Case Management and Quality of Care for Diabetic Patients

Diabetes Care ◽  
1992 ◽  
Vol 15 (Supplement_1) ◽  
pp. 59-61 ◽  
Author(s):  
A. M. Korn
Keyword(s):  
Quality Of Care ◽  
Case Management ◽  
Diabetic Patients

scholarly journals Impact of electronic diabetes registry ‘Meaningful Use’ on quality of care and hospital utilization

2015 ◽  
Vol 23 (2) ◽  
pp. 242-247 ◽  
Author(s):  
Wencui Han ◽  
Raj Sharman ◽  
Arvela Heider ◽  
Nancy Maloney ◽  
Min Yang ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Quality Of Care ◽  
Hierarchical Linear Modeling ◽  
Meaningful Use ◽  
Hospital Utilization ◽  
Utilization Rate ◽  
Diabetic Patients ◽  
Diabetes Registry

Abstract Objective To investigate whether the use of diabetes registries meeting Meaningful Use core objectives in primary care practices is associated with differences in quality of care and hospital utilization rates. Materials and methods A practice assessment survey was conducted to identify whether and how practices were using diabetes registries. Insurance claims data from 2010 were used to compare the health outcomes of patients from practices that used diabetes registries meeting Meaningful Use–related objectives to the outcomes of patients from other practices. Logistic hierarchical linear modeling was used to analyze the data. Results Records from 12,514 diabetic patients (including 10 809 with type 2 diabetes) from 50 urban practices were included in the analysis. The results suggest that patients with type 2 diabetes who were treated in practices using registries for patient reminders were more likely to have completed the recommended laboratory testing (odds ratio [OR] 1.26, p < 0.01) and dilated retinal examinations (OR 1.14, p < 0.01). Patients in practices using registries for quality improvement were less likely to have ‘avoidable hospitalization’ (OR 0.83, p < 0.01) and emergency room visits (OR 0.76, p < 0.01). The use of a diabetes registry did not have a significant impact on the quality of care or hospital utilization for patients with type 1 diabetes. Conclusion Use of diabetes registries meeting Meaningful Use core objectives is associated with higher completion or recommended lab tests and a lower hospital utilization rate for patients with type 2 diabetes.

Abstract 121: Testing Frequency Of Guideline-recommended Diabetes Performance Measures In A Cohort Of Post-acute Myocardial Infarction (AMI) Diabetics.

2014 ◽  
Vol 7 (suppl_1) ◽  
Author(s):  
Sood Kisra ◽  
John Spertus ◽  
Faraz Kureshi ◽  
Philip G Jones ◽  
Mikhail Kosiborod ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Quality Of Care ◽  
Performance Measures ◽  
High Risk Group ◽  
Diabetic Patients ◽  
Testing Frequency ◽  
Patient Reported ◽  
Using Data

Background: Diabetes mellitus (DM) is common among patients hospitalized with acute myocardial infarction (AMI). Although guideline-supported performance measures exist to improve care for each condition, prior work assessing the quality of care for diabetic patients after AMI has focused only on adherence to CAD performance measures. The quality of diabetic care these patients’ receive is unknown. Methods: Using data from a prospective AMI registry (TRIUMPH), we identified patients with known DM and examined whether DM-focused performance measures had been applied over the 12 months after discharge. We focused upon 3 DM guideline-supported performance measures: a dilated eye exam, detailed foot exam, and HgbA1C testing. For this analysis, we conducted univariate statistics to describe the frequencies with which diabetics reported receiving these DM performance measures and 4 CAD performance measures at their 12-month interview. Results: Among 1,343 patients with a known diagnosis of diabetes presenting with an AMI, a total of 791 (58.9%) completed the 12-month follow up interview. The mean age (SD) of the analytic cohort was 6111 years, with 60% being males and 63% Caucasian. The frequencies of reported receipt among the examined DM and CAD performance measures ranged from 57.3%- 82.2%, with ASA being the most common and a dilated eye exam being the least (Figure). Only 47% of patients reported receiving all three DM performance measures over the past 12 months, while 41.1% reported receiving either one or two, and 12% reported receiving none. Conclusion: In a large, multi-center cohort of diabetic AMI survivors we found that patient-reported receipt of 3 DM and 4 CAD performance measures is sub-optimal and there is significant room for improvement. Novel strategies and approaches for assessing the quality of care delivered to post-AMI diabetics in a multidimensional fashion remains vital for improving care and outcomes in this high-risk group of patients. Characters: 1,683 + figure 500. Limit 2,500

Quality of care for medical comorbidities among patients with and without schizophrenia

2016 ◽  
Vol 33 (S1) ◽  
pp. s255-s255
Author(s):  
M. Jørgensen ◽  
J. Mainz ◽  
S. Paaske Johnsen
Keyword(s):  
Heart Failure ◽  
Quality Of Care ◽  
Beta Blockers ◽  
Population Based ◽  
Chronic Obstructive ◽  
Diabetic Patients ◽  
Medical Comorbidities ◽  
Processes Of Care ◽  
Disease Specific

IntroductionThe association between schizophrenia and quality of care for medical comorbidities in universal health care systems remains unclear.ObjectivesTo elucidate whether equal access also implies equivalent and sufficient care.AimsTo compare the quality of care for heart failure, diabetes and chronic obstructive pulmonary disease (COPD) among patients with and without schizophrenia in Denmark.MethodsIn a nationwide population-based cohort study, we used Danish national registries to estimate the risk of receiving guideline recommended disease-specific processes of care between 2004 and 2013.ResultsCompared to patients without schizophrenia, patients with schizophrenia had lower chance of receiving high overall quality of care (≥ 80% of recommended processes of care) for heart failure (Relative risk [RR] 0.67, 95% CI: 0.48-0.92), diabetes (RR 0.84, 95% CI: 0.79-0.89) and COPD (RR 0.82, 95% CI: 0.72-0.93) as well as lower chance of receiving individual disease-specific processes of care including treatment with beta-blockers (RR 0.87, 95% CI: 0.79-0.96) in heart failure care and measurement for albuminuria (RR 0.96, 95% CI: 0.93-0.99), eye examination at least every second year (RR 0.97, 95% CI: 0.94-0.99) and feet examination (RR 0.96, 95% CI: 0.93-0.99) in diabetes care. Diabetic patients with schizophrenia also had lower chance of receiving antihypertensive (RR 0.84, 95% CI: 0.73-0.96) and ACE/ATII inhibitors (RR 0.72, 95% CI: 0.55-0.94). In COPD care, patients with schizophrenia had lower chance of receiving LAMA/LABA medication (RR 0.92, 95% CI: 0.87-0.98), however, higher chance of treatment with non-invasive inhalation (RR 1.85, 95% CI: 1.61-2.12).ConclusionsQuality of care for three medical comorbidities was suboptimal for patients with schizophrenia.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Case management at Warringal Private Hospital: Challenges of development, implementation and evaluation

1998 ◽  
Vol 21 (4) ◽  
pp. 221 ◽  
Author(s):  
Deborah Yarmo ◽  
Melissa McDonald
Keyword(s):  
Quality Of Care ◽  
Case Management ◽  
Case Studies ◽  
Private Hospital ◽  
Lower Health ◽  
Successful Outcomes

Case management has the potential to improve the quality of care for patients,streamline efficiencies within organisations, and ultimately lower health careexpenditure. This article explores why Warringal Private Hospital embraced theconcept and how the chosen model of case management was developed. It describesthe implementation and evaluation of the model and how it was received, accepted,and applied by the various stakeholders. The cardiac and orthopaedic units will becited as case studies in order to emphasise some of the challenges encountered in thisprocess as well as the successful outcomes. It should be noted, however, that each unitwithin the hospital is unique and, although the principles of case management havebeen applied throughout the hospital, the development, implementation andevaluation has been specific to each unit.

scholarly journals Revisit frequency and its association with quality of care among diabetic patients: Translating Research Into Action for Diabetes (TRIAD)

2014 ◽  
Vol 28 (6) ◽  
pp. 811-818 ◽  
Author(s):  
Keiko Asao ◽  
Laura N. McEwen ◽  
Jesse C. Crosson ◽  
Beth Waitzfelder ◽  
William H. Herman
Keyword(s):  
Quality Of Care ◽  
Diabetic Patients
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