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Diabetes On Track: Redesigning Diabetes Management in Rural Primary Care
Kristin L Pullyblank1, Leslie A Eiland2, Stephen M Mohring2
1Bassett Research Institute, Bassett Medical Center, Cooperstown, NY.
Summary
Diabetes On Track empowers rural clinics to improve diabetes care. Local clinics designed and implemented strategies, showing promising results in enhancing diabetes management within their communities.
Area of Science:
- Public Health
- Health Services Research
- Quality Improvement
Background:
- Diabetes poses a significant public health challenge, especially in rural areas.
- Existing diabetes care delivery systems often require local adaptation for effectiveness.
Purpose of the Study:
- To report on the protocol development and initial 18-month outcomes of the Diabetes On Track initiative.
- To describe a community-centered approach to improving diabetes care in rural settings.
Main Methods:
- A rapid-cycling quality improvement approach was employed, partnering with two rural clinics.
- Clinics conducted needs assessments and selected from a menu of strategies, adapting them based on local data.
- Six core indicators and process measures were established to track progress.
Main Results:
- Both clinics established registered nurse health coach positions for diabetes education.
- Physician dashboards were implemented to monitor diabetes care indicators.
- Interventions included prediabetes outreach and participation in Project ECHO (Extension for Community Healthcare Outcomes).
Conclusions:
- Novel, sustainable solutions are crucial for improving rural diabetes care.
- The Diabetes On Track initiative demonstrates potential by enabling clinics to leverage local data and expertise for system redesign.
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