19.00
Hdl Handle:
http://hdl.handle.net/10755/622727
Category:
Full-text
Format:
Text-based Document
Type:
DNP Capstone Project
Level of Evidence:
Other
Research Approach:
Translational Research/Evidence-based Practice
Title:
Multipronged Approach to Improve Diabetes Care Management in the Home Health Setting
Author(s):
Sellett, Julianna S.
Advisors:
Schramm, Jill; D'Antonio, Jocelyn; Bigler, Pamela
Degree:
DNP
Degree Year:
2017
Grantor:
Capella University
Abstract:

New care delivery models and approaches to integrated care have emerged across the country to reduce health disparity, improve outcomes, and address care delivery fragmentation. Home health agencies (HHAs) and the millions of homebound adults in the U.S. are often in the middle of this fragmentation. This article describes a multipronged quality improvement (QI) approach taken by an Illinois HHA to reduce variation and improve the care management of its diabetic population. The agency was experiencing variations in care that misaligned with the parent health system, inconsistent documentation, and higher than desired emergency department (ED) utilization, rehospitalizations, and percentage of patients discharged with fasting blood glucose (FBG) levels outside of their target ranges. A team was formed to identify system gaps of care and develop multipronged mitigating interventions. Based on available data, post-intervention the agency had a 29% increase of patients discharged with FBG levels within target range, and a 15.0% reduction in ED utilization. The agency did not improve its rehospitalization rate. The identified limitations that may have impacted project results include the short implementation period, limited timeframe patients are enrolled in home health, agency operational dynamics, and electronic health record (EHR) barriers.

Keywords:
diabetes; diabetes self-management; diabetes care management; home health
CINAHL Headings:
Diabetes Mellitus; Home Health Care; Self Care; Diabetes Mellitus--Therapy
Note:
This work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.
Repository Posting Date:
2017-09-22T14:57:45Z
Date of Publication:
2017-09-22

Full metadata record

DC FieldValue Language
dc.contributor.advisorSchramm, Jillen
dc.contributor.advisorD'Antonio, Jocelynen
dc.contributor.advisorBigler, Pamelaen
dc.contributor.authorSellett, Julianna S.en
dc.date.accessioned2017-09-22T14:57:45Z-
dc.date.available2017-09-22T14:57:45Z-
dc.date.issued2017-09-22-
dc.identifier.urihttp://hdl.handle.net/10755/622727-
dc.description.abstract<p>New care delivery models and approaches to integrated care have emerged across the country to reduce health disparity, improve outcomes, and address care delivery fragmentation. Home health agencies (HHAs) and the millions of homebound adults in the U.S. are often in the middle of this fragmentation. This article describes a multipronged quality improvement (QI) approach taken by an Illinois HHA to reduce variation and improve the care management of its diabetic population. The agency was experiencing variations in care that misaligned with the parent health system, inconsistent documentation, and higher than desired emergency department (ED) utilization, rehospitalizations, and percentage of patients discharged with fasting blood glucose (FBG) levels outside of their target ranges. A team was formed to identify system gaps of care and develop multipronged mitigating interventions. Based on available data, post-intervention the agency had a 29% increase of patients discharged with FBG levels within target range, and a 15.0% reduction in ED utilization. The agency did not improve its rehospitalization rate. The identified limitations that may have impacted project results include the short implementation period, limited timeframe patients are enrolled in home health, agency operational dynamics, and electronic health record (EHR) barriers.</p>en
dc.formatText-based Documenten
dc.language.isoen_USen
dc.subjectdiabetesen
dc.subjectdiabetes self-managementen
dc.subjectdiabetes care managementen
dc.subjecthome healthen
dc.titleMultipronged Approach to Improve Diabetes Care Management in the Home Health Settingen_US
dc.typeDNP Capstone Projecten
thesis.degree.grantorCapella Universityen
thesis.degree.levelDNPen
dc.description.noteThis work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.-
thesis.degree.year2017en
dc.type.categoryFull-texten
dc.evidence.levelOtheren
dc.research.approachTranslational Research/Evidence-based Practiceen
dc.subject.cinahlDiabetes Mellitusen
dc.subject.cinahlHome Health Careen
dc.subject.cinahlSelf Careen
dc.subject.cinahlDiabetes Mellitus--Therapyen
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