Transcript Slide 1

Improved performance of the
Diabetes LDL control measure
Dr Stuart V Demirs MD
Definition
• DM LDL testing- number of active patients
with Diabetes, aged 18-75 years who had
a resulted LDL value during the
measurement year
• DM LDL Control- Number of active
patients with diabetes, aged 18-75 whose
most recent LDL measurement is less
than 100 during the measurement year
Multi-step process to obtain data
• Conversation with patient upon diagnosis
of diabetes
• Medication perscribed on second or third
visit
• Need patient to “buy in” to taking
cholesterol lowering medications
• Ensure compliance with medications and
diet- referral to Nurse Care Manager
Entering Data in correct fields
• Polaris “ EPI Chart” data is entered in
preventive care tab
• Data was “scrubbed” (some patients were
not actually diabetic or were no longer our
patients)
• LDL result received from South County
Hospital lab has to be manually entered in
preventive care tab
Role of Nurse Practitioner
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Education of patients
Awareness of CSI measures
Entering data in preventive care
Team approach awareness of CSI
measures in treating chronic disease
• Entering data in preventive care
• Team approach
Role of Nurse Care Manager
• Referral for diabetes education
• Reinforcement of diet and medication
compliance
• Communication with physician and nurse
practitioner when lab work is due or
medications change. Assist in
communication with outside
endocrinologists and obtaining lab results
from outside labs
LDL measure awareness
• Discussion of measures at monthly CSI
meetings
• The presence of the measure has
prompted us better educate and treat our
patients with Diabetes and other chronic
diseases
• Monthly discussions reinforce entering of
the data into the proper fields
Conclusion
• Compliance with the LDL measure is a
multi-step process, and often takes a few
visits to convince the patients to comply
with their medications
• A team approach to care and awareness
of entering data into the proper fields has
helped us to improve our data for the LDL
control measure of diabetes