title: Chronic care model as a framework to improve diabetes care at an academic internal medicine faculty-resident practice.
abstract: We implemented a quality improvement project for diabetes care in a faculty-resident internal medicine practice, using the Chronic Care Model framework. We created a planned visit clinic, used a stepwise medication algorithm, and self-management support. The intervention was effective for patients with glycohemoglobin A1c levels 10 or above (P = .0075) when compared with usual care after adjusting for all significant predictors. Compliance with foot examinations increased by 72% (P < .0001) and pneumococcal vaccinations by 25% (P = .0115). We believe that the Chronic Care Model can be successfully integrated into faculty-resident practices and provides a model for further exploration into disease management education in academic settings.
authors.affiliation: Department of General Internal Medicine, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania (Dr Hariharan); and Division of Biostatistics (Dr Tarima) and Public and Community Health Program (Ms Azam), Institute for Health and Society (Dr Meurer), Medical College of Wisconsin, Milwaukee.
authors.forename: Jaishree
authors.initials: J
authors.lastname: Hariharan
authors.forename: Sergey
authors.initials: S
authors.lastname: Tarima
authors.forename: Laila
authors.initials: L
authors.lastname: Azam
authors.forename: John
authors.initials: J
authors.lastname: Meurer
mesh_terms: D000046:Academic Medical Centers; D000368:Aged; D003920:Diabetes Mellitus / Q000628:therapy*; D005180:Faculty, Medical; D006801:Humans; D033183:Interdisciplinary Communication; D007388:Internal Medicine / Q000458:organization & administration; D007396:Internship and Residency; D008505:Medical Staff, Hospital; D008875:Middle Aged; D017146:Models, Organizational; D058996:Quality Improvement; D012042:Registries; D012648:Self Care