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digital.ahrq.gov/sites/default/files/docs/activity/r18hs018155-mctigue-annual-summary-2012.pdf
January 01, 2012 - Online Counseling to Enable Lifestyle-Focused Obesity Treatment in Primary Care
UTILIZING HEALTH INFORMATION … CARE QUALITY (R18)
-
Online Counseling to Enable Lifestyle-Focused Obesity Treatment … The research is
examining the effectiveness of delivering an online version of the Diabetes Prevention … This research seeks to address the key problem of how to implement USPSTF obesity screening and
treatment … Business Goal: Knowledge Creation
2 | ONLINE COUNSELING TO ENABLE LIFESTYLE FOCUSED OBESITY TREATMENT
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digital.ahrq.gov/sites/default/files/docs/page/2006Arora_051811comp.pdf
February 01, 2006 - pharmacist, patient educator
DISEASE SELECTION
~ Common diseases
~ Management is complex
~ Evolving treatments … MEXICO
UNM
HSC
State
Health
Dept
Private
Practice
Community
Health
Centers
Hepatitis C
Diabetes … HEALTHCARE IN NEW MEXICO
Specialists
Primary
Care Pharmacists
Nurse
Practitioners
Hepatitis C
Diabetes … Need more specialists:
“ We need this service for other diseases i.e. diabetes, asthma, cardiac, etc … ~Prevention of Childhood Obesity and Diabetes
~Gastroenterology and Liver Disease
Consultation
Future
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digital.ahrq.gov/sites/default/files/docs/activity/feedback_of_treatment_intensification_data_to_reduce_cardiovascular_disease_risk_2010_pdf__2.pdf
January 01, 2010 - Feedback of Treatment Intensification Data to Reduce Cardiovascular Disease Risk
1 | Feedback oF TreaTmenT … InTensIFIcaTIon daTa To reduce
cardIovascular dIsease rIsk
2010 Grant Summary
Feedback of Treatment … Summary Status as of: August 2010, Conclusion of Grant
Target Population: Adults, Chronic Care*, Diabetes … Treatment intensification, the frequency with which clinicians appropriately increase
pharmacotherapy … One primary
analysis was tightly-linked processes (i.e., was treatment intensified more frequently)
-
digital.ahrq.gov/sites/default/files/docs/activity/2011_019792_li_pdf_3.pdf
January 01, 2011 - Despite advances in diabetes care, visual impairment is
still a devastating complication. … Studies show that timely DR diagnosis and treatment can significantly
reduce the risk of severe vision
-
digital.ahrq.gov/sites/default/files/docs/citation/r18hs018167-roberts-final-report-2013.pdf
January 01, 2013 - , are amenable to preventive and therapeutic interventions. … increasing interest in evidence-based care as
evidence accumulates that appropriate preventive and therapeutic … with multiple complex diseases do not
receive appropriate preventive care nor receive appropriate therapies … Health Utilization Form: Because adherence to recommended preventive and therapeutic
recommendations … Diabetes – any code that starts with "250"
F.
-
digital.ahrq.gov/funding-mechanism/health-information-technology-it-improve-health-care-quality-and-outcomes-r21
January 01, 2023 - HS028485
Principal Investigator(s)
Sikora, Andrea
Patient-Centered Diabetes … Education as an Integral Part of an Electronic Clinic Note using the SEE-Diabetes Modules
Description … develop and implement a self-management education and support module called Support-Engage-Empower-Diabetes … (SEE-Diabetes) to improve diabetes management in older adults. … A Machine Learning Health System to Integrate Care for Substance Misuse and HIV Treatment
-
digital.ahrq.gov/sites/default/files/docs/activity/r21hs019792-li-annual-summary-2012.pdf
January 01, 2012 - Despite advances in diabetes care, visual impairment is
still a devastating complication. … Studies show that timely DR diagnosis and treatment can significantly
reduce the risk of severe vision … Target Population: Adults, Chronic Care*, Diabetes, Other Conditions: Diabetic Retinopathy
Strategic
-
digital.ahrq.gov/sites/default/files/docs/implementation/Arora%201-V.ppt
February 01, 2006 - psd
642.psd
643.psd
DISEASE SELECTION
Common diseases
Management is complex
Evolving treatments … HEALTHCARE IN NEW MEXICO
UNM HSC
State Health Dept
Private Practice
Community Health Centers
Hepatitis C
Diabetes … HEALTHCARE IN NEW MEXICO
Specialists
Primary Care
Pharmacists
Nurse Practitioners
Hepatitis C
Diabetes … Need more specialists:
“ We need this service for other diseases i.e. diabetes, asthma, cardiac, etc … Prevention of Childhood Obesity and Diabetes
Gastroenterology and Liver Disease Consultation
Future
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017233-fox-final-report-2011.pdf
January 01, 2011 - ) and one rural
(Greenville) clinic, both of which had an EHR system added to their model of care (treatment … 61.70% 45.80% 47.80% 40.90%
44.00% 46.50% 44.60%
Did you try to get any
kind of care, tests, or
treatment … “The effect of intensive treatment of diabetes on the
development and progression of long-term complications … therapy. " N Engl J Med 342(6): 381-389. … “Intensive glood-glucose control with
sulphonylureas or insulin compared with conventional treatment
-
digital.ahrq.gov/sites/default/files/docs/page/evaluating_health_it_projects___a_state_perspective_5.pdf
July 10, 2008 - Medication therapy management services
plus basic
4. … Basic only
Clinical pharmacist review
False positives
Recommendations to optimize therapy
… Written materials sent to providers
34
35
36
Treatment Groups
3. … Medication Therapy Management (MTMS)
with basic
Telephone intervention
Selected patients referred … †
Care Opportunity Description N = 179 N = 5,236
No follow-up to the initiation of prescription
therapy
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017276-burns-final-report-2011.pdf
January 01, 2011 - We call these experience-based
beliefs the “common sense view” of diabetes and treatment.
12
13,14 … likely to predict life expectancy of less than 2 years including, active
chemotherapy or radiation therapy … for solid tumors (except hormonal therapy for prostate
cancer); hospice enrollment; cirrhosis; end-stage … <70
Hyperglycemia
treatment
Your glucose is
elevated. … Cognitive Therapy and Research. 1992;16:143-163.
14. Leventhal H, Diefenbach M, Leventhal EA.
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs024738-gance-cleveland-final-report-2019.pdf
January 01, 2019 - Intrauterine exposure to diabetes conveys risks for type 2
diabetes and obesity: a study of discordant … Diabetes care. 2011;34(1):223-229.
40. … trial of a web-based computer-tailored
smoking cessation program as a supplement to nicotine patch therapy … Center for Substance Abuse Treatment. … Practice bulletin no. 180: gestational diabetes
mellitus.
-
digital.ahrq.gov/health-it-tools-and-resources/pediatric-resources/pediatric-rules-and-reminders/how-read-pediatric-reminder-guideline-document
January 01, 2003 - Type 2 diabetes in children and adolescents. American Diabetes Association. … Diabetes Care. 2000 Mar;23(3):381-9.
Prevention of Pediatric Overweight and Obesity. … Obesity Evaluation and Treatment: Expert Committee Recommendations.
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digital.ahrq.gov/sites/default/files/docs/activity/online_counseling_to_enable_lifestyle_focused_obesity_treatment_in_primary_care_2010_pdf__2.pdf
January 01, 2010 - Online Counseling to Enable Lifestyle-Focused Obesity Treatment in Primary Care
Online Counseling to … Enable Lifestyle-Focused Obesity
Treatment in Primary Care
Principal Investigator: McTigue, Kathleen … The research examines
the effectiveness of delivering an online version of the Diabetes Prevention Program … The study seeks to address the key problem of how to implement USPSTF obesity screening and treatment … Business Goal: Knowledge Creation
2 | Online COunseling tO enable lifestyle-fOCused Obesity
treatment
-
digital.ahrq.gov/sites/default/files/docs/activity/2011_018155_mctigue_pdf_3.pdf
January 01, 2011 - Online Counseling to Enable Lifestyle-Focused Obesity Treatment in Primary Care
1 | Online COunseling … tO enable lifestyle-fOCused Obesity treatment in
Primary Care
Utilizing HealtH information tecHnology … (it) to
improve HealtH care QUality (r18)
Online Counseling to Enable Lifestyle-Focused Obesity
Treatment … The research is examining the
effectiveness of delivering an online version of the Diabetes Prevention … This research seeks to address the key problem of how to implement USPSTF obesity screening and treatment
-
digital.ahrq.gov/sites/default/files/docs/nlp-slides-041112.pdf
April 11, 2012 - severity
Ongoing Work
We have generalized this approach and are
applying it to assessing obesity treatment … Brigham and Women’s Hospital
Harvard Medical School
Project
Monitoring Intensification of Treatment … for
Hyperglycemia and Hyperlipidemia in Patients with
Diabetes
Goal: to design process measures … Study Population
5,914 patients with diabetes treated at
primary care practices affiliated with … demographics, initial A1c,
medication intensification, visit frequency, A1c
measurement frequency and treatment
-
digital.ahrq.gov/sites/default/files/docs/activity/k01hs019789-baer-annual-summary-2012.pdf
January 01, 2012 - is widely recognized as a critical public health concern that is associated with increased
risk of diabetes … Electronic health records (EHRs)
have the potential to improve management and treatment of obesity by … this research study are to develop and evaluate EHR-based tools for identification,
diagnosis, and treatment … practices in the Boston, MA area to assess their effectiveness on the
identification, evaluation, and treatment … index (BMI)
of 30 or above or a BMI between 27 and 30 with another risk factor such as hypertension, diabetes
-
digital.ahrq.gov/program-overview/research-reports/2022-year-review/research-themes-and-findings
January 01, 2022 - Lakes' Project Profile
While “cold” texting of patients to suggest screening for diabetes is … for older adults with diabetes. … Interoperability Resources (FHIR®) standards has the potential to improve guideline-directed medication therapy … Emerging
Using real-time digital healthcare data to improve timely treatment or diagnosis … Owora's Project Profile
Using real-time digital healthcare data to improve timely treatment
-
digital.ahrq.gov/ahrq-funded-projects/integris-telewoundcare-network/annual-summary/2008
January 01, 2008 - A major, but often overlooked, contributing co-morbidity to chronic and non-healing wounds is diabetes … high, healing will not occur; thus, controlling blood sugars should be addressed as part of the wound treatment … Oklahoma has the second highest diabetes rate in the Nation and the second lowest in expenditure for … diabetes services. … Educational presentations about chronic wounds, diabetes, and home health services continued.
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digital.ahrq.gov/ahrq-funded-projects/online-counseling-enable-lifestyle-focused-obesity-treatment-primary-care/annual-summary/2012
January 01, 2012 - Online Counseling to Enable Lifestyle-Focused Obesity Treatment in Primary Care - 2012 … Project Name
Online Counseling to Enable Lifestyle-Focused Obesity Treatment in Primary Care … The research is examining the effectiveness of delivering an online version of the Diabetes Prevention … This research seeks to address the key problem of how to implement USPSTF obesity screening and treatment