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Diabetes: Management and Pharmacotherapy01:15

Diabetes: Management and Pharmacotherapy

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The nursing management of hypertension involves accurately assessing symptoms, making a comprehensive nursing diagnosis, collaborating with patients to set goals, and implementing targeted interventions to mitigate the condition's impact and improve patient well-being.Comprehensive AssessmentThe initial step in nursing care for hypertension involves a thorough patient assessment. It includes evaluating symptoms such as headaches, dizziness, blurred vision, and previous hypertension episodes.
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Evaluation of a diabetes management program using selected HEDIS measures.

Lourdes G Planas1, Kimberly M Crosby, Kevin C Farmer

  • 1College of Pharmacy, University of Oklahoma Health Sciences Center, Oklahoma City, USA.

Journal of the American Pharmacists Association : Japha
|December 11, 2012
PubMed
Summary

A community pharmacy diabetes management program significantly improved glycosylated hemoglobin (A1C) and blood pressure control in managed care enrollees. Participants were more likely to meet National Committee for Quality Assurance (NCQA)-Healthcare Effectiveness Data and Information Set (HEDIS) goals.

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Area of Science:

  • Pharmacology and Pharmacy Practice
  • Public Health and Epidemiology
  • Clinical Medicine

Background:

  • Diabetes mellitus and hypertension are prevalent chronic conditions requiring effective management.
  • Managed care organizations (MCOs) seek quality improvement initiatives to enhance patient outcomes.
  • Community pharmacy settings offer accessible platforms for patient care interventions.

Purpose of the Study:

  • To assess the effectiveness of a community-based, pharmacist-led diabetes management program.
  • To evaluate program outcomes using National Committee for Quality Assurance (NCQA)-Healthcare Effectiveness Data and Information Set (HEDIS) performance measures.
  • To determine the impact on key diabetes and hypertension control metrics.

Main Methods:

  • A randomized controlled trial was conducted in a regional community pharmacy chain.
  • Participants included 52 MCO enrollees with diabetes and hypertension.
  • The intervention involved a pharmacist-directed diabetes management program compared to standard care over 9 months.

Main Results:

  • Intervention participants achieved significantly higher rates of glycosylated hemoglobin (A1C) goal attainment (46.7% vs. 9.1%, P < 0.002).
  • Blood pressure control was also significantly improved in the intervention group (53.3% vs. 22.7%, P < 0.02).
  • The intervention group had 5.87 times greater odds of achieving a composite outcome of two out of three HEDIS goals.

Conclusions:

  • A community pharmacy-based diabetes management program effectively improved A1C and blood pressure control.
  • The program met NCQA-HEDIS performance standards for diabetes care.
  • Pharmacist-directed interventions in community settings can significantly enhance chronic disease management outcomes.