SIPHON DIABETES CENTER

Siphon Diabetic Center Background & History

Introduction – ( add name for the clinic)DefinitionTypes of DiabetesSigns & SymptomsMedicationDiseases

 Mission Current business activitiesPractice doesPractice doesn’tWho Practice

 Community Served & Patient Served Information & Technology

 Leadership & ManagementStaffing & RecruitingTrainingResearch & DevelopmentRegulatory & Quality Management

Marketing StrategiesRegulatory & Quality ManagementAssessment of Market PositionMarketing our product ( TV, Newspaper..)

 Vision Addition of our new service line Wellness Center Shop for skin, foot, eye care etc., Future trend Diet Planner

 Financing & BudgetingReimbursement SourcesHow much we are spending for recreation center & shops

Question

SIPHON

DIABETES

CENTER

SIPHON

DIABETES

CENTER

…Connecting

Heart to

Heart……….…Connecting

Heart to

Heart……….

SIPHON DIABETES CENTERConnecting Heart to Heart……….

Background & History

Siphon Diabetes Center is the recently built diabetes clinic & research center which is a provider of diabetes education. The Center was founded in 2010 in West Haven by Health Care students in the belief that the key to managing diabetes is with patient involvement, education and empowerment. It is located on the West Haven Center in West Haven, Connecticut. Siphon is unique in its sole focus on diabetes and has the best team of board-certified physicians treating diabetes and its complications, as well as the most skilled staff of Certified Diabetes Educators in the world.

Since its inception, Siphon has focused on aggressive, comprehensive care of the patient. Over 1500 active patients receive specialty care for their eyes, skin, heart, kidneys and feet.

Siphon supports its own diabetes research team with more than 10 faculty level investigators for a total of more than 20 researchers.

A team from Siphon surveyed in different areas of Connecticut where they found about 3000 patients with diabetes who were then trained to take care of their diabetes.

Definition of Diabetes

Diabetes is a disease in which the body does not produce or properly use insulin. Insulin is a hormone that is needed to convert sugar, starches and other food into energy needed for daily life. Under normal circumstances, it's made by beta cells that are part of a cluster of hormone-producing cells in the pancreas and regulates the level of glucose in the blood, preventing the level from going too high.

Diagnosis

In order to determine whether or not a patient has pre-diabetes or diabetes, we do, 1) Fasting Plasma Glucose Test (FPG) – if blood glucose level between 100 and 125 mg/dl signals pre-diabetes & blood glucose level of 126 mg/dl or higher has diabetes 2) Oral Glucose Tolerance Test (OGTT) - blood glucose level is measured after drinking a glucose-rich beverage. If the two-hour blood glucose level is between 140 and 199 mg/dl, has pre-diabetes & if the two-hour blood glucose level is at 200 mg/dl or higher, has diabetes.

Types of Diabetes

In 1980, WHO was classified diabetes by clinical classes that included type1 diabetes, type2 diabetes and other types associated with specific diseases and syndrome.

•Type I diabetes, formerly referred to as insulin-dependent diabetes mellitus (IDDM).

•Type II diabetes, formerly called non-insulin-dependent diabetes mellitus (NIDDM).

•Gestational diabetes develops during pregnancy.

Symptoms of Diabetes

The common symptoms of type 2 diabetes are,•Excessive thirst •Frequent urination •lead to dehydration•Tiredness & fatigue•Nausea and vomiting•Weight loss & weight gain•blurred vision •Developing infections of the bladder, skin, and vaginal areas•Lead to blurred vision & lead to lethargy and coma

Medications

The first line treatment of type 2 diabetes is diet and exercise. If the blood glucose level remains high despite a trial of diet and exercise, use tablet (Glipizide, Gliclazide, Pioglitazone, Metformine etc.) to reduce the blood glucose level are usually advised. Insulin injections (Mixtard30, Actrapid + insulatard) are needed in some cases.

Diabetes mellitus is a common disease affecting more than 8% of the adult population in the whole world. Diabetics have high blood sugar levels which if not well-controlled can lead to long-term complications affecting various organs in the body such as the eye, skin, foot etc.

Skin Diseases

There are many reasons people with diabetes face increased risk of skin problems:•Impaired circulation•Hyperglycemia (high glucose)•Hyperlipemia (high levels of fats in the blood) •Suppressed immune system•Diabetic neuropathy (nerve damage)•High blood pressure

Fig: Urticaria Fig: Seborrheic Dermatitis Fig: Bullous

Eye Diseases

Fig: Glaucoma Fig: Cataracts

Fig: Gangrene

Fig: Athlete’s Foot

Foot Diseases

MissionMission Statement: Our mission is to provide professional care for diabetic patients.Current Business Activities:Diet Selection: Food – what to eat or what not to eat?

Doing research in short – population (age, gender) having diabetesPresentation on Diabetic with skin disease treated by steroids 2008.pptAwareness center for once in a week – about disease and maintenanceFoot careSkin careEye carePharmacy for different types and group of medicinesLaboratory for tests Fasting level2hr after breakfastAfter 3 months glucose / sugar level check upBiopsy EKGStress test etcHemoglobinBlood groupRBCWBCCholesterol Hba1c

Practice does:

Teach how to use insulin intradermal injection

Teach them about eye, foot & skin care

Teach how they can control their glucose level by having healthy food and doing some exercises

Teach them how to use gluco-check machine at home to check their glucose level

Practice doesn’t:

Surgery

X-ray

Emergency room (indoor)

Home care

Provide them charts to keep record of their glucose level on daily basis

Patients and Community served

If diabetes is part of your life, the place to turn is Siphon Diabetic Center. You will find people and programs specializing exclusively in treating type 1 & 2 of diabetes.

The Center provides its services to all ages of outpatients (children, adults and elderly) who come from West Haven area, or from across Connecticut.

Whether you are newly diagnosed with Type 1, Type 2 or Gestational Diabetes, or want to improve your control and prevent complications, we can help you map out a personalized diabetes care plan.

We support and educate those with pre-diabetes or have a family member with diabetes. We also provide them with the tools and knowledge to manage the disease.

Siphon Diabetic Center provides many services to educate and enhance community knowledge and awareness. We offer consciousness events and awareness campaigns to raise the health knowledge among the largest population of the community.

Our food corner makes your life just a little bit tastier, if you need to monitor your blood sugar or you are watching your weight and calories intake or you are following a low-carb diet or if you just like eating diet food, you can try our healthy diet food.

If you are overweight or obese, our diet planner will work with you to go over your current diet, review your individual goals, and develop a meal plan tailored to your specific needs.

People with diabetes as well as without diabetes are welcome to take advantage of our fitness facility, so if you are ready to get in shape or lose weight or measure your blood glucose, we can help you to start workout.

Siphon Diabetic Center considers an Information System as a necessary tool to success. This system helps the hospital provide its services easier, faster and more safely. For example, the center uses computers for its admissions process, updating patients’ information, contacting with insurance companies, scheduling appointments etc.

The center uses a collection of computing devices to share resources and facilitate communication, and we can describe the Network in Siphon Diabetic Center as a Local Area Network (LAN).

Information Technology

Electronic Medical Record.

‘’Downtime’’ Procedure in case of emergency needs or emerging problems.

High level of security ( physicians, network, server)

(Leadership and Management Model for Siphon)

Staffing (Demand Based)

Profession Number of PositionsPractice Manager

4Receptionist (Reception &

Billing) 4Medical records manager

  4Dietician

4

Pharmacist 8

Physicians 8Registered nurse

4Lab Technicians

4

Certified Nursing Assistants 16Physical therapist

4

Profession Number of Positions

Naturopath 2Chiropractor

2Acupuncture Therapist

2Massage Therapist

2Psychology counselor

2Exercise physiologist

2Podiatrist

2Trainers for wellness

center 8Salesmen

8

TrainingDuring Hiring:HIPAA policyFire safety measures & evacuation planEmergency medical preparedness plan

Research and Development:New product design and development is more often than not a crucial factor to provide quality care.Evidence-based care is the gold standard for Siphon.Faculty level Investigation & Research

Regulations & Compliance:JCAHO certified

Assessment of:Care/ServicesCommunicationCredentialed PractitionersEquipment UseInfection ControlInformation ManagementMedication ManagementOrganizational StructureOrientation and TrainingPatient SafetyPhysical EnvironmentQuality Improvement Expertise/ActivitiesRights and EthicsStaffing

Recognitions & Affiliations:

American Diabetes Association Accreditation Council for

continuing Medical Education Health & Human Services

Quality Assurance:Competency tests CMS regulations & benchmarking reportsInventory management

Reimbursement Sources

Private Insurance

Medicare

Medicaid

Finance and Budget

Siphon costs 26 Millions to start the practice In 2010.

Building 6 Millions

Equipments 18 Millions

Staffing 7 Millions

Direct & Indirect Expenses

3 Millions

Total 34 Millions

Finance and Budget

In 2011 Siphon decided to add line of service and this will cost 3.25 Millions

( Wellness Center and shop).

Building 1.5 Millions

Equipments 1.25 Million

Cost of buying stuff for wellness center

0.5 million

Total 3.25 Millions

ASSESSMENT OF MARKET POSITION:

In some health insurance programs diabetes specialists are registering as primary care physicians, as well as diabetes specialists, to enable patients to pick a diabetes expert to serve as their primary care physician.

"Siphon physicians have frequently served as primary care physicians for patients over the past 5 months or more, because diabetes is a lifelong disease that affects so many aspects of a person's health

MARKETING :

Siphon is pursuing a variety of approaches to generate new kinds of value for consumers with diabetes

By offering consumers information, guidance, tools, and services through a joint effort with a reputable company, Siphon is able to fulfill its mission with greater scale and help its partner create better loyalty and relationships with its stakeholders.

Siphon business and clinical team will work with your company to customize the program and deliver results.

At Siphon we are continually searching for new and unique ways to extend our mission of research, care, education and outreach and improve the standard of diabetes care among people with diabetes and their families

VISION

Administer insulin through

inhalers, a pill, or a patch.

Monitor blood glucose levels

without having to prick a finger to

get a blood sample.

Transplantation of the pancreas or

insulin-producing beta cells offers

the best hope of cure for people. .

SIPHON WELLNESS CENTRE( NEW SERVICE LINE)

Siphon Wellness Centre is West Haven  most exclusive Wellness and Alternative Therapies Centre where the genuine comfort and care of our clients is our focus.

We offer a peaceful and relaxing "spa-like" atmosphere where genuine concern for the patient is paramount.

We offer line of services.

Massage: Sports/Deep tissue massage, Swedish massage, Holistic Aroma Therapy massage, Pre-natal massage as well as an Indian Head Massage, Chinese Massage (Tuina), Foot Massage .

Acupuncture Therapy :Relieve pain and treat certain health conditions like skin disorders, back pain, IVF support, menopausal symptoms, insomnia and many more.

Naturopath: Our Naturopath will create an individual holistic therapy treatment for you based on an extensive consultation.

Hypnotherapists: Typically use exercises that bring about deep relaxation and an altered state of consciousness, also known as a trance. 

Psychotherapy: Term for a process of treating mental and emotional disorders by talking about your condition and related issues with a mental health provider.

Chiropractic: Chiropractic therapy aims to normalize this relationship between structure and function and assist the body as it heals.

Physical therapy: Encompasses physical, psychological, emotional and social well-being.

EYE CARE:

Includes the innovative Siphon Vision Network( SVN), which enables patients to have annual eye exams—which are crucial for people with diabetes—without the discomfort of eye drops and dilated pupils.

Care for other complex eye conditions—such as glaucoma, cataracts and age-related macular edema—are referred to ophthalmologists in the Siphon Eye Care Program.

SKIN CARE:

People with diabetes are prone to dry skin, particularly when blood glucose levels run high. This causes the body to lose fluids and skin to become dry.  Dry skin can crack and itch, which can lead to infections. 

FOOT CARE:

It is extremely important not to ignore foot problems. One in four people with diabetes develops foot problems that require treatment. If left untreated, these problems progress to the point that amputation is necessary.

DIET PLAN:

Diet plays a significant role in controlling the diabetes.

Main objective of diabetic diet is to maintain ideal body weight, by providing adequate nutrition along with normal blood sugar levels in blood.

While planning diet, the dietician has to consider complications such as high blood pressure, high cholesterol levels.

Fiber should be at least 1.4 oz / dayInstead of 3 heavy meals, we should go for 4-5 small mid intervals

bakery products and fast foods by simple whole cooked cereals, and don't eat carbohydrates 2 hours before bedtime

Consume fresh fruit and vegetables at least 5 exchange/ day