Document Detail


Outcomes management of an ambulatory clinic system population: experience with patients with diabetes.
MedLine Citation:
PMID:  15303795     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: North Mississippi Medical Center (NMMC) applied well-established in-patient outcomes management techniques to patients in its ambulatory care clinics. Diabetes was targeted for the initial outcomes management project because screening and treatment guidelines are clear and non-controversial. PROJECT: Eleven providers in five clinics were initial participants in the pilot program that recorded annual screening of HgbA1c, lipids, microalbumin, foot exams, and eye exams. Physicians were provided with individualized performance profiles along with diabetes management education. The pilot data were well received, and the program was expanded to 67 primary providers in 23 clinics in northeastern Mississippi and northwestern Alabama. RESULTS: A 12-month review of annual screening demonstrated statistically significant improvement in HgbA1c screening from 83% to 97% (p < or = 0.001); microalbumin screening increased from 12% to 33% (p < or = 0.001); and foot exams increased from a baseline of 24% to 31% (p < or = 0.001). CONCLUSION: Providing individualized data on ambulatory care management engaged physicians in improving annual diabetes screening.
Authors:
Dana Walker; Ken Harvey
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Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  Journal of the Mississippi State Medical Association     Volume:  45     ISSN:  0026-6396     ISO Abbreviation:  J Miss State Med Assoc     Publication Date:  2004 Jun 
Date Detail:
Created Date:  2004-08-11     Completed Date:  2004-09-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7505622     Medline TA:  J Miss State Med Assoc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  163-8     Citation Subset:  IM    
Affiliation:
North Mississippi Medical Center, Tupelo, USA.
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MeSH Terms
Descriptor/Qualifier:
Benchmarking
Diabetes Mellitus, Type 2 / prevention & control*
Guideline Adherence*
Hemoglobin A, Glycosylated / analysis
Humans
Mass Screening / utilization*
Mississippi
Multi-Institutional Systems
Nurse's Role
Outcome Assessment (Health Care)*
Outpatient Clinics, Hospital / standards*
Population Surveillance
Program Development
Chemical
Reg. No./Substance:
0/Hemoglobin A, Glycosylated

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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