Sharon A Watts1, Ajay Sood2. 1. For Sharon Watts-Office of Nursing Services Advisor for Metabolic Syndrome & Diabetes Field Advisory Committee, Louis Stokes Cleveland Veterans Affairs Hospital, Cleveland, OH 44106, USA. Electronic address: Sharon.Watts@va.gov. 2. Chief Endocrine Section, Louis Stokes Cleveland Veterans Affairs Hospital, Associate Professor Case Western Reserve University, Cleveland, OH 44106, USA.
Abstract
UNLABELLED: The purpose of this retrospective case-control review is to determine the effectiveness of a registered nurse case managers (RNCMs) certified diabetes educator (CDE) quality improvement case management program. RNCMs have a long tradition of providing chronic care intervention, particularly for the high-risk diabetes population with glycosylated hemoglobin (A1C) of 9% or more. However, limited data are available with regard to evaluation of such programs in a Veterans Health Administration population. RESULTS: A large population (N=3956) of high-risk veterans with a baseline A1C of 9% or more (mean=10.6%) was seen by the RNCM's. Paired T-tests of A1C after the last RNCM visit showed a statistically significant A1C reduction (p<0.001) (mean=8.5%), after 14-26 months of intervention. CONCLUSIONS: RNCMs clinical intervention demonstrated significant A1C reduction (~2%). This is an important finding for health care policy makers for planning interventions with respect to long-term management of diabetes mellitus. Published by Elsevier Inc.
UNLABELLED: The purpose of this retrospective case-control review is to determine the effectiveness of a registered nurse case managers (RNCMs) certified diabetes educator (CDE) quality improvement case management program. RNCMs have a long tradition of providing chronic care intervention, particularly for the high-risk diabetes population with glycosylated hemoglobin (A1C) of 9% or more. However, limited data are available with regard to evaluation of such programs in a Veterans Health Administration population. RESULTS: A large population (N=3956) of high-risk veterans with a baseline A1C of 9% or more (mean=10.6%) was seen by the RNCM's. Paired T-tests of A1C after the last RNCM visit showed a statistically significant A1C reduction (p<0.001) (mean=8.5%), after 14-26 months of intervention. CONCLUSIONS: RNCMs clinical intervention demonstrated significant A1C reduction (~2%). This is an important finding for health care policy makers for planning interventions with respect to long-term management of diabetes mellitus. Published by Elsevier Inc.
Entities:
Keywords:
Diabetes; Primary care; Registered nurse case management
Authors: Jennifer D Goldman; Jasvinder Gill; Tony Horn; Timothy Reid; Jodi Strong; William H Polonsky Journal: Diabetes Ther Date: 2018-09-14 Impact factor: 2.945