226766 Wisconsin Collaborative Diabetes Quality Improvement Project: A model for health maintenance organizations and chronic disease program partnerships

Monday, November 8, 2010

Kristin Gallagher, BS , Population Health Institute, University of Wisconsin School of Medicine and Public Health, Madison, WI
Charlanne FitzGerald, MPH , Population Health Institute, University of Wisconsin School of Medicine and Public Health, Madison, WI
Jenny Camponeschi, MS , Diabetes Prevention and Control Program, Wisconsin Department of Health Services, Madison, WI
Leah Ludlum, RN, CDE , Diabetes Prevention and Control Program, Wisconsin Department of Health Services, Madison, WI
Patrick Remington, MD, MPH , School of Medicine and Public Health, University of Wisconsin, Madison, WI
     
The Wisconsin Collaborative Diabetes Quality Improvement Project was developed to improve the ability of health maintenance organizations to evaluate data trends and improve diabetes care quality through effective collaboration. Participating health plans provided Healthcare Effectiveness Data and Information Set (HEDIS®) data on Comprehensive Diabetes Care measures for 1999 through 2008. Performance has improved since the project began and variation among plans has decreased. For example, group means improved for HbA1c testing performed (84% to 93%), HbA1c poor control (29% to 21%, a lower percentage is desired), eye exam performed (63% to 68%), and LDL-cholesterol screening performed (70% to 86%). For 2008, Wisconsin's performance once again exceeded national averages for all Comprehensive Diabetes Care measures. Other selected chronic disease-related measures (for cardiovascular care, asthma care, cancer screening, arthritis, and smoking cessation) were added over time to the reporting process. In 2008, Wisconsin also exceeded national averages for all but one of these measures. Data are collected by the Wisconsin Population Health Institute, analyzed, blinded, and shared with collaborators. Outcomes and strategies for quality improvement are discussed at quarterly meetings. The Collaborative has implemented several initiatives including endorsement and implementation of the Wisconsin Diabetes Mellitus Essential Care Guidelines, distribution of patient educational DVDs on dilated eye exams and chronic kidney disease, and promotion of a chronic disease self-management program. The Collaborative is an effective model for analyzing and improving the quality of care that can be replicated for other programs, states, and organizations.

Learning Areas:
Administration, management, leadership
Chronic disease management and prevention

Learning Objectives:
1. Describe the Wisconsin Collaborative Diabetes Quality Improvement Project. 2. Identify how effective collaboration can lead to improved quality within health maintenance organizations and health plans. 3. Identify how data analysis and reporting can assist with designing and prioritizing future initiatives for quality improvement.

Keywords: Diabetes, Quality Improvement

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because, as an M.S. candidate and project assistant, I manage the data and present reports on the Wisconsin Collaborative Diabetes Quality Improvement Project.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 3169.0: Hot Topics for Health Administrators Posters