Developing a Complex Care Case Management Service within Primary Care

"Analysis of the Slough CCG patient population demonstrated that 5% (7,500) of people consume 43% of healthcare resources.  In an attempt to realise cost savings and improve quality of service, efforts were made to target those at higher risk of an emergency admission or A&E attendance."

Slough CCG: Developing a Complex Care Case Management Service within Primary Care
S Saran, A Thompson, R Chana
RightCare
February 2016

Read more here.

Hypoglycaemia monitoring in a medical receiving ward

"The study successfully demonstrated that simple measures can significantly improve the quality care of inpatient diabetic patients in relation to hypoglycaemia management."

Hypoglycaemia monitoring in a medical receiving ward
R Ellis
BMJ Quality Improvement Reports 2015;4: doi:10.1136/bmjquality.u207104.w2859


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Development of a cost-effectiveness model for optimisation of the screening interval in diabetic retinopathy screening

"The study found that annual screening of all patients for STDR [sight-threatening diabetic retinopathy] was not cost-effective. Screening this entire cohort every 3 years was most likely to be cost-effective."

Development of a cost-effectiveness model for optimisation of the screening interval in diabetic retinopathy screening
PH Scanlon, SJ Aldington, J Leal , R Luengo-Fernandez, J Oke , S Sivaprasad , et al.
Health Technology Assessment 2015;19(74)

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Improving efficiency management of radiopharmaceutical materials

"The high cost of radiopharmaceuticals is a significant part of the annual budget of PET/CT unit and nuclear medicine department in general. In fact, it is a valuable target for quality improvement projects that aims to reduce the percentage of wastes and improves resource management at work site."

Improving efficiency management of radiopharmaceutical materials at a nuclear medicine department
A Al Ahmed, K Al-Surimi
BMJ Quality Improvement Reports, 2015;4: doi:10.1136/bmjquality.u208970.w3709

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Feasibility and impact of implementing a private care system’s diabetes quality improvement intervention in the safety net

"This study adds substantially to our understanding of whether and how QI strategies proven effective in better-resourced care settings can be translated into under-resourced clinics. Such translation and implementation could potentially yield important benefits to clinics serving low-income populations by helping them keep up with the care delivery innovations that other settings develop."

Feasibility and impact of implementing a private care system’s diabetes quality improvement intervention in the safety net: a cluster-randomized trial
R Gold et al.
Implementation Science 2015, 10:83  doi:10.1186/s13012-015-0259-4

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The dynamics of quality: a national panel study of evidence-based standards

"People with long-term health conditions do not always receive the health care they need, and so may suffer avoidable poor health. We aimed to find out if the quality of health care received by people in England had improved over 6 years, for four common long-term health conditions: cardiovascular disease (including heart disease and high blood pressure treatment), depression, diabetes and osteoarthritis."

The dynamics of quality: a national panel study of evidence-based standards
AC Hardcastle, LTA Mounce, SH Richards, MO Bachmann, A Clark, et al.
Health Service Delivery Res 2015;3(11)

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Improving the Quality of Assessment and Management of Hypoglycaemia in Hospitalised Patients with Diabetes Mellitus

"We demonstrated that the introduction of ‘Hypo Boxes’ to diabetes wards significantly improved the assessment and management of episodes of hypoglycaemia. The appropriateness of treatment and the time to correction improved, and ultimately this aims to improve patient outcomes, something which can be adversely affected by hypoglycaemia."

Improving the Quality of Assessment and Management of Hypoglycaemia in Hospitalised Patients with Diabetes Mellitus by Introducing 'Hypo Boxes' to General Medical Wards with a Specialist Interest in Diabetes
R Livingstone, J Boyle
BMJ Quality Improvement Reports 2015;4: doi:10.1136/bmjquality.u207686.w3067

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Insulin pump therapy: clinical audit tool

NICE have published a cost saving audit tool to assist in comparing practice against the NICE technology appraisal guidance for insulin pump therapy.

TA151 Diabetes - insulin pump therapy: clinical audit tool
NICE
December 2014

Read more here.

Comparing the implementation of team approaches for improving diabetes care in community health centers

"Patient panel management and community-based care management may be viable strategies for community health centers to improve the quality of diabetes care for vulnerable patient populations. The objective of our study was to clarify implementation processes and experiences of integrating office-based medical assistant (MA) panel management and community health worker (CHW) community-based management into routine care for diabetic patients."

Comparing the implementation of team approaches for improving diabetes care in community health centers

PJ Van der Wees, MW Friedberg, EA Guzman, JZ Ayanian, HP Rodriguez

BMC Health Services Research 2014, 14:608  doi:10.1186/s12913-014-0608-z

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Associations between Perceived Chronic Care Quality, Perceived Patient Centeredness, and Illness Representations among Persons with Diabetes

"Chronic care quality as defined in the Chronic Care Model and consistency of chronic care with patient expectations (patient centeredness) was associated with illness representations favorable for good self-care management."

Associations between Perceived Chronic Care Quality, Perceived Patient Centeredness, and Illness Representations among Persons with Diabetes
J Thomas, NN Iyer, WB Collins
Journal for Healthcare Quality, 2014, 36: 50–59. doi: 10.1111/jhq.12077

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Healthier Lives online tool: Diabetes, Hypertension, NHS Health Check

This newly released tool/map shows the quality and levels of care provided across England with comparisons against the national average. It currently contains statistics for diabetes, high blood pressure and NHS Health Checks.

Healthier Lives: Diabetes, Hypertension and NHS Health Check online tool
Public Health England
October 2014

Access the tool here.

Service redesign: early identification of patients at risk of developing end-stage kidney disease

"This initiative aims to reduce the rate of loss of kidney function in people with diabetes and chronic kidney disease, so that fewer people develop kidney failure and require dialysis."

Service redesign: early identification of patients at risk of developing end-stage kidney disease
Heart of England NHS Foundation Trust
QIPP Case Study
August 2014

Read more here.

National Diabetes Inpatient Audit 2013 national summary

"The National Diabetes Inpatient Audit is a snapshot audit of diabetes inpatient care in England and Wales. The audit is set out to answer the following questions:

• Did diabetes management minimise the risk of avoidable complications?
• Did harm result from the inpatient stay?
• Was patient experience of the inpatient stay favourable?
• Has the quality of care and patient feedback changed...?"

National Diabetes Inpatient Audit 2013 national summary

Health and Social Care Information Centre

2014

Read more here.

Cost-effectiveness of a universal strategy of brief dietary intervention for primary prevention in primary care

"A healthy diet is associated with reduced risk of diabetes, cardiovascular disease and cancer. The study aimed to evaluate the cost-effectiveness of a universal strategy to promote healthy diet through brief intervention in primary care."

Cost-effectiveness of a universal strategy of brief dietary intervention for primary prevention in primary care: population-based cohort study and Markov model
MC Gulliford, N Bhattarai, J Charlton, C Rudisill
Cost Effectiveness and Resource Allocation, 2014, 12:4

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Diabetes: State of the Nation England 2013

"In the best area four times more people get the checks they need than in the worst."

State of the nation England 2013
Diabetes UK
December 2013

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Admissions avoidance and diabetes

"The document emphasises the scale of the clinical and financial problem of diabetes admissions to UK hospitals and commissioners, and describes models shown to reduce variability."

Admissions avoidance and diabetes: guidance for clinical commissioning groups and clinical teams
Joint British Diabetes Societies for Inpatient Care
December 2013

Read more here.

Inner North West London Integrated Care Pilot

"The North West London Integrated Care Pilot (ICP) is a large-scale innovative programme designed to improve the coordination of care for people over 75 years of age, and adults living with diabetes."

Evaluation of the first year of the Inner North West London Integrated Care Pilot
Nuffield Trust
May 2013

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Briefing on NHS health checks for local authorities

"Local authorities are now responsible for commissioning health checks. This briefing provides information about the programme."

Briefing on NHS health checks for local authorities
Primary Care Commissioning
April 2013

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Best practice for commissioning diabetes services

"Providing better integrated diabetes care has been shown to improve patient experience, quality of clinical care and reduce hospital admissions for vulnerable patients."

Best practice for commissioning diabetes services: an integrated care framework
NHS Diabetes
March 2013

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Fast track for a foot attack: reducing amputations

"Amputations have been reduced by over 50% where hospitals have introduced multidisciplinary footcare teams and promoted rapid access to them."

Putting feet first: fast track for a foot attack: reducing amputations
Diabetes UK
February 2013

Read more here.