SDPI COORDINATOR

Position Summary:

The purpose of this position is to manage the Special Diabetes Program for Indians (SDPI) Grant and coordinate program activities. This also includes providing patient care specifically to the Sage Memorial Hospital diabetic population and promoting comprehensive diabetes care for patients. This position is responsible for promoting SDPI Best Practices and a systematic approach to diabetes care. Under general supervision of the Chief Community Health Officer, Community Health Clinical Leadership and in collaboration with the OPD Medical Director, accomplishes the Special Diabetes Program for Indians (SDPI) program’s strategic objectives by planning, organizing, and implementing the assigned functions required to operate and maintain departmental activities and services. Ensures quality, patient care delivery and maintains confidentiality of all privileged information. This position is designated as a working supervisor position, such that the supervisor is directly involved with provision of quality patient care to assist with obtaining direct insight in quality improvement opportunities and implementation of quality initiatives within the department being supervised.

This list of duties and responsibilities is illustrative only of the tasks performed by this position and is not all-inclusive.

Essential Duties & Responsibilities:

• Reporting for the SDPI grant
• Oversight and management of goals, objectives and outcomes of SDPI Best Practices and Required Key Measures (RKM)
• Conduct assessments & evaluations of diabetic patients
• Identify high risk diabetic patients and assists in developing clinical care plans in collaboration with and approval of PCMH PCP and RN Coordinator
• Educates patients on the necessary lifestyle changes involved in a diabetes diagnosis, including nutrition, medication, physical activity and glucose testing.
• Provide standardized, appropriate educational material and learning opportunities to the patient, family and/or significant other concerning diagnosis and recommended treatment, including, but not limited to self-injection training, home glucometer use, basic nutrition, medication administration, home medication, patient involved care planning, and one-to-one education.
• Practice infection control and patient safety procedures.
• Conduct Medical Nutrition Therapy (if licensed)
• Administer medications/medical treatment, monitors patient condition, and response to therapy in accordance with current standard of care.
• Collects patient data to monitor health status and proactively manage the patient's condition.
• Ensures data is gathered and accurately documented demonstrating the utilization of the appropriate process to promote patient outcomes.
• Work closely with professional providers and other clinic staff in planning and evaluating patient needs and care.
• Conducts follow-up with patients.
• Assists patients in developing and meeting goals and areas of need and assist in developing treatment plans and assesses them regularly.
• Assess patients’ formal and informal support systems; evaluate effectiveness of services provided, treatment and medication.
• Assist with development and coordination of patient care programs, including, but not limited to, support groups, outreach events, patient group education opportunities, etc.
• Independently manages activities of caseload
• Ensure proper provision of care to provide for physiological, psychosocial environmental, educational, and discharge planning needs of patient.
• Participate in community education events at the chapter level and at the hospital.
• Perform health screenings and assist in updating the diabetes registry of all diabetic patients who receive care at SMH.
• Review, revise, and create department policies and procedures for the Diabetes Program
• Complete employee evaluations and competency forms accordingly and within the required time frame.
• Maintain compliance with applicable laws, regulations, and ordinances including Joint Commission Accreditation.
• Initiate and maintain professional relationships with external resources and facilities to establish efficient patient care delivery.
• Performs other related duties as assigned.

Physical Demands:
While performing the duties of this job, the employee regularly is required to sit; use hands to handle or feel; reach with hands and arms; talk and hear. The employee frequently is required to walk and stand, stoop, kneel and crouch. The employee must occasionally lift and/or move up to 50 pounds.

Work Environment:
Work is generally performed in a clinical department with moderate noise level, where patient care is performed. Employee may be exposed to potentially infectious bodily fluids. Extended hours and irregular shifts may be required. Occasional home visits or visits on the mobile unit may be required.