A primary care clinic offers patients 3- to 5-minute educational video modules, leading to enhanced patient knowledge without placing incremental demands on physicians and staff.
Medicaid managed care enrollees with type 2 diabetes receive free access to YMCA facilities and have regular meetings with nurses, dietitians, and personal trainers that focus on diet, exercise, and other aspects of disease self-management, leading to weight loss and improvements in body mass index, cholesterol, and blood glucose control.
A free, online personal health record assists diabetes patients and their clinicians in monitoring key clinical indicators, communicating during and between office visits, and sharing information with other relevant individuals, leading to enhanced levels of patient engagement and improved blood glucose control.
Nurses and medical assistants use electronic tools and standardized workflows and processes before, during, and after the patient encounter to identify and address preventive, screening, and chronic care needs at every primary and specialty care visit, leading to greater adherence to recommended care processes and better blood pressure control in those with diabetes and hypertension.
Rather than being placed on a specialized meal plan, diabetic inpatients order meals from an unrestricted (patient-controlled) menu after receiving education from nutrition staff about how to make appropriate food selections, with additional education provided to those consistently making “incorrect” choices. The program increased patient satisfaction without having a negative impact on the ability to achieve consistent carbohydrate intake and blood glucose control.
Culturally and linguistically appropriate education and emotional support to low-income monolingual Chinese immigrants leads to improved knowledge and better blood glucose control in a pilot test of diabetes patients. Based on the success of this pilot, the program has been expanded to serve those with coronary artery disease and congestive heart failure as well.
Guided by a health educator, medical assistants at an internal medicine practice are only modestly successful in encouraging diabetes patients to engage in goal setting, create personal action plans, and communicate home blood pressure and glucose measurements to physicians.
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.
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.
To reduce the high percentage of intensive care unit patients with hyperglycemia, Indiana University Health developed and implemented an hourly testing and as-needed dosing adjustment system that is enabled through use of an automated reminder system and dosing calculator.