The Complete Care Model: Improving Diabetic Patient Outcomes in Correctional Facilities

The Complete Care Model: Improving Diabetic Patient Outcomes in Correctional Facilities by Chad Williams MS, California State University, Bakersfield, 2013 BS, California State University, Bakersfield, 2011 Doctoral Study Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Healthcare Administration Walden University May 2020 Abstract Diabetes is a growing problem, becoming an increasing concern within prisons. Research suggests that as many as 4.9% of the inmate population is diagnosed with diabetes. To provide constitutionally required healthcare to the inmate population, corrections officials must identify a validated diabetes treatment modality geared toward improving diabetes outcomes. The purpose of this quantitative study was to evaluate the impact of a patient centered medical home (PCMH) based model of healthcare within the California Correctional Health Care Services (CCHCS) on diabetic prisoners. Using the social construct theory as the framework, the research questions were focused on determining whether there was a relationship between Hemoglobin A1C and Cholesterol LDL values of diabetic patients after the implementation of the complete care model (CCM) within CCHCS. With a sample size of 142, an ANOVA analysis using SPSS revealed that there was a significant decrease in Hemoglobin A1C values after the implementation of the CCM. However, Cholesterol LDL values did not significantly decrease. There was also a statistically significant increase in referrals to specialty services. The study contributes to positive social change by validating the PCMH model for use in the treatment of diabetes within a structured setting such as a prison system. The results of the study can be used to expand the use of CCM toward improving the health and wellness of inmates as they are rehabilitated for return to the community.Diabetes is a growing problem, becoming an increasing concern within prisons. Research suggests that as many as 4.9% of the inmate population is diagnosed with diabetes. To provide constitutionally required healthcare to the inmate population, corrections officials must identify a validated diabetes treatment modality geared toward improving diabetes outcomes. The purpose of this quantitative study was to evaluate the impact of a patient centered medical home (PCMH) based model of healthcare within the California Correctional Health Care Services (CCHCS) on diabetic prisoners. Using the social construct theory as the framework, the research questions were focused on determining whether there was a relationship between Hemoglobin A1C and Cholesterol LDL values of diabetic patients after the implementation of the complete care model (CCM) within CCHCS. With a sample size of 142, an ANOVA analysis using SPSS revealed that there was a significant decrease in Hemoglobin A1C values after the implementation of the CCM. However, Cholesterol LDL values did not significantly decrease. There was also a statistically significant increase in referrals to specialty services. The study contributes to positive social change by validating the PCMH model for use in the treatment of diabetes within a structured setting such as a prison system. The results of the study can be used to expand the use of CCM toward improving the health and wellness of inmates as they are rehabilitated for return to the community. The Complete Care Model: Improving Diabetic Patient Outcomes in Corrections by Chad Williams MS, California State University, Bakersfield, 2013 BS, California State University, Bakersfield, 2011 Doctoral Study Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Healthcare Administration Walden University May 2020 Dedication I would like to dedicate this to Travis Williams, my biggest supporter. And to our three boys Shawn, Tievon, and Tristan Williams for letting little dad have quiet time. Acknowledgments I would like to acknowledge my committee members, Dr. Robert Hijazi and Dr. Miriam Ross, for all of the support during this process.