A focused telephonic nursing intervention delivers improved adherence to A1c testing.
Compliance with hemoglobin A1c (A1c) testing is suboptimal despite the clear national recommendations and guidelines established for care of patients with diabetes. Recent studies have demonstrated a relationship between participation in a diabetes disease management (DM) program and improved adherence to A1c testing. A focused intervention study was initiated to investigate the ability of a DM program to drive improvement in A1c testing. A cohort of 36,327 members experienced a statistically significant increase (29%) in A1c testing while participating in the 6-month focused intervention. This finding demonstrated that a focused DM intervention is able to deliver improvement in a clinical process metric critical for managing patients with diabetes, thereby reducing their risk of disease exacerbation.
Orr
Patty M
PM
Healthways, Inc., Nashville, Tennessee 37215, USA. patty.orr@healthways.com
McGinnis
Matthew A
MA
Hudson
Laurel R
LR
Coberley
Sadie S
SS
Crawford
Albert
A
Clarke
Janice L
JL
Goldfarb
Neil I
NI
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D003920:Diabetes Mellitus / Q000097:blood* / Q000628:therapy*; D019468:Disease Management; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D009729:Nursing / Q000295:instrumentation / Q000379:methods*; D010349:Patient Compliance; D011787:Quality of Health Care; D012737:Sex Factors; D017216:Telemedicine
D006442:Glycated Hemoglobin