Diabetes /care in Grampian

Slides:



Advertisements
Similar presentations
Management of Diabetes Treat to Target Approach (A1c
Advertisements

Non-diabetes 64.7% Diabetes 35.3% Diagnosed diabetes 5.6% Pre-diabetes 26.0% Undiagnosed diabetes 2.8% Age-adjusted diabetes prevalence among Alaska adults,
SUPPORTING PRIMARY CARE TO ACHIEVE TARGETS. What targets? 1.9 care processes 2.3 health targets (HbA1c, blood pressure, cholesterol) AND IMPORTANTLY Quality.
Home Blood Glucose Monitoring Why, When & How Julie Freeland Hilary Yule.
Kotseva K, et al. Eur J Cardiovasc Prev Rehabil 2009 Mar 12 [Epub]
What does the HbA1c method have to do with the price of grapes? Well, until recently, there was no standard against which different methods could be calibrated,
Keep Well Evidence from the Keep Well programme in NHS Grampian – 2008 to 2014 Jackie Fleming Keep Well Information Analyst.
Comprehensive Diabetes Care. Comprehensive Diabetes Care: HbA1c Testing (Commercial) Source: National Committee for Quality Assurance, The State of Health.
MN Community Measurement Jim Chase Executive Director February 14, 2007
Grampian guidelines 2009 Grampian MCN meeting 27 th May 2009 Donald Pearson Consultant Diabetologist NHS Grampian Lead Clinician for Diabetes in Scotland.
Cardiac MCN April 2007 Tackling Health Inequalities: Keep Well Programme.
How can Information Technology Assist in looking after people with Diabetes? Dr Sam Philip & Leah McCauley Diabetes Centre Woolmanhill Aberdeen.
Helen Thornton on behalf of the RCPCH NPDA Clinical Nurse Specialist for Children & Young People with Diabetes St Helens & Knowsley Teaching NHS Trust.
Diabetes Aspects of the Local Enhanced Service Dr Mark Barrett Dr Jeremy Sandford Dr Aythen Elkindi.
Electronic patient record since SDC Quality of Care Data 2009 – 2011 for Type 1 Diabetes NCQA indicatorGoal HbA1c > 9,0 %≤ 15%
Date of download: 6/21/2016 Copyright © The American College of Cardiology. All rights reserved. From: The Effectiveness of Pharmacist Interventions on.
ABERDEEN CITY DR ALASDAIR JAMIESON Clinical Lead City CHP Diabetes Full time Partner Kincorth/Cove HC.
Lambeth Diabetes update
What can you do to help yourself?
Diabetes Clinical Audit- July/Aug 2014
Building a Collaborative Community for Population Health Management
NDA – THE LATEST DATA Prof Roger Gadsby MBE FRCGP Honorary Associate Clinical Professor , WMS GP Clinical Lead National Diabetes Audit.
From: The Implications of Regional Variations in Medicare Spending
Chronic Disease Under Control: Diabetes and Hypertension
Nearly a Quarter of Underinsured Adults with Health Problems Skimped on Medications or Got Care in a Hospital or Emergency Department Percent adults ages.
NDCCG National Diabetes Audit Results
SCI-Diabetes and My Diabetes My Way: A Primary Care Focus
Copyright © 2015 by the American Osteopathic Association.
Copyright © 2015 by the American Osteopathic Association.
Copyright © 2012 American Medical Association. All rights reserved.
Data Alignment C - B State Data Systems “Quick Survey” Results
Figure 1: Map of Aberdeenshire (with Fraserburgh circled)
Fair/poor health status or any chronic condition**
NEW LOOK.
The National Paediatric Diabetes Audit North West 2014
Goals. Achieving HbA1c Goals: Applying Guidelines to Intensify Therapy in Patients With Diabetes.
Figure 5 Risk factor control in the intensive treatment group
The risk of DR progression as related to mean HbA1c during DCCT
Percent adults ages 19–64 with a health problem or condition^
Paramount Care Aberdeen Ltd Making every Opportunity Count Welcome!
The means and SDs of the data from all Glucommander runs from 1984 to 1998 are graphed. The means and SDs of the data from all Glucommander runs from 1984.
Chart 6.8: Percent of Total Regional Employment(1) by Hospitals, 2014
Figure 1: Map of Aberdeenshire (with Fraserburgh circled)
Two of Five Insured Adults with Incomes Below the Federal Poverty Level Spent 5 Percent or More of Their Income on Medical Out-of-Pocket Costs Percent.
Lambeth Diabetes update
Progression of diabetic nephropathy
Reasons patients were excluded from the switch from atorvastatin to simvastatin J. A. Usher-Smith, et al. Int J Clin Pract 2007; 61:15–23.
Respondents’ perceptions on (A) the potential of IDegLira compared with basal-bolus therapy to improve patient motivation to reach their target blood glucose.
University of Edinburgh
The future of household waste
In association with HORNET Quality and Safety in Healthcare
Adults ages 19–64 with individual coverage
(A) Rate of achieving targets for glycated hemoglobin (HbA1c), blood pressure (BP), and lipids in all subjects and (B) prevalence of nephropathy, retinopathy,
Kotseva K, et al. Lancet 2009;373:929-40
Chronic Disease Under Control: Managed Care Plan Distribution, 2006
Glenn Roberts NESBReC Co-ordinator
2017/18 National Diabetes Audit Cambridgeshire and Peterborough CCG local summary Public Health Intelligence, Cambridgeshire and Peterborough : April 2019.
Gold Bar Performance Data CA Office of the Patient Advocate Report
Figure 9. Americans’ Overall Views of the U. S
Making Aberdeenshire More Active
Gold Bar Performance Data CA Office of the Patient Advocate Report
Percentage of patients with type 2 diabetes with A1C < 7% (n = 248), blood pressure > 130/80 mmHg (n = 248), and LDL cholesterol < 100 mg/dl (n = 207)
Associations of body mass index (BMI) levels with achieving targets for glycated hemoglobin (HbA1c), blood pressure (BP), and lipids in the upper panels.
Gold Bar Performance Data CA Office of the Patient Advocate Report
Number of antihypertensive agents prescribed for known nephropaths in phases I and II (▪), with blood pressure recordings falling outside guidelines, compared.
ROC curves for cardiovascular events, all-cause mortality, and disease progression. ROC curves for cardiovascular events, all-cause mortality, and disease.
Alison Hannan Public Health Practitioner – Advanced
Changes of major clinical and biochemical characteristics at baseline and during follow-up in different groups. Changes of major clinical and biochemical.
Adjusted HRs for death from any cause and death from specific causes among patients with type 1 diabetes. Adjusted HRs for death from any cause and death.
On Your Feet! Charm Daley.
Presentation transcript:

Diabetes /care in Grampian

Combined Targets Year Patients reaching target for HbA1c (<7.5%) Patients reaching target for blood pressure (<=140) Patients reaching target for cholesterol (<=5) 2008 52.7% 71.7% 78.0% 2007 50.7% 68.8% 77.3% 2006 50.9% 69.8% 2005 48.9% 66.6% 74.9% Source – Scottish Diabetes Survey (the above figures exclude patients who have had no reading recorded).

Comparison of HbA1c Across The Regions 2007-2008 Average HbA1c (2008) Average HbA1c (2007) Aberdeen North 7.8% 7.9% Aberdeen Central 8.0% 8.1% Aberdeen South Aberdeenshire North Aberdeenshire Central Aberdeenshire South 7.7% Moray NHS Grampian Totals

Blood Pressure Results <140 Across The Regions 2007-2008 % Of Patients With Blood Pressure <140 (2008) % Of Patients With Blood Pressure <140 (2007) Aberdeen North 69.6% 64.2% Aberdeen Central 58.5% 63.0% Aberdeen South 62.1% Aberdeenshire North 60.2% 58.6% Aberdeenshire Central 61.6% 60.3% Aberdeenshire South 52.3% Moray 58.3% NHS Grampian Totals 61.5% 59.3%

Cholesterol <=5 Results Across The Regions 2007-2008 % Of Patients In Region With Cholesterol <=5 (2008) % Of Patients In Region With Cholesterol <=5 (2007) Aberdeen North 71.1% 67.0% Aberdeen Central 61.1% 62.6% Aberdeen South 68.0% 68.8% Aberdeenshire North 68.3% 62.4% Aberdeenshire Central 72.5% 72.6% Aberdeenshire South 71.0% 71.2% Moray 70.3% 65.5% NHS Grampian Totals 69.1% 67.3%