RHP – 15 Diabetes Learning Collaborative Meeting

1. RHP – 15 Diabetes Learning CollaborativeMeeting August 28, 2014

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

3. 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)

4. 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

5. 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

6. Texas Tech

7. Texas Tech – August Data

8. 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)

9. Texas Tech – ProgressComparison Graph

10. 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 Improvement Methodology

11. PDSA Pal Home

12. Retinol Eye Exam

13. Texas Tech

14. University Medical Center Neighborhood Clinic Ysleta Primary Care Medical Home

15. 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

17. UMC Ysleta – ProgressComparison Graph

19. RHP – 15 Diabetes Learning Collaborative THANK YOU!!