Care Management Medical Home Center Model: Preliminary Results of a Patient-Centered Approach to Improving Care Quality for Diabetic Patients

This article presents preliminary findings of the impact of an innovative care management model for diabetic patients. The model was implemented by seven Federally Qualified Health Centers serving 10,000 diabetic patients in Miami-Dade County. A primary intervention of this model is a centralized ca...

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Bibliographic Details
Published in:Health promotion practice 2015-07, Vol.16 (4), p.609-616
Main Authors: Page, Timothy F., Amofah, St. Anthony, McCann, Shelia, Rivo, Julie, Varghese, Asha, James, Terisa, Rivo, Marc, Williams, Mark L.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Care coordinators
Clinical information
Community Health Centers
Compliance
Cooperative Behavior
Coordinators
Diabetes
Diabetes Management
Diabetes Mellitus - blood
Diabetes Mellitus - therapy
Female
Florida
Health Behavior
Health care management
Health facilities
Health Promotion - methods
Humans
Male
Middle Aged
Organizational Innovation
Outcome Assessment (Health Care)
Patient Care Management - methods
Patient Compliance - statistics & numerical data
Patient-Centered Care - methods
Patient-Centered Care - organization & administration
Patients
Physicians
Preventive medicine
Program Evaluation
Quality of Health Care
Registries
Selfmanagement
Teams
Telephone
Young Adult
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Summary:This article presents preliminary findings of the impact of an innovative care management model for diabetic patients. The model was implemented by seven Federally Qualified Health Centers serving 10,000 diabetic patients in Miami-Dade County. A primary intervention of this model is a centralized care management team that makes previsit phone calls to diabetic patients who have scheduled appointments. These previsit phone calls optimize patient knowledge and self-management goals, and provide patient care coordinators with relevant clinical information to optimize the office visit and help to ensure completion of recommended diabetic preventive and chronic care services. Data suggest that following the implementation of this care management model, more diabetic patients are receiving regular care, and compliance with recommended tests and screenings has improved.
ISSN:1524-8399
1552-6372
DOI:10.1177/1524839914565021