Display Settings:

Format

Send to:

Choose Destination
See comment in PubMed Commons below
J Am Pharm Assoc (2003). 2012;52(6):e130-8. doi: 10.1331/JAPhA.2012.11148.

Evaluation of a diabetes management program using selected HEDIS measures.

Author information

  • 1College of Pharmacy, University of Oklahoma Health Sciences Center, Oklahoma City, USA.

Abstract

OBJECTIVE:

To evaluate the efficacy of a community-based, pharmacist-directed diabetes management program among managed care organization enrollees using National Committee for Quality Assurance (NCQA)-Healthcare Effectiveness Data and Information Set (HEDIS) performance measures.

DESIGN:

Randomized controlled trial.

SETTING:

Regional community pharmacy chain in Tulsa, OK, from November 2005 to July 2007.

PATIENTS:

52 participants with diabetes and hypertension who were enrolled in a managed care organization.

INTERVENTION:

Diabetes management versus standard care.

MAIN OUTCOME MEASURES:

Comprehensive diabetes care measures of glycosylated hemoglobin (A1C <7.0%), blood pressure (<130/80 mm Hg), and low-density lipoprotein (LDL) cholesterol (<100 mg/dL). A composite research outcome of success was created by determining whether a participant achieved two of the three HEDIS goals at the end of 9 months.

RESULTS:

46.7% of intervention group participants achieved the A1C goal, while 9.1% of control group participants achieved the goal ( P < 0.002). More than one-half (53.3%) of intervention participants achieved the blood pressure goal compared with 22.7% of control participants ( P < 0.02). Among control group participants, 50% achieved the LDL cholesterol goal compared with 46.67% of intervention group participants. The odds of the intervention group attaining the composite goal were 5.87 times greater than the control group.

CONCLUSION:

A community pharmacy-based diabetes management program was effective in achieving A1C and blood pressure goals measured by NCQA-HEDIS performance standards. Program participants were statistically significantly more likely to achieve two of three HEDIS standards during a 9-month period.

PMID:
23224336
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Silverchair Information Systems
    Loading ...
    Write to the Help Desk