Details:

Alternative Title:
Prev Chronic Dis
Personal Author:
Price, Janae D. ; Jayaprakash, Manasi ; McKay, Cristina M. ; Amerson, Nancy L. ; Jimenez, Paula L. ; ... More +
Price, Janae D. ; Jayaprakash, Manasi ; McKay, Cristina M. ; Amerson, Nancy L. ; Jimenez, Paula L. ; Barbour, Kamil E. ; Cunningham, Timothy J. Less -
Description:
Introduction

Evidence-based interventions (referral, team-based care, self-management, and self-monitoring) for chronic disease management are well documented and widely used by Federally Qualified Health Centers (FQHCs). However, how these interventions are implemented varies substantially.

Methods

The Illinois Health Information Systems Survey was deployed to 49 FQHCs. Responses were grouped into 4 distinct policies, systems, and processes (P/S/P) categories: internal policies/workflows, huddles (brief meetings), electronic health record alerts/tracking tools, and case manager/coordinator interaction. Responses were then direct-matched to the 2016 Health Resources and Services and Administration Uniform Data System clinical quality indicator (QI) percent scores. Descriptive statistics were generated and level of significance (P < .05) was tested for hypertension and type 2 diabetes mellitus.

Results

The total number of P/S/Ps in place for hypertension ranged from 0 to 13 (mean, 6.9) and 0 to 8 for diabetes (mean, 5.1). Meeting or exceeding the national mean QI percent score for controlled blood pressure (62.4%) was significant among FQHCs with 9 or more P/S/Ps compared with those with 8 or fewer P/S/Ps. A positive association in clinical QI percent score was found among organizations that had 3 or more P/S/Ps (for all 4 intervention areas), although none were significant.

Conclusion

An assessment of the types of P/S/Ps used to implement evidence-based interventions for hypertension and diabetes management is a first in Illinois. Initial results support some relationship between the number of P/S/Ps implemented and clinical QI percent score for both hypertension and diabetes.


Subjects:
[+]
Blood Pressure Diabetes Mellitus, Type 2 Evidence-Based Medicine Glycated Hemoglobin A Glycemic Control Humans Hypertension Safety-net Providers Surveys And Questionnaires
Source:
Prev Chronic Dis. 2020; 17
Pubmed ID:
31971896
Pubmed Central ID:
PMC6993779
Document Type:
Journal Article
Place as Subject:
Illinois
Collection(s):
Preventing Chronic Disease
Main Document Checksum:
[+]
urn:sha256:56f0da0d119e13c89d4e210ae5a8fa64312864f29f6f83103f43dd6e4e8961b9
Download URL:
https://stacks.cdc.gov/view/cdc/84978/cdc_84978_DS1.pdf
File Type:

Supporting Files

• 	PCD-17-E08.nxml	xml
  	PCD-17-E08s01.gif	gif
  	PCD-17-E08s01.jpg	jpeg

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