jGPHA Volume 6 (2016-2017)http://hdl.handle.net/10675.2/6213722024-03-16T13:26:25Z2024-03-16T13:26:25ZEvaluation of trends in diabetes care in a patient-centered medical homeSaucier, Ashley NMcMechan, DanielleDahl-Smith, JulieDuffie, CarlaHodo, DeniseAndrews, Holly EHobbs, Josephhttp://hdl.handle.net/10675.2/6217972019-08-30T07:17:48Z2017-01-01T00:00:00ZEvaluation of trends in diabetes care in a patient-centered medical home
Saucier, Ashley N; McMechan, Danielle; Dahl-Smith, Julie; Duffie, Carla; Hodo, Denise; Andrews, Holly E; Hobbs, Joseph
Background: The patient-centered medical home (PCMH) is a model used in primary care to achieve effective management of chronic diseases. The Augusta University Health Family Medicine Center (AUFMC), a PCMH recognized by the National Committee for Quality Assurance, has implemented strategies to manage its patient population with diabetes. The present study evaluated the effects of these interventions through trend analysis of selected diabetic core measures by use of a qualified clinical data registry, the Practice Partner Research Network. Methods: For this retrospective study, de-identified data were abstracted for adult patients with diabetes for the period of 2013-2015. Process and outcome measures were determined for selected diabetic core measures, based on the 2015 American Diabetes Association and Physician Quality Reporting System of the Centers for Medicaid and Medicare (CMS). These measures included glycated hemoglobin (HbA1c), blood pressure (BP), low-density lipoprotein cholesterol (LDL), urine microalbumin (Um), diabetic foot and eye exams, and influenza and pneumococcal vaccinations. These values were analyzed by the Cochran-Armitage test for trends over time to determine the proportions of patients at the recommended goals. Results: Over time, there were increasing trends for patients who were at the goals for frequencies of HbA1c, Um, LDL, pneumococcal vaccinations, and diabetic retinal exams (p<0.01). Increasing trends were also evident for patients at goal values for HbA1c, BP, and LDL levels (p<0.01). Decreasing trends were noted, however, in the rate of diabetic foot exams (p<0.01). Conclusions: Since AUFMC achieved PCMH recognition status, efforts to improve the management of patients with diabetes have yielded positive outcomes and valuable lessons. Areas of strength include utilization of the diabetes registry, education by regular providers, tailored use of electronic health records for patient education and physician documentation, and appropriate utilization of all team members. Trend analysis indicated that targeted diabetic interventions contributed to improved outcomes in selected diabetic core measures.
2017-01-01T00:00:00ZCommunity-based approaches to reduce chronic disease disparities in GeorgiaRollins, LatriceAkintobi, Tabia HenryHermstad, AprilCooper, DexterGoodin, LisaBeane, JenniferSpivey, SedessieRiedesel, AmyTaylor, OlayiwolaLyn, Rodneyhttp://hdl.handle.net/10675.2/6217962019-08-30T07:18:05Z2017-01-01T00:00:00ZCommunity-based approaches to reduce chronic disease disparities in Georgia
Rollins, Latrice; Akintobi, Tabia Henry; Hermstad, April; Cooper, Dexter; Goodin, Lisa; Beane, Jennifer; Spivey, Sedessie; Riedesel, Amy; Taylor, Olayiwola; Lyn, Rodney
Background: Among underserved and racial/ethnic minority populations in Georgia, there are profound health disparities and a burden of chronic diseases. Such diseases, which are preventable, are influenced by risk factors, including poor nutrition, physical inactivity, lack of quality health care, and tobacco use and exposure. Awardees of the Racial and Ethnic Approaches to Community Health (REACH) and Partnerships to Improve Community Health (PICH) are implementing community-based initiatives using evidence-based, policy, systems, and environmental approaches to reduce racial and ethnic health disparities and the chronic disease burden in underserved urban and rural Georgia communities. Methods: Within the context of a social ecological framework, the REACH and PICH awardees selected interventions. Their impact in the areas of tobacco use and exposure, chronic disease prevention and management, and nutrition are described. Results: To date, the interventions of Georgia’s PICH and REACH awardees have reached approximately 805,000 Georgia residents. Conclusions: By implementing strategies for community-based policy, systems, and environmental improvement, Georgia’s PICH and REACH awardees are reducing tobacco use and exposure; increasing access to healthy foods; and providing chronic disease prevention, risk reduction, and management opportunities for underserved communities in urban and rural Georgia communities. Their efforts to address chronic disease risk factors at various social and ecological levels are contributing to a reduction in racial/ethnic health disparities and the chronic disease burden in Georgia.
2017-01-01T00:00:00ZChronic disease prevention as an adaptive leadership problemO'Connor, Jeanhttp://hdl.handle.net/10675.2/6217952019-08-30T07:11:23Z2017-01-01T00:00:00ZChronic disease prevention as an adaptive leadership problem
O'Connor, Jean
2017-01-01T00:00:00ZLetter to the Editor in response to “STD services delivery arrangements in Georgia county health departments”Moore, KathrynTerry, LatashaAllen, Michellehttp://hdl.handle.net/10675.2/6217942019-08-30T07:11:23Z2017-01-01T00:00:00ZLetter to the Editor in response to “STD services delivery arrangements in Georgia county health departments”
Moore, Kathryn; Terry, Latasha; Allen, Michelle
2017-01-01T00:00:00Z