Evaluation and Validation of a Diabetes Self-Management Education (DSME) Program

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ISBN 13 :
Total Pages : 149 pages
Book Rating : 4.:/5 (15 download)

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Book Synopsis Evaluation and Validation of a Diabetes Self-Management Education (DSME) Program by : Heather L. Ortiz

Download or read book Evaluation and Validation of a Diabetes Self-Management Education (DSME) Program written by Heather L. Ortiz and published by . This book was released on 2017 with total page 149 pages. Available in PDF, EPUB and Kindle. Book excerpt: This Direct Practice Improvement (DPI) project used a mixed-methods design to evaluate the effectiveness of a Diabetes Self-Management Education (DSME) program as a dietary lifestyle intervention to lower Hemoglobin A1C (HgbA1c), post-prandial blood sugar levels, and weight in individuals with Type II Diabetes over a six-week period of time. This DPI project adds to existing literature, identifying a DSME program effective in improving the health outcomes of individuals with Type II Diabetes. The Johns Hopkins Nursing Evidence-Based Practice Model guided identification of the practice question, evidence collection, and translation to practice. Quantitative data illustrates how understanding metabolic differences in simple and complex carbohydrates, effects of gluconeogenesis on blood sugar, and pairing foods in the right amounts, at the right times of the day allows for the remission of symptoms of Type II Diabetes. The data shows that individuals with Type II Diabetes who followed the DSME program (n=15) reduced their Hemoglobin A1C levels to

A Core Curriculum for Diabetes Education: Diabetes education and program management

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ISBN 13 :
Total Pages : 284 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis A Core Curriculum for Diabetes Education: Diabetes education and program management by : Marion J. Franz

Download or read book A Core Curriculum for Diabetes Education: Diabetes education and program management written by Marion J. Franz and published by . This book was released on 2003 with total page 284 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Developing a Diabetes Self-management Education Program

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ISBN 13 :
Total Pages : 73 pages
Book Rating : 4.:/5 (125 download)

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Book Synopsis Developing a Diabetes Self-management Education Program by : Loquintha Rex

Download or read book Developing a Diabetes Self-management Education Program written by Loquintha Rex and published by . This book was released on 2007 with total page 73 pages. Available in PDF, EPUB and Kindle. Book excerpt: Problem: Pre-diabetes is an insidious condition that commonly persists for many years while progressing on to diabetes type 2. As many as 39% of patients who present with a new diagnosis of type 2 diabetes already have the presence of diabetes complications at initial diagnosis. Diabetes has become an epidemic that continues to escalate annually. Diabetes can affect multiple organ systems and lead to serious debilitating complications. Ventura County is consumed with many diabetics. There are not any comprehensive diabetes education programs in the county. Purpose/Scope: The purpose of this evidence-based practice intervention was to evaluate the effectiveness of a Diabetes self-management education (DSME) program on patient's health care utilization, medication use, self-efficaacy for diabetes and general disease management and ability to exercise, and glucose testing. A pres-test/post-test design was utilized to survey subjects participating in the program. The participants received education in four sequential sessions delivered at consistent time intervals over an eight week period. Goal: The goal of developing this program was to empower patients to develop the knowledge and skills necessary to improve health outcomes and to provide access to a diabetes self-management education program open to the general public residing in Ventura County in hopes to improve patient's lives by reducing potential long-term diabetes complications following gaining knowledge of preventative care, improving early diabetes diagnosis, and reducing the workload of primary care practices. Objectives: the objectives of this project included: following the completion of the DSME program, the subject will gain improved scores on the Chronic Disease Self-Efficacy Scales: Exercise Regularly, Manage Disease in General, Health Care Utilizations, Glucose Testing, and self-efficacy to perform self-management behaviors comparing pre-course versus post-course scores. Plan: Phase I and II involved developing the proposal draft and submitting the document to the GPD. The proposal was submitted to the IRB and approved on 3/20/2007. The class content slides were finalized. Phase III involved recruiting subjects and advertising. The classes began April 9, 2007 and continued for four separate sessions through 5/14. Pre-test and post-test questionnaires were handed out to subjects on the first day and last day of classes. Following completion, the data was analyzed. Outcomes and Results: The pre-test and post-test mean scores were compared using paired t-test and the differences were statistically significant.

Evaluating a Diabetes Self-management Education Protocol for Implementation in a Charity Clinic

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ISBN 13 :
Total Pages : 138 pages
Book Rating : 4.:/5 (14 download)

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Book Synopsis Evaluating a Diabetes Self-management Education Protocol for Implementation in a Charity Clinic by : Shirley Koshy

Download or read book Evaluating a Diabetes Self-management Education Protocol for Implementation in a Charity Clinic written by Shirley Koshy and published by . This book was released on 2017 with total page 138 pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this quantitative pretest-posttest project was to evaluate the self-care knowledge and intent to change behaviors of adults with type 2 diabetes mellitus (T2DM) after the implementation of an evidence-based educational protocol. Orem's self-care deficit nursing theory (SCDNT) and Bandura's social cognitive theory were used as the conceptual foundation for this Direct Practice Improvement (DPI) project. As there is no structured evidence-based educational program in existence at the charity clinic, the aim of the project was to raise awareness about type 2 diabetes mellitus, importance of receiving care in a timely manner to prevent complications, providing information regarding different resources available in the community, and goal setting for prevention of disease and its complications through a diabetes self-management education (DSME) protocol. However, it was not known to what degree/extent a DSME protocol will enhance the knowledge and intent to change behavior in diabetic patients with T2DM at a charity clinic in Houston, Texas. The Michigan Diabetes Research and Training Center's (MDRTC) Revised Diabetes Knowledge Test was utilized as the survey tool. A convenience sample (n=22) was used and data analysis performed using paired sample t-tests via SPSS database volume 25.0 on the scores rendered from the survey tool. The results of the project showed a significant difference in the pre- and post-test scores (p

Psychosocial Care for People with Diabetes

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Publisher : American Diabetes Association
ISBN 13 : 1580404391
Total Pages : 330 pages
Book Rating : 4.5/5 (84 download)

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Book Synopsis Psychosocial Care for People with Diabetes by : Deborah Young-Hyman

Download or read book Psychosocial Care for People with Diabetes written by Deborah Young-Hyman and published by American Diabetes Association. This book was released on 2012-12-25 with total page 330 pages. Available in PDF, EPUB and Kindle. Book excerpt: Psychosocial Care for People with Diabetes describes the major psychosocial issues which impact living with and self-management of diabetes and its related diseases, and provides treatment recommendations based on proven interventions and expert opinion. The book is comprehensive and provides the practitioner with guidelines to access and prescribe treatment for psychosocial problems commonly associated with living with diabetes.

ADA The Complete Nurse's Guide to Diabetes, Second Edition

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Publisher : American Diabetes Association
ISBN 13 :
Total Pages : 596 pages
Book Rating : 4.:/5 (318 download)

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Book Synopsis ADA The Complete Nurse's Guide to Diabetes, Second Edition by : Belinda Childs

Download or read book ADA The Complete Nurse's Guide to Diabetes, Second Edition written by Belinda Childs and published by American Diabetes Association. This book was released on 2009-05-27 with total page 596 pages. Available in PDF, EPUB and Kindle. Book excerpt: What every nurse must know about diabetes Complete Nurse’s Guide to Diabetes Care is a comprehensive resource for all nurses who work with diabetes patients. Extensively revised, it offers expert advice on the fundamentals of diabetes care and related nursing issues.

Evaluation of the Diabetes Self-management Education Program at Mercy Philadelphia Hospital

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ISBN 13 :
Total Pages : 66 pages
Book Rating : 4.:/5 (131 download)

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Book Synopsis Evaluation of the Diabetes Self-management Education Program at Mercy Philadelphia Hospital by : Yik Han (Rachel) Chan

Download or read book Evaluation of the Diabetes Self-management Education Program at Mercy Philadelphia Hospital written by Yik Han (Rachel) Chan and published by . This book was released on 2014 with total page 66 pages. Available in PDF, EPUB and Kindle. Book excerpt: The prevalence of diabetes has been on the rise for the past decade and it is projected that this will continue to affect more people worldwide. Diabetes education programs such as the Diabetes Self-Management Education program teach patients to manage their diseases through a healthy diet, physical activity and medications. The evaluation of such a program must be based on a participant's perspective. The objective of this research is to evaluate the effectiveness of the nutrition education component of the diabetes outpatient education program at Mercy Philadelphia Hospital in improving participant self-efficacy regarding nutrition-related aspects of disease management. The study was a quasi-experimental research with a pre- and post-test design, utilizing a convenience population of diabetes education outpatient program participants at Mercy Philadelphia Hospital. Five subjects participated in the nutrition education component of the program and this study. The identical pretests and post-tests include eight statements; subjects were asked to rate their levels of self-efficacy in completing diabetes self-management tasks. Results showed that two subjects increased their self-efficacy scores while others reported no changes in self-efficacy after participating in the nutrition education class. Mean scores increased slightly but there was insufficient data to conclude on the efficacy of the nutrition education component of this program. Future research needs to focus on the ways for individualized nutrition education to be delivered effectively from the perspectives of patients with diabetes.

An Evaluation of the Effects of a Diabetes Self-management Education Program on the HbA1c in Patients with Type 2 Diabetes

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ISBN 13 :
Total Pages : 57 pages
Book Rating : 4.:/5 (18 download)

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Book Synopsis An Evaluation of the Effects of a Diabetes Self-management Education Program on the HbA1c in Patients with Type 2 Diabetes by : Katherine Schoo

Download or read book An Evaluation of the Effects of a Diabetes Self-management Education Program on the HbA1c in Patients with Type 2 Diabetes written by Katherine Schoo and published by . This book was released on 2018 with total page 57 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Evaluation of Attendance, Patient Satisfaction, Knowledge, and Clinical Outcomes Following Participation in a Group Diabetes Self-management Eduction and Support Program in a Primary Care Clinical Setting

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ISBN 13 :
Total Pages : 74 pages
Book Rating : 4.:/5 (122 download)

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Book Synopsis Evaluation of Attendance, Patient Satisfaction, Knowledge, and Clinical Outcomes Following Participation in a Group Diabetes Self-management Eduction and Support Program in a Primary Care Clinical Setting by : Jordan LeCour Rauh

Download or read book Evaluation of Attendance, Patient Satisfaction, Knowledge, and Clinical Outcomes Following Participation in a Group Diabetes Self-management Eduction and Support Program in a Primary Care Clinical Setting written by Jordan LeCour Rauh and published by . This book was released on 2020 with total page 74 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Introduction: Although group Diabetes Self-Management Education and Support (DSMES) programs have been attempted throughout Community Health Network, no evaluation of the programs had been conducted. Introduction: Although group Diabetes Self-Management Education and Support (DSMES) programs have been attempted throughout Community Health Network, no evaluation of the programs had been conducted. Objectives: The primary objectives of this study were to evaluate attendance, patient satisfaction and change in disease state knowledge following participation in six sessions of a group DSMES program led by a multidisciplinary team. The secondary objective was to evaluate clinical outcomes. Methods: This retrospective, observational study focused on process improvement evaluating a standardized approach to a group DSMES program beginning in August 2017 within Community Health Network. Eleven courses ran six sessions lasting approximately 1.5 hours that occurred weekly or every other week. Patients with a history of Type 2 diabetes who had a primary care provider within Community Health Network were invited to participate. Attendance and clinical outcomes were evaluated by a retrospective chart review of the electronic medical record. Evaluation of the program, both patient satisfaction and knowledge, occurred through the voluntary completion of various paper surveys throughout the program. Results: To date, eleven clinic sites have completed a group DSMES program totaling 89 patient participants. Program attendance was evaluated to determine what topics, days, times, and clinic sites would allow future programs to reach the most patients. 47 patients (52.8%) were able to attend four or more of the six sessions; 14 patients (15.7%) attended all six sessions. Responses from the patient satisfaction surveys indicated that patients approved of the speakers well over 90 percent of the time, patients "Strongly Agree" in favor of the sessions at a rate of 88.5% (3.54/4), and patients favored topics focusing on nutrition. Knowledge-based surveys showed an average score increase of 8.3%. Frequently missed topics included goal fasting and fed blood sugar levels. Patients showed mastery of concepts related to the definition of diabetes as well as frequency of immunizations, eye exams, and hemoglobin A1c monitoring. The average reduction of hemoglobin A1c was 0.58% overall. Patients that attended all six sessions saw an average decrease of 0.96%. Patients lost an average of 0.9 kilograms. Systolic blood pressure average dropped by 2mmHg. Conclusion: Following participation in the group DSMES program patients were satisfied with their care while increasing their disease state knowledge leading to an improvement in hemoglobin A1c. The results observed from the review of this DSMES program supports its continued use and expansion throughout Community Health Network" --Unnumbered leaf 1.

A Diabetic Self-management Education (DSME) Program for Adults with Diabetes Type 2 in a Rural Health Clinic

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Publisher :
ISBN 13 :
Total Pages : 180 pages
Book Rating : 4.:/5 (11 download)

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Book Synopsis A Diabetic Self-management Education (DSME) Program for Adults with Diabetes Type 2 in a Rural Health Clinic by : Trejon Anshelle Brignac

Download or read book A Diabetic Self-management Education (DSME) Program for Adults with Diabetes Type 2 in a Rural Health Clinic written by Trejon Anshelle Brignac and published by . This book was released on 2018 with total page 180 pages. Available in PDF, EPUB and Kindle. Book excerpt:

An Outcome Evaluation of Taking Control

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ISBN 13 :
Total Pages : 100 pages
Book Rating : 4.:/5 (514 download)

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Book Synopsis An Outcome Evaluation of Taking Control by : Ijeoma Isiadinso

Download or read book An Outcome Evaluation of Taking Control written by Ijeoma Isiadinso and published by . This book was released on 2001 with total page 100 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Self-efficacy and Diabetes Self-management

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Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)

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Book Synopsis Self-efficacy and Diabetes Self-management by : Jeannette Liller

Download or read book Self-efficacy and Diabetes Self-management written by Jeannette Liller and published by . This book was released on 2020 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: " A diabetes self-management education (DSME) program was utilized to deliver an educational intervention in a rural area of Colorado. The aim of the program was to increase self-efficacy and diabetes self-management behaviors in people with diabetes aged 18 years or older. The intervention was guided by social cognitive theory (SCT) and consisted of weekly diabetes education classes delivered over three weeks. Each class lasted 1.5 hours and was developed based on the American Academy of Diabetes Educators (AADE) seven essential topics for diabetes education. The program was evaluated using a pretest/posttest design. Self-efficacy was measured using the Stanford Diabetes Self-Efficacy Scale (SDSES) and self-management was evaluated using the Diabetes Self-Management Questionnaire (DSMQ). The program resulted in an increase in both self-efficacy and self-management but did not meet the program benchmark of a 20% increase. This program supports the use of DSME guided by SCT but additional work must be done to tailor the program to the target population and to reach the identified benchmark. Key words: diabetes, diabetes mellitus, type 2 diabetes, T2DM, self-efficacy, self-management, diabetes self-management education, DSME " -- Abstract

Assessment of Self-care and Education in Patients with Type 2 Diabetes Mellitus

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ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (133 download)

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Book Synopsis Assessment of Self-care and Education in Patients with Type 2 Diabetes Mellitus by : Kristen Mae Monroe

Download or read book Assessment of Self-care and Education in Patients with Type 2 Diabetes Mellitus written by Kristen Mae Monroe and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background and Significance: The annual cost of diagnosed type 2 diabetes mellitus (DM2) in the United States is $327 billion, with individuals with DM2 spending 2.3 times more on health care than individuals without DM2. Education, such as Diabetes Self-Management Education and Support (DSMES) programs, and self-care support, utilizing tools such as the Summary of Diabetes Self-Care Activities (SDSCA) Measure, are the cornerstones of improving care and outcomes for patients with DM2. Purpose: The purpose of this quality improvement project was to implement a standardized self-care assessment and educational intervention for a mid-Michigan internal medicine clinic's adult patient population over 18 years of age with DM2 and hemoglobin A1c (HbA1c) greater than 9% and improve patient self-care. Methods: The Plan, Do, Act, Study (PDSA) Cycle and the Chronic Care Model were used as a framework to guide the project. Eligible participants were identified by clinic staff and received self-care education. Evaluation: The validated SDSCA tool was utilized to assess self-care pre- and post- educational intervention. A two-tailed paired t-test was then performed to compare pre- and post-intervention scores. Outcomes: Of 25 eligible patients in the clinic, 13 patients participated in the initial phase with 3 patients lost to follow-up, leaving 10 patients included in data analysis. A statistically significant improvement was seen in DM2 self-care with mean scores increasing from 4.1 days/week to 4.8 days/week (t = -6.5, p

Assessment of Factors for Patient Engagement in Diabetes Self-management Education and Support (DSMES) Programs

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Publisher :
ISBN 13 :
Total Pages : 22 pages
Book Rating : 4.:/5 (122 download)

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Book Synopsis Assessment of Factors for Patient Engagement in Diabetes Self-management Education and Support (DSMES) Programs by : Amy Lynn Seither

Download or read book Assessment of Factors for Patient Engagement in Diabetes Self-management Education and Support (DSMES) Programs written by Amy Lynn Seither and published by . This book was released on 2020 with total page 22 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Diabetes self-management education and support (DSMES) programs are recommended for all patients with diabetes at the time of diagnosis and subsequently as needed. Diabetes is becoming increasingly prevalent in the United States, but the estimated percentage of patients receiving DSMES remains low. The purpose of this study was to identify patient-specific factors documented in the electronic medical record (EMR) that are associated with engagement or non-engagement in a DSMES program. The institutional review board approved this retrospective case-controlled chart review of patients who were referred to DSMES classes at Eskenazi Health (EH) by their health care providers. Both demographic and clinical information from the time of patient referral was extracted from the EMR. All patients who were screened for the DSMES classes and enrolled in the program from January 1, 2017-December 31, 2018 were included in the study. The analysis included 414 patients. Age (p = 0.042) and the number of chronic medications that a patient is prescribed (p = 0.002) were found to be statistically significantly higher in engagers compared to non-engagers. Whereas glycated hemoglobin (A1C) (p = 0.002) was found to be statistically significantly lower in engagers compared to non-engagers. This study shows that increased age, decreased A1C, and more prescriptions for chronic medications are associated with engagement in DSMES classes. These results correlate with the findings of similar studies regarding both age and A1C which suggests these findings could be more generalizable. These results may be used to develop a more targeted screening process for recruitment to the DSMES program. However, additional studies are needed to determine how the program could be altered to reach additional patients in the future"--Provided by author.

Using a Randomised Controlled Trial to Test the Effectiveness of a Family-oriented, Theoretically Based, Diabetes Self-management Education Program to Improve Glycaemia, Self-management and Self-efficacy of Individuals with Type 2 Diabetes Mellitus Living in Rural Thailand

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Publisher :
ISBN 13 :
Total Pages : 317 pages
Book Rating : 4.:/5 (126 download)

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Book Synopsis Using a Randomised Controlled Trial to Test the Effectiveness of a Family-oriented, Theoretically Based, Diabetes Self-management Education Program to Improve Glycaemia, Self-management and Self-efficacy of Individuals with Type 2 Diabetes Mellitus Living in Rural Thailand by : Nutchanath Wichit

Download or read book Using a Randomised Controlled Trial to Test the Effectiveness of a Family-oriented, Theoretically Based, Diabetes Self-management Education Program to Improve Glycaemia, Self-management and Self-efficacy of Individuals with Type 2 Diabetes Mellitus Living in Rural Thailand written by Nutchanath Wichit and published by . This book was released on 2018 with total page 317 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction: Diabetes is increasing in prevalence throughout the world. This increase is also of concern to upper-middle-income countries such as Thailand. Diabetes mellitus develops gradually and is often undetected in the early stages, leading to long-term damage of several organs in the body with related complications. Diabetes self-management education (DSME) has been found to improve knowledge, self-care behaviours, glycaemic control, and quality of life for Thai individuals with type 2 diabetes mellitus (T2DM). Thailand is a country in which family members have a fundamental role in assisting other family members in sickness and in health. Family-oriented interventions, therefore, have the potential to enhance health outcomes for individuals with T2DM. Randomised controlled trials conducted on family-carers of individuals with diabetes in Thailand are limited and none has investigated the potential benefit of a family-oriented DSME program, which includes the family-carer in the intervention. Aims: The primary aim of this study was to test the effectiveness of a family-oriented, theoretically derived (based on self-efficacy) DSME for Thai individuals living with T2DM. The specific objectives of this research are to develop and deliver a family-oriented DSME for Thai individuals with T2DM and carers; to evaluate the effectiveness of a family-oriented DSME in improving diabetes knowledge, glycaemic control, self-efficacy, self-management, and quality of life among Thai individuals with T2DM; to develop and test the validity and reliability of the family-carer diabetes management self-efficacy scale (F-DMSES) that measures diabetes management self-efficacy among family-carers of Thai individuals with T2DM; and, finally, to measure and compare diabetes management self-efficacy between individuals with T2DM and their carers.

Implementation of a Train the Trainer Program for Diabetes Education

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Publisher :
ISBN 13 :
Total Pages : 126 pages
Book Rating : 4.:/5 (974 download)

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Book Synopsis Implementation of a Train the Trainer Program for Diabetes Education by : Noreen Borino

Download or read book Implementation of a Train the Trainer Program for Diabetes Education written by Noreen Borino and published by . This book was released on 2011 with total page 126 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Crossing the Quality Chasm

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Publisher : National Academies Press
ISBN 13 : 0309132967
Total Pages : 359 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Crossing the Quality Chasm by : Institute of Medicine

Download or read book Crossing the Quality Chasm written by Institute of Medicine and published by National Academies Press. This book was released on 2001-07-19 with total page 359 pages. Available in PDF, EPUB and Kindle. Book excerpt: Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.