the Latino and African-American population

Strategic Plan and Business Plan for the Western Hospital Center for Diabetes Care

Olufunmilayo Adeleke


Walden University


Executive Summary

In Jefferson County, diabetes is a health issue marked by high rates amongst adults, with an 8% county-wide prevalence in comparison to the state average. The CHNA 2013 also reports a 14% county diabetes prevalence amongst the Latino and African-American population. The causative factors of the high diabetes prevalence rates in this county include, but is not limited to, inadequate physical exercise, poor nutrition, genetic predisposition, socio-economic conditions such as lack of education, inadequate health insurance, poverty, and physical environment such as fast and fresh foods availability. The Hispanic Lowertown community constitutes of about 71% of the total county’s population. As previously mentioned, Hispanics particularly the Hispanic Lowertown community in Jefferson county bear the burden of type II diabetes and its associated complications. In particular, the burden of diabetes and its complications disproportionately affects the elderly Hispanics in Lowertown, aged 65 years old and above, are mostly affected by this disease. Sadly, the elder Hispanics of Lowertown and Jefferson County also represent 39% of the population with lower income levels and the least education. Comment by Author: Funmi, you seemed to have some formatting issues – don’t forget to indnt paragraphs

The Center for Diabetes Care must be strategic in its mission and vision statements and its actions when deciding the course of action that will best serve the Hispanic Lowertown community seniors diagnosed with type II diabetes. The current diabetes epidemic has drastically affected the population and if neglected could cause other significant health issues and more financial difficulties for the people of Lowertown. Hence, implementation of the Center for Diabetes Care will be a great strategy to preventing prediabetics from becoming diabetic, treating current diabetic patients, and educating current patients to learn how to manage diabetes in their everyday life. This will help to reduce hospitalization costs for these targeted patients significantly and would also shorten the time admitted patients spend in the hospital. Indeed, integrating the Center for Diabetes Care will provide diabetes complex cases comprehensive care and preventive management for Hispanics seniors with type II diabetes and pre-diabetic conditions. It will offer services in nutrition coaching and counseling, endocrinology, community education, and nursing case management. A collaborative exertion shall be advanced to improve diabetes patient management with multi-specialty care, including mental health, occupational therapy, wound care, nephrology, and vascular surgery. Comment by Author: Good

The goal and objectives of the program are tucked into the PPACA Community Health Center Fund of supporting the operations, expansion, and community health centers construction (Dr. Novak, 2014); the IOM goal of improving health quality; and the Healthy People 2020 goal of reducing the disease burden of diabetes besides enhancing the quality of life for diabetic or pre-diabetic individuals (Healthy, 2010). The Center of Diabetes Care intends to achieve these goals through incorporating appropriate treatment and preventive patient-and family care centered towards improving patient’s exceptional quality of life and safety outcomes, whereas decreasing hospitalizations from diabetes and its complications. Furthermore, it intends to develop community education programs, including tailor-made free diabetes self-management community education series programs and classes offered at various community locations in English and Spanish to increase knowledge and care for diabetes.

The program is not a stand-alone one, as it has ensured strong partnerships with key stakeholders and related private and public organizations. The program management unit also comprises of scholars having sound scientific evidence-based diabetic prevention and management background, on top of comprehensive strategies that address most common diabetes and its complications risk factors. Basing on the financial analysis, SWOT analysis, and other non-financial considerations, the Western Hospital board Board of directors Directors and Chief Executive Officer [CEO] should proceed with the establishment of the Center for Diabetes Care. Since, the program financial outlook is superior and stands to yield extraordinary profits in a win-win gain situation, since the Center’s cumulative net-income begins to exceed the initial program input by the third year. The rate of income seems to increase drastically from the first year, technological advancements within the center, and an increase in the number of trained staffs are the most likely to lead to this increase. The number of visits for the three years has increased with 5%. This increase, in turn, has led to an income in the center by 5%. Comment by Author: Funmi, this is not correct conclusion based on the information provided; according to the data provided, the Center will be in deficit after three years Comment by Author: I do not know how you are getting to theses conclusions; yes visits do increase year over year, but you also have to consider expenses (costs to operate the Center), and when you do, it is not a good outlook.

Advancement in technology enables the center to have the capacity to diagnose more patients who might be suffering from diabetes and will allow them to attain the best medications. Through technology, the health center is also able to have the capacity to compete effectively with its rivals. Most people consider going to health care’s services whereby their problems will be taken care of. This has become the primary influencer in the increase of income state of the center.

The presence of highly trained staff personnel also contributes to the rise in income; patients consider going to health centers where professionals handle their illnesses. They feel comfortable and safe when they realize that they have reached into the right hands where all their ailments will be taken care of. When the services are of high quality, more people get attracted hence increase in revenue. Comment by Author: What are your references for this conclusion?

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