HEALTH EXPLOSION

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HEALTH EXPLOSION

• West Central Cluster Summit
• Moving Ahead With Spread
• November 8-10, 2004
• Dallas, TX

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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

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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 gt90 of our
  patients will obtain two HgbA1cs within the 12
  months with average being lt8.0. 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.

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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
• marichardson04_at_centurytel.net
• 870-747-3381 (phone) 870-747-3631 (fax)

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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

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Core Measure Graphs
Diabetes
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Core Measures Graphs
Diabetes
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Core Measure Graphs
Diabetes
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Core Measure Graphs
Diabetes
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Core Measure Graphs CVD
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Core Measure Graph
CVD
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Core Measure Graphs
CVD
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Core Measure Graph CVD
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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

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Best Practice

• Gathering ideas from collaborative meetings
• Updating flow-sheets to meet patient needs
• Having education classes
• Support from on staff providers and nurses

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Biggest Challenges/Barriers

• Staff turnover
• New staff training
• Patient comprehension of self-management

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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

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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.