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Diabetes Care Collaborative
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Background In 2015 CM Health Alliance approved 22 Diabetes Clinical Indicators, which were developed from the MoH diabetes quality standards, the HQSC Atlas of Healthcare Variation indicators and the Northern Region Diabetes Network indicators. Initial focus has been on developing population level reporting on 5 of these indicators, in order to understand the current state, monitor progress over time, and support improvement activities such as DCIC The 5 indicators are as follows: The Diabetes Care Improvement Collaborative is focusing on reducing the number of people with poorly controlled diabetes (Hba1c >75)
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Data Notes Overall data notes:
Data collected is July2014 – December2015 Where no relevant results such as HbA1c, Systolic BP and ACR were recorded, these patients were excluded from the numerator. These patients were included in the denominator of an indicator if they met the eligibility criteria. Data technical specification was built on the indicators attached to this paper East Health notes: My Practice and Profile data not included THO notes: Only contains patients enrolled at Oct-Dec 2016 ProCare notes: CVD event from September 2015 onwards only No Antihypertensive before September 2015 Alliance Health+ notes: No CVD event data No drugs data ACR only recorded for those with albuminuria ACE inhibitor only recorded for those with albuminuria Quarterly data only NHC notes: Data not used due to inconsistencies – accounts for 1.7% of diabetes data (based on 600 patients)
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People enrolled in CM Health practices regardless of domicile
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Locality Jul-2014 Aug-2014 Sep-2014 Oct-2014 Nov-2014 Dec-2014 Jan-2015 Feb-2015 Mar-2015 Apr-2015 May-2015 Jun-2015 Jul-2015 Aug-2015 Sep-2015 Oct-2015 Nov-2015 Dec-2015 Eastern Num 1469 1378 1432 1430 1424 1438 1589 1612 1592 1644 1654 1699 1743 1773 1781 1791 1811 1845 Denom 2362 2260 2337 2332 2344 2359 2590 2612 2567 2627 2638 2646 2644 2654 2669 2651 2668 2682 Franklin 989 981 976 973 975 969 984 829 1006 846 1022 1030 1012 1011 999 1016 1598 1587 1593 1596 1595 1577 1348 1600 1377 1611 1637 1628 1623 1662 1658 1656 Mangere/Otara 5272 4810 5232 4992 4923 4954 5170 5192 5251 5443 5493 5573 5860 5783 5855 5853 5753 9933 9088 9947 9593 9608 9636 9937 9948 9956 10156 10162 10171 10716 10723 10747 10945 10954 10962 Manukau 5250 5222 5209 5199 5091 5193 5300 5354 5359 5536 5532 5574 5660 5633 5658 5652 5772 5867 7997 8054 8072 8087 8154 8192 8176 8043 8276 8232 8285 8644 8633 8711 8795 9066 9117 CMDHB Num 12980 12391 12849 12594 12411 12560 13028 13142 13031 13629 13525 13868 14293 14201 14283 14307 14335 14588 CMDHB Denom 21890 20932 21931 21593 21635 21744 22296 22313 21914 22659 22409 22713 23641 23638 23750 24053 24346 24417
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7% increase in poorly controlled in 18 months
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