Hardin Co Regional Health Center. 3. Providers. Providers William Conway, MD, ABIM. Shadi M. Karabsheh, MD, ABIM. Howard W. Thomas, MD ... – PowerPoint PPT presentation
An additional 20 are currently at risk for developing DM
HCRHC serves the residents of three area shelter as well as the county jail
Population mix is 95 non-hispanic white, 4 African-American, and 1 Hispanic
5 HCRHCs Population
Providing primary care services to the residents of the area
Securing dental, mental, and specialty care for consumers of the center
Serving area veterans through a contract with the Memphis VAMC
Educating the community at large regarding health issues and information
6 Team Members
William Conway, MD, Clinical Director
Priscilla Stricklin, LPN
Cassie Ruddle, MT
Sherry Davison, MT
Jo Jones, FNP
Y. T. Janie McGinley, Executive Director
Lisa Davis, IT
7 AIM Statement
HCRHC will redesign its system to teach patients independently how to self-manage the chronic condition of diabetes. We will accomplish this through the implementation of the Chronic Care Model. This will be determined by the following measures
We will help patients sustain targets within limits of disease progression and treatment availability.
8 AIM Statement, Cont.
An average of HgbA1c less than 7.0.
At least 90 of our patients receiving at least two (2) HgbA1c three (3) months apart within one year.
At least 70 of our patients having documented self-management goals.
At least 70 of our patients having a BP lt130/80.
At least 70 having an LDL lt100.
9 Population of Focus (POF)
HCRHC began tracking patients in 2004
HCRHC will begin the collaborative with the patients already in Dr. Conways diabetes practice at the East End site.
This population will be expanded to include any new patients with the diagnosis of diabetes and any established patients with new onset of diabetes.
10 Diabetes Key Measures 11 Registry
Original group already being tracked in a database consisting of 287 patients with diabetes.
This data will be imported into PECS
PCs in every exam room will make data entry as convenient as possible
12 Key Partnerships
Pharmaceutical Companies
Some companies have already contributed funds for educational materials.
Primary Care Association
Technical and financial support is being given to collaborative participants
Local Hospital
Discounts on necessary lab tests are being provided
13 Key Partnerships, Cont.
Local Government
Use of public facilities for training, education, and activities.
Media
Local TV station is sponsoring hour long educational programming regarding diabetes and related health issues.
14 Pictures of Success First Group August 2004 15 Results