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21. Measure: Post-Partum Followup and Care Coordination (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra_1415-p009-3-ef.pdf
    January 01, 2015 - among health care professionals in providing advice on breastfeeding2 and in post-partum screening for diabetes … of women who experienced gestational diabetes.3 Racial and ethnic minority low-income women are less … Defense Clinical Practice Guideline for Pregnancy Management recommends screening for depression, diabetes … testing for postpartum patients with pregnancies complicated by gestational diabetes, and education … Prim Care Diabetes. 2013;7(3):177-86. 4Kozhimannil, K., C. Trinacty, et al. (2011).

22. Value Set Export (xls file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0084coding.xls
    January 01, 2012 - Condition/Diagnosis/Problem GROUPING n/a 2.16.840.1.113883.3.526.2.1500 "Gestational Diabetes" ICD-9 … Condition/Diagnosis/Problem GROUPING n/a 2.16.840.1.113883.3.526.2.1501 "Gestational Diabetes" ICD-10 … Condition/Diagnosis/Problem ICD-10-CM 2012 O24.410 Gestational diabetes mellitus in pregnancy, diet … Condition/Diagnosis/Problem ICD-10-CM 2012 O24.420 Gestational diabetes mellitus in childbirth, diet … Screening Laboratory Test GROUPING n/a 2.16.840.1.113883.3.526.2.1424 "Gestational Diabetes Screening

23. Strategies to Better Manage Lipids – Statin Pearls
    www.healthcare411.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

24. Primary Care Practice Facilitation Curriculum Module 31: Facilitating Panel Management (pdf file)
    www.healthcare411.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.

25. Transforming Primary Care Practice in North Carolina (pdf file)
    www.healthcare411.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

26. AHRQ Transforming Primary Care Grants | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/ncepcr/research-transform-primary-care/transform/tpcbib/index.html
    May 01, 2015 - Medical home implementation and trends in diabetes quality measures for AN/AI primary care patients. … Prim Care Diabetes . 2015;9(2):120-6. … The authors concluded that PCMH implementation prompted positive changes in diabetes quality trends, … Compared with practices with the least improvement in diabetes care, those with the most improvement … J Diabetes Sci Technol. 2013;7(5):1376-85.

27. AHRQ Transforming Primary Care Grants Bibliography | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/ncepcr/reports/grants-transform/bibliography/index.html
    February 01, 2017 - Medical home implementation and trends in diabetes quality measures for AN/AI primary care patients. … Prim Care Diabetes . 2015;9(2):120-6. … The authors concluded that PCMH implementation prompted positive changes in diabetes quality trends, … Compared with practices with the least improvement in diabetes care, those with the most improvement … J Diabetes Sci Technol. 2013;7(5):1376-85.

28. Follow-up Visits for Children Who Are Obese or Overweight with a Weight-Related Comorbidity: Tables 1-3 (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0242-tables1-3.pdf
    February 04, 2020 - 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

29. Section 1, Table 1. Definitions of Three Levels of Medical Complexity (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-141-section-1-table-1.pdf
    June 28, 2017 - Children with Complex Chronic Disease (C-CD)* Significant chronic conditions in two or more body type 1 diabetes … and static systems: encephalopathy; type 1 diabetes Significant chronic condition is defined as a … Non-Complex Chronic Disease (NC-CD) Chronic Conditions that last at least one year: These type 1 diabetes

30. Measuring and Benchmarking Clinical Performance (pdf file)
    www.healthcare411.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.

31. Text Description for PCP eSpecification (pdf file)
    www.healthcare411.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

32. Transforming Primary Care Practice in North Carolina | Agency for Healthcare Research and Quality
    www.healthcare411.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

33. A Multipayer Patient-Centered Medical Home Initiative in Pennsylvania (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-gabbay.pdf
    April 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

34. Metabolic Monitoring for Children and Adolescents on Antipsychotics (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-150-fullreport.pdf
    February 14, 2018 - Diabetes Care 2004; 27:596-601. Andrade SE, Lo JC, Roblin D, et al. … Antipsychotic medication use among children and risk of diabetes mellitus. … National diabetes fact sheet, 2011. Atlanta, GA: CDC; 2011. … Diabetes Care 2012; 35:2515-20. Jerrell JM, McIntyre RS. … Diabetes 2002; 51(1):204-9.

35. Key Study Outcomes Across Grants | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/outcomes.html
    October 01, 2015 - in primary care office visits and an 18.5 percent decrease in emergency department visits. 36 Among diabetes … In North Carolina, Donahue and colleagues monitored key clinical processes associated with diabetes and … asthma care (e.g., nephropathy screening for patients with diabetes and annual flu immunization for … Pennsylvania studied by Gabbay and colleagues reported using protocols and practices developed for diabetes … For example, when comparing practices that had the greatest improvement in diabetes outcomes to those

36. Key Study Outcomes Across Grants | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/ncepcr/reports/grants-transform/key-study-outcomes.html
    March 01, 2017 - in primary care office visits and an 18.5 percent decrease in emergency department visits. 36 Among diabetes … In North Carolina, Donahue and colleagues monitored key clinical processes associated with diabetes and … asthma care (e.g., nephropathy screening for patients with diabetes and annual flu immunization for … Pennsylvania studied by Gabbay and colleagues reported using protocols and practices developed for diabetes … For example, when comparing practices that had the greatest improvement in diabetes outcomes to those

37. A Multipayer Patient-Centered Medical Home Initiative in Pennsylvania | Agency for Healthcare Research and Quality
    www.healthcare411.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

38. Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/research/publications/search.html?page=6
    January 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

39. Maternity Care Performance Measurement Set (pdf file)
    www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/CHIPRA-BMI-Maternity-Care-Measures.pdf
    February 23, 2012 - are found to have diabetes, usually type 2. … Women who have had gestational diabetes have a 35 to 60 percent chance of developing diabetes in the … In 2006, Diabetes during pregnancy (diabetes diagnosed both prior to and during pregnancy), was reported … testing for patients with pregnancies complicated by gestational diabetes. … Gestational Diabetes: Caring for Women During and After Pregnancy.

40. Trinacty, Connie | Agency for Healthcare Research and Quality
    www.healthcare411.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumtrin.html
    October 01, 2014 - Institution: Harvard Pilgrim Health Care Grant Title: Disparities in Diabetes Care: Health Plan Focus … Characterize how health plan organizational structures and organizational behavior influence disparities in diabetes … Assess provider awareness and response to system-based initiatives that impact diabetes disparities.