In 1999, HRSA, BPHC and the CDC DDT in partnership with the Institute for Healthcare Improvement embarked on an innovative project to eliminate health disparities for minority and underserved populations. Over 260 federally funded health centers and 35 CDC-supported state diabetes programs have participated in capacity-building learning collaboratives focused on the delay or decrease of complications of diabetes. Through the implementation of a population-based model of care, primary care systems are redesigned to integrate evidence-based guidelines into practice while linking the community and health systems. A process improvement model requiring rapid cycle testing for change and time-based tracking of performance measures is promoted. Results reflected: Over 30,000 persons in clinic registries; a 200% increase in patients receiving 2 HbA1c tests annually; significant number of health centers decreasing their average HbA1c levels. Building capacity and infrastructure within federally funded health centers, along with committed partners to sustain and disseminate those changes is paramount to the overall strategy and success. The CDC, through state-based diabetes programs and partnerships, is integrating public health approaches into the Collaborative model to support effective and sustainable systems change.
Learning Objectives: 1. Participants can describe the 6 elements of the chronic care model and the learning model to generate changes in practice. 2. Participants can name the elements used to establish partnerships. 3. Participants can describe two key outcomes from the partnership of CDC state diabetes programs and health centers.
Keywords: Performance Measurement, Quality Improvement
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.