Improving Quality of Care Using a Diabetes Registry and Disease Management Services in an Integrated Delivery Network

Abstract

Disease management for chronic conditions is a call for collaboration among all parties of the health care system. The Caritas Christi Health Care System established a unified American Diabetes Association (ADA) recognized outpatient diabetes self-management education program (DSME) in each of its six hospital communities and has established an Internet data portal with managed care organizations to improve preventive care for thousands of patients with diabetes. This article describes the stepwise process of building the successful Caritas Diabetes Care Program and the central role of the Caritas Diabetes Registry over a 5-year period.

The economic consequences of diabetes and cardiovascular disease in the United States

“…At an institutional level, development of a registrydatabase of patients with diabetes and other comorbid conditions can allow providers to identify gaps in care and develop quality improvement and practice change measures [99][100][101].…”

Structured primary care for type 2 diabetes has positive effects on clinical outcomes

“…Attempts have been made to organize care in such a way that it can achieve the high demands of diabetes care, using various care models and interventions. Many of these care models have focused on one or two main aspects, such as patient education, changes in cooperation or training of health care professional [5–7]. Effective approaches for chronic diseases have often been multifaceted, involving different combinations of various types of education for the health care professionals, registration systems, organizational changes, doctor feedback and patient education and support [3,8,9].…”

Implementation and Early Impacts of an Integrated Care Pilot Program in China: Case Study of County-level Integrated Health Organizations in Zhejiang Province

“…From the perspective of IDS evaluation, emphasis is mainly placed on its role in reducing costs and improving quality of care [24,25]. There is much evidence on the positive effects of IDS on care quality and service effectiveness [26,27] not only in specific disease groups but also on disease prevention [28]. It would be worthwhile for future research to analyze the influence of CIHOs on the costs, quality, and experience of care over the following years.…”