Treating the Patient: How Do We Optimize Provider Care

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Treating the Patient How Do We Optimize Provider
Care?

• Creating diabetes practice recommendations for
  health care professionals in Utah

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History of the UDPR

• In 2003, the first UDPR committee of diabetes
  professionals and members of the Utah DPCP was
  established
• Four sections
• Diabetes Management in Adults
• Diabetes Management in Pregnancy
• Hyperglycemia Management for Inpatients
• Diabetes Management in Children and Adolescents

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Purpose of the UDPRs

• Serve as guidelines designed for primary care
  providers to assist in diagnosing and treating
  patients with diabetes

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Need

• In your community, give them what they need
• Assess current, local data
• Healthcare Effectiveness Data and Information Set
  (HEDIS)
• Ask at local and national professional
  conferences
• Review current trends in diabetes management
• Diabetes Care Standards of Medical Care in
  Diabetes - American Diabetes Association

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Establishing a Committee

• Professional
• Knowledgeable
• Diversified
• Connected
• Who do they know and what additional information
  can they provide
• Large
• But not too large
• Be sensitive
• Involve ALL those that need to be involved
• Core committee vs. Review committee
• Obtain endorsements from key organizations

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Committee Meetings

• Not all committee members schedules will work
  together
• Group meeting
• Teleconference
• Face-to-face
• Email or fax
• Postal mail not the best choice because of time

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The Recommendations

• Based on Standards of Care from the American
  Diabetes Association
• Released each year in January
• Based on best practices
• Based on well documented studies
• UKPDS, DCCT, EDIC, NICE-SUGAR

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Put it Together

• Narratives
• Algorithms
• Tables
• References
• Make sure it flows
• Screening Diagnosis Treatment /
  Management

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Example Algorithms
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Revisions

• Review frequently
• Diabetes Care Practice Recommendations come out
  annually
• Use a smaller committee for the review process
• Faster process because the base recommendations
  are already done

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Do Not Stop

• Many aspects to diabetes
• Each aspect needs to be addressed
• Pre-diabetes
• PCOS
• Metabolic syndrome
• Physical activity and nutrition
• Foot care
• Diabetes education classes

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Contact Information

• Darin Larson, BS, CHES
• Utah Diabetes Prevention and Control Program
• PO Box 142107
• Salt Lake City, UT 84114
• Phone [phone]
• Fax [phone]
• Email dlarson_at_utah.gov
• Website www.health.utah.gov/diabetes