Diabetes Collaborative Project 2015-2016 Summary
In the Diabetes Collaborative Project 2015-2016, a random sample of 75 diabetic patients' records were queried monthly at each clinic site, with a total sample size of 450 patients reviewed monthly. Outreach activities were conducted based on sample data results. Metric goal variations were observed, such as changes in BP and BMI goal levels. The outcomes showed significant improvements in HbA1c levels, BP, and BMI, while eye exam data remained inconclusive. Referrals to diabetic clinics slightly declined in 2016, and DKA hospitalization rates increased slightly. However, the re-admit rate within three months remained low and stable compared to 2015.
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Diabetes Collaborative UMC NHC 2015-2016 Project Summary Tuesday 3/28/17
Process A random sample of 75 diabetic patients records were queried each month for each clinic site A sample size of 450 diabetic patients records were reviewed monthly Outreach activity was conducted at each clinic site based on sample data results
Metric Goal Variations 2015-2016 BP goal level changed from 130/90 in 2015 to 140/80 in 2016 BMI goal level changed from <24.9 in 2015 to < 30 in 2016 Variation in foot exams with visual/tactile exam vs monofilament exam
Jan-Dec 2015 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Re-Admit to Hosp. within 3 months of disc. Eye Exam within year Foot Screening within year Referral to Diabetic Clinic Rcent DKA Hospitalization HbA1c < 7 BP < 130/90 BMI < 24.9 January 4% 3% 5% 44% 62% 19% 0% 0% February 5% 29% 5% 38% 65% 15% 0% 0% March 8% 38% 5% 49% 71% 18% 0% 0% April 11% 39% 5% 52% 72% 19% 0% 0% May 9% 42% 6% 50% 78% 21% 0% 0% June 12% 46% 7% 54% 79% 22% 0% 0% July 13% 47% 7% 54% 81% 18% 2% 0% Aug 14% 45% 9% 47% 90% 13% 0% 2% Sept 13% 45% 8% 50% 90% 15% 0% 3% Oct 14% 35% 6% 43% 73% 9% 1% 3% Nov 16% 40% 6% 42% 68% 7% 0% 2% Dec 15% 34% 6% 41% 73% 7% 0% 2%
Jan-Dec 2016 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Re-Admit to Hosp. within 3 months of disc. Eye Exam within year Foot Screening within year Referral to Diabetic Clinic Rcent DKA Hospitalization HbA1c < 7 BP < 140/80 BMI < 30 January 35% 55% 41% 55% 65% 15% 3% 1% February 38% 65% 36% 47% 61% 16% 6% 1% March 38% 62% 33% 45% 49% 9% 0% 0% April 35% 67% 31% 45% 58% 13% 0% 0% May 40% 63% 37% 41% 40% 13% 1% 0% June 34% 64% 41% 43% 59% 14% 2% 0% July 39% 62% 37% 37% 47% 9% 4% 0% Aug 41% 65% 37% 30% 42% 14% 1% 5% Sept 37% 69% 33% 41% 49% 10% 1% 0% Oct 37% 61% 42% 39% 46% 11% 1% 2% Nov 34% 59% 39% 38% 61% 12% 1% 2% Dec 37% 59% 37% 33% 45% 12% 0% 3%
Outcomes HbA1c < 7 was the most improved metric There was good improvement in BP There was good improvement in BMI Eye exam data inconclusive due to some sites reporting referral for eye exam data vs completed eye exam data Referral to the diabetic clinic indicates a minimal declined in 2016 from 2015 DKA Hospitalization rate remains low, slight increase from 2015 Maintained the low re-admit within 3 months rate, relatively the same as 2015
Transitioning to OBESITY Focus For 2017
