Diabetes education: Quality improvement interventions through health departments

Angela T. Dearinger, Richard C. Ingram, Robin P. Pendley, Sarah Wilding

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

Background As the burden of diabetes continues to overwhelm the public health system, there is increased demand on local health departments (LHDs) to improve public health services. Quality improvement (QI) techniques have been shown to be an effective means to improve the delivery of services by LHDs. Purpose To evaluate the extent to which the adoption of organizational QI strategies influences the delivery and outreach of diabetes self-management education (DSME) services provided by LHDs. Methods A change facilitation model that included QI team development and on-site QI training and facilitation was delivered to six LHDs that provide DSME, during 2010-2011. After training, each LHD developed and implemented a QI project to improve the outreach and delivery of DSME services. Pre- and post-intervention surveys were administered to evaluate the extent of change in DSME outreach and delivery. Data were analyzed in 2011. Results The number of individuals who completed an entire course of DSME increased by >100%, and 14% more diabetics attended DSME on a monthly basis. Half of LHDs reported receiving increased numbers of referrals per month, and 15% more healthcare providers referred diabetic patients to the LHD for DSME. Conclusions Participation in Community Outreach and Change for Diabetes Management (COACH 4DM) led to improvements in the LHD QI infrastructure, and in the outreach and delivery of services to diabetic patients. The techniques used during COACH 4DM are applicable to a wide variety of contexts and may be an effective tool to improve the delivery of other clinical and community preventive services.

Original languageEnglish
Pages (from-to)782-786
Number of pages5
JournalAmerican Journal of Preventive Medicine
Volume45
Issue number6
DOIs
StatePublished - Dec 2013

Bibliographical note

Funding Information:
Funding for this research was provided by the Robert Wood Johnson Foundation through the National Coordinating Center for Public Health Practice-Based Research Networks. The content is solely the responsibility of the authors and does not necessarily represent the official views of the Robert Wood Johnson Foundation. This project was also supported by the National Center for Research Resources, UL1RR033173, and is now at the National Center for Advancing Translational Sciences. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH.

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health

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