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Making Systems Changes for Better Diabetes CareMaking Systems Changes for Better Diabetes Care

Topic last updated Jan. 2006
In This Section
» Commitment and Incentives
» Identify Gaps
»  Establish Goals for Improvement
» Models for Chronic Care Improvement
 
- Chronic Care Model
- PDSA Cycle
- Enhanced Primary Care Model
» Assessment and Accountability
» Changes at Various Levels 
» Successful Quality Improvement Projects
» Resources

Note

Partners might include:

- Managed Care Organizations
- Quality Improvement Organizations
- Managed Care Organizations
- Health Care Purchasers
- State Health Department
- Medical Societiest
- Industry Groups
- Industry Chains
- Community Groups with a stake in Quality Improvement

How to Make Systems Changes
for Improved Care

Resources

Please note: Some links on this page take you outside the Better Diabetes Care website. The NDEP does not endorse or otherwise guarantee the accuracy of links that take you out of this website.

  1. Healthy People 2010
    Healthy People 2010 is the prevention agenda for the nation to achieve over the first decade of the new century. Created by scientists both inside and outside of Government, it identifies a wide range of public health priorities to address the most significant preventable threats to health and to establish national goals to reduce these threats. web.health.gov/healthypeople/default.htm

  2. Chronic Care Model from Improving Chronic Illness Care website. www.improvingchroniccare.org

  3. Clinical Practice Recommendations from the American Diabetes Association
    www.diabetes.org/for-health-professionals
    -and-scientists/cpr.jsp

    The American Diabetes Association (ADA) has been actively involved in the development and dissemination of diabetes care standards, guidelines, and related documents for many years.

    Position statements are an official point of view or belief of the ADA and are issued on scientific or medical issues related to diabetes. They are typically based on an accompanying technical review and are peer reviewed on an annual basis.

    Technical reviews provide a balanced review and analysis of the literature on a scientific or medical topic related to diabetes mellitus. The technical review provides a scientific rationale for a position statement and undergoes peer review before approval.

    Consensus statements provide a comprehensive examination by a panel of experts (i.e., consensus panel) of a scientific or medical issue related to diabetes mellitus. Once written by the panel, a consensus statement is not subject to subsequent review or approval and does not represent official Association opinion.

    Grading of scientific evidence. ADA has developed a classification system to grade the quality of scientific evidence supporting ADA recommendations.

  4. Institute for Health Improvement
    www.ihi.org

    The Institute for Healthcare Improvement (IHI) founded by Donald M. Berwick, MD, MPP, is a Boston-based, independent, non-profit organization working since 1991 to accelerate improvement in health care systems in the United States, Canada, and Europe by fostering collaboration, rather than competition, among health care organizations.

    IHI connects people and organizations that are committed to real health care reform and who believe they can accomplish more by working together than they can separately. Specific goals include:

    • Improved health status
    • Better clinical outcomes
    • Reduced costs that do not compromise quality
    • Greater access to care
    • An easier-to-use health care system
    • Improved satisfaction for patients and communities

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