|Title||WORKING TOGETHER TO MANAGE DIABETES: DEVELOPMENT AND TESTING OF A COMPREHENSIVE CHECKLIST|
|Author, Co-Author||W. Lee Ball|
|Abstract|| BACKGROUND: Objective: To improve diabetes team care by increasing communication and coordination among the many providers on a diabetes care team.
CASE REPORT(S): Methods: The NDEP (National Diabetes Education Program) PPOD (Pharmacy, Podiatry, Optometry, Dentistry) Workgroup developed a diabetes checklist to enable more effective communication and coordination among the varied providers on a diabetes team ? PPOD professionals and other health care professionals (physicians, diabetes educators, nurses, physician assistants, etc.) and to foster a team care approach. This checklist was based on the ADA standards of care and HEDIS criteria and was distributed to a sample of diabetes care providers via the internet. Recipients were asked to review the checklist and to complete a 17 question online survey about the relevance of the checklist and the likelihood of implementing the checklist in practice.
Results: Most respondents agreed the content was appropriate and presented clearly. Forty-six percent responded that they were likely to change their practice to more of a team approach, incorporating other members of the diabetes team, or by referring to other professionals. The checklist was seen useful in actual practice, with many (30%) indicating its potential application in electronic medical record systems.
CONCLUSIONS: Conclusion: Coordination of care presents many challenges when delivered by multiple providers in a variety of settings. However, coordination helps ensure adherence to intended treatment plans, identify drug and disease management problems in a timely manner, and improves clinical outcomes. A comprehensive checklist can help improve diabetes team care by increasing provider communication.ADDITIONAL COMMENTS: Inland Northwest Health Services (INHS), recipient of a Beacon Award from HHS adopted the checklist (with modification to include kidney, heart and vascular measures) as a tool for implementing overall diabetes care coordination and management through a large regional EMR/health information exchange.
|Affiliation of Co-Authors|