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161. Primary Care Practice Facilitation Curriculum Module 31: Facilitating Panel Management (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-31-facilitating-panel-management.pdf
     September 01, 2015 - The national guidelines, created by the American Diabetes Association, indicate that patient with diabetes … Don’t you want to take care of your diabetes? [No.] … He appears resistant about caring for his diabetes. … Johnson has diabetes with A1c done 3 weeks ago that is 9.6. … Johnson has a care gap about his diabetes control.

162. Strategies to Better Manage Lipids – Statin Pearls
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/strategies-to-better-manage-lipids.pptx
     November 01, 2016 - diagnosis of atherosclerotic cardiovascular disease Ever having an LDL above 190 Or being age 40-75 with diabetes … are met: They are ages 40 to 75 years They have one or more CVD risk factors (i.e. , dyslipidemia, diabetes … are met: • They are ages 40 to 75 years • They have one or more CVD risk factors (i.e., dyslipidemia, diabetes … - $58.83 per month ‹#› Dealing with Cost ‹#› Key Side Effects of Statins Increased risk of diabetes

163. | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/publications/search.html?page=7
     May 01, 2017 - Publication Number: 17-0018-EF Behavioral Programs To Help Manage Type 2 Diabetes … Care program discusses what researchers have found about behavioral programs to help manage type 2 diabetes … Publication Number: A1617-EHC031-A Behavioral Programs To Help Manage Type 1 Diabetes … Care program discusses what researchers have found about behavioral programs to help manage type 1 diabetes

164. | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/publications/search.html?page=18
     September 01, 2008 - Publication Date: August 2008 Publication Number: 08-0034-1 Hispanic Diabetes … Disparities Learning Network in Community Health Centers Hispanics have a higher prevalence of diabetes … and are disproportionately burdened with the complications and disability from diabetes. … project that included interventions and needs assessments at community health centers to help reduce the diabetes

165. Part 2: Trends in Priorities of the Heckler Report | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part2.html
     June 01, 2018 - Report—Care for Substance Use Disorders Part 2: Trends in Priorities of the Heckler Report—Care for Diabetes … Overweight and obesity Anemia Diabetes Tuberculosis Complications during perinatal … Diabetes was also identified as a reason for increased morbidity among Blacks in the 1980s. … Groups With Disparities: For many measures of care for mental health disorders, diabetes, and infant … Blacks also experience many disparities in care for diabetes.

166. Transforming Primary Care Practice in North Carolina | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/donahue.html
     August 01, 2018 - creating patient data registries to track progress toward improved clinical outcomes for asthma or diabetes … each practice attended the meetings to learn about QI principles and key drivers of improvement in diabetes … implementation, between 50 and 78 percent of practices showed improvement on each of the individual diabetes … Among the 51 practices focused on improving diabetes care, higher leadership scores were associated with

167. ASC, Report Output, Report: 'Fault Tree Diagram', Data Source File: 'ASC Fault Tree_with_change' (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/stpra/stpraapf.pdf
     June 02, 2025 - pt SSI risk Gate4 Malnourished pt SSI risk Gate5 Obese but not diabetes pt SSI risk Gate233 … pt SSI risk Q:0.00297749 Gate366 Pt not diagnosed with diabetes SSI risk Q:0.00052 To Page … 2 Q:0.00245749 Event651 Diabetes pt not diagnosed Event652 SSI if bug gets to pt Gate367 … Morbidly obese pt (BMI>=40) SSI risk Q:0 Event450 Obese but not diabetes pt (30<=BMI<40) Q … obese pt SSI risk Event653 Diabetes and obese pt Gate281 SSI risk for diabetes and obese pt

168. Community Physician's Network | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/communities/pbrn/registry/community-physicians-network.html
     January 01, 2012 - Disease-specific registries for quality improvement in hypertension and diabetes; b. … Assist physicians qualify for the Diabetes Physician Recognition Program (DPRP); f. … hypertension Comparative effectiveness research on improving healthcare systems and/or patient experiences Diabetes

169. Follow-up Visits for Children Who Are Obese or Overweight with a Weight-Related Comorbidity: Tables 1-3 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0242-tables1-3.pdf
     June 02, 2025 - of Weight Addressed Table 2: ICD-9 Codes for Weight-Related Comorbidities Description Code Diabetes … that provider addressed comorbidities of overweight including hypertension, hyperlipidemia, Type 2 diabetes

170. Using Data Mining to Predict Errors in Chronic Disease Care (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-McCabe_39.pdf
     March 28, 2008 - The system being controlled is a patient (model) with type 2 diabetes. … Identification, classification, and frequency of medical errors in outpatient diabetes.. … Staged diabetes management: Detection and treatment. … Minneapolis: International Diabetes Center; 2001. 9. Defronzo R. … Diabetes Care 2003; 26: 2728-2733. 12. Levy J, Atkinson AB, Bell PM, et al.

171. Chapter 2. Project Implementation | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chapter2.html
     December 01, 2017 - Methods Appendix B: Patient age, health status, and IHS total treatment costs by diabetes stage. … The IHS Improving Health Care Delivery Data Project was sponsored and guided by the IHS Division of Diabetes … Area chief medical officers; and representatives from several Tribal health organizations (i.e., the Diabetes

172. Apcd-Inventory (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/apcd/apcd-inventory.xlsx
     October 01, 2015 - No Diabetes Tests Quality Process Comprehensive Diabetes Care: Medical Attention for Nephropathy 62 … Yes Diabetes Medications Quality Process Adherence to Oral Diabetes Agents for Individuals With Diabetes … No Diabetes Not applicable Cost Not applicable Total Cost of Care: Diabetes NA CO APCD--CIVHC https: … No Diabetes Outpatient care Cost Not applicable Outpatient Facility Cost: Diabetes NA CO APCD--CIVHC … No Diabetes Not applicable Quality Process Diabetes Care: Statin Use (patients ages 40 through 75 or

173. Statin Therapy Measure Narative (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/cholesterol-narrative.pdf
     December 31, 2018 - Lipoprotein Cholesterol (LDL-C) level >= 190 mg/dL; OR patients aged 40-75 years with a diagnosis of diabetes … period; • aged 40 – 75 years at the beginning of the measurement period with an active diagnosis of diabetes … (Diabetes Value Set) with the highest LDL-C result of 70 – 189 mg/dL during the current measurement … (End Stage Renal Disease Care Value Set) • Most recent LDL-C result < 70 mg/dL for patients with a diabetes

174. Chapter 4. Linking With the Patient | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/obesity-kit/obtoolkit4.html
     March 01, 2014 - What Is a Diabetes Prevention Program? … Patient Testimonials from Community Program Testimonials from individuals who attended the YMCA Diabetes … Clinician; Patient Handout Tool 19 "Turn off the Oven"—Prediabetes Awareness Information about diabetes … development Patient Handout Tool 20 "Shedding Light"—Prediabetes Awareness Information about diabetes

175. Table 14A: Outcome Indicators by County Supply of Health Care Providers | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab14.html
     February 01, 2023 - >Median ≤Median >Median ≤Median National HCBS Population Short-Term Complications of Diabetes … 344 376 263 328 275 Dually Eligible HCBS Participants Short-Term Complications of Diabetes … 355 435 467 339 418 349 Medicaid-Only HCBS Participants Short-Term Complications of Diabetes … Injurious Falls 74 70 93 59 82 65 SMI Subpopulation Short-Term Complications of Diabetes … 207 280 218 HCBS Population Ages 18-64 Without I/DD or SMI Short-Term Complications of Diabetes

176. Text Description for PCP eSpecification (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-170-prenatal-screening-specifications.pdf
     January 01, 2012 - tests within the specified time frames: screening for neural tube defects; screening for Gestational Diabetes … Equals Initial Patient Population Denominator Exclusions Patients who have an active diagnosis of diabetes … 15-20 weeks gestation OR by ultrasound after 16 weeks gestation  2b) Screening for Gestational Diabetes … before or at 28 weeks (patients with a diagnosis of Diabetes are excluded)  2c) Screening for Asymptomatic … Numerator Laboratory Test Laboratory Test, Result Gestational Diabetes Screening GROUPING LOINC

177. Transforming Primary Care Practice in North Carolina (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-donahue.pdf
     April 01, 2015 - creating patient data registries to track progress toward improved clinical outcomes for asthma or diabetes … each practice attended the meetings to learn about QI principles and key drivers of improvement in diabetes … implementation, between 50 and 78 percent of practices showed improvement on each of the individual diabetes … • Among the 51 practices focused on improving diabetes care, higher leadership scores were associated

178. Section 3: Selecting and Targeting Populations for a Care Management Program | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm3.html
     October 01, 2014 - State Chronic Disease Coverage States Asthma Diabetes CHF CAD COPD High Risk … State-Based Diabetes Prevention and Control Programs. … Diabetes. … Diabetes is a difficult disease to manage, because it requires behavior change by the member. … The projected diabetes savings increased after the first year, similar to asthma.

179. Measuring and Benchmarking Clinical Performance (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-13-measuring-and-benchmarking.pdf
     September 01, 2015 - For this example, you might define the denominator as the number of patients with diabetes who have … If you include all patients with diabetes regardless of whether they have an HbA1c value available, … For example, when calculating the percentage of patients with diabetes who have low-density lipoprotein … (LDL) below 100, you would specify the denominator as the number of patients with diabetes with an … LDL test, not just the number of patients with diabetes.

180. A Multipayer Patient-Centered Medical Home Initiative in Pennsylvania | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/gabbay.html
     October 01, 2015 - The practices focused on improving the care of patients with diabetes, with the goal of applying lessons … quarterly learning collaborative and by providing practice coaches, monthly performance reports on diabetes … were assessed by ranking the practices based on their improvement from baseline to 18 months on three diabetes … Quality of Care Providers and staff reported that they were able to use many of the diabetes management … also reported feeling more confident in their skills and in the support systems established to manage diabetes