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Evaluation of Diabetes Care Metrics at Mercy Medical Center in Accordance with Health Care Laws and Policies
Introduction
The purpose of this report is to evaluate the performance of Mercy Medical Center in the context of diabetes care, with a specific focus on the metrics presented in the Public Health Dashboard Diabetes. This evaluation can assist in understanding how the center aligns with benchmarks set by local, state, and federal health care laws and policies.
Evaluation of Dashboard Metrics
After reviewing the diabetes dashboard for Mercy Medical Center, two metrics stand out due to their underperformance: the HgbA1c exams and the foot exam rate. These metrics are critical in diabetes management and their underperformance could have significant implications for patient care.
Relevant Laws and Policies
The benchmarks for these metrics are established by various health care policies. For instance, the National Committee for Quality Assurance (NCQA) and the Healthcare Effectiveness Data and Information Set (HEDIS) provide guidelines that are crucial in setting these standards. Additionally, state-specific benchmarks, which can be found on the Kentucky health.gov website, are also relevant in this context.
KEHP reports HEDIS measures on diabetes, according to the states Cabinet for Health and Family Services (2023). HEDIS (2021) puts the benchmark at 8%. Compared to the national levels, the 2011 Achievable Benchmark was 4 per 100,000 Population (Agency for Healthcare Research and Quality, 2023). Kentucky is not meeting the benchmark.
Analysis of Consequences for Not Meeting Benchmarks
The underperformance in these key metrics can have several implications. One of the big concerns is the potential impact on the center's mission and vision. Mercy Medical Center prides itself on delivering high-quality care, and failing to meet established benchmarks in diabetes care could significantly detract from this commitment. This underperformance might lead to a perception that the center is not adequately addressing the needs of its diabetic...…advanced medical equipment, increasing the number of specialized staff, or improving the infrastructure related to diabetes management. Administrative staff and policymakers are responsible for making decisions about resource allocation.
Also, engaging in community outreach programs would help with improving diabetes management (Harris et al., 2019). Educating the public about diabetes, its risks, management strategies, and the importance of regular health check-ups can have a profound impact. Such programs can be organized in collaboration with local health departments, schools, and community centers. They help in raising awareness and building a strong relationship between the center and the community it serves.
In conclusion, the evaluation of the diabetes care metrics at Mercy Medical Center reveals significant areas for improvement, particularly in HgbA1c and foot exams. Addressing these areas is not only crucial for patient care but also for aligning with health care laws and policies. Continuous monitoring and improvement are essential for the center to…
References
Agency for Healthcare Research and Quality. (2023). Retrieved from Diabetes | Agency for Healthcare Research and Quality (ahrq.gov)American Diabetes Association. (2019). Standards of medical care in diabetes—2019 abridgedfor primary care providers. Clinical diabetes: a publication of the American Diabetes Association, 37(1), 11.
American Diabetes Association. (2020). 12. Older adults: standards of medical care indiabetes—2020. Diabetes care, 43(Supplement_1), S152-S162.
Cabinet for Health and Family Services (2023). Diabetes Report. Retrieved from 2023 Diabetes Report - Executive Summary.pdf (ky.gov)Harris, J., Haltbakk, J., Dunning, T., Austrheim, G., Kirkevold, M., Johnson, M., & Graue, M.
(2019). How patient and community involvement in diabetes research influences health outcomes: a realist review. Health Expectations, 22(5), 907-920.
HEDIS. (2021). Retrieved from KY1PROGDE87746E_0000_Proof_6_Final_R (wellcareky.com)
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