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The ineffective foot and HbA1c evaluations to provide early therapies and stop future problems are one of the main causes of the high mortality rate for patients with diabetes. Effective self-care techniques are necessary for patients with chronic illnesses and conditions to lower the chance of consequences (da Rocha et al., 2020). Poor treatment methods for the illness have led to these problems. Assessments for the feet, and HbA1c, which identify patients at risk of complications or a bad prognosis, are becoming less common at Mercy Medical Center. Diabetes problems such as damage to the nerves, kidneys, eyes, and feet are linked to higher healthcare costs, mortality, lower quality of life, and a poor prognosis.
According to dashboard data analysis, nearly 50 patients had eye tests in the first three months of 2019, but by the fourth quarter, only 42 remained. In 2020, just 41% of diabetes patients underwent eye exams, fewer than the 75% national average. HgbA1c testing was performed on 60 individuals in the first quarter of 2019 and 42 patients in the fourth quarter, respectively. Less than the 79% state average, 48.3% of MMC’s diabetic patients had their HgbA1c levels checked in 2020. Sixty-two persons underwent foot tests in the first three months of 2019, compared to 70 in the past three months. In 2020, just 41.7% of people received a foot checkup, falling short of the desired 84% (NHQDR Data Tools | AHRQ Data Tools, 2020).
Poor examination of feet and HbA1c can result in poor financial stability and poor quality of life, lowering patient satisfaction levels. One in 10 diabetes patients, for instance, are readmitted to hospitals because of inadequate self-care management, resulting in expensive care costs that could be addressed. Even though the danger of diabetes complications brought on by evaluation failure cannot be eliminated, they can be greatly reduced, lessening the load on hospitals and patients (Demir et al., 2021). The organization is not offering sufficient high-quality strategies for controlling and managing diabetes if assessment results show a significant failure rate. Therefore, a quality indicator for glycemic control in the healthcare context is the patient’s appraisal of their feet and HbA1c levels.
NHS FPX 6004 Assessment 2 Policy Proposal
The present quality improvement proposal’s main goal is to provide methodologies and frameworks that could help the hospital lower the number of diabetes consequences by doing routine evaluations of the feet and HbA1c. Engagement in quality improvement initiatives requires cooperation among stakeholders and adherence to the established standards for treating the condition (Cole et al., 2020). Mercy Medical Center is a facility that is of concern for quality improvement. The institution offers a comprehensive range of services for inpatients and outpatients, extending from severe to quasi-care.
To improve assessments of the patient’s foot and HbA1c, the quality improvement initiative process must be assessed, analyzable, improved, and regulated. Mercy Medical Center pledges to uphold the highest levels of professionalism and efficiency in providing healthcare services. The healthcare facility expressed concern about the large examples of failure discovered during the most recent quality improvement meeting regarding the annual assessments of the feet and HbA1c (Wang et al., 2021). Suppose Mercy Medical Center is to ensure that diabetic problems are appropriately avoided through routine assessments of feet and HbA1c. In that case, it must raise the number of feet and HbA1c that have been lowering over time. Mercy Medical Center must pledge to take steps to lower the risk of complications from diabetes for all patients by requiring examinations, including an evaluation of the patient’s foot and an HbA1c.
It is necessary to implement new policies, use clinical recommendations to increase the number of feet, and HbA1c tests to enhance prognosis and lessen potential problems. Mercy Medical Center should encourage foot and HbA1c assessments at least three times a year to avoid complications and provide prompt or appropriate treatment. To avoid the potential consequences of inadequate diabetes treatment, diabetic patients in the United States should have their foot and HbA1c assessed thrice yearly (Lee et al., 2021). The study found that inadequate self-care management, foot monitoring, and elevated HbA1c levels are frequently thought to hasten comorbidities of diabetes. Most of these issues can be avoided by ensuring that patients are routinely evaluated for their foot and HbA1c (Lee et al.,
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