Medical College of Wisconsin
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Chronic care model as a framework to improve diabetes care at an academic internal medicine faculty-resident practice. J Ambul Care Manage 2014 Jan-Mar;37(1):42-50 PMID: 24309394

Pubmed ID

24309394

DOI

10.1097/JAC.0000000000000007

Abstract

We implemented a quality improvement project for diabetes care in a faculty-resident internal medicine practice, using the Chronic Care Model framework. We created a planned visit clinic, used a stepwise medication algorithm, and self-management support. The intervention was effective for patients with glycohemoglobin A1c levels 10 or above (P = .0075) when compared with usual care after adjusting for all significant predictors. Compliance with foot examinations increased by 72% (P < .0001) and pneumococcal vaccinations by 25% (P = .0115). We believe that the Chronic Care Model can be successfully integrated into faculty-resident practices and provides a model for further exploration into disease management education in academic settings.

Author List

Hariharan J, Tarima S, Azam L, Meurer J

Authors

John R. Meurer MD, MBA Institute Director, Professor in the Institute for Health and Equity department at Medical College of Wisconsin
Sergey S. Tarima PhD Associate Professor in the Institute for Health and Equity department at Medical College of Wisconsin




Scopus

2-s2.0-84890328639   3 Citations

MESH terms used to index this publication - Major topics in bold

Academic Medical Centers
Aged
Diabetes Mellitus
Faculty, Medical
Humans
Interdisciplinary Communication
Internal Medicine
Internship and Residency
Medical Staff, Hospital
Middle Aged
Models, Organizational
Quality Improvement
Registries
Self Care
jenkins-FCD Prod-353 9ccd8489072cb19f5b9f808bb23ed672c582f41e