Diabetes preventive care and non-traumatic lower extremity amputation rates.
Clinical performance monitoring data on processes of care from a 3-year period were used to assess whether preventive foot care was associated with improved health outcomes in diabetes mellitus patients. Preventive foot care as well as sensory and pedal-pulse examinations were associated with reduced rates of Lower extremity amputation. It is believed that an administrative focus, resource direction, and improvement in process monitoring will lead to better patient outcomes. External review measures can be used by administrators and cLinicians to determine trends in quality of care and patient outcomes andto provide feedback on prevention efforts.
Moreland
Michael E
ME
VA Pittsburgh Healthcare System, PA, USA.
Kilbourne
Amy M
AM
Engelhardt
Joseph B
JB
Jain
Rajiv
R
Gao
Jian
J
Macpherson
David S
DS
Sonel
Ali F
AF
Xing
Guibo
G
D000671:Amputation, Surgical / Q000706:statistics & numerical data*; D048909:Diabetes Complications; D003920:Diabetes Mellitus / Q000453:epidemiology / Q000628:therapy*; D017719:Diabetic Foot / Q000517:prevention & control* / Q000601:surgery; D019317:Evidence-Based Medicine; D006787:Hospitals, Veterans / Q000592:standards*; D006801:Humans; D006987:Hypesthesia; D010043:Outcome and Process Assessment, Health Care; D011314:Preventive Health Services / Q000592:standards*; D011320:Primary Health Care / Q000592:standards*; D017749:Total Quality Management / Q000379:methods*; D014481:United States / Q000453:epidemiology; D014493:United States Department of Veterans Affairs