title: A focused telephonic nursing intervention delivers improved adherence to A1c testing.
abstract: 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.
authors.affiliation: Healthways, Inc., Nashville, Tennessee 37215, USA. patty.orr@healthways.com
authors.forename: Patty M
authors.initials: PM
authors.lastname: Orr
authors.forename: Matthew A
authors.initials: MA
authors.lastname: McGinnis
authors.forename: Laurel R
authors.initials: LR
authors.lastname: Hudson
authors.forename: Sadie S
authors.initials: SS
authors.lastname: Coberley
authors.forename: Albert
authors.initials: A
authors.lastname: Crawford
authors.forename: Janice L
authors.initials: JL
authors.lastname: Clarke
authors.forename: Neil I
authors.initials: NI
authors.lastname: Goldfarb
mesh_terms: 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
chemical_list: D006442:Glycated Hemoglobin