1. Traverse Community Diabetic Services
PRESENTATION RUBRIC:
Adheres to suggested guidelines for writing paper and developing power point presentation: slides MAX
Organizes presentation in logical manner
Communicates ideas clearly
Demonstrates originality and creativity in clinic development
Demonstrates critical thinking with presentation development in answering posted questions
Cheryl Howard, Stephanie Monroe, Michol Popp, Michelle Rowe, Alyson Swinehart
Spring 2012 NURS 440 OSP Project, Ferris State University

2. (231)944-4444 www.TCdiabeticservices.com
Services Overview
Traverse Community
Diabetic Services
321 Cherry Blvd
Traverse City MI 49684
(231)
Monday – Friday 8:00am to 4:00pm
Providing diabetes services to outpatient and inpatient population in Grand Traverse & surrounding areas:
Education
Medical management
High quality nursing care
STEP 1
RUBRIC: Introduces the service (explains need for service)

3. Need for Services
25.8 million children & adults in US living with diabetes
Cost of diabetes in U.S. was $174 billion in 2007
Diabetes complications include:
Heart disease
Stroke
Hypertension
Blindness
Kidney disease
Neuropathy
Amputations
STEP 1
RUBRIC: Introduces the service (explains need for service)

4. Needs Assessment External Environment
1 million adults in Michigan have diabetes
Higher prevalence of diabetes in Michigan than US
Higher rate in counties surrounding Grand Traverse than in rest of Michigan
Grand Traverse area has high rates of obesity, inactivity and older population
Internal Environment
No diabetes clinics in Grand Traverse or surrounding counties providing inpatient and outpatient diabetes services
Need for diabetes clinic services providing dietician, physician and nursing care
Need for collaboration with hospitals and primary care offices
STEP 1
RUBRIC: Introduces the service (explains need for service)

5. Mission Statement
At Traverse Community Diabetic Services our purpose is to provide exceptional diabetes education, medical management, and provide high-quality nursing care for both acute clients in an inpatient setting as well as on an outpatient basis to diabetics within the community.
We strive to provide a multidisciplinary approach to the care of the diabetic client and are committed to assisting our clients in managing a healthy life with diabetes.
STEP 2
PRESENTATION RUBRIC: Provides summary of the service items

6. Philosophy Clients have the right to: Respect & dignity
Person centered, non-discriminatory care
High quality nursing and disease management
Highest level of functioning possible
Nurses have a duty to:
Uphold professional nursing standards
Advocate for clients’ rights and needs
Provide evidence based, holistic care to promote health and well being of clients & community
STEP 3
PRESENTATION RUBRIC: Provides summary of the service items

7. Improve the quality of life of those living with diabetes!
Organizational Goals
Improve the quality of life
of those living with diabetes!
All care given is supported by current, evidenced based practice.
Increase awareness of diabetes risk factors, signs and symptoms to members of the community.
Care, education and services will be provided based on the needs of the individual and the community.
Provide education, counseling and direct care relating to type 1 and 2 diabetes on an inpatient and outpatient basis.
Provide compassionate care to all clients that services are provided to.
Diabetes education resource for the Traverse area community.
STEP 4
PRESENTATION RUBRIC: Provides summary of the service items

8. Organizational Objectives
1. To educate the community about awareness, prevention and management of diabetes by providing public education seminars and screening on a monthly bases.
2. To assist clients and families in establishing initial care and education of diabetes both inpatient and outpatient.
3. To provide scheduled ongoing care of diabetes as recommended by the health care provider.
4. To provide care in an interdisciplinary way to communicating with primary health providers and consider referrals to specialist assessment when indicated.
STEP 5
PRESENTATION RUBRIC: Provides summary of the service items

9. Organizational Objectives continued
5. To improve the quality of life for patients living with diabetes as evidenced by less diabetic complications. 6. To provide comprehensive care for diabetes that aims not only to treat the disease, but to minimize the impact it has on our clients’ lives as evidenced by less hospitalizations. 7. To reduce morbidity and mortality rate by 5% in the community over the next 10 years. 8. To have more than 90% of clients with diabetes have two A1C tests done at least three months apart to ensure adequate glucose control for our clients.
STEP 5
PRESENTATION RUBRIC: Provides summary of the service items

10. Organizational Chart
RN Clinic Director
Physician
Midlevel provider
Registered Nurse
Registered Dietician
Clerical Support
We offer services in the least complicated manner possible.
Using a phase one shared governance structure lets the nurse executive retain decision making authority while staff is responsible for practice issues and determining roles, functions and processes.
STEP 6
PRESENTATION RUBRIC: Provides summary of the service items

11. Job Descriptions RN Clinical Director Registered Nurses
Perform leadership functions of governance and decision making.
Coordinate all planning, organization and directing of financial funds.
Collaborate with all staff member and run day-to-day operations.
Maintain a safe and effective environment where diabetes management is a shared goal.
Registered Nurses
Collaborate care between physician, nurse practitioner, and dietitian.
Provide professional care to clients using the nursing process to achieve desired outcomes.
Report and collaborate with RN clinical director
Develop and maintain client plan of care
Mid-Level Nurse Practitioner
Provide direct and indirect care to impatient and outpatient diabetic clients
Identifies patient needs, skills and knowledge needed to manage diabetes
Collaborate with the physician, dietician and nursing staff.
Physicians
Provide direct and indirect care to impatient and outpatient diabetic clients
Collaborate care with nurse practitioner, dietician and nursing staff.
STEP 7
PRESENTATION RUBRIC: Provides summary of job descriptions, marketing plan and strategies
Clerical Support
Operation of office front desk and schedule clients appointments.
Assist clinical staff with daily office operations
Handles the filling and finances for the clinic in collaboration with the RN Clinical Director for budget purposes.
Registered Dietician
Develop specialized diets for diabetic patients
Teach patients and families the importance of nutrition, diet and food selection.
Evaluate how patients respond to their specialized diets and make adjustments when necessary
Teach class about diet, nutrition and food related to managing diabetes.

12. Budget Components Advertising Salaries Operating costs Funds & Revenue
Benefits
Operating costs
Supplies
Equipment
Funds & Revenue
Critical Appraisal
STEP 8-9
PRESENTATION RUBRIC: Provides summary of job descriptions, marketing plan and strategies

13. Job Advertisement For staff recruitment & community exposure:
American Diabetes Journal
One month ad in the American Diabetes Journal- $4,370.00
Local newspaper (Record Eagle)
Three day ad $600.00
Brochures & flyers to hospital & healthcare organizations
Free electronic resources
E-Bay
Craig's List
Facebook
STEP 8
PRESENTATION RUBRIC: Provides summary of job descriptions, marketing plan and strategies

14. Fringe Benefits: $8,000/employee
Staff Salaries
STEP 9
PRESENTATION RUBRIC: Provides summary of job descriptions, marketing plan and strategies
Fringe Benefits: $8,000/employee

15. Operating Costs REVENUE & FUNDING Grants Donations Medicare Part A
Operating Expenses
Cost Annually
Electric, Gas, and Heat
$ 13,000
Water
$ 3,360
General Waste
$ 12,000
Medical Waste
$ 3,400
Phone System
$ 16,000
Medical Supplies
$ 16,400
Office Supplies
$ 19,600
Postage
$ 2,000
Advertisement
$ 17,000
Insurance
$ 20,000
Total
$122,760
REVENUE & FUNDING
Grants
Donations
Medicare Part A
Medicare Part B
Blue Cross Blue Shield
Priority Health
STEP 9
PRESENTATION RUBRIC: Provides summary of job descriptions, marketing plan and strategies

16. Budget: Critical Appraisal
Expenditures for staffing, advertising and operating costs are justified due to the need of comprehensive, high quality, evidenced based care for diabetic patients.
Clinic has potential to grow and expand over time
Funding will be obtained from multiple sources that assist in operating clinic and contribute to the research knowledge base of diabetes care
STEP 10
PRESENTATION RUBRIC: Provides a critical appraisal of the Service plan budget and justifies

17. Together We Can Make a Difference!
Summary
Traverse Community Diabetic Services
Clinic created to address serious identified need
Serving patient population with high rate of diabetes
Mission statement, philosophy & goals support need
Plan created for staffing, advertisement and budget
Together We Can Make a Difference!
Summary
Photo Credit: healthcarecommunication.worpress.com

18. References
American Diabetes Association (2012). Diabetes statistics. Retrieved from
Centers for Disease Control and Prevention (2012). County level estimates of obesity-state maps. Retrieved from
Centers for Disease Control and Prevention (2012). County level estimates of leisure-time physical inactivity-state map. Retrieved from
Mancini, M. E. (2011). Understanding and designing organizational structures. In P. Yoder-Wise, Leading and managing in nursing (5th ed., pp ). St. Louis, MO: Elsevier Mosby.
Michigan Department of Community Health. (2011). The impact of diabetes in Michigan. Retrieved from
U.S. Census Bureau (2010). Profile of general population and house characteristics: Retrieved from
productview.xhtml?src=bkmk.
U.S. Department of Health & Human Services (2012). Calculate your body mass index. Retrieved from
References

19. Final Grade ORGANIZATIONAL STRATEGIC PLAN PROJECT:
The object of this assignment is to familiarize you with the workings of an organization. You will be working in small groups of 3-4 students to develop a new healthcare service. It can be a program, a clinic, a health center, a care delivery system, or a department. You are only limited by your imagination and the group’s agreement! If any of the group members have a project or service he or she is working on or want to work on related to current or future employment, feel free to use this assignment to assist in its development. Academic work is even more valuable when students can utilize assignments to support them in their work environments.
This is going to be an on-going project with assignments due every few weeks and a presentation to be presented at the end.