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Diabetes Patient Advisory Councils

Background

Baptist Medical Center South and Baptist Medical Center East are engaged in a health equity initiative focused on supporting patients living with Diabetes to have improved A1Cs and health outcomes. At the heart of this initiative are our patients. Each hospital’s Diabetes Patient Advisory Council (D-PAC) will offer patient perspectives to inform and inspire care for patients with Diabetes. Participants will have the opportunity to gain a better understanding of the hospital's Diabetes services offered and become an advocate for Diabetes Care in their community. 

Council Structure 

Each D-PAC will include six volunteer community members and two hospital team members. Patients with diabetes, who are reflective of the hospital's patient base, will be selected to participate.

Role and Responsibilities 

  • Participate in quarterly council meetings. One (1) meeting per year will be held in person with virtual capabilities. Remaining meetings will be held virtually to aid in participant access.
  • Serve a one-year term, renewable for a total of three (3) terms. Must attend at least three (3) meetings each year to be eligible for an additional term.
  • Be an active participant in sharing insights and information about their healthcare experiences in ways that others can learn from them.
  • Be an active participant in sharing hospital initiatives with community members.
  • Consider serving in a leadership role with the council.
  • Interact and work in partnership with others in the group respectfully, with a spirit of collaboration.

Application

Thank you for your interest in joining the Diabetes Patient Advisory Council (D-PAC) at Baptist Medical Center South or Baptist Medical Center East! Council members are essential partners in the hospitals’ Diabetes health equity initiatives. 
 
Please complete this form to apply.

Contact Information

Emergency Contact Name
If selected for the D-PAC, may we share your name, telephone number, and email address with other council members for council communications?

Care Experiences

Please indicate at which Baptist Health facilities you have received Diabetes care.
Check all that apply.
When did you last receive Diabetes care at one of the facilities you selected above?

Interest and Availability

Select times when you are available to participate with the D-PAC.

Check all that apply.
Were you recommended to apply for the D-PAC by a Baptist Health team member/provider?
If YES who recommended you?
Applicants considered for the council will have a 30-minute telephone call or virtual interview. Are you able to participate in this interview by telephone call or virtual interview?
D-PAC meetings will be held quarterly. One (1) meeting per year will be held in-person with virtual capabilities. The remaining three (3) meetings will be held virtually, unless all D-PAC members can attend in-person meetings.

Please indicate all the ways you can participate in meetings.

Confidentiality

All information contained in this application is considered confidential and is intended for use for consideration for the Baptist Medical Center South and Baptist Medical Center East Diabetes Patient Advisory Councils. The selection committee will maintain appropriate and confidential handling of personal and health information in accordance with all applicable state and federal law(s), guidelines and/or regulation(s). If selected, all Diabetes Patient Advisory Council members must complete volunteer service requirements as assigned by the Hospital Volunteer Services Department.

By inputting your name above, you are verifying that the statements and information provided are true and correct, and you are attesting to the validity of all contents within this electronic submission. By clicking on the submit button, you are deemed to have electronically signed this statement.

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