Coming soon: New ways to measure diabetes
At its 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:
— satisfaction with overall diabetes care;
— satisfaction 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;
— management of patients with gestational diabetes.
12. Diabetes screening:
— measure of pre-diabetes.
13. Preventing infectious diseases:
— influenza vaccine;
— pneumonia vaccine.
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