Diabetes Care Moving Forward with New Measurements
At its most recent meeting in October 1997, the committee charged with making recommendations for the Diabetes Quality Improvement Project developed a list of potential measurement areas. According to the National Committee for Quality Assurance in Washington, DC, "The committee agreed that the list represented a comprehensive set of diabetes measurement areas." Measurement areas include:
1. Glucose control:
• glycohemoglobin (tests performed, results)
• self-monitoring of blood glucose
• discharge rates for acute metabolic events
2. Foot care:
• foot exams
• discharge rates for amputation
3. Eye care:
• retinal exams
• vision function
• blindness
4. Smoking/tobacco control:
• medical advice to quit smoking
• cessation rate
• prevalence rate
5. Lipid management/control:
• lipid profiles
• LDL control
• discharge rates for acute vascular events
6. Urinary protein monitoring:
• renal screening
• discharge rates for acute nephropathy events
7. Hypertension control:
• blood pressure control/management
• discharge rates for acute vascular events
8. Patient knowledge and behavior:
• self-management education
• medical nutrition therapy
• health education
9. Patient satisfaction:
• with overall diabetes care
• with access to diabetes care and providers
10. Functional status:
• maintenance of daily activities
• avoiding hospital stays
• coping with disease management
11. Diabetes in pregnancy:
• screening for gestational diabetes
• managing patients with gestational diabetes
12. Diabetes screening:
• measure of pre-diabetes
13. Preventing infectious diseases:
• influenza vaccine
• pneumonia vaccine
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