scholarly journals Optimizing Glucose Meter Downloads at Parkland Diabetes Clinic

2021 ◽  
Author(s):  
Isabel Wees ◽  
Uma Gunasekaran ◽  
Luigi Meneghini
Keyword(s):  
Best Practices ◽  
American Diabetes Association ◽  
Diabetes Education ◽  
Diabetes Clinic ◽  
Standard Format ◽  
Success Stories ◽  
Number Of Patients ◽  
Diverse Patient Population ◽  
Glucose Meter

Quality Improvement Success Stories are published by the American Diabetes Association in collaboration with the American College of Physicians and the National Diabetes Education Program. This series is intended to highlight best practices and strategies from programs and clinics that have successfully improved the quality of care for people with diabetes or related conditions. Each article in the series is reviewed and follows a standard format developed by the editors of <em>Clinical Diabetes</em>. The following article describes a project aimed at increasing the number of patients who bring their glucose meters to their appointments for downloading at a diabetes specialty clinic with a diverse patient population in Dallas, TX.

scholarly journals Optimizing Glucose Meter Downloads at Parkland Diabetes Clinic

2021 ◽  
Author(s):  
Isabel Wees ◽  
Uma Gunasekaran ◽  
Luigi Meneghini
Keyword(s):  
Best Practices ◽  
American Diabetes Association ◽  
Diabetes Education ◽  
Diabetes Clinic ◽  
Standard Format ◽  
Success Stories ◽  
Number Of Patients ◽  
Diverse Patient Population ◽  
Glucose Meter

Quality Improvement Success Stories are published by the American Diabetes Association in collaboration with the American College of Physicians and the National Diabetes Education Program. This series is intended to highlight best practices and strategies from programs and clinics that have successfully improved the quality of care for people with diabetes or related conditions. Each article in the series is reviewed and follows a standard format developed by the editors of <em>Clinical Diabetes</em>. The following article describes a project aimed at increasing the number of patients who bring their glucose meters to their appointments for downloading at a diabetes specialty clinic with a diverse patient population in Dallas, TX.

scholarly journals Design and Implementation of an Electronic Tool to Measure Medication Adherence at the Point of Care

2020 ◽  
Author(s):  
Kristin Alvarez ◽  
Clasy Townsend ◽  
Jacqueline Nicole McNulty ◽  
Matthew Kubik ◽  
Uma Gunasekaran ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Best Practices ◽  
American Diabetes Association ◽  
Point Of Care ◽  
Diabetes Education ◽  
Standard Format ◽  
Design And Implementation ◽  
Success Stories ◽  
Electronic Tool

“Quality Improvement Success Stories” are published by the American Diabetes Association in collaboration with the American College of Physicians and the National Diabetes Education Program. This series is intended to highlight best practices and strategies from programs and clinics that have successfully improved the quality of care for people with diabetes or related conditions. Each article in the series is reviewed and follows a standard format developed by the editors of <em>Clinical Diabetes</em>. The following article describes a project to build a point-of-care tool for assessing patients’ adherence to their prescribed medications.

scholarly journals Design and Implementation of an Electronic Tool to Measure Medication Adherence at the Point of Care

2020 ◽  
Author(s):  
Kristin Alvarez ◽  
Clasy Townsend ◽  
Jacqueline Nicole McNulty ◽  
Matthew Kubik ◽  
Uma Gunasekaran ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Best Practices ◽  
American Diabetes Association ◽  
Point Of Care ◽  
Diabetes Education ◽  
Standard Format ◽  
Design And Implementation ◽  
Success Stories ◽  
Electronic Tool

“Quality Improvement Success Stories” are published by the American Diabetes Association in collaboration with the American College of Physicians and the National Diabetes Education Program. This series is intended to highlight best practices and strategies from programs and clinics that have successfully improved the quality of care for people with diabetes or related conditions. Each article in the series is reviewed and follows a standard format developed by the editors of <em>Clinical Diabetes</em>. The following article describes a project to build a point-of-care tool for assessing patients’ adherence to their prescribed medications.

scholarly journals Improving the quality of blood pressure measurements in an outpatient diabetes clinic

2021 ◽  
Vol 10 (1) ◽  
pp. e000917
Author(s):  
Jennifer J Iyengar ◽  
Matthew Johnson ◽  
Shafaq Khairi ◽  
Jessica E Fennelly ◽  
Jennifer Wyckoff
Keyword(s):  
Blood Pressure ◽  
Best Practices ◽  
Diabetes Clinic ◽  
Hypertension Clinic ◽  
Number Of Patients ◽  
Patients With Diabetes ◽  
Initial Reading ◽  
Medication Adjustment

Hypertension is an important modifiable risk factor for cardiovascular disease in patients with diabetes. Despite established guidelines, the percentage of patients meeting the target blood pressure (BP) of <140/90 mm Hg in clinic remains suboptimal. In this project, we sought to improve BP measurement in an outpatient diabetes clinic.Two interventions were performed: (1) Changes were made to the timing of BP measurement during patient intake and (2) An electronic medical record (EMR) alert reminded staff to repeat BP if the initial reading was above target. Baseline data were collected on 4764 patients, with 72.5% meeting their BP target. After implementation of changes to the timing of BP measurement during patient intake, 73.3% of patients met the target (no significant change). However, after implementation of the EMR alert, there was a statistically significant improvement in patients meeting the target BP at 76.8% (p<0.01). This reduction was driven by the high percentage of patients with an initially elevated BP measurement that came down into goal range on repeat measurement. Those who remained above target despite multiple readings could be referred to a new pharmacist-led hypertension clinic to ensure adequate follow-up and medication adjustment.It is important to ensure that in clinic BP measurements are taken correctly and adhere to best practices. Use of a single in-clinic BP measurement may result in overtreatment of hypertension. While timing of BP measurement during patient intake was not important, repeating high BP measurements did improve the number of patients in an outpatient diabetes clinic meeting their BP target.

scholarly journals Improving Dietary Recommendations for Patients With Type 2 Diabetes and Obesity in an Endocrinology Clinic

2020 ◽  
Author(s):  
Juan J. Delgado-Hurtado ◽  
Erika L. Kline ◽  
Andrew Crawford ◽  
Auden McClure
Keyword(s):  
Type 2 Diabetes ◽  
Medical Center ◽  
Diabetes Education ◽  
Academic Medical Center ◽  
Dietary Recommendations ◽  
Standard Format ◽  
Diabetes And Obesity ◽  
Endocrinology Clinic

“Quality Improvement Success Stories” are published by the American Diabetes Association in collaboration with the American College of Physicians and the National Diabetes Education Program. This series is intended to highlight best practices and strategies from programs and clinics that have successfully improved the quality of care for people with diabetes or related conditions. Each article in the series is reviewed and follows a standard format developed by the editors of <em>Clinical Diabetes</em>. The following article describes a project designed to improve the degree and quality of support for lifestyle change provided to patients with type 2 diabetes and obesity in the outpatient endocrinology clinic of a rural academic medical center.

scholarly journals Improvement of Statin Utilization in Veterans With Diabetes Through Pharmacy Interventions

2021 ◽  
Author(s):  
Sang Wan Kim ◽  
Jennifer Chen ◽  
Kevin J. Wegener ◽  
Nina D. Resch ◽  
Kimberly M. Neff ◽  
...  
Keyword(s):  
Quality Of Care ◽  
New Mexico ◽  
Best Practices ◽  
Medical Center ◽  
Veterans Affairs ◽  
Clinical Diabetes ◽  
Standard Format ◽  
Pharmacy Interventions

This series is intended to highlight best practices and strategies from programs and clinics that have successfully improved the quality of care for people with diabetes or related conditions. Each article in the series is reviewed and follows a standard format developed by the editors of <em>Clinical Diabetes</em>. The following article describes an effort aimed at increasing the use of statins among veterans with diabetes at a Veterans Affairs medical center in New Mexico.

Challenges and Opportunities of Engaging School Nurses in a Diabetes Care Team in a Culturally Diverse Lowincome Community – a Mixed-methods Feasibility Study

2021 ◽  
Vol 8 (5) ◽  
Author(s):  
Ksenia Tonyushkina ◽  
Victoria Cobb ◽  
Grace Lawson ◽  
Kathleen Dunn ◽  
Jason Pelzek ◽  
...  
Keyword(s):  
Low Income ◽  
Policy Development ◽  
Culturally Diverse ◽  
Insulin Pump ◽  
Diabetes Education ◽  
Insulin Dose ◽  
School Nurses ◽  
Feasibility Trial ◽  
Diabetes Clinic ◽  
Glucose Meter

Objective: In this study, we evaluated the feasibility of monthly insulin dose adjustments for students with type 1 diabetes mellitus (T1DM) through collaboration between pediatric diabetes clinic and school nurses. Methods: We conducted a single-arm adaptive feasibility trial with 30 students from a culturally diverse low-income community. School nurses were trained to download glucose meters and insulin pumps. Outcomes measures included the rate of glucose meter/insulin pump downloads occurred versus planned. We conducted 2 focus groups (N = 23) to seek feedback from school and clinic nurses on the collaboration and used content analysis to identify common themes. Results: The rate of glucose meter/insulin pump downloads was 27%. Feasibility obstacles were grounded in lack of time for nurses and psychosocial stressors in the community. We found a trend toward better diabetes control during the school year versus summer. We identified better communication between the school and clinic nurses and ongoing diabetes education for school nurses as strengths of the pilot. Conclusion: We propose shared clinic visits, care coordination, and behavioral health support as directions for future programs. Our findings provide directions for policy development to strengthen school nurse collaboration with diabetes clinics and improve care of students with T1DM from culturally diverse low-income communities.

scholarly journals Improving Dietary Recommendations for Patients With Type 2 Diabetes and Obesity in an Endocrinology Clinic

2020 ◽  
Author(s):  
Juan J. Delgado-Hurtado ◽  
Erika L. Kline ◽  
Andrew Crawford ◽  
Auden McClure
Keyword(s):  
Type 2 Diabetes ◽  
Medical Center ◽  
Diabetes Education ◽  
Academic Medical Center ◽  
Dietary Recommendations ◽  
Standard Format ◽  
Diabetes And Obesity ◽  
Endocrinology Clinic

“Quality Improvement Success Stories” are published by the American Diabetes Association in collaboration with the American College of Physicians and the National Diabetes Education Program. This series is intended to highlight best practices and strategies from programs and clinics that have successfully improved the quality of care for people with diabetes or related conditions. Each article in the series is reviewed and follows a standard format developed by the editors of <em>Clinical Diabetes</em>. The following article describes a project designed to improve the degree and quality of support for lifestyle change provided to patients with type 2 diabetes and obesity in the outpatient endocrinology clinic of a rural academic medical center.

scholarly journals Improvement of Statin Utilization in Veterans With Diabetes Through Pharmacy Interventions

2021 ◽  
Author(s):  
Sang Wan Kim ◽  
Jennifer Chen ◽  
Kevin J. Wegener ◽  
Nina D. Resch ◽  
Kimberly M. Neff ◽  
...  
Keyword(s):  
Quality Of Care ◽  
New Mexico ◽  
Best Practices ◽  
Medical Center ◽  
Veterans Affairs ◽  
Clinical Diabetes ◽  
Standard Format ◽  
Pharmacy Interventions

This series is intended to highlight best practices and strategies from programs and clinics that have successfully improved the quality of care for people with diabetes or related conditions. Each article in the series is reviewed and follows a standard format developed by the editors of <em>Clinical Diabetes</em>. The following article describes an effort aimed at increasing the use of statins among veterans with diabetes at a Veterans Affairs medical center in New Mexico.

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