patients under Medicaid with diabetes & hypertension needs better results. To be able to achieve the results, doctors need to be very consistent with the information on the patients’ true health behaviors. The state legislators are still pressing to get healthcare costs under the control, while Medicaid admins must invest in very thin stretched resources accordingly to get direct care and bigger programs more focused in providing health programs to the public that will lower down the admission rates of different hospitals. The director of a network of primary care systems managed by Northern Piedmont Community Care is now serving more than 60,000 members and these rates should be balanced.

The truth behind CHANGE

This made the admin interested in involvements that might meet the goals. More often than not, it is just a simple idea that can make all the big difference. This has something to do with the CHANGE case study which is about cholesterol, hypertension & glucose education that is led by Dr. Hayden Bosworth.  This was especially designed to emphasize or highlight the differences in mortality rate between Africans and Americans with cardio ailments and diabetes as well.  In CHANGE interference, the patients are asked to make a follow up monthly for a year and there are nurses to help them with the modules with topics about weight, diet, medications, exercises, memory, depression, side effects, stress and others.

Workers training in handling CHANGE

These health workers are trained in motivating and in imposing techniques about CHANGE. They are also aware that they need to make reports at the end of every quarter about the patient’s development and certain medical related issues involving primary care givers, thus keeping them in the proper path. The pilot study about CHANGE has brought encouraging results with positive developments in patients concerning their medical conditions and daily routines, especially those with A1C blood sugar levels, weight issues and hypertension. The key in this study is that nurses must be able to develop a good relationship with the patients even over the phone while the study is ongoing for a year.

Thru this, the patients will start to expect calls from the nurses and then jot down the queries and feel responsible for their lifestyle changes as discussed. As soon as nurses came to know the patients very well, getting to know their lifestyle and health attitude will be easier along the way and nurses can then save them from their bad lifestyle and habits. Amputation can be prevented by patients with diabetes by eliminating the habit of drinking sweet tea before bedtime.

It is just a simple thing, but communication can do wonders and it can improve the health of an individual as well. At first, the phone based communication system is quite doubtful; it might sound like a not good type of service and will not fit in those who are considered low income bearers. However, then again, the results have showed communication can bridge the gap between the patient and the health care provider thus they will get ample amount of care thru this program.