Chronic care model as a framework to improve diabetes care at an academic internal medicine faculty-resident practice. J Ambul Care Manage 2014;37(1):42-50
Date
12/07/2013Pubmed ID
24309394DOI
10.1097/JAC.0000000000000007Scopus ID
2-s2.0-84890328639 (requires institutional sign-in at Scopus site) 8 CitationsAbstract
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 JAuthors
John R. Meurer MD, MBA Institute Director, Professor in the Institute for Health and Equity department at Medical College of WisconsinSergey S. Tarima PhD Associate Professor in the Institute for Health and Equity department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
Academic Medical CentersAged
Diabetes Mellitus
Faculty, Medical
Humans
Interdisciplinary Communication
Internal Medicine
Internship and Residency
Medical Staff, Hospital
Middle Aged
Models, Organizational
Quality Improvement
Registries
Self Care
