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Diabetes
Expert Host
David McCulloch David K. McCulloch, MD, FRCP

"Most physicians already feel like they are working as hard as they can and this seems like more work. You need to convince them this is not going to be more work; it is going to be a more efficient way of using your time. Same work but better outcomes." 

(See Commentary.)


Case for Improvement
 

Diabetes is a complex, serious, and increasingly common disease.  It is the most frequent cause of blindness among working-age adults; the leading cause of nontraumatic lower extremity amputation and end stage renal disease; and a principal cause of congenital malformations, perinatal mortality, premature mortality, and disability. Persons with diabetes are at increased risk for stroke, ischemic heart disease, peripheral vascular disease, and neuropathy.




 
Literature
 

Improving diabetes care in Midwest community health centers with the Health Disparities Collaborative

This article evaluates the US Bureau of Primary Health Care's Diabetes Health Disparities Collaborative to reduce health disparities and improve diabetes care in 19 Midwestern health centers. The report concludes that this initiative "has led to significant improvement in diabetes care in one year as assessed through chart review." The specific improvement methodology, interventions, and results are discussed.



 
Diabetes Content
 
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Access to Care

 

An important part of the delivery system design is developing a system that provides patients with access to their care team. The goal of Advanced Access is to build a system in which patients have the opportunity to see their own providers when they choose.

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Resources for Public Health

 

Resources and content from IHI’s work in health care quality improvement have been assembled to help public health leaders and staff bring quality improvement to their programs and organizations.