The chronic care model addressed in the class readings this week was well implemented to manage the chronic health conditions. One of the most common chronic conditions in the local community is diabetes and for this reason, it will be addressed in this discussion to identify how the chronic care model can implement to manage it. In addition, this posting will focus on the role of the APN in this system. Overall, the chronic care model can facilitate the mechanisms lying at the base of the diabetes management by means of offering the systemic approach. For the APN, this means that the chronic care model can help optimize their work effectiveness through the use of systemic data analysis and better use of community policies and resources.
The chronic care model involves the evidence-based, patient-centered, and population-based care for everyone in the community (Nickitas, Middaugh, & Aries, 2010). These principles are also the key success factors in managing diabetes. Such conclusion can be explained by the fact that diabetes is a complex condition requires the evidence-based approach by the nursing professionals to ensure that the contemporary and well-grounded theoretic foundation lies at the treatment strategies development. Next, managing diabetes requires the individual approach to patients because each individual can be affected by the disease differently and may experience different hardships due to personal circumstances. So, one will need an individual approach to help function most effectively in one’s situation. Besides, managing diabetes requires the population-based approach because there are categories of people in the community who are subjected to the higher risks of the disease due to the genetic and cultural factors.
The role of the APN in implementing the chronic care model for diabetes management is first of all, in the facilitation of partnership between the community and health systems (Nickitas et al., 2010). The APNs as the leaders in the primary care settings can reorganize the care system to coordinate diabetes care. In practice, they can do so by establishing patient-centered goals and monitoring the patient’s progress through the use of the disease registries and electronic medical records. They can also identify the lapses in care with the help of these useful IT tools. From the business perspective, such systematic approach helps achieve the far better results through the elimination of resource losses (Wheelen, Hunger, Hoffman, & Bamford, 2015). Adding to this, the chronic care model can implement by the better use of community policies and resources by the APNs (Floyd, Xu, Atkins, & Caldwell, 2013). This can become possible if the APN adopts the organization performance improvement model and works with the people in the community by providing family education and self-management support (Nickitas et al., 2010).
In conclusion, the chronic care model can find its practical implementation to diabetes management through the provision of the systemic approach to the disease treatment and patient support. At that, the key objectives will be to provide the evidence-based, patient-centered, and population-based care for all patients in the community. APNs can implement the chronic care model in their clinical settings by becoming the leaders of change and introducing the systemic mechanisms to measure and control the patient’s state of health. They can also do so by means of the better use of community policies and resources.
References
Floyd, L. A., Xu, F., Atkins, R., & Caldwell, C. (2013). Ethical outcomes and business ethics: Toward improving business ethics education. Journal of Business Ethics, 117(4), 753-776.
Nickitas, D., Middaugh, D., & Aries, N. (2010). Policy and Politics for Nurses and other Health Professionals: Advocacy and Action. New York, N.Y.: Jones & Bartlett Learning.
Wheelen, T.L., Hunger, J.D., Hoffman, A.N., & Bamford, C.E. (2015). Strategic management and business policy (global edition) (14th ed.). London: Pearson Education.