| |
The
Diabetes Information Resource Center
Coming
in March 2005
The California Diabetes
Program is creating and implementing a statewide Diabetes Information
Resource Center (DIRC).
DIRC will be a
quick and easy Web-based tool to find information, resources and materials
related to diabetes prevention and control. It will provide a forum for
creating an online learning community where California-based organizations
working with people at risk for or with diabetes can communicate,
share and exchange ideas with one another.
For more information
about DIRC, and to submit your organization's profile to the DIRC database,
please visit our web site or
contact Karen Black.
Upcoming
CQC Events
Diabetes
& Cardiovascular Care Collaborative
Learning Session 3
June 16-17, 2005 (tentative)
San Francisco
Outcomes Conference
September 2005
Los Angeles
Other Events
IHI
6th Annual International Summit on Redesigning the Clinical Office Practice
March 30 - April 1, 2005
Washington, DC
2005 CAPG Healthcare Conference
May 19 - 22, 2005
Rancho Mirage, CA
Resources
Low income patients can
receive 25%-40% discount on Rx Drugs
Together Rx Access helps eligible
participants save approximately 25%-40% on 275 brand-name prescription
drugs and other prescription products, as well as savings on a wide range
of generic drugs.
For specific income requirements
and additional information, please visit the Together
Rx Access web site.
Contact Information
California Quality Collaborative
Pacific Business Group on Health 221 Main Street, Suite 1500
San Francisco, CA 94105
Diane Stewart
CQC Diabetes & Cardiovascular Care Collaborative Director
415-615-6376
Kara
Cassidy
CQC Collaborative Coordinator
415-615-6307
CQC would like
to recognize the following organizations for their support:
|
|
 |
|
 Thirteen
Teams
Shoot
for
National
Benchmarks
The Diabetes & Cardiovascular
Care Collaborative launched in October 2004 with teams from 13
medical groups and IPAs joining to make breakthroughs in care for
their patients living with diabetes and cardiovascular disease.
As part of the collaborative,
teams report monthly on 5
core measures for patients with diabetes (DM) and coronary artery
disease (CAD). Goals for each measure are based on best reported
rates nationally.
Diabetes & Cardiovascular
Care Collaborative
Learning
Session 2
February 3-4, 2005
Collaborative teams shared successes
and frustrations working to improve care for their patients living with
diabetes and cardiovascular disease. Since meeting last October, teams
have tested many changes at both the medical group/IPA and the participating
physicians' offices. Such changes include: planned visits, group visits,
patient self-management goal setting, and depression assessment.
 Planned
Visits. A Planned Visit occurs when a patient is proactively
called into his physician's office to focus on aspects of care
that typically aren't delivered during an acute care visit. Visits
occur at regular intervals as determined by the patient and the provider.
Group Visits.
Group visits provide a physician's patients an opportunity to meet with
the physician for an extended period of time (often 60-90 minutes)
as a group. Here, patients learn about the illness and approaches to treat
their conditions. Many of the collaborative teams tried their first group
visits prior to Learning Session 2. Here's what they had to say:
- "It doesn't matter if the physician is a talking head, shy, disorganized;
group visits are magical, it always works."
- Medical Group staff
- "As soon as one patient mentions a problem, another answers with
a suggestion, like how to get a Glucometer for free from the insurer,
the physician and each other."
- Physician
- "I use my group visits for education, instead of yelling down
the hall as the patient is leaving after an office visit 'oh yeah, and
get some exercise!'"
- Nurse Practitioner
Learn more about Group Visits
from Hill Physicians Medical Group by clicking here.
Patient Goal Setting.
Through patient goal setting, physicians can help patients with
diabetes and cardiovascular disease better understand their illness and
how to manage it. Many teams in the collaborative experimented with encouraging
patients with behavior change by creating an Action Plan.
- "We have done action
plans with 12 patients. The response in terms of success with goals
is good, but several patients have lowered their sights a little from
the first expectation. All are VERY pleased with the follow-up
calls and the interest in their care that the calls mean. Several people
have indicated that the program has helped raise their awareness in
general for their care and they pay attention to some of the things
mentioned on the action plan sheet that they didn't choose."
- "When checking with patient on self-management goals, we instruct staff not to say 'Did you do it?' rather 'How is it going?'"
- Office Manager
Find resources and sample tools
at UCSF's action-plan.org.
Depression. Depression can interfere with the patient's ability to manage their disease. A physician can help her patients by recognizing depression and by having the proper tools to evaluate the severity. Several teams are experimenting with tools offered by The Macarthur Initiative on Depression & Primary Care. |
|
