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EVALUATION OF AN INNOVATIVE PROGRAM TO IMPROVE OUTCOMES AMONG MILITARY BENEFICIARIES WITH DIABETES CAROL A.B. ANDREWS

By: ANDREWS, CAROL A.B [author].
Contributor(s): The University of Texas at Tyler.
Publisher: [Tyler, Texas] [University of Texas at Tyler] 2013Description: 1 online resource (vi, 106 pages) text file, PDF.Content type: text Media type: computer Carrier type: online resourceSubject(s): Non-insulin-dependent diabetes | Chronic diseases | United States. Air Force -- Medical care | NursingOnline resources: Dissertation Dissertation note: Dissertation (Ph.D.), University of Texas at Tyler, 2013. Summary: Patient Centered Medical Home (PCMH) is a health care model implemented in all United States Air Force (USAF) medical facilities which uses a team-based approach to promote accessibility, quality care, and appropriate service utilization, while decreasing costs. To measure the effectiveness of this model, the National Committee for Quality Assurance (NCQA) has developed a tool to document and recognize facilities that incorporate all model elements. However, the effects of the full model implementation on patient outcomes in military settings have not been studied. This research fills an important gap in the literature because it studies the effect of PCMH implementation in military settings, which has been mandated by the Assistant Secretary of the Defense. The five-phase implementation plan for PCMH in the USAF was described in the first manuscript. The second manuscript specifically identifies the hypotheses studied, the methods for data collection and analysis, and provides a synthesis of results. This study evaluates the effects of PCMH implementation on patients with type-2 diabetes (T2DM) in military clinics. This study also explores whether NCQA Provider Practice Connections®-Patient Centered Medical Home™ (PPC®-PCMH™) recognition scores, based upon the standards of the PCMH, explain variations in glycated hemoglobin levels (HgA1c), emergency department (ED) visits, and hospitalized days among T2DM patients. The results show support for the effect of PCMH implementation on HgA1c for patients with T2DM seen in military clinics. Support was mixed for PCMH having a positive effect on hospitalized days and ED visits. Evidence was not found for the ability of NCQA PPC®-PCMH™ recognition to explain variation in HgA1c.
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Item type Current location Collection Call number URL Status Date due Barcode
UT Tyler Dissertation UT Tyler Online
Online
University Archives & Special Collections RC662.18 .A53 2013 (Browse shelf) http://hdl.handle.net/10950/108 Available 852149417

Dissertation (Ph.D.), University of Texas at Tyler, 2013.

Includes bibliographic references (pages 63-66).

Patient Centered Medical Home (PCMH) is a health care model implemented in all United States Air Force (USAF) medical facilities which uses a team-based approach to promote accessibility, quality care, and appropriate service utilization, while decreasing costs. To measure the effectiveness of this model, the National Committee for Quality Assurance (NCQA) has developed a tool to document and recognize facilities that incorporate all model elements. However, the effects of the full model implementation on patient outcomes in military settings have not been studied. This research fills an important gap in the literature because it studies the effect of PCMH implementation in military settings, which has been mandated by the Assistant Secretary of the Defense. The five-phase implementation plan for PCMH in the USAF was described in the first manuscript. The second manuscript specifically identifies the hypotheses studied, the methods for data collection and analysis, and provides a synthesis of results. This study evaluates the effects of PCMH implementation on patients with type-2 diabetes (T2DM) in military clinics. This study also explores whether NCQA Provider Practice Connections®-Patient Centered Medical Home™ (PPC®-PCMH™) recognition scores, based upon the standards of the PCMH, explain variations in glycated hemoglobin levels (HgA1c), emergency department (ED) visits, and hospitalized days among T2DM patients. The results show support for the effect of PCMH implementation on HgA1c for patients with T2DM seen in military clinics. Support was mixed for PCMH having a positive effect on hospitalized days and ED visits. Evidence was not found for the ability of NCQA PPC®-PCMH™ recognition to explain variation in HgA1c.

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