RHP – 15 Diabetes Learning Collaborative Meeting August 28, 2014

What is a Collaborative To work with another or others on a joint project. (World English Dictionary)

What is a Learning Collaborative An educational approach that involves groups of learners working together to solve a problem, complete a task, or create a product. (Curtin University)

GOALS A1C – every 3 months Blood Pressure – every 3 months Weight (BMI) every 3 months Physician / Clinic visit – every 3 months Foot exam – annually Eye exam – annually

STANDARDS ESTABLISHED A1C – less or equal to 7.0 Blood pressure – 130/80 (normal range) BMI – 24.90 - Below 18.5 – Underweight - 18.5 – 24.90 = Normal - 25.0 – 29.9 – Overweight - 30.0 – above - Obese STANDARDS ESTABLISHED

Texas Tech

Texas Tech – August Data Intial Date Last Seen (Days) (<365) HBA1c ( <9) Weight BMI (<30) Blood Pressure Systolic (<140) Blood Pressure Diastolic (<80) Eye Exam within year Yes/No (Date) Days Since Last Eye Exam (<365) Foot Exam within year Yes/No (Date) Days Since Last Foot Exam (<365) Recent Diabetes or DKA Related Hospitalization? Age Gender 10/8/2013 317 6.6 161.00 33.77 134.00 68.00 02-May-13 473 05-Mar-13 530   73 M 3/10/2014 165 9.4 149.00 22.74 110.00 66.00 15-May-13 460 57 F 2/13/2014 192 7.4 190.00 36.63 125.00 64.00 27-Aug-13 358 70 2/19/2013 546 7.1 151.80 24.40 115.00 72.00 4/14/2014 131 211.00 35.24 129.00 75.00 14-Jan-14 221 58 3/27/2013 508 8.5 212.00 35.41 117.00 60.00 27-Mar-12 66 2/13/2013 552 12.9 233.00 38.91 145.00 96.00 48 5/30/2014 85 8.2 156.00 26.87 67.00 60 3/14/2014 161 6.4 216.00 39.02 204.00 93.00 14-Mar-14 68 9/20/2013 335 183.00 38.39 127.00 62.00 28-Oct-12 4/2/2013 503 163.25 29.97 128.00 55 6/23/2014 62 9.8 191.00 29.15 71.00 03-Jun-14 12/11/2013 254 11.6 228.00 35.84 121.00 69.00 16-May-14 99 24 5/16/2014 9.0 177.00 29.56 78.00 09-Oct-12 2/12/2014 193 7.0 208.00 37.57 74.00 20-Dec-12 605 5/28/2014 87 6.1 211.80 36.49 113.00 65.00 28-May-14 51 2/25/2014 180 206.00 34.14 119.00 31-Jul-14 25 23-Jul-14 32 67 260.00 43.42 185.00 94.00 19-Feb-14 186 53 10/2/2012 683 6.9 325.00 45.49 65 9.5 34.98 116.00 51.00 11-Mar-14 164 59 3/25/2014 150 8.4 213.00 36.69 187.00 20-Sep-13 7/15/2013 400 249.00 40.95 30-Jul-14 75 4/30/2014 115 6.5 154.40 28.34 126.00 18-Jul-14 37 72 4/21/2014 124 13.8 160.00 28.90 21-Apr-14 1/10/2014 225 133.20 27.94 86.00 02-Sep-13 353 22-Aug-14 3 30 7.8 196.8 34.0 131.4 72.2 253.8 210.1 59.4 IN-COMPLIANCE 64% 36% 84% 8% 52% 96% 48%

Texas Tech – Patient Profile 25 Random Patients diagnosed with Diabetes 2 or more visits to our clinic within the past 24 months 48% Male 52% Female 4% (1/25) had a recent hospitalization due to Diabetes Many blanks (unreported fields)

Texas Tech – Progress Comparison Graph

Improvement Methodology This learning collaborative will utilize the PDSA method for process improvement. Each participating clinical team had agreed to openly share patient data for sample of patients being seen at their practice. Each team will conduct chart audits. Plan Do Study Act

PDSA Pal Home

Retinol Eye Exam

Texas Tech

University Medical Center Neighborhood Clinic Ysleta Primary Care Medical Home

Project Option 2.1.1 Reorganize into Teams to provide care NHC will obtain Medical Home Certification Improve quality care for Fabens, Ysleta, East & West First visit achieved in less than 60 days

UMC Ysleta – Progress Comparison Graph

RHP – 15 Diabetes Learning Collaborative THANK YOU!!