title: Partners in advancing care and education solutions study: impact on processes and outcomes of diabetes care.
abstract: This study evaluated a comprehensive approach to clinical care, Staged Diabetes Management, and a curriculum to facilitate optimum self-care, Type 2 Diabetes BASICS. The goal was to meet the Diabetes Physician Recognition Program (DFRP) and Education Recognition Program (ERP) criteria. Baseline chart audits were used to identify areas for improvement. Multiple methods were employed to train clinicians and staff and address organizational issues. Improvements in care were supported through consultation and repeated measurements and incentives. Eight centers completed training and submitted final data. None of the centers met DPRP recognition criteria at baseline; 3 centers already had ERP certification. After completing the program, all centers received DPRP and ERP certification. The greatest improvements occurred in documentation of eye and foot examinations. The Partners in Advancing Care and Education Solutions Study, or PACES, program was associated with significant improvements in diabetes care in diverse settings. Focusing on process deficiencies led to significant improvements, and spillover improvements were apparent in the outcome indicators.
authors.affiliation: International Diabetes Center at Park Nicollet, St. Louis Park, Minnesota, USA.
authors.forename: Roger S
authors.initials: RS
authors.lastname: Mazze
authors.forename: Margaret A
authors.initials: MA
authors.lastname: Powers
authors.forename: Harry P
authors.initials: HP
authors.lastname: Wetzler
authors.forename: Cori L
authors.initials: CL
authors.lastname: Ofstead
mesh_terms: D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D054869:Clinical Audit; D003920:Diabetes Mellitus / Q000628:therapy*; D004282:Documentation / Q000379:methods; D019317:Evidence-Based Medicine / Q000193:education; D005128:Eye Diseases / Q000517:prevention & control; D005260:Female; D005534:Foot Diseases / Q000517:prevention & control; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D010043:Outcome and Process Assessment, Health Care; D010353:Patient Education as Topic; D018802:Patient-Centered Care / Q000379:methods / Q000458:organization & administration*; D010818:Practice Patterns, Physicians' / Q000458:organization & administration*; D011785:Quality Assurance, Health Care; D012648:Self Care / Q000379:methods