Diabetes

Innovations

School Nurses Provide Daily Testing, As-Needed Administration of Insulin, Leading to Better Glycemic Control in Low-Income Students With Diabetes 12/16/08

A diabetes care center works in partnership with middle and high school nurses to proactively monitor glycemic levels and administer doses of long-acting insulin as needed, leading to a substantial reduction in hemoglobin A1c levels in students with poorly controlled type I diabetes.

Monthly Text Messages Increase Compliance With Recommended Blood Glucose Testing in Medicaid Managed Care Enrollees With Diabetes 11/21/08

A Medicaid managed care organization uses cell phone text messaging to remind members with type 2 diabetes to get regular blood glucose testing, leading to a significant increase in the percentage of members receiving tests on a regular basis.

Diabetes Educators Provide Counseling at Worksites, Leading to Enhanced Knowledge, Improved Outcomes, and Reduced Absenteeism 11/17/08

Diabetes educators come to office and factory worksites for scheduled one-on-one counseling sessions with employees, leading to better diabetes knowledge; improvements in blood sugar, cholesterol, and weight control; and reduced absenteeism.

Use of Clinical "Bundles," Fixed Pricing, and Patient Compact Enhances Adherence With Guidelines and Improves Outcomes in Bypass Surgery, Diabetes, and Other Areas 11/05/08

The ProvenCare program uses guideline-based “bundles” of discrete clinical care elements to guide surgical care delivery, a fixed per-case rate for inpatient and followup care, and a “patient compact” and other educational activities to encourage patients to become more engaged in their care.

Culturally Competent Self-Management Program Increases Confidence and Knowledge for African Americans With or at Risk for Diabetes 10/28/08

The Center for African American Health Focus on Diabetes project offered a culturally competent diabetes self-management course and related services to people with or at risk for diabetes and their caregivers.

Inpatient Education and Counseling and Postdischarge Followup Lead to Improved Health for Patients With Diabetes and/or Obesity 10/01/08

The Hospital of the University of Pennsylvania's Transitions in Care program bridges the gap between hospital discharge and outpatient followup care for patients who are obese and/or have diabetes, leading to improvements in physical health status.

Mobile Clinics Increase Access to Screening Services in Rural and Frontier Communities 08/21/08

The Improving Health Among Rural Montanans project trains pharmacists and students from various disciplines to administer screening tests and then transports screening equipment to rural and frontier areas so that these professionals can run screening clinics for area residents.

Volunteer Provider Network Cares for Uninsured Working Poor, Leading to Lower Utilization and Costs, Better Outcomes, and Positive Return on Investment 08/03/08

A network of physicians, hospitals, medical clinics, and ancillary partners provided free or low-cost health care and care navigation, coordination, and management services to low-income, uninsured, working residents of Dallas County, TX, leading to lower emergency department and hospital utilization, better management of diabetes, significant cost savings, and a positive return on investment.

Community Coalition Connects Medical Practices to Community Resources, Leading to Improved Asthma and Diabetes Outcomes in At-Risk Populations 07/18/08

King County Steps to Health connected medical practices to community resources by encouraging organizations to work together to identify common messages, leverage resources, and develop programs for populations at risk for diabetes, asthma, and obesity.

Solo Physician's Use of Virtual and Phone Visits, Same-Day Appointments, and Extended In-Person Visits Leads to High Patient Satisfaction and Improved Chronic Disease Outcomes 07/18/08

A solo family practitioner provides 24-hour-a-day, 7-day-a-week access to care for her patients through liberal use of “virtual” or e-mail visits, telephone calls, same-day appointments, and extended office visits.

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