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Diabetes self-management education program for Medicaid recipients: a continuous quality improvement process
Appathurai Balamurugan1,2, Robert Ohsfeldt3, Tom Hughes4
1The Arkansas Department of Health and Human Services, Little Rock (Dr Balamurugan)
The Diabetes Educator
|November 15, 2006
Summary
Diabetes self-management education (DSME) for Medicaid recipients improved health outcomes and reduced healthcare utilization. This program shows potential for long-term cost savings and disease event reduction.
Area of Science:
- Public Health
- Health Services Research
- Diabetes Management
Background:
- Diabetes self-management education (DSME) is crucial for effective diabetes care.
- Quality improvement processes guide the development and evaluation of DSME programs.
Purpose of the Study:
- To assess the effectiveness of a DSME program for Medicaid recipients.
- To identify improvements in health outcomes and healthcare utilization.
Main Methods:
- A DSME program included a 1-hour individual assessment and 12 hours of group education.
- 212 Arkansas Medicaid recipients participated over 1 year, with clinical measures assessed.
- Multivariate analyses controlled for demographic and pre-period health utilization factors.
Main Results:
- Mean HbA1c declined by 0.45% in program completers.
- DSME participants showed reduced hospital admissions, emergency department visits, and outpatient visits.
- Projected cost savings of $415 per completer over 3 years; reduced cardiovascular and microvascular events over 10 years.
Conclusions:
- DSME programs for Medicaid recipients effectively reduce healthcare use within 1 year.
- These programs are likely to decrease long-term healthcare costs.
- Sustainability of the DSME program is being explored.
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