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digital.ahrq.gov/ahrq-funded-projects/monitoring-intensification-treatment-hyperglycemia-and-hyperlipidemia/citation/following
January 01, 2023 - Principal Investigator
Turchin, Alexander
Project Name
Monitoring Intensification of Treatment … Electronic Medical Record
Document Type
Journal Publication
Medical Condition
Diabetes
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digital.ahrq.gov/ahrq-funded-projects/monitoring-intensification-treatment-hyperglycemia-and-hyperlipidemia/citatio-1
January 01, 2023 - Principal Investigator
Turchin, Alexander
Project Name
Monitoring Intensification of Treatment … Journal Publication
Population
Adults
Low Income Populations
Medical Condition
Diabetes
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digital.ahrq.gov/type-care/multi-specialty-care
January 01, 2023 - Care Management to Promote Care Continuity, Reduce Low-Value Utilization, and Reduce the Burden of Treatment … Helper”, an innovative computer assisted self-interview tool delivered via a kiosk for use in a hospital diabetes … providers access to comprehensive clinical data on the Internet; developed disease-management prototypes on diabetes
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digital.ahrq.gov/ahrq-funded-projects/monitoring-intensification-treatment-hyperglycemia-and-hyperlipidemia/citatio-0
January 01, 2023 - Principal Investigator
Turchin, Alexander
Project Name
Monitoring Intensification of Treatment … Document Type
Journal Publication
Population
Adults
Medical Condition
Diabetes
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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
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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
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digital.ahrq.gov/sites/default/files/docs/page/Finance%20and%20Quantitative%20Decision%20Making.pdf
September 21, 2009 - Medical
Decision Making
Liver and Kidney transplant allocation
Cancer screening policies
HIV treatment … Sepsis management
Intensity modulated radiation therapy
Diabetes treatment
Vaccination policies … Vision: Advances in modeling and
methodology to enable new best practices
• Guide policies for disease treatment
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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.
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs025429-aguilera-final-report-2022.pdf
January 01, 2022 - and depression. 6 7 There is a great need for the development of treatments that can target overlapping … barriers in access to care for vulnerable populations, including lower availability of psychological
treatment … schedules.18 Latinos in the USA in particular show higher underutilization rates of
mental health treatment … bringing the tailoring down to the individual level.25 Research on the efficacy of
these adaptive treatments … Mobile phones and psychosocial therapies with
vulnerable people: a first state of the art.
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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/sites/default/files/docs/publication/r36hs020165-hirsch-final-report-2012.pdf
January 01, 2012 - Department of Health and Human Services of a particular drug, device, test, treatment, or
other clinical … at least two
Patients with
most recent
HbA1c > 9%
during the
measurement
period
Intensive therapy … diagnoses consist of a list of all
conditions co-existing at the time of the
encounter that affect the treatment … having risks of slightly elevated numbers.”
11
In addition to inappropriately applying treatment … If treatments for diabetes are compared in a population that excludes diabetics with
poorer cholesterol
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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
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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/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.
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digital.ahrq.gov/ahrq-funded-projects/evaluating-effectiveness-health-information-technology-self-management-program/annual-summary/2012
January 01, 2012 - $298,849
Summary: According to a recent statewide community health needs assessment, care and treatment … The target population is patients who have diabetes mellitus, chronic obstructive pulmonary disease, … Adults, Chronic Care*, Chronic Obstructive Pulmonary Disease (COPD), Congestive Heart Failure (CHF), Diabetes
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs023865-lee-final-report-2018.pdf
January 01, 2018 - that intensive insulin therapy (including frequent blood glucose monitoring and
insulin administration … list of chronic
disease/disorders they live with
• Health information recorded includes: symptoms, treatments … The effect of intensive treatment
of diabetes on the development and progression of long-term complications … Patients' experiences of adjusting insulin doses when
implementing flexible intensive insulin therapy … Current state of type 1 diabetes treatment in the U.S.:
updated data from the T1D Exchange clinic registry
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digital.ahrq.gov/sites/default/files/docs/resource/Dataform_2_Chart_Review.pdf
June 16, 2021 - current or past) ____ 1 No
Have had exertional or paroxysmal dyspnea, 2 Yes
and receiving treatment … DISEASE (COPD) 2 Yes
Have dyspnea with moderate activity without
treatment … Currently being treated with insulin or oral 2 Yes
agents, (not on diet alone)
8.12 DIABETES … Diabetes (oral agents)
35. Digoxin
36. Diuretics
37. Electrolyte concentrates
38. … Estrogen Replacement therapy
41.
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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
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digital.ahrq.gov/care-setting/ambulatory-clinic
January 01, 2023 - in radiation oncology, aiming to improve patient safety by reducing variability among providers in treatment … planning, minimizing clinical errors, and enhancing overall treatment outcomes. … iMatter2 - An AI-Driven Approach to Supercharge a Novel Digital Patient-Reported Outcomes Tool for Diabetes … Devin M
A Decision Support Tool for the Discontinuation of Disease Modifying Therapies … tool using a machine learning algorithm to standardize the approach to discontinuing disease-modifying therapies
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digital.ahrq.gov/ahrq-funded-projects/direct-patient-alert-glycated-hemoglobin-screening-using-prediction-modeling
January 01, 2023 - Device
Text Messaging
Care Setting
Patient Home
Medical Condition
Diabetes … (CDS) calculator for predicting current HbA1c levels in patients without any previous evidence of diabetes … (T2D) and pre-diabetes are significant public health problems. … Characterized by elevated blood glucose levels, T2D and pre-diabetes, with the resulting complications … clinician, more patients with be screened; those identified as hyperglycemic will be offered earlier treatment