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From the ACP Diabetes Care Guide
Determine where your practice is before you begin quality improvement and evaluate the effects of the changes you implement.
From the ACP Diabetes Care Guide
Customize a list of standing orders for your patients with diabetes and then print your customized version.
From the ACP Diabetes Care Guide
Keep track of key examination findings for every visit.
This session will provide details on how to deliver team-based care to your patients with diabetes. Attendees will hear real-life experiences from a team of specialists, subspecialists, diabetes educators, and other allied health professionals on how they have organized care by using the multidisciplinary approach to care.
This session answers the following questions:
- How can practice-based research help you analyze and improve the diabetes care you deliver?
- How can you set up diabetes group visits in your practice?
- How can you get reimbursed for diabetes group visits?
This session answers the following questions:
- How can practice-based research help you analyze and improve the diabetes care you deliver?
- How can you set up diabetes group visits in your practice?
- How can you get reimbursed for diabetes group visits?
This session answers the following questions:
- How can you work as a multidisciplinary team in your practice in order to create systems change and improve the care you deliver for diabetes?
- Learn how to use the Diabetes Self-Assessment Program for multidisciplinary team and how you can use it in your practice?
- What are some preliminary results of the program?
- Use case examples and describe use of the toolkit
Diabetic patients treated at open access clinics fared worse than those who were seen under traditional scheduling models, according to a retrospective study.
The cohort study compared diabetes processes and outcomes for 4,000 mostly low-income patients treated at 12 clinics. Half of the clinics used open access scheduling, in which all patients schedule immediate appointments, ideally for the same day they call. The two groups showed no difference in two of the study's three measures of health-care use, emergency visits and hospitalization. However, the open-access group had substantially higher systolic blood pressure (mean difference, 6.4 mm Hg). The implementation of open access also appeared to decrease the number of outpatient visits patients made, the study's third measure.
Closing the Gap is a practice-based, team-oriented quality improvement program that trains teams of physicians, nurses or other allied health professionals, and office administrators on how to improve the quality of their care for patients with chronic disease. To date, the ACP has completed three Closing the Gap programs covering type 2 diabetes mellitus, and we are currently recruiting for new ones on cardiovascular risk and diabetes mellitus. The program is based on the Chronic Care Model for systems change, the Institute of Healthcare Improvement (IHI) Breakthrough Series Model of social learning, and the Plan-Do-Study-Act (PDSA) cycle for rapid cycles of quality improvement.
ACPNet, founded in 1997, is the American College of Physicians' first web-based quality improvement program that focuses on practice-based learning and improvement. ACPNet projects usually have the following three key components:
- Educational Module
- Practice Measurements
- Quality and Practice Improvement Plan
Physicians receive education on how to implement clinical quality improvement tools and techniques in their practice as well as on evidence-based "best practices". ACPNet helps physicians analyze their own practice patterns and evaluate their actual practice data to identify gaps in order to effectively improve clinical practice. Physicians also receive help from national experts through conference calls to interact and get guidance with the process for practice improvement. Most of our programs offer participants the opportunity to receive practice-based CME and Part 4 MOC.
A Chronic Care Model has been designed to assist health care providers improve care of patients with chronic health conditions. Elements of this model have been shown to improve patient satisfaction and reduce costs and use of resources. Improving Chronic Illness Care (www.improvingchroniccare.org) contains detailed information on how to use the Chronic Care Model and its resources to improve care.
Shortcomings surrounding the care of patients with diabetes have been attributed largely to a fragmented, disorganized, and duplicative health care system that focuses more on acute conditions and complications than on managing chronic disease. To address these shortcomings, we developed a diabetes registry population management application to change the way our staff manages patients with diabetes. Use of this new application has helped us coordinate the responsibilities for intervening and monitoring patients in the registry among different users. Our experiences using this combined workflow-informatics intervention system suggest that integrating a chronic disease registry into clinical workflow for the treatment of chronic conditions creates a useful and efficient tool for managing disease.
Enabling Tool
ACP PIER
ACP Book/Publication
ACP Clinical Guideline
ACP Annual Meeting
ACP MKSAP
ACP Journal Club
Annals of Internal Medicine
ACP Internist
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