scholarly journals Windows of Opportunity to Improve Diabetes Care When Patients With Diabetes Are Hospitalized for Other Conditions

Diabetes Care ◽  
2001 ◽  
Vol 24 (8) ◽  
pp. 1371-1376 ◽  
Author(s):  
S. H. Roman ◽  
M. R. Chassin
JMIR Diabetes ◽  
10.2196/32369 ◽  
2022 ◽  
Vol 7 (1) ◽  
pp. e32369
Author(s):  
Salim Saiyed ◽  
Renu Joshi ◽  
Safi Khattab ◽  
Shabnam Dhillon

Background COVID-19 disrupted health care, causing a decline in the health of patients with chronic diseases and a need to reimagine diabetes care. With the advances in telehealth programs, there is a need to effectively implement programs that meet the needs of patients quickly. Objective The aim of this paper was to create a virtual boot camp program for patients with diabetes, in 3 months, from project conception to the enrollment of our first patients. Our goal is to provide practical strategies for rapidly launching an effective virtual program to improve diabetes care. Methods A multidisciplinary team of physicians, dieticians, and educators, with support from the telehealth team, created a virtual program for patients with diabetes. The program combined online diabetes data tracking with weekly telehealth visits over a 12-week period. Results Over 100 patients have been enrolled in the virtual diabetes boot camp. Preliminary data show an improvement of diabetes in 75% (n=75) of the patients who completed the program. Four principles were identified and developed to reflect the quick design and launch. Conclusions The rapid launch of a virtual diabetes program is feasible. A coordinated, team-based, systematic approach will facilitate implementation and sustained adoption across a large multispecialty ambulatory health care organization.


2021 ◽  
Author(s):  
Salim Saiyed ◽  
Renu Joshi ◽  
Safi Khattab ◽  
Shabnam Dhillon

BACKGROUND COVID-19 disrupted health care, causing a decline in the health of patients with chronic diseases and a need to reimagine diabetes care. With the advances in telehealth programs, there is a need to effectively implement programs that meet the needs of patients quickly. OBJECTIVE The aim of this paper was to create a virtual boot camp program for patients with diabetes, in 3 months, from project conception to the enrollment of our first patients. Our goal is to provide practical strategies for rapidly launching an effective virtual program to improve diabetes care. METHODS A multidisciplinary team of physicians, dieticians, and educators, with support from the telehealth team, created a virtual program for patients with diabetes. The program combined online diabetes data tracking with weekly telehealth visits over a 12-week period. RESULTS Over 100 patients have been enrolled in the virtual diabetes boot camp. Preliminary data show an improvement of diabetes in 75% (n=75) of the patients who completed the program. Four principles were identified and developed to reflect the quick design and launch. CONCLUSIONS The rapid launch of a virtual diabetes program is feasible. A coordinated, team-based, systematic approach will facilitate implementation and sustained adoption across a large multispecialty ambulatory health care organization.


Kidney360 ◽  
2021 ◽  
pp. 10.34067/KID.0007082020
Author(s):  
Kristin K. Clemens ◽  
Alexandra M. Ouédraogo ◽  
Amit X. Garg ◽  
Samuel A. Silver ◽  
Danielle M. Nash

Background: Patients with diabetes receiving chronic in-centre hemodialysis face healthcare challenges. We examined the prevalence of gaps in their diabetes care, explored regional differences, and determined predictors of care gaps. Methods: We conducted a population-based retrospective study between January 1 2016 and January 1 2018 in Ontario Canada. We included adults with prevalent diabetes mellitus receiving in-centre hemodialysis as of January 1 2018 and examined the proportion with 1) insufficient or excessive glycemic monitoring, 2) suboptimal screening for diabetes-related complications (retinopathy and cardiovascular screening), 3) hospital encounters for hypo- or hyperglycemia, and 4) hospital encounters for hypertension in the 2 years prior (January 1 2016-January 1 2018). We then identified patient, provider and health system factors associated with >1 care gap and used multivariable logistic regression to determine predictors. Further, we used Geographic Information Systems to explore spatial variation in gaps. Results: There were 4,173 patients with diabetes receiving in-centre hemodialysis. Mean age was 67 years, 39% were women and the majority were of lower socioeconomic status. Approximately 42% of patients had >1 diabetes care gap, the most common being suboptimal retinopathy screening (53%). Significant predictors of more than one gap included younger age, female sex, shorter duration of diabetes, dementia, fewer specialist visits and not seeing a physician for diabetes. There was evidence of spatial variation in care gaps across our region. Conclusions: There are opportunities to improve diabetes care in patients receiving in-centre hemodialysis, particularly screening for retinopathy. Focused efforts to bring diabetes support to high-risk individuals might improve their care and outcomes.


2017 ◽  
Vol 23 ◽  
pp. 290
Author(s):  
Vamsi Kolukula ◽  
Jayashree Gopal ◽  
Shantharam Duvuru ◽  
Kalpana Dash ◽  
Sanjiv Shah ◽  
...  

Diabetes ◽  
2020 ◽  
Vol 69 (Supplement 1) ◽  
pp. 1239-P
Author(s):  
TEJASWI KOMPALA ◽  
MACKENZIE CLARK ◽  
SARAH KIM ◽  
LISA KROON ◽  
THOMAS A. PETERSON ◽  
...  

2021 ◽  
pp. 193229682110014
Author(s):  
Thomas W. Martens ◽  
Janet S. Lima ◽  
Elizabeth A. Johnson ◽  
Jessica A. Conry ◽  
Jennifer J. Hoppe ◽  
...  

Background: Quality measures relating to diabetes care in America have not improved between 2005 and 2016, and have plateaued even in areas that outperform national statistics. New approaches to diabetes care and education are needed and are especially important in reaching populations with significant barriers to optimized care. Methods: A pilot quality improvement study was created to optimize diabetes education in a clinic setting with a patient population with significant healthcare barriers. Certified Diabetes Care and Education Specialists (CDCES) were deployed in a team-based model with flexible scheduling and same-day education visits, outside of the traditional framework of diabetes education, specifically targeting practices with underperforming diabetes quality measures, in a clinic setting significantly impacted by social determinants of health. Results: A team-based and flexible diabetes education model decreased hemoglobin A1C for individuals participating in the project (and having a second A1C measured) by an average of −2.3%, improved Minnesota Diabetes Quality Measures (D5) for clinicians participating in the project by 5.8%, optimized use of CDCES, and reduced a high visit fail rate for diabetes education. Conclusions: Diabetes education provided in a team-based and flexible model may better meet patient needs and improve diabetes care metrics, in settings with a patient population with significant barriers.


2016 ◽  
Vol 7 ◽  
pp. JCM.S39766 ◽  
Author(s):  
Noriko Satoh-Asahara ◽  
Hiroto Ito ◽  
Tomoyuki Akashi ◽  
Hajime Yamakage ◽  
Kazuhiko Kotani ◽  
...  

Purpose Depression is frequently observed in people with diabetes. The purpose of this study is to develop a tool for individuals with diabetes and depression to communicate their comorbid conditions to health-care providers. Method We searched the Internet to review patient-held medical records (PHRs) of patients with diabetes and examine current levels of integration of diabetes and depression care in Japan. Results Eight sets of PHRs were found for people with diabetes. All PHRs included clinical follow-up of diabetes and multidisciplinary clinical pathways for diabetes care. No PHRs included depression monitoring and/or treatment. In terms of an integrated PHR for a patient comorbid with diabetes and depression, necessary components include hopes/preferences, educational information on diabetes complications and treatment, medical history, stress and coping, resources, and monitoring diabetes and depression. Conclusion A new PHR may be suitable for comorbid patients with diabetes and depression.


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