By: Group 4Shelby BirchmeierLindsey ShevickMichael KleinDenise Montero

DRIVING TO MAKE A DIFFERENCE WITH DIABETES(DMDD)

"To provide complete diabetic screening and management to our neighbors in the community by utilizing a multidisciplinary approach with a health

care team consisting of nurses, physicians, dietitians, and counselors."

DMDD Mission Statement

The philosophy of the Driving to Make a Difference in Diabetes is that each person is unique and valuable. A mobile clinic that

provides high quality care to those with diabetes is a valuable asset to the community and will result in fewer readmissions to hospitals in addition to fewer Emergency Room visits. Providing

care to this group of undeserved patients will ensure stewardship of other valuable health resources the community has to offer. The Driving to Make a Difference mobile clinic aims

to fill an essential community health need.

DMDD Philosophy

1) Ensure diabetic services are available to diabetic patients in the community. To provide weekly group meetings at the clinic that focus on

disease education and healthy lifestyles to help strengthen the bond between staff and clients and to allow for clients to support one other within 6 months of starting.

To reduce complications with diabetes or people who may have had uncontrolled diabetes by educating the patients on diabetes and providing eye exams, foot exams, and diabetic wound care

within a year of starting.

DMDD Goals & Objectives

2) Provide a mobile environment for patients to seek treatment for their diabetes outside of the acute care setting. To be mobile and travel to different areas in the community to

serve diabetics, people who may be unsure if they are diabetic, help the uninsured, and people who may not be able to access a diabetic clinic noting a reduction in diabetic hospitalizations (as primary diagnosis) and an increase in knowledge on diabetes in the

community within a year of starting. To reduce the number of hospitalizations (with primary diagnosis

of diabetes), in the area, by educating diabetic clients on “how to help manage their diabetes” within 6months of starting Driving to Make

a Difference in Diabetes.

DMDD Goals & Objectives Continued…

3) Ensure current information and teaching are available to diabetic patients in the community. To educate the people in the area and diabetics people who may be

at risk (or pre-diabetic), what diabetes is, how it can affect their body, and signs and symptoms to look for by their third visit. To reduce complications with diabetes or people who may have had uncontrolled diabetes by educating the patients on diabetes and providing eye exams, foot exams, and diabetic wound care within a year of starting.

To reduce hyperglycemia in the patients, in the area, by educating on how to manage diabetes, increasing knowledge on medications, and increasing access to medications within 6 months of starting

DMDD Goals & Objectives Continued…

DMDD Organizational Chart

The physician in the medical director of DMDD. The Chief Medical Officer (CMO) has the overall responsibility for providing leadership, direction, and administration of medical management. In addition this person works in the integration, coordination, and improvement of clinical care for the diabetic population. The director of the organization is responsible for reporting to ABC Hospital.

DMDD Job Descriptions-Physician

We are looking for a self-paced, self-directed individual who is able to make independent judgments directing patient care and yet is motivated to work as part of a dynamic interdisciplinary team. We are looking for an individual who supports the values, mission, and philosophy of the Mobile Diabetic Clinic. We seek an individual who supports and promotes personal, employee, and patient safety.

DMDD Job Descriptions-Registered Nurse(s)

The dietitian is accountable to the whole team in caring for the patient. We are looking for an individual who supports the values, mission, and philosophy of the Mobile Diabetic Clinic and embraces performance and quality improvement. We seek an individual who supports and promotes personal, employee, and patient safety.

DMDD Job Descriptions-Dietitian

We are looking for an individual who supports the values, mission, and philosophy of the Mobile Diabetes Clinic and embraces performance and quality improvement. We seek an individual who supports and promotes personal, employee, and patient safety.

DMDD Job Descriptions-Social Worker

This person originates and leads Human Resources office practices and objectives that will provide an employee-oriented; high performance, culture that emphasizes empowerment, quality, productivity, and standards; goal attainment, and the recruitment and ongoing development of a superior workforce. The Human Resources manager is responsible for the development of processes and metrics that support the achievement of the clinics business and patient-centered goals.

DMDD Job Descriptions-Manager

This position requires a minimum of a bachelor’s degree in accounting. Previous experience in accounting. Excellent communication and organizational skills are required, as well as a general understanding of accounting principles, practices, and techniques.

DMDD Job Descriptions-Accountant

The driver is responsible for the maintenance of the mobile diabetes unit. Must have a chauffeur endorsement on driver license in addition to having a clean driving record.

DMDD Job Descriptions- Driver

OVERALL BE A LEADER. HAVE AN INFLUENCE. CREATE RESULTS. JOIN THETEAM AT DRIVING TO MAKE A DIFFERENCE IN DIABETES (DMDD). DMDD IS ANON-PROFIT ORGANIZATION WITH A RICH HISTORY OF PROVIDING SUPPORTTO HOME BOUND INDIVIDUALS WITH DIABETES MELLITUS. WE STRIVE TOGIVE A GREATER LEVEL OF INDEPENDENCE AND CONTROL TO THIS GROUPOF UNDERSERVED PATIENTS BY UTILIZING THE VALUABLE HEALTHRESOURCES THE COMMUNITY HAS TO OFFER.

The Purpose: The position of registered nurse (RN) is responsible for direct patient care supporting the philosophy that each person in the community is unique and valuable. The DMDD mobile clinic supports this philosophy by providing high quality care to those diabetic patients that are homebound.

DMDD Job Advertisement

Qualifications-valid RN license with at least 1 year of experience-BLS certification-Knowledge of diabetes (signs and symptoms of diabetes, proper skin care, diabetic testing, etc.)-Ability to problem solve and work independentlyDependable

Key responsibilities - blood glucose testing,- vital monitoring,- basic eye exams, - skin evaluations, wound care, - diabetic education (like signs and

symptoms of hypoglycemia and hyperglycemia)

- report findings to the medical director on a weekly basis and as needed.

DMDD Job Advertisement

Additional Information

Operating hours-Monday, Wednesday, and Friday (9am-5pm)-Tuesday and Thursday (11am-7pm)-Closed Saturday and Sunday-Closed on holidays (New Years day, Memorial day, Fourth of July, Labor day, Thanksgiving day, and Christmas day)

Additional Information

FEE FOR SERVICES RENDERED-Services for nursing, counseling and education will be charged to insurance. Services will not be denied for those who are unable to pay. Moneys to cover these patients will be made available via donations and grants from the community.

DMDD IS NON-PROFIT ORGANIZATION. MONEY WILL BE USED TO ACHIEVE ITS MISSION TO PROVIDE COMPLETE DIABETIC SCREENING AND MANAGEMENT TO OUR NEIGHBORS IN THE COMMUNITY.

DMDD WILL ACCEPT DONATIONS AND PARTICIPATE IN FUNDRAISERS.

AD COST

DAIBETIC CARE (1/2 PAGE) MARCH $750

DAIBETIC CARE (FULL PAGE) JUNE $1,150

DAIBETIC CARE (1/2 PAGE) SEPTEMBER $750

DAIBETIC CARE (FULL PAGE) DECEMBER $1,150

NEWSPAPER –JANUARY $408

NEWSPAPER- APRIL $408

NEWSPAPER- JULY $408

NEWSPAPER- OCTOBER $408

DMDD Advertising Budget

DMDD Operating Cost BudgetOPERATING EXPENCE COST

WATER $480

BUSINESS INSURANCE $3,000

ELECTRICITY $1,200

GASOLINE $2,600

HEATING-GAS $900

OFFICE RENTAL $6,000

PHONE $720

RECYCLE/GARBAGE/BIOHAZZARD $150

VEHICLE INSURANCE $4,800

VEHICLE MAINTENANCE $500

STAFF COSTDIETITIAN $41,600NURSE- FULL TIME $52,000NURSE-PART TIME $26,000PHYSICIAN- AS NEEDED $15,000PHYSICIAN- FULL TIME $90,000SOCIAL WORKER $43,680MANAGER $52,000

ACCOUNTANT $49,920

DRIVER $24,960

FRINGE BENEFITS $8,000

DMDD Staffing Cost Budget

ITEMS NEEDED COSTDRY ERASE BOARD $65FAX MACHINE $129MINI REFRIDEATOR $79PAPER HOLE PUNCH $12PAPER SHREDDER $89PHONES $55STAPLERS $8THEROMETER FOR REFRIDGEATOR $6.98VEHICLE $65,000

DMDD Start up Cost

SUPPLIES COSTALCOHOL SWABS $84BAND AIDS $120DRY ERASE MARKERS & ERASERS $75GAUZE $60GLUCOMETERS $83.67GLUCOSE STRIPS $43.10INSULIN $500LANCETS $206SYRINGES $900WOUND SUPPLIES $200PAPER & PENS $550STAPLES $40

DMDD Supply Cost Budget

BUDGET TOTAL COSTADVERTISING $5,432OPERATING $20,350STAFFING $403,160START UP $65,443.98SUPPLIES $2,861.77COMPLETE ANNUAL BUDGET TOTAL $497,247.75

DMDD Total Annual Expenditures