1. RHP – 15 Diabetes Learning Collaborative Meeting
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
– = Normal
– 29.9 – Overweight
– above - Obese
STANDARDS ESTABLISHED

6. Texas Tech

7. Texas Tech – August Data
Intial Date
Last Seen (Days) (<365)
HBA1c ( <9)
Weight
BMI (<30)
Blood Pressure Systolic (<140)
Blood Pressure Diastolic (<80)
Eye Exam within year Yes/No (Date)
Days Since Last Eye Exam (<365)
Foot Exam within year Yes/No (Date)
Days Since Last Foot Exam (<365)
Recent Diabetes or DKA Related Hospitalization?
Age
Gender
10/8/2013
317
6.6
161.00
33.77
134.00
68.00
02-May-13
473
05-Mar-13
530 73 M
3/10/2014
165
9.4
149.00
22.74
110.00
66.00
15-May-13
460 57 F
2/13/2014
192
7.4
190.00
36.63
125.00
64.00
27-Aug-13
358 70
2/19/2013
546
7.1
151.80
24.40
115.00
72.00
4/14/2014
131
211.00
35.24
129.00
75.00
14-Jan-14
221 58
3/27/2013
508
8.5
212.00
35.41
117.00
60.00
27-Mar-12 66
2/13/2013
552
12.9
233.00
38.91
145.00
96.00 48
5/30/2014 85
8.2
156.00
26.87
67.00 60
3/14/2014
161
6.4
216.00
39.02
204.00
93.00
14-Mar-14 68
9/20/2013
335
183.00
38.39
127.00
62.00
28-Oct-12
4/2/2013
503
163.25
29.97
128.00 55
6/23/2014 62
9.8
191.00
29.15
71.00
03-Jun-14
12/11/2013
254
11.6
228.00
35.84
121.00
69.00
16-May-14 99 24
5/16/2014
9.0
177.00
29.56
78.00
09-Oct-12
2/12/2014
193
7.0
208.00
37.57
74.00
20-Dec-12
605
5/28/2014 87
6.1
211.80
36.49
113.00
65.00
28-May-14 51
2/25/2014
180
206.00
34.14
119.00
31-Jul-14 25
23-Jul-14 32 67
260.00
43.42
185.00
94.00
19-Feb-14
186 53
10/2/2012
683
6.9
325.00
45.49 65
9.5
34.98
116.00
51.00
11-Mar-14
164 59
3/25/2014
150
8.4
213.00
36.69
187.00
20-Sep-13
7/15/2013
400
249.00
40.95
30-Jul-14 75
4/30/2014
115
6.5
154.40
28.34
126.00
18-Jul-14 37 72
4/21/2014
124
13.8
160.00
28.90
21-Apr-14
1/10/2014
225
133.20
27.94
86.00
02-Sep-13
353
22-Aug-14 3 30
7.8
196.8
34.0
131.4
72.2
253.8
210.1
59.4
IN-COMPLIANCE
64%
36%
84% 8%
52%
96%
48%

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 – Progress Comparison Graph

10. Improvement Methodology
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

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 – Progress Comparison Graph

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