Date of Award


Degree Name

Nursing (D.N.P.)


College of Nursing

First Advisor

Andrea C. Bostrom

Second Advisor

Karen Burritt

Third Advisor

Kathy Watt


Self-management techniques have been shown to be useful practice tools for providers managing patients with chronic disease. One valuable aspect of self-management is goal setting, whereby the patient is directed to create highly attainable personal goals to modify a selected behavior. Through the attainment of these goals, the patient begins to experience confidence and improved self-efficacy in managing chronic diseases such as diabetes. This paper provides background on the use of SMART goals for diabetic patients, how this practice change supports Meaningful Use objectives and helps meet the requirements for future reimbursement opportunities. A thorough organizational assessment of a Midwest primary care clinic is shared, including its implications for introducing a practice change project. Key results include a positive change in the providers’ attitudes in using SMART goals with diabetic patients. In addition, a cost analysis was completed to assist the office in creating a formal care management program. Results of the cost analysis are also discussed and include recommendations for a future care management program that incorporates SMART goals.

Included in

Nursing Commons