Development and Implementation of a Collaborative Team Care Model for Effective Insulin Use in an Academic Medical Center Primary Care Network
| Autor: | Bianca Porneala, Linda M. Delahanty, Barbara Chase, David Finn, Steven J. Atlas, Sandra M. O’Keefe, Stephanie A. Eisenstat, Elizabeth Geagan, Gianna Wilkins, Adrian H. Zai, Deborah J. Wexler, Eric Weil, Yuchiao Chang |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Blood Glucose
Male Medical home medicine.medical_specialty Inservice Training Population Stakeholder engagement Collaborative Care Collaborative model 030209 endocrinology & metabolism 03 medical and health sciences 0302 clinical medicine Nursing Ambulatory care Patient-Centered Care Humans Hypoglycemic Agents Insulin Medicine 030212 general & internal medicine Cooperative Behavior Medical prescription education Aged Glycemic Glycated Hemoglobin Patient Care Team Academic Medical Centers education.field_of_study Primary Health Care business.industry Health Policy Middle Aged Diabetes Mellitus Type 2 Family medicine Female business |
| Zdroj: | American Journal of Medical Quality. 32:397-405 |
| ISSN: | 1555-824X 1062-8606 |
| DOI: | 10.1177/1062860616651715 |
| Popis: | Improving glycemic control across a primary care diabetes population is challenging. This article describes the development, implementation, and outcomes of the Diabetes Care Collaborative Model (DCCM), a collaborative team care process focused on promoting effective insulin use targeting patients with hyperglycemia in a patient-centered medical home model. After a pilot, the DCCM was implemented in 18 primary care practices affiliated with an academic medical center. Its implementation was associated with improvements in glycemic control and increase in insulin prescription longitudinally and across the entire population, with a >1% reduction in the proportion of glycated hemoglobin >9% at 2 years after the implementation compared with the 2 years prior ( P < .001). Facilitating factors included diverse stakeholder engagement, institutional alignment of priorities, awarding various types of credits for participation and implementation to providers, and a strong theoretical foundation using the principles of the collaborative care model. |
| Databáze: | OpenAIRE |
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