NURS FPX 9010 Assessment 1

Project Proposal

The issue of chronic disease management is a burning problem in the context of primary care that is offered in vulnerable population environments with poor access to healthcare. Internal data from the project site in Rock Hill, South Carolina, indicates that 58% of type 2 diabetic patients had a hemoglobin A1c level above 9% during the last 12 months (Nurse executive, personal communication, July 10, 2025). The rate at the practicum site is very high compared to national rates, with approximately 47% of diabetic patients having an HbA1c level above 7% (CDC, 2024). The lack of organized patient education programs is a direct cause of poor clinical outcomes in the clinic, which serves a majority of uninsured patients.

Practice Problem

Diabetes mellitus is one of the most rapidly increasing public health issues in the world that afflicts millions of patients across different populations worldwide.

Flawed Processes Leading to the Practice Problem

The lack of organized patient education initiatives is the primary dysfunctional process contributing to inadequate outcomes in the management of diabetes at the clinic. The existing care systems for chronic disease treatment primarily involve individual clinic visits and lack self-management education, systematic goal-setting, and follow-up systems (Nurse executive, personal communication).

Project Site

The physical infrastructure would include various examination rooms, specific procedures, and chronic disease counseling areas, and telehealth equipment for patient interaction when necessary. Proper organizational infrastructure provides the necessary background for the structured quality improvement intervention to address chronic disease management outcomes.