Disseminating the Evidence Scholarly Video Media Submission

Hello, my name is ____. This video media submission aims to present a complete description of an intervention for care coordination to one of the peer-reviewed media outlets. In this video, I will describe the outcomes of the intervention in terms of the degree to which specific strategies influence patients’ outcomes and medical outcomes. It aims at care coordination projects, and these are those involving the analysis of care coordination by using a PICOT question; with emphasis on clinically relevant issues and areas where future care coordination enhancements might be pursued.

Care Coordination Efforts

Chicago Urban Hospital is adopting the PICOT approach to assist it in better organizing the way it intends to address some of the gaps that it has identified in the management of diabetes. For this scenario, the PICOT question could be: 

“ Diabetic patients at a large urban hospital in Chicago (P), what is the impact of a specialized diabetes care team (I) on the patient’s condition and the rates of readmission (O) compared with conventional treatment (C) within six months (T)?”

These challenges or problems defined by the abbreviation of P are common among diabetic patients or clients and include poor glycemic control and many hospital admissions. In this case, an endocrinologist, nurse educators, and nutritionists as a Diabetes care team (I) are preferred to traditional care methods of handling diabetes (C) to improve patient outcomes and reduce hospital readmission rates (O). In a chronic disease like diabetes these treatments, when implemented supported by an electronic health record (EHR) for six months (T), contribute to improved patient teaching, care transitions, as well as better glycaemic control.

Change in Practice and Key Care Coordination Efforts

With the concept of having a diabetes care team that entails focused therapies that are well coordinated, the intention is to enhance the management of diabetes and consequently the lives of the patients with the ailment in the different healthcare systems (Samson et al., 2023). The diabetic care team can help healthcare providers improve glycemic control and decrease hospital readmission of diabetic patients. The research also indicates the importance of specialist care in enhancing general health outcomes and timely compliance of patient’s follow up with care plans hence emphasizing the role of specialist’s added value in delivering quality care.

The care plans tailored to the individual patient’s needs are developed with the help of an interdisciplinary team as part of important care coordination efforts for patients with diabetes. Since there has to be a proper flow of communication and timely changes in the care plan, it is of utmost importance to have a standard of precautions that have to be followed to check inconsistencies in the kind of communication taken in daily team meetings (Saulsberry et al., 2023). These strategies give the finest patient care and integrated care for diabetics when applied with proper patient education and efficient use of EHR to meet modern standards of medicine.

Building Stakeholder Engagement within the Interprofessional Team

First of all, there is a need to understand the goals and benefits of the specialized diabetes care team involvement, and the fact that interdisciplinary cooperation and focused approach improve patients’ results. Because of this, meetings and seminars are usually conducted to ensure that all the members of the team have a clear understanding of their roles and responsibilities as well as an understanding of how patients with diabetes will be attended to (Serón et al., 2023). In addition for efficient integration of stakeholders, effective education and training of the stakeholders should also be deemed necessary for updating themselves about evidence-based practices and effective management strategies relating to diabetes. This will ensure that all team members are armed with the knowledge they need as they contribute towards care coordination.

As this discussion has shown, obtaining stakeholder support and responding to doubts require major overtures when a change in practice is afoot (Choonara, 2024). If they follow the logic that patient outcomes will get better, maybe, they will support the specialized care team’s deployment. This strategy underlines the necessary need for interdisciplinary teamwork and proves the effectiveness of targeted interventions on the patient’s treatment.

Recommendations for Thoughtful Resource Utilization

Patients with diabetes must get early relief, repeated and sustained outcome analysis, and a patient-centric approach by increasing the scope of the specialist diabetes care team with the help of process integration and the use of analytic tools (Krist et al., 2020). This means that future technology has to be made easily accessible through partnerships between different tech companies and hospitals or clinics, in addition to promoting care cooperation.

Patient and health care provider safety is desirable to warrant a secure place for each. This largely means that while the existing risks can be mitigated, and the vulnerabilities can be dealt with, this can be achieved through normal processes such as, audits and changes to the security protocols (Johnson et al., 2022). This means that the coordinated care team may ensure positive results of the original intervention and even enhance them through perseverance in principles such as innovation, collaboration, and growth. This will ensure long-term benefits from outcomes for the patients and the health care system.

Conclusion

In access and management, the practice of diabetes care by distributed and coordinated interdisciplinary teams, as well as the technologies of telehealth monitoring, offer many benefits for diabetes patients. This strategy ensures optimal patient tracking and intervention because it receives a meaningful healthcare security culture and engages stakeholders (Sun et al., 2021). This procedure is augmented by the telehealth system that is in constant use training and updated. Clinicians may improve patient satisfaction, reduce the cost of readmissions, and optimize resources by embracing advanced technologies and teamwork. These are improvements that, in due course, will give a much better and efficient healthcare system for individuals, and practitioners alike.

References

Choonara Y. M. (2024). Enhancing diabetic foot management: Advocating for independent prescribing rights for podiatrists in South Africa. Foot, 60, 102126. Advanced online publication. https://doi.org/10.1016/j.foot.2024.102126

Johnson, L. C. M., Thompson, N. J., Ali, M. K., Elifson, K., Chwastiak, L., Mohan, V., Anjana, R. M., Poongothai, S., & Tandon, N. (2022). A realist process evaluation of the integrating depression and diabetes treatment (INDEPENDENT) randomized controlled trial in India. American Journal of Medicine Open, 8, 100015. https://doi.org/10.1016/j.ajmo.2022.100015

Krist, A. H., O’Loughlin, K., Woolf, S. H., Sabo, R. T., Hinesley, J., Kuzel, A. J., Rybarczyk, B. D., Kashiri, P. L., Brooks, E. M., Glasgow, R. E., Huebschmann, A. G., & Liaw, W. R. (2020). Enhanced care planning and clinical-community linkages versus usual care to address basic needs of patients with multiple chronic conditions: a clinician-level randomized controlled trial. Trials, 21(1), 517. https://doi.org/10.1186/s13063-020-04463-3

Saulsberry, L., Gunter, K. E., O’Neal, Y., Tanumihardjo, J., Gauthier, R., Chin, M. H., & Peek, M. E. (2023). “Everything in One Place”: Stakeholder perceptions of integrated medical and social care for diabetes patients in western Maryland. Journal of General Internal Medicine, 38(Suppl 1), 25–32. https://doi.org/10.1007/s11606-022-07919-1

Samson, S. L., Vellanki, P., Blonde, L., Christofides, E. A., Galindo, R. J., Hirsch, I. B., Isaacs, S. D., Izuora, K. E., Low Wang, C. C., Twining, C. L., Umpierrez, G. E., & Valencia, W. M. (2023). American association of clinical endocrinology consensus statement: comprehensive type 2 diabetes management algorithm – 2023 Update. Endocrine Practice: Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists, 29(5), 305–340. https://doi.org/10.1016/j.eprac.2023.02.001

Serón, C., Olivero, P., Flores, N., Cruzat, B., Ahumada, F., Gueyffier, F., & Marchant, I. (2023). Diabetes, periodontitis, and cardiovascular disease: towards equity in diabetes care. Frontiers in Public Health, 11, 1270557. https://doi.org/10.3389/fpubh.2023.1270557

Sun, M. T., Li, I. C., Lin, W. S., & Lin, G. M. (2021). Pros and cons of continuous glucose monitoring in the intensive care unit. World Journal of Clinical Cases, 9(29), 8666–8670. https://doi.org/10.12998/wjcc.v9.i29.8666