Diabetes Management Project
Diabetes Project at Gouverneur Hospital
The Diabetes Management Project at Gouverneur Health Services helps mostly low-income patients with diabetes to man-age their illness. This project works to control diabetics’ glucose, blood pressure and cholesterol and ensures that patients have annual eye exams, foot care counseling, and vaccinations. Practitioners identified patients with uncontrolled glucose levels and developed a Fast Track program to quickly regulate their conditions. They have appointments on a weekly or bi-weekly basis for protocol-driven medication adjustment (both oral and insulin) by a physician’s assistant and self-management counseling with a registered nurse. Gouverneur hopes to expand this program to all diabetes patients within the hospital. To facilitate this expansion, the Capstone team looked at several financial and managerial aspects of the project. The Capstone team examined billing methods to calculate project revenues and recommended ways to increase reimbursements and reduce payment denials. The team also developed an expense budget for the diabetes project including personnel and other services. Finally, the team researched outside sources of funding and recommended potential project grants.
Low-Cost Energy Conservation Programfor New York City Government: A Feasibility Study
New York City Department of Citywide Administrative Services
New York City’s Department of Citywide Administrative Services (DCAS) annually purchases over $500 million in electricity, steam, and natural gas on behalf of city agencies and public institutions. In an effort to reduce energy consumption and lower the cost of government operations, DCAS asked the Capstone team to explore the potential for implementing a low or no-cost, citywide energy savings program to supplement similar capital programs.The team found that a low-cost energy conservation program is a practical option for New York City because there are solid foundations already in place upon which to build. Through best practices research, data analysis, and interviews with agency officials, the team identified the necessary components of a successful program and recommended select agencies for participation in a future pilot study.
Training Needs Assessment for New YorkCity Government Agencies
New York City Department of CitywideAdministrative Services
New York City’s government employees receive centralized training from the Department of Citywide Administrative Services (DCAS) and decentralized training from their respective agencies. DCAS has taken minor steps toward determining the feasibility of a more centralized system, a Government University, and engaged the services of a Capstone team to assist them in the early stages of this process.The goal of the project was to conduct a needs assessment of the independent training structure of each NYC government agency. The needs assessment consisted of three components: creation of a survey that was distributed to all NYC government agencies; interviewing a small group of representative city agencies to do an in-depth analysis of their training needs; and the use of another group of agencies as a focus group. Preliminary analysis of the findings has highlighted possible ways agencies could better collaborate in training which will increase employees’ access to various training classes and reduce costs.
Access to Primary Care in New York City
Primary Care Development Corporation
The Primary Care Development Corporation (PCDC) is a nonprofit organization whose mission is the expansion and enhancement of primary and preventive healthcare in underserved communities throughout New York State. Formed in 1994 from a collaborative partnership between New York City government and the private and philanthropic sectors, PCDC has served as a way for these stakeholders to address the lack of primary and preventive healthcare in economically distressed communities. PCDC requested a Capstone team to develop accurate and comprehensive information regarding the supply of primary care services in New York City. To accomplish this, the Capstone team researched and compiled a list of primary care providers in a searchable database that will make it possible to map out providers throughout the city as well as cross reference their locations and services with the health needs of various communities. This information will enable PCDC to reach out to providers who can benefit from their wide range of services. In addition, the data will be used to compare supply and demand in neighborhoods to identify where the greatest need exists to increase access to health-care as well as enable PCDC to form more integrated networks of healthcare services for underserved communities.