3230.0 Quality Improvement in Chronic Disease Management

Monday, October 27, 2008: 12:30 PM
The five conclusions of this session are as follows: 1.The use of stroke admission order sets among hospitals increased the odds of guideline-based care reflected by improved adherence to performance measures 2.Findings reveal significant differences between practices and corresponding associations with patient health 3.The study highlights the lack of awareness of new infective endocarditis prophylaxis guideline updates, thus impacting on the implementation of best clinical practices promoted by the 2007 AHA project 4.Even on a larger scale with less TA, this comprehensive approach to improving asthma care was able to effect changes in clinic processes and provider practice producing major improvements in clinical outcomes 5.Compared to those who did not participate in the management program, patients who participated in the hypertension disease management were found to pay more periodical visits to clinics and to take more medications, with fewer hospital admissions for hypertension complications
Session Objectives: The are five objectives for this session. To: 1.Discuss the findings of the Massachusetts PCNASR data on the use of stroke admission orders compared to adherence to evidence-based stoke performance measures including DVT prophylaxis, dysphagia screening, and antithrombotics by the end of hospital day two 2.Evaluate whether patient health outcomes might be enhanced by implementing the CCM in practice settings 3.Describe the road blocks to physician compliance with guidelines (e.g., endocarditis prevention guidelines) and knowledge gaps in regards to guidelines, like endocarditis prevention guidelines 4.Articulate lessons learned about the development, implementation, and evaluation of a CQI model to improve asthma outcomes in a community-based clinical setting 5.Developing a plan to evaluate how the practice of hypertension disease management has improved patient outcomes
Sudha Xirasagar, MBBS, PhD

12:30 PM
12:45 PM
Patient Health Status, Health-Related Quality of Life, and Implementation of the Chronic Care Model in Primary Care Practices
Dorothy Hung, PhD, Russell E. Glasgow, PhD, L. Miriam Dickinson, PhD, Desiree Froshaug, MS, Douglas Fernald, MA, Bijal Bala, PhD and Larry Green, MD
1:00 PM
Physicians' knowledge and attitude regarding the new American Heart Association's Guidelines for Infective Endocarditis Prophylaxis
Sheda Heidarian, MD, Roshan Hussain, MPH, MBA, Nimmy Mathew, MA, Renee Pekmezaris, PhD, Yosef Dlugacz, PhD, Gisele Wolf-Klein, MD and Gabriel EL-Kass, MD
1:15 PM
Using CQI strategies, clinician champions, and asthma coordinators to improve asthma-related health outcomes among low-income, multi-ethnic children
Patricia G. Porter, RN, MPH, CHES, Sibylle Lob, MD, MPH, Jennifer Holloman Boer, MA, Christine Brennan, MPH, Nuny Khamphay, BAS, David Nunez, MD, MPH and Patrick Fox, PhD
1:30 PM
Effects of Hypertension Disease Management on Patient Outcomes in Taiwan
Hsiu-Ying Fang, Jen-Sin Lee, phD, Lu Tsai and Chin-Feng Yang

See individual abstracts for presenting author's disclosure statement and author's information.

Organized by: Medical Care
Endorsed by: Public Health Nursing, Socialist Caucus

CE Credits: CME, Health Education (CHES), Nursing

See more of: Medical Care