Della L Hughes-Carter1, Roberta E Hoebeke2. 1. College of Nursing, Michigan State University, East Lansing, MI. Electronic address: dellahc@msu.edu. 2. College of Nursing and Health Professions, University of Southern Indiana, Evansville, IN.
Abstract
PURPOSE: Screening rates for DKD in primary care are low, even though diabetes accounts for 44% of all new kidney disease cases. The purpose of this project was to determine if a primary care team for the underinsured improved screening and diagnosis of diabetic kidney disease (DKD) after initiating a quality improvement (QI) process. METHODS: A chart audit with feedback, provider education of clinical practice guidelines, and strategies from TeamSTEPPS™ were implemented with the inter-professional primary care team. RESULTS: Pre/post-intervention chart audit analysis showed the frequency of ordering microalbumin increased from 50.3% (n=148) to 75% (n=148), and diagnosing DKD rose from 3.3% (n=10) to 10.7% (n=21) over three months (P=.000). CONCLUSION: Implementing a QI process in underinsured primary care centers improved the compliance of proper screening and diagnosing DKD AND introduced inter-professional practice competencies and teamwork strategies not previously recognized at the centers.
PURPOSE: Screening rates for DKD in primary care are low, even though diabetes accounts for 44% of all new kidney disease cases. The purpose of this project was to determine if a primary care team for the underinsured improved screening and diagnosis of diabetic kidney disease (DKD) after initiating a quality improvement (QI) process. METHODS: A chart audit with feedback, provider education of clinical practice guidelines, and strategies from TeamSTEPPS™ were implemented with the inter-professional primary care team. RESULTS: Pre/post-intervention chart audit analysis showed the frequency of ordering microalbumin increased from 50.3% (n=148) to 75% (n=148), and diagnosing DKD rose from 3.3% (n=10) to 10.7% (n=21) over three months (P=.000). CONCLUSION: Implementing a QI process in underinsured primary care centers improved the compliance of proper screening and diagnosing DKD AND introduced inter-professional practice competencies and teamwork strategies not previously recognized at the centers.
Authors: Sharon Kam; Santiago Angaramo; Jacqueline Antoun; Manasa R Bhatta; Pauleatha Diggs Bonds; Adrian G Cadar; Valentine U Chukwuma; Patrick J Donegan; Zachary Feldman; Alan Z Grusky; Veerain K Gupta; Jeremy B Hatcher; Jaclyn Lee; Natalia G Morales; Erin N Vrana; Bronson C Wessinger; Michael Z Zhang; Michael J Fowler; Chase D Hendrickson Journal: BMJ Open Qual Date: 2022-01