Clinical Practice Workflow Implementation for the Improvement of Diabetic Metric Compliance

Recent guidance suggests the management of screen-detected diabetes can be optimized using multifactorial interventions to improve overall disease burden, patient outcomes, and cost-savings. We explored preventive diabetic care and implemented interventions to increase recommended testing compliance among patients with Type II Diabetes Mellitus. This study employed a multi-faceted approach beginning with the distribution of surveys to patients in the Stratford Family Medicine Office in order to gauge their health literacy level pertaining to Diabetes management. Patient electronic medical records were evaluated to determine baseline levels for all laboratory values. Data analysis was completed using Statistical Package for the Social Sciences (SPSS). Mean systolic blood pressure decreased (p=0.014) following our interventions while diastolic blood pressure increased (p=0.003). No significance was produced with respect to ophthalmologic exam compliance, microalbumin urine testing, and HbA1c checks. Statin medication compliance decreased following our interventions (p=0.047). Ultimately, we hope to reinvigorate the clinical workflows for diabetic patients in order to boost patient outcomes related to hemoglobin A1c, microalbumin, diabetic retinopathy, and adherence to statin medication