Diabetes Quality Improvement Project in a Nurse Practitioner Led Safety Net Clinic Utilizing the Chronic Care Model
Abstract
ABSTRACT
Purpose: The purpose of this quality improvement (QI) project was to create a sustainable QI program for type 2 diabetes utilizing the Chronic Care Model (CCM) in a small nurse practitioner led safety net clinic. The Health Resource Service Administration (HRSA) Health Disparity Collaboratives (HDCs) measure and goals provided the benchmark for goal setting. Data Sources: Retrospective ambulatory care clinic medical records of patients with ICD 9 coding of type 2 diabetes for a four-month period and on-going chart reviews from type two diabetics for three one-month follow-up periods. Conclusions: All processes of care measurements improved from retrospective data to each one-month follow-up measurement. Outcome measures demonstrated an upward trend for each one-month follow-up period and are part of the ongoing QI process. Implications for practice: Gradual transformation of a small nurse practitioner led safety net clinic utilizing the components of the CCM was accomplished as measured by improvement in process measures for patients with type 2 diabetes and the ongoing quality improvement program. Utilizing a multifaceted approach to improve processes and outcomes of care, nurse practitioners providing care in safety net clinics are well prepared to provide for the complex needs of patients with diabetes.
Purpose: The purpose of this quality improvement (QI) project was to create a sustainable QI program for type 2 diabetes utilizing the Chronic Care Model (CCM) in a small nurse practitioner led safety net clinic. The Health Resource Service Administration (HRSA) Health Disparity Collaboratives (HDCs) measure and goals provided the benchmark for goal setting. Data Sources: Retrospective ambulatory care clinic medical records of patients with ICD 9 coding of type 2 diabetes for a four-month period and on-going chart reviews from type two diabetics for three one-month follow-up periods. Conclusions: All processes of care measurements improved from retrospective data to each one-month follow-up measurement. Outcome measures demonstrated an upward trend for each one-month follow-up period and are part of the ongoing QI process. Implications for practice: Gradual transformation of a small nurse practitioner led safety net clinic utilizing the components of the CCM was accomplished as measured by improvement in process measures for patients with type 2 diabetes and the ongoing quality improvement program. Utilizing a multifaceted approach to improve processes and outcomes of care, nurse practitioners providing care in safety net clinics are well prepared to provide for the complex needs of patients with diabetes.