Needs and Priorities for Systems Change
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»	Program Assessment Tools
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Introduction to the Better Diabetes Care Website
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Framework for Making Systems Changes

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Evidence-Based Decision-Making

-	Examples of Rating System
-	Numeric Presentation
-	Sources of Evidence-Based Decision-Making
-	Resources

Information Systems

-	Starting a Registry
-	Essential Functions
-	Resources
-	Examples

How to Make Systems Changes for Improved Care

Main Overview Page

»	Resources
»	References

What We Want to Achieve through Systems Changes

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Patient-Centered Care

-	Dimensions
-	Patient Education & Motivation
-	Factors
-	Education Examples
-	How to
-	Health Insurance Coverage
-	Resources

Clinical Management

Team Care

-	Defining the Team
-	Steps
-	Advantages

Community Partnerships

-	Steps
-	Education Examples
-	Resources

Addressing Issues

Main Overview Page

Aligning Payment Policies with Care

-	Barriers & Insurance
-	Fixing the Quality Care Problem
-	Incentives and Opportunities
-	Examples
-	Resources

Improving Cultural Competency

Professional Training

-	Concepts
-	Levels
-	Barriers
-	Resistance to Change
-	Effective Examples
-	Reources

Evaluation of Progress and Effects of Change
Main Overview Page
»	Principles for Using Data to Support Clinical Improvement
»	Outcome and Process Measures
»	Differences Between Quality Improvement and Clinical Research Data
»	Resources

Toolbox
Main Overview Page
»	Behavior Change Resource on the NDEP website
»	Clinical Practice Recommendations
»	Risk Assessment
»	Assessing Need for Quality Improvement
»	Algorithms
»	Diabetes Prevention
»	Patient Education Materials
»	Patient Education Programs
»	Management Support Tools
»	Computer Registries
»	Data Abstraction Tools
»	Cost of Diabetes Assessment Tools
»	Other Tool-Related Resources

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Making Systems Changes for Better Diabetes Care

Topic Last updated Mar. 2011

In This Section

»	Principles for Using Data to Support Clinical Improvement
»	Outcome and Process Measures
»	Differences Between Quality Improvement and Clinical Research Data
»	Resources

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Evaluation of the Process
and Effects of Change

Overview

Improvement and measurement are intertwined. Having a reliable system for measuring change and evaluating the outcome of the change is essential.

Why Measure Change?

Changes in practice lead to changes in results. Clinical practices find that data can be used to improve medical practice performance, particularly if measurement is embedded into the flow of daily work in the practice. These data can help health care professionals to:

Diagnose strengths and weaknesses in practice performance
Make improvement and innovations in services
Manage patients' needs more effectively
Evaluate changes in results over time

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Evaluation of the Process and Effects of Change

Overview

Why Measure Change?

Evaluation of the Process
and Effects of Change