Date Approved


Graduate Degree Type


Degree Name

Nursing (D.N.P.)

Degree Program

College of Nursing

First Advisor

Dr. Dianne Slager

Second Advisor

Dr. Heather Chappell

Academic Year



Diabetes is a complex and chronic illness requiring continuous medical care with multifactorial risk reduction strategies (American Diabetes Association [ADA], 2021). More than 37 million Americans are suffering from diabetes and 90% of them have Diabetes Mellitus Type 2 (DMT2) (Centers for Disease Control and Prevention, 2021). The purpose of this article is to review the background, an organizational assessment, a literature review, and the results of the quality improvement project that took place at a safety-net clinic in the Midwest. This project included 16 patients and data was analyzed through descriptive statistics. Results include improved hemoglobin (Hg) A1c, Body Mass Index (BMI), weight, blood pressure, and appointment attendance. In conclusion the quality improvement project showed positive trends of clinical significance in outcome measures over a short period of time. A larger sample size is needed, over a longer period, to assess the true impact. Implications from this project include increasing participant participation in their care through Diabetes Self-Management Education (DSME) and Care Management (CM) encounters to achieve desired outcomes. Keywords include underserved population, safety-net clinics, Hispanic/Spanish, Diabetes, case manager, DSME, face to face visits, phone calls, quality improvement.

Included in

Nursing Commons