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• W2223349009 abstract "Improving Patient Care Delivery in a Small Alaska Native Health Care Organization by Annette Cecile Siemens MPH-Loma Linda University, 1998 MSN-University of Wyoming, 1986 BSN-BIOLA University, 1979 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Public Health Walden University January 2016 Abstract American Indian and Alaska Natives are burdened by a higher incidence of chronic diseases than non-Native populations. In an effort to improve the health status of its patients, the Ukudigaunal Wellness Center (UWC) partnered with the Improving Patient Care (IPC) Collaborative to implement changes designed to improve chronic disease careAmerican Indian and Alaska Natives are burdened by a higher incidence of chronic diseases than non-Native populations. In an effort to improve the health status of its patients, the Ukudigaunal Wellness Center (UWC) partnered with the Improving Patient Care (IPC) Collaborative to implement changes designed to improve chronic disease care for Native Alaskans through intensive monitoring of screening for chronic disease and selected chronic disease outcomes. For this program evaluation, the units of analysis were the changes in health service delivery and the resulting patient clinical outcomes. The data source was the Registration and Patient Management System (RPMS), repository for the data collected over the 14 months of the collaborative. This system produced Shewhart run charts to show the percentage screening rates for patients achieving IPC processes and outcome measures. The findings showed that the process measures that met IPC goals were due to improvements in service delivery by UWC. Goals for other services, such as diagnostic screenings, were not met because these clinical components had to be coordinated with facilities outside UWC. Outcome measures for BP and HgbA1c control were not met as these depended on the patients’ abilities to self-manage the required procedures. The implications for social change included: (a) Positive outcome in managing chronic diseases is possible by combining chronic care models with Deming’s model for improvement; (b) Increased patient awareness of chronic conditions and their long term consequences tended to support more responsible and successful patient self-management; (c) Use of external medical resources should be considered when patient privacy and confidentiality are concerns. Improving Patient Care Delivery in a Small Alaska Native Health Care Organization by Annette Cecile Siemens MPH-Loma Linda University, 1998 MSN-University of Wyoming, 1986 BSN-BIOLA University, 1979 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Public Health Walden University January 2016 Dedication This dissertation is dedicated to the Unangan people of the Aleutians. Their resilience in the face of many adverse events in history is an inspiration. Acknowledgments I would like to acknowledge my parents who supported me during this extended journey. They encouraged me to keep on pursuing my goals. I would also like to acknowledge James Spillane for his assistance with GPRA and RPMS data retrieval and reports. I would also like to thank my health board committee for their support of this study and for their efforts to improve the health of the Unangan people. In addition, I would like to thank the Indian Health Service IPC National Team for passing on their knowledge and understanding about the IPC process. I would like to also thank Dr. Gordon for her patience with me when circumstances forced a change of topic middissertation and lost motivation to continue. Also, I would like to thank Dr. Caputi for her guidance in the structuring and presentation of my work." @default.
• W2223349009 created "2016-06-24" @default.
• W2223349009 creator A5025875488 @default.
• W2223349009 date "2016-01-01" @default.
• W2223349009 modified "2023-09-27" @default.
• W2223349009 title "Improving Patient Care Delivery in a Small Alaska Native Health Care Organization" @default.
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