Diabetes Collective Adrift Blemish Vancouver.


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Diabetes Collective Adrift Blemish Vancouver. Tatiana Shelepova, MD and Jamie Zentner, MPH. Washington State Community oriented Learning Session 3 September 11-12, 2006. Ocean Damage Group Wellbeing Focuses. Vancouver, WA Pilot Populace: 158 patients Ethnicity
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Slide 1

Diabetes Collaborative at Sea Mar Vancouver Tatiana Shelepova, MD & Jamie Zentner, MPH Washington State Collaborative Learning Session 3 September 11-12, 2006

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Sea Mar Community Health Centers Vancouver, WA Pilot Population: 158 patients Ethnicity 43.2% Caucasian, 40.6% Russian, 16.1% Mix Insurance 57.4% DSHS, 18.1% None, 17.4% Medicare

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Aim Statement Sea Mar Community Health Centers Vancouver will upgrade the procurement of consideration to accomplish the accompanying objectives:

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Measures

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Key Changes in Self Management Support and Delivery System Design Health System Community Organization of Health Care Resources and Policies Clinical Information Systems Decision Support Self-Management Support Delivery System Design Clinic Manager Clinic Champion, MD Day to Day Leader Medical Assistants CSR Medical Records Front Desk One-on-one directing DM classes

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Key Changes in Decision Support and Clinical Information Systems Health System Community Organization of Health Care Resources and Policies Self Management Support Delivery System Design Decision Support Clinical Information Systems Team participation to wsc5 learning sessions Participates in video chats DM classes - benchmarks CDEMS Registry Interface CDEMS & Labcorp Alert Notes in Mysis

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HbA1c: March 06’ versus August 06’

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% of Patients with A1c < 7.0%

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PDSA Cycles: HbA1c How was this fulfilled? More continuous subsequent visits Physician invests more energy examining significance of administration Knowledgeable & inspired therapeutic collaborator Next Steps: Recruit patients with A1c > 7.0 to DM class

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LDL: March 06’ versus August 06’

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% of Patients with LDL < 100

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Average LDL for Patients

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PDSA Cycles: Cholesterol How was this fulfilled? More catch up visits More time spent examining significance of administration More forceful treatment with lipid specialists Next Steps: Recruit patients with LDL > 100 to take an interest in class More time spent talking about significance of administration

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% Documented DM Education

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Barriers Patients with couple of assets Conflicting essential needs No protection No show to arrangements Co-morbidities (emotional well-being) Creating open doors in group for patients (solid sustenance & exercise)

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Keys to Success Communication & Team Effort Russian talking staff Personal contact & follow-up from MA CDEMS & advancement notes Alert notes in Mysis Russian diabetes training materials http://www.swmedicalcenter.com/body.cfm?id=1926

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