scholarly journals Evaluation of a Diabetes Management System Based on Practice Guidelines, Integrated Care, and Continuous Quality Management in a Federal State of Germany: A population-based approach to health care research

Diabetes Care ◽  
2008 ◽  
Vol 31 (5) ◽  
pp. 863-868 ◽  
Author(s):  
U. Rothe ◽  
G. Muller ◽  
P. E.H. Schwarz ◽  
M. Seifert ◽  
H. Kunath ◽  
...  
2006 ◽  
Vol 30 (4) ◽  
pp. 485 ◽  
Author(s):  
Elizabeth J Comino ◽  
Oshana Hermiz ◽  
Jeff Flack ◽  
Elizabeth Harris ◽  
Gawaine Powell Davies ◽  
...  

Objective: Currently, primary health care (PHC) is under-represented in health statistics due to the lack of a comprehensive PHC data collection. This research explores the utility of population health surveys to address questions relating to access to and use of PHC, using diabetes as an example. Methods: Drawing on published material relating to diabetes management, we developed a conceptual framework of access to and use of quality PHC. Using this framework we examined three recent population-based health surveys ? the 2001 National Health Survey, 2002?03 NSW Health Survey, and AusDiab ? to identify relevant information collection. Results: We identified seven domains comprising aspects of quality PHC for people with diabetes. For each domain we proposed associated indicators. In critiquing the three population health surveys in relation to these indicators, we identified strengths and weaknesses of the data collections. Conclusion: This approach could inform the development of questions and extension of population health surveys to provide a better understanding of access to and use of quality PHC in Australia. The additional information would complement other data collections with a communitybased perspective and contribute to the develop- ment of PHC policy.


1998 ◽  
Vol 26 (Supplement) ◽  
pp. 46A
Author(s):  
Oriando Kirton ◽  
Soo Hee Kim ◽  
Carol Williams ◽  
Jimmy Windsor ◽  
David Shatz ◽  
...  

Author(s):  
Marilyn S Feinstein ◽  
Robert E. Feinstein

Health care in the United States is in transition. Facilitating individual patient and population-based lifestyle change is critical for creating a healthier country. Fostering prevention, promoting lifestyle change, and dealing with the high incidence and prevalence of chronic disease is within the purview of health coaching, a new health discipline. This chapter describes the emergence, theories and methodologies, and efficacy of health coaching. We describe health coaching in practice, as primary care and integrated care environments begin to incorporate health coaching within multidisciplinary health care teams. Five major coaching approaches are discussed: the transtheoretical model (stages of change), motivational interviewing, solution-focused coaching, cognitive-behavioral coaching, and mindfulness-based stress reduction. An example of a brief coaching session is presented.


2017 ◽  
Vol 35 (8_suppl) ◽  
pp. 59-59
Author(s):  
Suman Kambhampati ◽  
Therese Dodd ◽  
Cheryl Sheridan ◽  
Charles F. LeMaistre

59 Background: Sarah Cannon Blood Cancer Network (SCBCN) is a network of seven markets dedicated to provide high quality and safe care to patients with complex blood cancers. Continuous quality management (QM) and improving patient safety are critical components to the mission of SCBCN. Methods: Four SCBCN disease-specific working groups have developed evidence-based pathways for complex blood cancers. However, there are currently no SCBCN clinical quality of care metrics to monitor value-based care. To address this unmet need, the SCBCN leadership endorsed a team-based approach to measure QM for complex blood cancers, using basic clinical performance metrics proposed by the American Society of Hematology, the American Medical Association-convened Physician Consortium for Performance Improvement, the U.S. Department of Health and Human Services Agency for Healthcare Research and Quality National Quality Measures Clearinghouse, and Centers for Medicare & Medicaid Services. Results: Between 2012 and September 2015, 1221 new adult cases of Acute Myeloid Leukemia (AML) and 253 new adult cases of Myelodysplastic Syndrome (MDS), respectively, were reported within the SCBCN. Based on the volume of cases and to measure QM in AML and MDS, quality indicators were selected based on meaningfulness to program goals and feasibility of data capture, leading to development of quality metrics dashboard for AML and MDS in SCBCN. Also, keeping in mind the changing paradigm of personalized care using new and emerging therapies in AML and MDS, exploratory quality metrics are also proposed to evaluate access to new trials as QM of AML and MDS in SCBCN. Conclusions: SCBCN is a wide network of community hospitals with expertise in managing complex blood cancers. As proof of concept study, the AML and MDS dashboard was developed and chosen as a model for continuous QM for complex blood cancers. This dashboard will initially be tested to evaluate QM at two SCBCN sites to facilitate the overarching programmatic goal of continuous QM for all AML/MDS and other blood cancers presenting within the SCBCN.


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