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The Use of Shared Medical Appointments to Improve Care to Diabetic Patients in an Academic Practice
Through the implementation of Shared Medical Appointments at Maine Medical Center’s Family Medicine Practice (Portland, Maine, USA), a new, innovative and efficient model of health care delivery was taught to residents, and a significant number of process and clinical outcome measures in diabetes care were improved.
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Making the Diabetes Connection
Advocate Health Care’s Outpatient Diabetes Management team reviewed Hemoglobin A1c and Lipid Profile screening rates and identified inadequate or under use of medical therapy by health care providers; failure of patients to comply with treatment regimens; inadequate skills, knowledge and motivation of patients to perform self-care tasks as areas to focus on to aide in improving preventive screenings.
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“Not the Way We’ve Always Done It”: Attacking Chronic Diseases in Mississippi
Using the Chronic Care Model and the Model for Improvement, the G. A. Carmichael Family Health Center (Canton, Mississippi, USA) is making inroads against the growing epidemics of obesity and diabetes in their community.
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Tarheels Take On Diabetes
The North Carolina state-based Diabetes Collaborative began in January 2003, and already the team has success stories to share in improving diabetes care for underserved patients: average A1c levels have decreased from 7.96 percent to 7.81 percent; foot checks have risen from 15.1 percent to 48.8 percent; and more.
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Removing Barriers to Care: Clinica Campesina
Clinica Campesina (Colorado, USA), reduces its no show rate from 35 to 15 percent through implementing Advanced Clinic Access through an IHI Collaborative.
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Improvement Report: Improving Diabetes Care by Increasing Foot Exams
Queens Hospital Center (Jamaica, New York, USA) has increased the percentage of diabetes patients receiving foot exams during medical clinic visits from zero to more than 80, primarily by redesigning the visit and modifying their information system to embed decision support.
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Reducing Disparity in Diabetes Care: CareSouth Carolina
CareSouth Carolina (Hartsville, South Carolina, USA) has lowered the HbA1c (average Hemoglobin 1) measure for its patients to an average of 8.0, while virtually eliminating racial disparity in their patient population.
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Reducing Mortality Through Aggressive Blood Sugar Control at SSM Health Care
St. Joseph Health Center (St. Charles, Missouri, USA) implemented a new insulin protocol that resulted in a 32 percent overall reduction in hospital-wide mortality. The aim of the protocol, now in use hospital-wide, is to aggressively control the blood sugar levels of all patients — not just those with diabetes — in an effort to reduce infection.
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Reducing Dependence on Providers for Insulin Adjustments: Cincinnati Children's Hospital Medical Center
Cincinnati Children's Hospital Medical Center (Cincinnati, Ohio, USA) implements a new system to allow patients with diabetes to choose between traditional insulin dosing, or newer long lasting insulins, which require less injections. Offering both systems have reduced the number of phone calls for advice per day.
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Improvement Report: Queens Hospital Center Improves Diabetes Care
The Diabetes Management Team developed and implemented a model of comprehensive and coordinated care for patients with diabetes at Queens Hospital Center (Jamaica, New York, USA).
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