Standards of Practice for Care of Clients with Diabetes, Heart Disease, or at Risk for Falls
The NORC Program Standards of Practice serve as the foundation for all work in the Health Indicators Performance Improvement process. These standards – reflect best practices and clinical guidelines in self-care, medical care, and community supports through the lens of what NORC programs need to know, do, and track in order to effectively manage care for people with diabetes, heart disease, or at risk for falls.
In 2009, UHF staff conducted an extensive literature review to determine the clinical guidelines and evidence-based best practices for the management for these three health issues. Primary sources reviewed include the recommendations and guidelines of The American Diabetes Association, The New York City Department of Health and Mental Hygiene, The American Heart Association, The Centers for Disease Control and Prevention (CDC), and dozens more. The standards were also reviewed for clinical relevance by a board certified geriatrician.
The NORC Program Standards of Practice cover five areas:
- Knowing and managing your numbers;
- Appropriate medication management;
- Health care maintenance;
- Diet and physical activity; and
- Education and information.
Each of these areas has elements that taken together comprise effective care management.