Detroit’s No-Cost Mobile Diabetes Resource Kimberly Oldenburg, Janice Pappas, Jonathan Rospierski, and Vanessa Van Order

Diabetes in Michigan Michigan African American Age >65 No College Education Income <$25,000/year (Directors of Health Promotion and Education, 2013; MDCH, 2013b) Michigan African American Age >65 No College Education Income <$25,000/year (Directors of Health Promotion and Education, 2013; MDCH, 2013b) Wayne County >90% African American >90% have less than 4 year college degree Poverty rate 24% (Directors of Health Promotion and Education, 2013; MDCH, 2013b) Wayne County >90% African American >90% have less than 4 year college degree Poverty rate 24% (Directors of Health Promotion and Education, 2013; MDCH, 2013b) Risk Factors Robert Wood Johnson Foundation LAST PLACE 758,300 adults with diabetes. 250, 000 presumed to have diabetes. Prevalence increase 40% since The death rate is 26.8% (MDCH, 2013a)

Mission Statement The Diabetes Resource Network seeks to improve the health of the underprivileged community of Detroit by providing no-cost services and education for the prevention, identification, and effective management of the negative effects of diabetes

DRN Philosophy We believe that the integration of quality health education and consistent access to diabetes healthcare services will empower patients to move towards self- management of diabetes and optimal health. We believe awareness, prevention, and screening of diabetes are vital health promotion tools. We believe that all people, regardless of age, race, religion, or social standing, deserve access to quality health care education and services. We believe that patients deserve high standards of quality and excellence in all programs and services we provide. We believe that effective services respect and honor each patient’s individual experiences and perspectives, allowing for care prioritization based on the individual and not the disease. We believe that being part of a community includes sharing in the responsibility of the overall health of the community. We believe in providing a workplace environment which fosters each staff member’s abilities. We challenge our staff to welcome change; we encourage invention; and continually seek better, more efficient ways to achieve our goals.

GOALS 1. Increase diabetes prevention and awareness to individuals in the city of Detroit. 2. Increase early detection of diabetes and decrease long term effects of the disease process. 3. Assure access to high quality diabetes education, consistent health care services, and necessary diabetes related equipment and supplies to individuals that are under/uninsured in the city of Detroit. 4. Promote empowerment and self-management for those with diabetes so that they may obtain maximum levels of health. 5. Detect and intervene to halt progression of disease.

OBJECTIVES To provide an education program that will promote diabetes awareness and prevention, and knowledge of community resources bimonthly. To provide free diabetes screenings at various locations within Wayne County bimonthly. To assure: Each individual has quality education in an appropriate format. Each individual has equipment and supplies. Each individual has a realistic follow up plan - before leaving. To increase awareness of the availability of mobile clinic services through: internet marketing, social media, handing out brochures in identified high risk population areas, distributing flyers at shelters, soup kitchens posting flyers at churches, supermarkets, street lamps

OBJECTIVES. To establish relationships with local health care organizations to coordinate services and assure the best use of available community resources. - Attend local community health assessment meetings. To recruit volunteer staff. -Host a monthly awareness/recruitment luncheon inviting local healthcare providers, nursing and medical students. To identify sources of funding including federal, state, local, community and charitable donations. - Host a fundraiser once a year to increase awareness of diabetes and financial support of the clinic.

Clinic Director/Supervisor Registered Dietitian Registered Nurse Educator Registered Nurse Administrative and Volunteer Coordinator Public Relations, Advertising & Site Coordinator Fundraiser & Supply Procurement Director Organizational Chart Diabetes Resource Network

Workforce Salaried Positons Volunteer Positions Clinical Director Administrative Assistant/ Volunteer Coordinator Clinical Fundraiser Coordinator/ Supply Procurement Registered Nurse Nurse Educator Registered Dietitian/ Nutritionist Public Relations/ Advertising/ Site Coordinator

General Requirements –All Positions Self-starter and ability to work independently Ability to maintain a positive working relationship with a diverse population Strong networking skills Ability to communicate professionally Experience working with volunteers Management experience and the ability to organize materials Computer skills

Advertisement Costs Cost for Job Advertisement Professional Nursing Journal Cost for Job Advertisement -Local Print Ad Professional Nursing Journal American Journal of Nursing - listed via NursingJobsPlus. Highlights: No text limit Ability to edit, remove, or renew ad anytime. Listing includes a hyperlink to organization or website. Cost for single job posting – 30 days $425 (American Journal of Nursing, 2014). Local Paper Detroit Free Press – listed via Careerbuilder.com Highlights: Exposure to over 24 million candidates. Coverage in up to 3 job categories and 3 industries. Job seeker traffic from more than 1,200 partner sites. Cost for single job posting – 30 days $419 (Career Builder, 2014)

Other Sources for Volunteers & Free Advertising Universities/Colleges Advanced Practice Schools of Nursing Registered Dietician Schools Hospitals Other Diabetes Clinics and Programs

Hours of Operation & Locations Capuchin Soup Kitchen (Monday 8am-11:30am) Salvation Army DHQ (Monday 1pm-4:30pm) St. Anne Catholic Church (Tuesday 8am-11:30am) Kettering High School (Tuesday 4pm-8pm) First United Community Church (Wednesday 8am- 11:30am) St. Christine soup kitchen (Wednesday 1pm-4:30pm) Jefferson House (Thursday 8am-11:30am) Loyola High School (Thursday 4pm-8pm) JVS Rescue Mission (Friday 8am- 11:30am) Victory Outreach (Friday 1pm-4:30pm)

Budget/Operating Expenses Free clinics Supported by grants, sponsoring organizations and donors. Average free clinic budget less than $190,000 (Free Clinics of Michigan, 2011). Operating costs are very LOW! Expenses – Supplies/Salaries/Fundraising Diabetes Care Supplies Office Supplies Salaries/Benefits Clinic Director/Nurse Practitioner - $ (Simply Hired, 2014). Administrative Assistant/Volunteer Coordinator - $ (Simply Hired, 2014).

Estimated Operating Expenses Non-donated diabetes supplies$600/week- $31,200/year Salaried employees$145,000 Fundraising costs$5000 Professional Fees$ Computer(s)$0-donated by local companies Equipment - Flash-drives/Tote$149 walmart.com Office Supplies$1500 Advertising$1000 Transportation$4500 Total190,000.00

Insurance/Donations Instead of asking patients for a donation of money, we could ask for donations of time, similar to the volunteers used - help the office manager with office needs; answer phone calls, stuff envelopes, file, clean equipment. Maybe they have a particular talent in art and can help with graphic design of advertisements? They could help with fundraising activities, stuff the envelopes, hand out flyers, help with set up and tear down etc. This kind of "donation" would be more in line with the "free" clinic theme. General liability insurance and non-donated legal fees need to be planned for in the budget. Volunteer Protection Act (VPA). The law provides all volunteers (including clinician volunteers) of nonprofit organizations and government entities with protection from liability for certain harms caused by his/her acts or omissions while serving as a volunteer. As with practically all such state laws, volunteers who qualify for the VPA’s protection are shielded from harm caused by simple negligence so long as it is within the scope of the volunteer’s duties. Volunteers in healthcare.org. (n.d.). Starting a free clinic. A volunteers in health care guide. Retrieved April, 2014 from

Questions and Answers?? Thank you for you time. We appreciate the opportunity to work with you in providing quality diabetes education and making Wayne County a healthier place to live. Does anyone have any questions?

References American Journal of Nursing. (n.d.) Nursing Jobs Plus: Costs. Retrieved March, 2014 from CareerBuilder. (n.d.) Online job postings. Retrieved March, 2014 from Directors of Health Promotion and Education. (2013). Diabetes risk factors community profile Wayne County, Detroit, and Inkster and Eastern Detroit. Retrieved from and-Inkster.pdfhttps:// and-Inkster.pdf Free Clinics of Michigan. (2011). Clinic statistics. Retrieved from Michigan Department of Community Health. (2013a).Diabetes in Michigan: Update Retrieved from Michigan Department of Community Health (2013b). Program to eliminate diabetes related health disparities in African Americans living in Flint, NW Detroit, and Inkster, Michigan: Strategic plan Retrieved from Munson Medical Center. (2013). Diabetes Supplies. Retrieved from SimplyHired.com. (2014). RN Diabetes Educator. Searched March, Volunteers in healthcare.org. (n.d.). Starting a free clinic. A volunteers in health care guide. Retrieved April, 2014 from Yoder-Wise, P. S. (2014). Leading and managing in nursing (5th ed.). St. Louis, Mo: Elsevier Mosby.