Patient-relevant outcomes: What are we talking about? A scoping review to improve conceptual clarity. BMC Health Services Research, 20(1). https://doi.org/10.1186/s12913-020-05442-9 

NHS FPX 6004 Assessment 3 Training Session for Policy Implementation

Kruse, C. S., Mileski, M., Heinemann, K., Huynh, H., Leafblad, A., & Moreno, E. (2023). Analyzing the effectiveness of mhealth to manage diabetes mellitus among adults over 50: A systematic literature review. Journal of Multidisciplinary Healthcare, Volume 16, 101–117. https://doi.org/10.2147/jmdh.s392693 

Lim, R. B. T., Wee, W. K., For, W. C., Ananthanarayanan, J. A., Soh, Y. H., Goh, L. M. L., Tham, D. K. T., & Wong, M. L. (2020). Health education and communication needs among primary care patients with prediabetes in Singapore: A mixed methods approach. Primary Care Diabetes, 14(3), 254–264. https://doi.org/10.1016/j.pcd.2019.08.008 

Mathew, T. K., Tadi, P., & Zubair, M. (2023, April 23). Blood glucose monitoring. Nih.gov; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK555976/ 

Ming, L., Wang, D., & Zhu, Y. (2023). Association of sodium intake with diabetes in adults without hypertension: Evidence from the national health and nutrition examination survey 2009–2018. Frontiers in Public Health, 11, 1118364. https://doi.org/10.3389/fpubh.2023.1118364 

Mukurunge, E., Reid, M., Fichardt, A., & Nel, M. (2021). Interactive workshops as a learning and teaching method for primary healthcare nurses. Health SA Gesondheid, 26, 1643. https://doi.org/10.4102/hsag.v26i0.1643 

NHS FPX 6004 Assessment 3 Training Session for Policy Implementation

Nabulsi, N. A., Yan, C. H., Tilton, J. J., Gerber, B. S., & Sharp, L. K. (2020). Clinical pharmacists in diabetes management: What do minority patients with uncontrolled diabetes have to say? Journal of the American Pharmacists Association, 60(5), 708–715. https://doi.org/10.1016/j.japh.2020.01.024 

O’Flynn, S. (2022). Nurses’ role in diabetes management and prevention in community care. British Journal of Community Nursing, 27(8), 374–376. https://doi.org/10.12968/bjcn.2022.27.8.374 

Ravichander, A. (2022, February 18). Stakeholder engagement is a tool to measure public policy. Research to Action. https://www.researchtoaction.org/2022/02/stakeholder-engagement-a-tool-to-measure-public-policy/#:~:text=Briefly%2C%20stakeholder%20engagement%20includes%20identifying 

Rowe, A. K., Rowe, S. Y., Peters, D. H., Holloway, K. A., & Degnan, D. R. (2021). The effectiveness of training strategies to improve healthcare provider practices in low-income and middle-income countries. BMJ Global Health, 6(1), e003229. https://doi.org/10.1136/bmjgh-2020-003229 

Song, K., & Chambers, A. R. (2021). Diabetic foot care. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK553110/ 

Sørensen, M., Groven, K. S., Gjelsvik, B., Almendingen, K., & Holme, L. G. (2020). The roles of healthcare professionals in diabetes care: A qualitative study in Norwegian general practice. Scandinavian Journal of Primary Health Care, 38(1), 12–23. https://doi.org/10.1080/02813432.2020.1714145

NHS FPX 6004 Assessment 3 Training Session for Policy Implementation 

Taïeb, A., Gaëlle, L., Roxane, D., Perrine, W., Marion, A., Fleur, B., Zoé, L., Aurélie, L., Solen, D., Patricia, D., & Véronique, A. (2022). Efficiency of a multidisciplinary team care approach through a short hospitalization of patients with poorly controlled diabetes mellitus: A 12 months prospective monocentric study. The Pan African Medical Journal, 41(192). https://doi.org/10.11604/pamj.2022.41.192.23965 

Vasavada, A., & Taub, L. F. M. (2024). Diabetes mellitus screening. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK554615/#:~:text=Screening%20is%20necessary%20with%20the 

Wang, Y., Zhang, Y., Han, J., Chen, Y., Li, L., Wei, X., & Fu, G. (2023). Diabetes knowledge and training needs among non-endocrinology nurses. Heliyon, 9(5), e15985–e15985. https://doi.org/10.1016/j.heliyon.2023.e15985