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Question:
Imagine you are working in an outpatient specialty office. Your nursing director has informed you that due to "accountable care" your office might be penalized by having too many diabetic patients that are above the hemoglobin A1C (HBA1C) goal of 8.
The national benchmark is that only 20% of your population should be above 8 and your office shows 40%. Your physicians have also been informed by their management of the same issue.
Develop a plan using enhanced communications with patients to reach the benchmark goal. What might you do if you had the resources to accomplish this?
You should consider all the technology you might be able to use such as a patient portal, wireless home monitor, texting, and secure messaging for example.
Verified Expert
There has been steady improvement in the proportion of patients with diabetes treated with statins and achieving recommended levels of A1C, blood pressure, and LDL cholesterol in the last 10 years. Nevertheless, 33–49% of patients still do not meet targets for glycemic, blood pressure, or cholesterol control, and only 14% meet targets for all three measures and nonsmoking status. However, a major barrier to optimal care is a delivery system that is often fragmented, lacks clinical information capabilities, duplicates services, and is poorly designed for the coordinated delivery of chronic care. This paper is written in Microsoft Word Document File.
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