...to dysfunction of the insulin-secreting pancreatic beta cells (Pfeiffer & Klein, 2014). Type II diabetes has reached pandemic levels, despite efforts to slow its progression. In a society where healthcare is ever-changing, primary care physicians, along with advanced practitioners are now treating this disease more readily, as compared to specialist and endocrinologist in the past. As with many disease processes, there are several options when choosing a treatment plan for type II diabetes. Combining knowledge and evidence-based research, the practitioner will be able to establish an individualized treatment plan for treating type II diabetes mellitus. Pathophysiology Type II diabetes is a very complex, non-communicable disease that effects more than 370 million people throughout the world. The symptoms of this disease can vary from patient to patient. Without intense and concentrated efforts to address the pathogenesis and treatment of this syndrome, the destructive macrovascular and microvascular outcomes of type II diabetes will remain a major problem for years to come (Kahn, Cooper, & Del Prato, 2014). In T2D plasma insulin levels may be low, normal, or high and although the specific etiology is unknown, autoimmune destruction of beta cells does not occur (Woo and Wynn, 2012). This is a distinguishing factor between type I and type II diabetes. The main physiological variation in T2D is insulin resistance. This resistance causes a sub-optimal response in insulin-sensitive...
Words: 4669 - Pages: 19
...18 Category 6: Process Management 23 Category 7: Results 7.1: Best Quality (Healthcare Outcomes) 27 7.2: Best Customer Service (Customer Focused Outcomes) 32 7.3: Best Financial Performance & Growth (Financial & Market Outcomes) 35 7.4: Best People and Workplace (Workforce Focused Outcomes) 38 7.5: Best 5 Bs (Process Effectiveness Outcomes) 41 7.6: Best 5 Bs (Leadership Outcomes) 45 GLOSSARY OF TERMS AND ABBREVIATIONS APP: Annual Planning Process 5Bs: AtlantiCare’s five “Bests” or performance excellence commitments – Best People and Workplace, Best Quality, Best Customer Service, Best Financial Performance, Best Growth ARMC : AtlantiCare Regional Medical Center ASC: Ambulatory Surgery Center ASPP: Annual Strategic Planning Process A AAAHC: Accreditation Association for Ambulatory Health Care AAI: AtlantiCare Administrators Incorporated AAP: Annual Action Plan B BFP: Best Financial Performance Big Dots: The system-level measurements or targets for each of the 5 Bs (performance excellence commitments). Business units (and their departments) have measurable action plans and goals that align with/support the Big Dots. ABCs: AtlantiCare’s Best Customer Service Standards– AtlantiCare’s customer service training program. BMI: Body Mass Index ABH: AtlantiCare Behavioral Health BOT: Board of Trustees ACS: American College of Surgeons BP: Blood Pressure ACR: American College of Radiology...
Words: 41167 - Pages: 165