Impact of clinical complexity on the quality of diabetes care

American Journal of Managed Care

Volumn 18, Issue 9, 2012, Pages 508-514

  Woodard, LeChauncy D ^a,b   Landrum, Cassie R ^a   Urech, Tracy H ^a   Wang, Degang ^a,b   Virani, Salim S ^a,b   Petersen, Laura A ^a,b  

^a MICHAEL E DEBAKEY VETERANS AFFAIRS MEDICAL CENTER   (United States)

^b BAYLOR COLLEGE OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

HEMOGLOBIN A1C; LOW DENSITY LIPOPROTEIN CHOLESTEROL;

ADULT; ARTICLE; BLOOD PRESSURE REGULATION; CHRONIC DISEASE; COMORBIDITY; DIABETES MELLITUS; DIABETIC PATIENT; HEALTH CARE QUALITY; HUMAN; MAJOR CLINICAL STUDY; PATIENT CARE; PRIMARY MEDICAL CARE; PRIORITY JOURNAL;

BLOOD PRESSURE; COMORBIDITY; CONFIDENCE INTERVALS; DIABETES MELLITUS; FEMALE; HOSPITALS, VETERANS; HUMANS; LIPIDS; MALE; MIDDLE AGED; ODDS RATIO; PRIMARY HEALTH CARE; PROBLEM SOLVING; QUALITY OF HEALTH CARE; RISK; UNITED STATES;

EID: 84869229442     PISSN: 10880224     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (41)

1. Wolff JL, Starfield B, Anderson G. Prevalence, expenditures, and complications of multiple chronic conditions in the elderly. Arch Intern Med. 2002;162(20):2269-2276. (Pubitemid 35332510)
2. Kerr EA, Heisler M, Krein SL, et al. Beyond comorbidity counts: how do comorbidity type and severity influence patients' treatment priorities and self-management? J Gen Intern Med. 2007:22(12):1635-1640. (Pubitemid 350160334)
3. American Diabetes Association. Standards of medical care in diabetes-2010 [published correction appears in Diabetes Care. 2010;33(3):692]. Diabetes Care. 2010;33(1):S11-S61.
4. Beaton SJ, Nag SS, Gunter MJ, Gleeson JM, Sajjan SS, Alexander CM. Adequacy of glycemic, lipid, and blood pressure management for patients with diabetes in a managed care setting. Diabetes Care. 2004;27(3):694-698. (Pubitemid 38280535)
5. Kendall DM, Bergenstral RM. Comprehensive management of patients with type 2 diabetes: establishing priorities of care. Am J Manag Care. 2001;7(suppl):S327-S343. (Pubitemid 32791478)
6. Jackson GL, Edelman D, Weinberger M. Simultaneous control of intermediate diabetes outcomes among Veterans Affairs primary care patients. J Gen Intern Med. 2006;21(10):1050-1056. (Pubitemid 44337734)
7. McFarlane SI, Jacober SJ, Winer N, et al. Control of cardiovascular risk factors in patients with diabetes and hypertension at urban academic medical centers. Diabetes Care. 2002;25(4):718-723. (Pubitemid 41071193)
8. Solberg LI, Asche SE, Pawlson G, Scholle SH, Shih SC. Practice systems are associated with high-quality care for diabetes. Am J Manag Care. 2008;14(2):85-92. (Pubitemid 351312091)
9. Weber V, Blood F, Plerdon S, Wood C. Employing the electronic health record to improve diabetes care: a multifaceted intervention in an integrated delivery system. J Gen Intern Med. 2007;23(4):379-382. (Pubitemid 351464865)
10. Harris MI. Health care and health status and outcomes for patients with type 2 diabetes. Diabetes Care. 2000;23(6):754-758. (Pubitemid 30414188)
11. Saydah SH, Fradkin J, Cowie CC. Poor control of risk factors for vascular disease among adults with previously diagnosed diabetes. JAMA. 2004;291(3):335-342. (Pubitemid 38101606)
12. Woodard LD, Urech T, Landrum CR, Wang D, Petersen LA. Impact of comorbidity type of measures of quality for diabetes care. Med Care. 2011;49(6):605-610.
13. Petersen LA, Woodard LD, Henderson LM, Urech TH, Pietz K. Will hypertension performance measures used for pay-for-performance programs penalize those who care for medically complex patients? Circulation. 2009;119(23):2978-2985.
14. Higashi T, Wenger NS, Adams JL, et al. Relationship between number of medical conditions and quality of care. N Engl J Med. 2007;356(24):2496-2504. (Pubitemid 46919775)
15. Min LC, Wenger NS, Fung C, et al. Multimorbidity is associated with better quality of care among vulnerable elders. Med Care. 2007;45(6):480-488.
16. Piette JD, Kerr EA. The impact of comorbid chronic conditions on diabetes care. Diabetes Care. 2006;29(3):725-731. (Pubitemid 44115387)
17. Tinetti ME, Bogardus ST, Agnostini JV. Potential pitfalls of diseasespecific guidelines for patients with multiple conditions. N Engl J Med. 2004;351(27):2870-2874.
18. Office of Quality and Performance. FY 2011 Q1 Clinical Measures Specification Manual, Volume 2. Washington DC: Veterans Health Administration. October 1, 2010.
19. Petersen LA, Pietz K, Woodard LD, Byrne M. Comparison of the predictive validity of diagnosis-based risk adjusters for clinical outcomes. Med Care. 2005;43(1):61-67. (Pubitemid 40137615)
20. Virani SS, Woodard LD, Chitwood SS, et al. Frequency and correlates of treatment intensification for elevated cholesterol levels in patients with cardiovascular disease. Am Heart J. 2011;162(4):725-732.
21. Raudenbush SW, Bryk AS. Hierarchical Linear Models: Applications and Data Analysis Methods Second Edition. Advanced Quantitative Techniques in the Social Sciences Series. Thousand Oaks, CA: Sage Publications Inc; 2002.
22. Kerr EA, Smith DM, Hogan MM, et al. Building a better quality measure: are some patients with "poor quality" actually getting good care? Med Care. 2003;41(10):1173-1182.
23. Selby JV, Uratsu CS, Fireman B, et al. Treatment intensification and risk factor control: toward more clinically relevant quality measures. Med Care. 2009;47(4):395-402.
24. Rodondi N, Peng T, Karter A, et al. Therapy modifications in response to poorly controlled hypertension, dyslipidemia, and diabetes mellitus. Ann Intern Med. 2006;144(7):475-484. (Pubitemid 46780670)
25. Woodard LD, Petersen LA. Improving the performance of performance measurement. J Gen Intern Med. 2010;25(2):104-109.
26. Fenton JJ, Von Korff M, Lin EH, Ciechanowski P, Young BA. Quality of preventive care for diabetes: effects of visit frequency and competing demands. Ann Fam Med. 2006;4(1):32-39. (Pubitemid 43243910)
27. Oregon Health Services Commission Office for Oregon Health Policy and Research Department of Human Services. Prioritization of health care services: a report to the Governor and the 75th Oregon Legislative Assembly. http://www.oregon.gov/OHPPR/HSC/docs/09HSCBiennialReport.pdf. Published 2009. Accessed July 1, 2011.
28. Kerr EA, Zikmund-Fisher BJ, Klamerus ML, Subramanian U, Hogan MM, Hofer T. The role of clinical uncertainty in treatment decisions for diabetic patients with uncontrolled blood pressure. Ann Intern Med. 2008;148(10):717-728.
29. Nutting PA, Baier M, Werner JJ, Cutter G, Conry C, Stewart L. Competing demands in the office visit: what influences mammography recommendations? J Am Board Fam Pract. 2001;14(5):352-361. (Pubitemid 33607162)
30. Parchman ML, Pugh JA, Romero RL, Bowers KW. Competing demands or clinical inertia: the case of elevated glycosylated hemoglobin. Ann Fam Med. 2007;5(3):196-201. (Pubitemid 46889995)
31. Bodenheimer T. Coordinating care-a perilous journey through the health care system. N Engl J Med. 2008;358(10):1064-1071.
32. Cabana MD, Rand CS, Powe NP, et al. Why don't physicians follow clinical practice guidelines? a framework for improvement. JAMA. 1999;282(15):1458-1465. (Pubitemid 29493800)
33. Nutting PA, Rost K, Smith J, Werner JJ, Elliot C. Competing demands from physical problems: effects on initiating and completing depression care over 6 months. Arch Fam Med. 2000;9(10):1059-1064. (Pubitemid 32014700)
34. Parchman ML, Zeber JE, Palmer RF. Participatory decision making, patient activation, medication adherence, and intermediate clinical outcomes in type 2 diabetes: a STARNet study. Ann Fam Med. 2010;8(5):410-417.
35. Boyd CM, Darer J, Boult C, Fried LP, Boult L, Wu AW. Clinical practice guidelines and quality of care for older patients with multiple comorbid diseases: implications for pay for performance. JAMA. 2005;294(6):716-724. (Pubitemid 41159291)
36. Bayliss EA, Edwards AE, Steiner JF, Main DS. Processes of care desired by elderly patients with multimorbidities. Fam Pract. 2008;25(4):287-293.
37. Fried TR, McGraw S, Agostini JV, Tinetti ME. Views of older persons with multiple morbidities on competing outcomes and clinical decision-making. J Am Geriatric Soc. 2008:56(10):1839-1844.
38. US Department of Veterans Affairs. Primary Care Program Office. Patient Aligned Care Teams (PACT). http://www.va.gov/PrimaryCare/pcmh/. Published 2011. Accessed July 1, 2011.
39. Jaén CR, Ferrer RL, Miller WL, et al. Patient outcomes at 26 months in the patient-centered medical home National Demonstration Project. Ann Fam Med. 2010;8(suppl 1):s57-s67; s92.
40. Wilson NJ, Kizer KW. The VA health care system: an unrecognized safety net. Health Affairs (Millwood). 1997;16(4):200-204. (Pubitemid 127464343)
41. Miller DR, Safford MM, Pogach LM. Who has diabetes? best estimates of diabetes prevalence in the Department of Veterans Affairs based on computerized patient data. Diabetes Care. 2004;27(suppl 2):B10-B21. (Pubitemid 38569259)