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Journal of Ambulatory Care Management:
doi: 10.1097/JAC.0000000000000007
Original Articles

Chronic Care Model As a Framework to Improve Diabetes Care at an Academic Internal Medicine Faculty-Resident Practice

Hariharan, Jaishree MD; Tarima, Sergey PhD; Azam, Laila MBA; Meurer, John MD, MBA

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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.

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins

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