title: An evaluation of diabetes-related measures of control after 6 months of clinical pharmacy specialist intervention.
abstract: OBJECTIVE
  To evaluate the effectiveness of a pharmacist management regarding the percentages of patients meeting American Diabetes Association (ADA) treatment goals for diabetes and specific Veterans Health Administration (VA) performance measures individually and in combination after 6 months of intervention.
  
  
  METHODS
  We retrospectively evaluated the electronic medical record of all new patients seen between October 1, 2007 and March 31, 2009, with an A1c >7%. Primary objectives included the percentages of patients meeting ADA treatment goals individually and in combination after 6 months in addition to the percentage meeting the 3 VA performance goals individually and in combination.
  
  
  RESULTS
  One-hundred and ninety-seven patients met inclusion criteria. There were 6% of patients who met all ADA goals and 79% who met all VA performance measure goals at study end. Individual goal analyses revealed 43% of patients at a goal A1c of <7%, 55% of patients were at low-density lipoprotein (LDL) goal, 45% of patients at systolic blood pressure (SBP) goal, and 51% of patients at diastolic blood pressure (DBP) goal. Evaluation for VA performance measures showed that 91% patients at goal for A1c, 55% at LDL goal, 70% at systolic BP goal, and 87% met diastolic BP goal.
  
  
  CONCLUSIONS
  Six months of pharmacist intervention resulted in improvement in patients achieving ADA and VA performance measure goals individually and in combination.
authors.affiliation: College of Pharmacy, University of Tennessee, Knoxville, TN, USA.
authors.forename: Rebecca J
authors.initials: RJ
authors.lastname: Cripps
authors.forename: Eric S
authors.initials: ES
authors.lastname: Gourley
authors.forename: Wendy
authors.initials: W
authors.lastname: Johnson
authors.forename: Regina
authors.initials: R
authors.lastname: Cassidy
authors.forename: Timothy C
authors.initials: TC
authors.lastname: Morgan
authors.forename: Dharapuram
authors.initials: D
authors.lastname: Venugopal
authors.forename: M Shawn
authors.initials: MS
authors.lastname: McFarland
mesh_terms: D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000097:blood* / Q000503:physiopathology / Q000628:therapy*; D005260:Female; D006787:Hospitals, Veterans / Q000592:standards* / Q000639:trends; D006801:Humans; D008297:Male; D008875:Middle Aged; D010595:Pharmacists / Q000592:standards* / Q000639:trends; D012189:Retrospective Studies; D013038:Specialization / Q000592:standards*; D014481:United States; D014493:United States Department of Veterans Affairs / Q000592:standards / Q000639:trends; D058014:Veterans Health / Q000639:trends