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Improving glycemic control in diabetes through virtual interdisciplinary rounds.

Publication ,  Journal Article
Hoffman, AF; Roberson, CL; Cohen, P; Jackson, VL; Yeatts, J; Gregory, P; Wong, S; Spratt, SE
Published in: Am J Manag Care
March 1, 2024

OBJECTIVE: A team-based disease management approach that considers comorbid conditions, social drivers of health, and clinical guidelines improves diabetes care but can be costly and complex. Developing innovative models of care is crucial to improving diabetes outcomes. The objective of this analysis was to evaluate the efficacy of virtual interdisciplinary diabetes rounds in improving glycemic control. STUDY DESIGN: Retrospective cohort study using observational data from July 2018 to December 2021. METHODS: This study employed difference-in-differences analysis to compare change in hemoglobin A1c (HbA1c) in a group of patients whose providers received advice as part of virtual interdisciplinary rounds and a group of patients whose providers did not receive rounds advice. Patients with diabetes were identified for rounding (1) based on attribution to an accountable care organization along with an upcoming primary care appointment and an HbA1c between 8% and 9% or (2) via provider referral. RESULTS: The rounded group consisted of 481 patients and the comparison group included 1806 patients. There was a 0.3-point reduction in HbA1c (95% CI, 0.1-0.4) associated with rounds overall. In a subanalysis comparing provider adoption of recommendations among those rounded, provider adoption was associated with an HbA1c reduction of 0.5 points (95% CI, 0.1-0.9) at 6 months post rounds, although there was no significant difference in the full year post rounds. CONCLUSIONS: Interdisciplinary rounds can be an effective approach to proactively provide diabetes-focused recommendations. This modality allows for efficient, low-cost, and timely access to an endocrinologist and team to support primary care providers in diabetes management.

Duke Scholars

Published In

Am J Manag Care

DOI

EISSN

1936-2692

Publication Date

March 1, 2024

Volume

30

Issue

3

Start / End Page

e78 / e84

Location

United States

Related Subject Headings

  • Retrospective Studies
  • Humans
  • Health Policy & Services
  • Glycemic Control
  • Glycated Hemoglobin
  • Endocrinologists
  • Diabetes Mellitus, Type 2
  • 4203 Health services and systems
  • 1117 Public Health and Health Services
 

Citation

APA
Chicago
ICMJE
MLA
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Hoffman, A. F., Roberson, C. L., Cohen, P., Jackson, V. L., Yeatts, J., Gregory, P., … Spratt, S. E. (2024). Improving glycemic control in diabetes through virtual interdisciplinary rounds. Am J Manag Care, 30(3), e78–e84. https://doi.org/10.37765/ajmc.2024.89518
Hoffman, Abby F., Cindy Leslie Roberson, Pamela Cohen, Victoria Lee Jackson, John Yeatts, Patrick Gregory, Samantha Wong, and Susan E. Spratt. “Improving glycemic control in diabetes through virtual interdisciplinary rounds.Am J Manag Care 30, no. 3 (March 1, 2024): e78–84. https://doi.org/10.37765/ajmc.2024.89518.
Hoffman AF, Roberson CL, Cohen P, Jackson VL, Yeatts J, Gregory P, et al. Improving glycemic control in diabetes through virtual interdisciplinary rounds. Am J Manag Care. 2024 Mar 1;30(3):e78–84.
Hoffman, Abby F., et al. “Improving glycemic control in diabetes through virtual interdisciplinary rounds.Am J Manag Care, vol. 30, no. 3, Mar. 2024, pp. e78–84. Pubmed, doi:10.37765/ajmc.2024.89518.
Hoffman AF, Roberson CL, Cohen P, Jackson VL, Yeatts J, Gregory P, Wong S, Spratt SE. Improving glycemic control in diabetes through virtual interdisciplinary rounds. Am J Manag Care. 2024 Mar 1;30(3):e78–e84.

Published In

Am J Manag Care

DOI

EISSN

1936-2692

Publication Date

March 1, 2024

Volume

30

Issue

3

Start / End Page

e78 / e84

Location

United States

Related Subject Headings

  • Retrospective Studies
  • Humans
  • Health Policy & Services
  • Glycemic Control
  • Glycated Hemoglobin
  • Endocrinologists
  • Diabetes Mellitus, Type 2
  • 4203 Health services and systems
  • 1117 Public Health and Health Services