Curiosity

QI PROJECT

During the fourth semester, we worked on a QI project in collaboration with the Soledad Medical Group. Our quality project focused on managing HbA1C of the patients that visit the Soledad Medical Clinic. We used the nursing process to review data for diabetic client's and interventions for standards of care for management of diabetes. The Soledad Medical Group's goal is to reduce the number of diabetic clients by providing education and outreach to prediabetic clients. Apparent results showed improvement in managing the client's HbA1c levels. The biggest source of income is the Central Coast Alliance. If the clinic meets the measures they put out, they receive points and will be able to receiving greater funding. We learned that the Soledad Medical Group is targeting high risk groups (age > 45, overweight, African-American, Hispanic/ Latino, Family hx of diabetes, etc.). We have found out that the evidence for the client's health outcomes have not been adequately managed over the past three years. Out of the 229 diabetic clients, 55 clients (24.1%) are considered well-managed. We believe that providing education, self management support, nutrition therapy measures should be implemented and reviewed.