*I have included the outline and bibliography that can be used in addition to new information*outline has a few errors that are noted in the rubric that must be addressed before paper is writtenplease expand on the outline provided and use the bibliography along with other sources to complete a 11 page paper thats at a Masters level please Explain each component of the planned intervention: • Overview of selected population • Disease-specific data • Setting • Suggested intervention • Literature review • QSEN implications • Budgetary needs • Possible funding sources • Timeline for implementation • Evaluation methods • Appendices3. Discuss the influence your Christian worldview has on your view of Population Health. This wasn’t in your outline; don’t forget to add it!4. Support your position with evidence from 8–10 scholarly sources in addition to the course textbook. References must have been published within the past 5 years. The paper must be 10–15 pages (excluding the title page and reference page).
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GRADING RUBRIC
Criteria
Content 70%
Levels of Achievement
Advanced
Proficient
Developing
Not Present
Key Components
120 to 130 points
Provides a comprehensive
discussion of each of the
following components of the
Population Health
Intervention Project Outline:
● Overview of selected
population (20 points)
● Disease-specific data (20
points)
● Suggested intervention (20
points)
● Setting (10 points)
● Cultural considerations (10
points)
● Budgetary needs
(10
points)
● Possible funding sources
(10 points)
● Timeline for
implementation (10 points)
● Evaluation methods
(10
points)
● QSEN implications
(10
points)
● Appendices (optional, if
needed to provide support for
the project)
Major points are supported
with evidence from scholarly
sources. At least 8 scholarly
sources are required in
addition to the course
textbook and the Bible.
References must have been
109 to 119 points
Provides a somewhat detailed
discussion of each of the
components of the Population
Health Intervention Project
Outline and/or one key
component is missing from the
paper.
Major points are somewhat
supported with evidence from
scholarly sources and/or there
is a minimal discrepancy in
the required number and/or
type of references utilized
within the paper. References
must have been published
within the past 5 years (unless
a classical work).
1 to 108 points
0 points
Provides a limited discussion of Not Present
the components of the
Population Health Intervention
Project Outline and/or more than
one key component is missing
from the paper.
Major points lack support from
scholarly sources and/or there is
a significant discrepancy in the
required number and/or type of
references utilized within the
paper. References must have
been published within the past 5
years (unless a classical work).
published within the past 5
years (unless a classical
work).
Christian Worldview
28 to 30 points
Provides a comprehensive
discussion of the influence
that your Christian worldview
has on your view of
population health as it relates
to the selected
population/suggested
intervention.
25 to 27 points
Provides a somewhat detailed
discussion of the influence that
your Christian worldview has
on your view of population
health as it relates to the
selected population/suggested
intervention.
Structure 30%
Advanced
Proficient
1 to 24 points
0 points
Provides a limited discussion of Not Present
the influence that your Christian
worldview has on your view of
population health as it relates to
the selected
population/suggested
intervention.
Developing
Not Present
Writing Quality
46 to 50 points
Quality of work includes:
clarity and thoroughness of
writing, grammar, varied
sentence structure, evidence
of critical thinking, and
proper use of current APA
format.
42 to 45 points
Quality of work has several
errors in: clarity and
thoroughness of writing,
grammar, sentence structure,
critical thinking, and use of
current APA format.
1 to 41 points
Quality of work has substantial
errors in: clarity and
thoroughness of writing,
grammar, sentence structure,
critical thinking, and use of
current APA format.
0 points
Not Present
Length Requirement
14 to 15 points
Required length (10-15
pages) is met. The title page,
reference page, and any
appendices do not count
towards this length
requirement.
13 points
Length of paper is more than 9
pages but does not meet the
minimum length requirement
of 10 complete pages. The title
page, reference page, and any
appendices do not count
towards this length
requirement.
1 to 12 points
0 points
Paper length is 9 pages or less.
Not Present
The title page, reference page,
and any appendices do not count
towards this length requirement.
POPULATION HEALTH INTERVENTION PROJECT OUTLINE
1
POPULATION HEALTH INTERVENTION PROJECT OUTLINE
I.
2
Population health intervention project outline
II. Overview of Selected Population
Over 30.3 million people have diabetes within the United States of that number one out
of every four does not know they have it (CDC, 2017). Golden et. al. (2017) approximately 8.8
million people per year with diabetes are hospitalized and it is the seventh leading cause of death
within the United States. That figure alone leads me to believe that something must be done. This
paper will focus on the prevention of diabetic complications such as hypoglycemia and hyperglycemia in diabetic patients while in the hospital. A main risk factor of diabetes is age, with older
adults more prone to many enduring medical histories. If an intervention could be introduced that
is easy to teach and effective at improving blood glucose levels it would greatly improve diabetes for the population of the United States.
A. Disease-Specific Data
1.
Type 11 diabetes
Type II is the most common form of diabetes and occurs when the body cannot use insulin in the proper way. Research shows that type II diabetes has been linked to being overweight
/obese or being physically inactive (CDC, 2017).
Unlike type I diabetes, the symptoms of type II diabetes are not always seen. In fact, approximately one-third of older adults are undiagnosed and have some form of diabetes without
knowing it. One common characteristic of type II diabetes is having an excess of sugar in the
bloodstream (hyperglycemia).
B. Suggested Intervention
Currently, there are two software programs that focus on blood sugar management utilizing computerized protocols called Endotool and Glucommander (Kreider and Lien, 2015). The
POPULATION HEALTH INTERVENTION PROJECT OUTLINE
3
intervention I propose is taking better control of a patient’s blood sugar using Glucommander
technology while in the inpatient setting.
1. Glucommander technology
This software is currently being used for intravenous insulin therapy for diabetic ketoacidosis (DKA) within the hospital, but this is just the smallest this is just the smallest this is just the
beginning of what Glytec systems have to offer. The intervention would begin with adding the
software to correct hyperglycemia with subcutaneous insulin. After one years’ time, if it is shown
to be effective, we would then implement Glucommander software for patients to take home to
follow their blood sugars more regularly and work with their primary doctor to choose the best
insulin regimen for them.
III. Setting
The setting of the planned intervention that will be described in this paper will take place
in the intensive care unit within the hospitals.
A. Cultural Considerations
The risk for type II diabetes increases with age and the ethnically diverse even greater
(Karter et al., 2015). The CDC reports that 11.8 million older adults aged 65 or older have diabetes within the United States. Karter et. al. (2015) found that whites are among the lowest ethnicities with diabetes at just seven percent, Filipinos having the highest percentage at 16 percent
with African Americans and Latinos not far behind at 14 percent.
B. Budgetary Needs
POPULATION HEALTH INTERVENTION PROJECT OUTLINE
4
Diabetes is a substantial cause of all healthcare costs. Although glytec is expensive to obtain, once started within a hospital it has shown to save money from hypoglycemic episodes savings. The estimated budgetary requirements total close to $50,000.
C. Possible Funding
1. American Diabetes Association
Possible funding could come from the American Diabetes Association for research that
could be done through our hospital.
2. Center for Disease Control and Prevention
Another possible funding source could be the Center for Disease Control and Prevention
(CDC) grant money allocated by the state.
IV. QSEN Implications
QSEN competencies (quality improvement, safety, informatics, teamwork and collaboration, and evidence-based practice) are necessary in order to set a standard of care for any health
care entity. According to Sherwood & Zomorodi (2014), “the greatest opportunity for improvement in population health relies on better management of chronic conditions; however, management of these conditions is as complex as the system in which the care is delivered” As it specifically relates to the suggested intervention, safety and collaboration are the main competencies
that will be identified.
A. Timeline for Intervention
The timeline for this intervention is approximately one year. In this timeframe, the funding, locations, and programs will be set up and created.
B. Evaluation Methods
POPULATION HEALTH INTERVENTION PROJECT OUTLINE
5
Participants of The Sweet on Life Program will be evaluated accordingly based on the
type of lifestyle changes that occur. Each week there will be a chart that track’s each participant’s
weight as they line up with their weight goals.
V.
Literature Review
According to Mabrey (2014), type II diabetes can cause comorbidities, geriatric syn-
dromes, and other vascular issues. With age, the way glucose is metabolized in the body also
changes and therefore, insulin sensitivity and secretion may also be a result of type II diabetes.
So, it is crucial for older adults to follow plans that will help them manage or reduce their risk of
type II diabetes so that they can continue to lead a good quality of life.
Diabetes affects over 26 million individuals and therefore primary prevention is essential
in treating people with type II diabetes. For primary prevention to be more active, there needs to
be more support from health care, public health, and communities. Performance measures are
also needed at both the private and government levels to measure quality care and make improvements as necessary (Kreider & Lien, 2015). Ultimately, policy changes are needed to work
hand in hand with behavior changes to create successful interventions and continue the road in
preventing type II diabetes.
As the number of baby boomers and the amount of older adults rises, this will cause an
increase in the number of older adults with diabetes. Over the next nine years, older adults with
diabetes will make up approximately two-thirds of the population in the United States. As glucose metabolism slows down, it has been said that there is a strong connection between diet, age,
and insulin production. According to Kreider & Lien, (2015) older adults can decrease their risk
of type II diabetes just by consuming the recommended intake of 20-35 grams of dietary fiber a
day.
POPULATION HEALTH INTERVENTION PROJECT OUTLINE
VI. Appendices
Factors affecting glucose metabolism with age

Resistance to insulin-mediated glucose uptake

Progressive reduction of insulin secretion from the pancreas

Changes in body composition: relative increase adipose tissue in relation to muscle mass

Changes in food intake, timing, and composition

Impaired mobility and physical activity

Psychological factors, stress, and isolation

Use of medications that impair insulin sensitivity, release,
or action

Genetic and ethnic influences
Table 1 Factors affecting glucose metabolism with age (Mabrey, 2014)
6
POPULATION HEALTH INTERVENTION PROJECT OUTLINE
7
References
Centers for Disease Control and Prevention. (June, 2017). Diabetes Home.
Golden, S. H., Maruthur, N., Mathioudakis, N., Spanakis, E., Rubin, D., Zilbermint, M., & HillBriggs, F. (2017). The Case for Diabetes Population Health Improvement: EvidenceBased Programming for Population Outcomes in Diabetes. Current Diabetes Reports,
17(7), 51. http://doi.org/10.1007/s11892-017-0875-2
Glytec. (2018). Asako, Inc. https://www.glytecsystems.com/
Karter, A. J., Laiteerapong, N., Chin, M. H., Moffet, H. H., Parker, M. M., Sudore, R., . . .
Huang, E. S. (2015). Ethnic differences in geriatric conditions and diabetes complications
among older, insured adults with diabetes: diabetes and aging study. Journal of Aging
and Health, 27(5), 894-918. doi:10.1177/0898264315569455
Kreider, K. E., & Lien, L. F. (2015). Transitioning safely from intravenous to subcutaneous insulin. Current Diabetes Reports, 15(5), 1-12. doi:http://dx.doi.org.ezproxy.liberty.edu/10.1007/s11892-015-0595-4
Mabrey M., (2014). Effectively Identifying the Inpatient With Hyperglycemia to Increase Patient
Care and Lower Costs. Hospital Practice. Vol. 42(2).
https://doi.org/10.3810/hp.2014.04.1098
Sherwood, G., & Zomorodi, M. (2014). A new mindset for quality and safety: The QSEN competencies redefine nurses’ roles in practice. The Journal of Nursing Administration, 44(10
Suppl), S10.
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POPULATION HEALTH INTERVENTION PROJECT OUTLINE
8
ANNOTATED BIBLIOGRAPHY -Diabetes II
Glytec. (2018). Aseko, Inc. https://www.glytecsystems.com/
This is the main source for my intervention. This is the website for the current system intravenous insulin infusion used in the intensive care unit at my hospital. My intervention
would be using this same system throughout the hospital for subcutaneous insulin. It
would decrease complication of transitioning of intravenous insulin and would be a continuation of the best care. This website has educational opportunities on each page not
only for providers but also for patients.
Centers for Disease Control and Prevention. (June 2017). Diabetes Home.
The Center for Disease and Prevention (CDC) is a government website that increases the
health security of our nation. The CDC website gives national and state statistics, programs and initiatives, and diabetes basic education. I will use this relevant source for
basic figures to prove in my paper that diabetes is a problem in the U.S. With proper
treatment inside and outside of the hospital can be controlled or even prevented.
Jun, A. H., Rabinovich, M., & Johnson, S. (2015). 934: Evaluation Of Diabetic
Ketoacidosis/Hyperosmolar Hyperglycemic State Protocol at An Academic
Center. Critical care medicine, 43(12), 235.
This was one of the first articles written about the safety and efficacy of using computerbased insulin infusion protocols. It proved in a very small study that the usage of a program would be safer and with fewer negative clinical outcomes.
Malcolm, M., Halperin, I., Miller, D., Moore, S., Nerenberg, K., Woo, V., & Yu., C. (2018). Diabetes Canada Clinical Practice Guidelines Expert Committee. Canadian Journal of Diabetes, 42. doi:10.1016/j.jcjd.2017.10.014
This source is a great overview of diabetes management within the hospital setting. It
takes into account the different circumstances that my patients have daily such as tube
feeding, corticosteroid use, nothing by mouth order, or parenteral nutrition. It also breaks
down diabetes care pre and post-surgical patients which is 50% of my patient population.
Although this source has good insight into diabetic care in the hospital, I did notice that
certain medications were mentioned throughout. The authors did disclose grants and personal fees given to them by major diabetes care businesses which lead me to believe there
are some biases within the article. But will use this source strictly as care provided source
rather than suggestions for medications.
POPULATION HEALTH INTERVENTION PROJECT OUTLINE
9
Dungan, K. M. (2013, November 13). Hyperglycemia in the intensive care unit: is insulin the
only option? Crit Care, 17(6). doi:10.1186/cc13107
This article confers that stress-induced hyperglycemia is common occurrences in intensive care. It compares the use of looser controls of patients with diabetes and hyperglycemia wanting a blood sugar 140-180, than the surgical or neuro patient with tighter controls of 110-140. One motive for using this article is it discusses how to treat hyperglycemia in patients with sepsis, in pregnancy, and post-surgical. Each of these is included
within my patient population.
Ullal, J., McFarland, R., Bachand, M., & Aloi, J. (2016). Use of computer-based insulin infusion
algorithm to treat diabetic ketoacidosis in the emergency department. Diabetes Technology & Therapeutics, 18(2), 100-103.
This research article is a retrospective study comparing a computer program called glytec
or glucommander (GM) with standard insulin protocols used for DKA within the hospital. This study proved that GM decreased glucose and bicarbonate levels and led to the
shorter length of stay. There is one author that does have conflicting interest by working
for Glytec and this very article was found on the glytec website. It is however very useful
in my research and proves my intervention can improve patient outcomes.
Kreider, & Lien. (2015). Transitioning safely from intravenous to subcutaneous insulin. Current
Diabetes Reports, 15(5), 1-12.
This article reviews the steps to effectively transition a patient from intravenous to subcutaneous insulin and the complications that come with it. The integration of a computerbased insulin correction scale can be used throughout the patient’s hospital stay and will
decrease the complications mentioned. There is one conflict of interest with an author
that received royalties’ from diabetic businesses, but the article is still relevant because
no specific medication was mentioned.
Rankin, P., Morton, D., Kent, L., & Mitchell, B. G. (2016). A community-based lifestyle intervention targeting Type II Diabetes risk factors in an Australian Aboriginal population: a
feasibility study. This article was originally published as Rankin, P., Morton, D., Kent,
L., & Mitchell, BG (2016). A community-based lifestyle intervention targeting type II diabetes risk factors in an Australian Aboriginal population: A feasibility study. Australian
Indigenous HealthBulletin, 16 (3), 1-5. Retrieved from http://healthbulletin. org. au/articles/a-community-based-lifestyle-intervention-targeting-type-ii-diabetes-risk-factors-inan-Australian-aboriginal-population-a-feasibility-study ISSN: 1445-7253.
This article is of diabetes within the population health perfecting agenda. It is appropriate
for my research for my diabetes intervention because it discusses treatment plans within
POPULATION HEALTH INTERVENTION PROJECT OUTLINE
the hospital. Which is what I will focus most of my attention to, and also outside of the
hospital, even including diabetes prevention.
References
Glytec. (2018). Aseko, Inc. https://www.glytecsystems.com/
10
POPULATION HEALTH INTERVENTION PROJECT OUTLINE
11
Jun, A. H., Rabinovich, M., & Johnson, S. (2015). 934: Evaluation Of Diabetic
Ketoacidosis/Hyperosmolar Hyperglycemic State Protocol at An Academic Center.
Critical care medicine, 43(12), 235.
Malcolm, M., Halperin, I., Miller, D., Moore, S., Nerenberg, K., Woo, V., & Yu., C. (2018). Diabetes Canada Clinical Practice Guidelines Expert Committee. Canadian Journal of Diabetes, 42. doi:10.1016/j.jcjd.2017.10.014
Ullal, J., McFarland, R., Bachand, M., & Aloi, J. (2016). Use of computer-based insulin infusion
algorithm to treat diabetic ketoacidosis in the emergency department. Diabetes Technology & Therapeutics, 18(2), 100-103.
Kreider, & Lien. (2015). Transitioning safely from intravenous to subcutaneous insulin. Current
Diabetes Reports, 15(5), 1-12.
Rankin, P., Morton, D., Kent, L., & Mitchell, B. G. (2016). A community-based lifestyle intervention targeting Type II Diabetes risk factors in an Australian Aboriginal population: a
feasibility study. This article was originally published as Rankin, P., Morton, D., Kent,
L., & Mitchell, BG (2016). A community-based lifestyle intervention targeting type II diabetes risk factors in an Australian Aboriginal population: A feasibility study. Australian
Indigenous HealthBulletin, 16 (3), 1-5. Retrieved from http://healthbulletin. org. au/articles/a-community-based-lifestyle-intervention-targeting-type-ii-diabetes-risk-factors-inan-Australian-aboriginal-population-a-feasibility-study ISSN: 1445-7253.
Dungan, K. M. (2013, November 13). Hyperglycemia in the intensive care unit: is insulin the
only option? Crit Care, 17(6). doi:10.1186/cc13107
POPULATION HEALTH INTERVENTION PRO …
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