Policy ProposalClaudia AlvarezCapella UniversityNHS-FPX6004: Health Care Law and PolicyDr. Mary BurkeSeptember, 2022Presentation OutlineIdentifying the Issue at HandPolicy on Managing HbA1c levelsRelevant MetricsPolicy ProposalStakeholdersImproving Quality OutcomesStakeholder ParticipationWhat is the Current Issue at Mercy Medical Center?The center is severely underperforming in monitoring of HbA1c levels in their diabetic patients.Policy on Managing Hemoglobin A1C (HbA1c) LevelsImportance of HbA1c levelsIt is the lab value that determines any changes that need to be made in the management of diabetesEach patient should have a baseline level drawnImproving overall testing within the clinic will improve patient outcomesAccording to the CDC and ADA:Two HbA1c levels should be drawn per yearIncrease the frequency of testing with changes in patient status or medicationRelevant MetricsMMC saw 563 new patients in 2020Only 64 HbA1c tests drawnLevels drawn continue to decline ranging from 72, to 58, to 78, then 64, quarterly in 2020Benchmarks put forth by the CDC show that 75.4% of diabetics had two or more examsHealthy People 2020 goal is 72.9%At MMC, 11% of patients received two or more testsPolicy ProposalAt least two HbA1c tests drawn per year and increase patient educationStakeholdersPhysiciansRegistered NursesEducatorsManagementLab TechniciansSocial WorkersCare CoordinatorsExecutivesImproving Quality OutcomesQuality improvement teamInterdisciplinary team members will create and enact the policy within the clinicTeam