Some of the funding is to come from a national prevention trust fund (Kaiser Fdn, 2010). However there are additional funding resources for the near-term that are readily assessable. Social Justice

The National Secretary of Health has been called on to launch a national quality plan designed to address the issue of social injustice and improve the level of service to every state. Specific to this program are the rates for Maryland in tracking the mortality rates of all with diabetes. Including the elderly women and minority women with the specific indicators to track and monitor being race and gender. This will go along way in finally getting a better idea of what the numbers in Maryland for diabetes mortality.

Understanding that elderly women and older minority women in particular are retired and have little income or are unemployed (Mitchell et al., 1994). Therefore their income is even lower than their non-Hispanic whites. The new social program of Patient Protection and Affordable Care Act is designed to aid those in this demographic (Kaiser Fdn, 2010). Since minority elderly women tend to rely on government and social program for their health care, the additional provisions provided through the Health Care Reform bill will improve the level of service when funding is increased. It will most likely have a significant impact on the number of women that are to receive better care and access to better resources and medical assistance including preventative programs.

Plan

Health Program Study of Elderly Women with Diabetes

First data will be collected and documented based on research for selected demographic, using the best practices. In addition all available government and state resources, and known information on elderly women with diabetes including elderly minority women facing disparities in care.

The program will require strategic planning and outreach to those targeted for the study primarily in the counties of Alleghany, Anne Arundel, Baltimore, Baltimore City, Kent, Montgomery, Prince George, Queen Anne, Somerset, St. Marys, Talbot, Washington, Worchester, and Wicomico. Other counties will be added once these have been completed. Plans will be customized to meet each demographic within the county as related to educating the target subject.

The task of followup with all women health advocate groups across the state to get participation and provide findings.

Generate educational audio, video, radio, television, and print media materials in the senior living centers, senior housing centers, senior medical centers, and senior activity centers throughout Maryland. So that the symptoms and health care options are communicated to those that need assistance.

Develop partnerships and cooperative relations with local community centers, libraries, public venues such as fairs, screenings, community events, and senior related events to provide educational materials. Some organizations include the Maryland Women's Commission, the Maryland's Office on Women's Health.

Finances

The cost of caring for those with Diabetes is one of the greatest of all Health Care expenditures. It is a full 10% of health care expenses since 2002. An estimate of over $100 billion was given in the late 90s and that has nearly doubled as of 2010. The amounts necessary to treat those with the condition is at $66 billion alone (Maryland.gov, 2011). This program is expected to continue for at least two years in order to have accurate information and to ensure the information is thoroughly disseminated throughout the state of Maryland.

In terms of funding this program, the money will be provided by a coalition of women advocacy groups, senior charitable service organizations, and donations from medical centers and hospitals seeking to contribute to meet corporate...

Organizations such as the American Diabetes Association, the Minorities Women's Health Organization, and local agencies such as the Maryland Department of Health and Mental Hygiene, which provides Diabetes Self-Management Education (DSME) programs (DHMH, 2011). At DSME are willing to add any educational programming to their service offerings (Kaiser Fdn, 2010).
Regulations

The regulatory committee for the Health Program Study of Elderly Women with Diabetes is under the oversight of Mercy Medical Center chairperson. The committee has several contacts with Board certified physicians at the Medical Center specializing in Diabetes care who will act as mentors providing consultative advisory services.

Stakeholder Information

The Mercy Medical Center has agreed to provide oversight and a third of the funding for the program. It is part of the corporate advocacy and community involvement governance initiative as a public service to the elderly Maryland women population.

Quality Assurance

Again the oversight committee has several Mercy Medical Board members as mentors and advisors who will sit in on the planning and execution of the program to ensure medical record information research and privacy rules are followed. The participants will have opportunity to sign or refuse to sign disclosure and waivers before submitting to the program. The research team likewise has to sign a privacy and disclosure statement to preserve the integrity of the program and screen those with access to personal information.

Conclusion

The Health Program Study of Elderly Women with Diabetes (HSEWD) Program has several provisions that are expected to aid Diabetic elderly women who face mortality due to lack of proper prevention, education, and government aid awareness. The hope is to provide the true numbers of how many are affected in Maryland which will give evidence of needed aid. Especially to women minorities who at the highest risk of mortality. In fact twice that of women and four times that of men in the same age group.

The program plans to interview, survey, and follow the care and lives of participants that have been diagnosed with symptoms such as heart disease, obesity, stroke, and vascular disorders such as glaucoma. With the hope of gathering information as to the number who have died because there was no intervening aid in the lives of those that are unaware that these are symptoms of diabetic conditions. Those under the disparities demographic are not properly represented with the findings from the program their voice will be heard so that future elderly women can benefit from interventions and preventative aids. Some of which are newly available through the new Health Care Reform Bill that was passed in 2010. Others through new programs that will be developed as followup by wonderful public medical centers such as the Mercy Medical Center who has graciously sponsored this research.