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

Author(s):  
Sang Wan Kim ◽  
Jennifer Chen ◽  
Kevin J. Wegener ◽  
Nina D. Resch ◽  
Kimberly M. Neff ◽  
...  

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.

2021 ◽  
Author(s):  
Sang Wan Kim ◽  
Jennifer Chen ◽  
Kevin J. Wegener ◽  
Nina D. Resch ◽  
Kimberly M. Neff ◽  
...  

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.


2020 ◽  
Author(s):  
Juan J. Delgado-Hurtado ◽  
Erika L. Kline ◽  
Andrew Crawford ◽  
Auden McClure

“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.


Author(s):  
Melissa Frederick ◽  
Ramamanohara Pai ◽  
Vamshidhar Guduguntla ◽  
Howard Rosman ◽  
Katie Kehoe ◽  
...  

Background: The Accreditation Council for Graduate Medical Education (ACGME) has defined six core competencies that reflect changing needs of health care delivery. One of these competencies, practice-based learning and improvement (PBLI), is essential for improving processes and outcomes of care. As an initial step, incorporating a standardized method for data collection is required and helps physicians monitor the quality of their work, identify learning and QI needs and positively change practice behavior. Methods: The PINNACLE Registry is an outpatient practice-based QI program designed to optimize quality of care through the standardized collection and reporting of clinical data on CAD, atrial fibrillation, heart failure and hypertension. Twelve cardiac fellows participate in the PINNACLE Registry at St. John Hospital and Medical Center in Detroit. At each clinic encounter, a data collection form (DCF) which captures patient demographics, history/risk factors, and current therapies were recorded and transmitted to the ACC to generate comparative feedback reports about the quality of care delivered to patients. Use of the DCF was piloted from September 2009 through November 2009 and expanded to all patient encounters from December 1, 2009 through January 31, 2010. Impressions from the first 60 encounters are reported. Results: Fellows reported that the DCF improved their knowledge, though the initial process of collecting data impacted clinic workflow. Utilization of the DCF initially resulted in longer patient visits which decreased over time (average 7 minutes reduced to 4 minutes per patient). As a checklist connecting patient workflow to best cardiology evidence, residents reported that diagnostic and therapeutic decisions were not simply monitored, but guided by the DCF. Conclusions: The DCF was found be a useful tool for data collection and clinical decision support. Participation in the PINNACLE Registry has provided the opportunity to further the ACGME core competencies of patient care and practice-based learning and improvement in a cardiology fellow outpatient clinic.


2012 ◽  
Vol 143 (1) ◽  
pp. 70-77 ◽  
Author(s):  
Fasiha Kanwal ◽  
Jennifer R. Kramer ◽  
Paula Buchanan ◽  
Steven M. Asch ◽  
Youssef Assioun ◽  
...  

Author(s):  
Kishore Seetharaman ◽  
Habib Chaudhury ◽  
Michael Kary ◽  
Jennifer Stewart ◽  
Barbara Lindsay ◽  
...  

ABSTRACT In its first national strategy on dementia, the Government of Canada has highlighted the need to improve quality of care for individuals living with dementia, with emphasis on following best practices and evidence in care delivery and providing care staff access to education and training. It is also known that the design of the physical environment of care homes is integral to the care experience of individuals living with dementia. Therefore, this study aims to identify the best national and international practices implemented in care homes for people living with dementia in: (1) education, training, staffing, and care practices; and (2) environmental design and physical infrastructure, through the review of relevant grey literature. This article highlights key recommendations for improving the quality of care for residents living with dementia in care homes, such as: (1) facilitating translation of training into practice, (2) maintaining consistent staffing levels, and (3) designing care homes to facilitate wayfinding, accessibility, safety, comfort, appropriate sensory stimulation, familiarity, and homelikeness. The findings from this review are expected to inform the development of guidelines for a provincial dementia-friendly care home designation program and various advocacy efforts to help achieve the objectives of the national strategy on dementia.


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