Institute for Healthcare Improvement: The IHI Triple Aim. The IHI Triple Aim is a framework developed by the Institute for Healthcare Improvement that describes an approach to optimizing health system performance.
It is IHI’s belief that new designs must be developed to simultaneously pursue three dimensions, which we call the “Triple Aim”: Improving the patient experience of care (including quality and satisfaction);Improving the health of populations; andReducing the per capita cost of health care. Why the Triple Aim? The US health care system is the most costly in the world, accounting for 17% of the gross domestic product with estimates that percentage will grow to nearly 20% by 2020. [Source: National Healthcare Expenditure Projections, 2010-2020. Approach. Diabetesresearchclinicalpractice. To view the full text, please login as a subscribed user or purchase a subscription.
Click here to view the full text on ScienceDirect. Abstract Despite significant advances in diagnosis and treatment, the persistence of inadequate metabolic control continues. Poor glycemic control may be reflected by both the failure of diabetes self-management by patients as well as inadequate intervention strategies by clinicians. The purpose of this systematic review is to summarize existing knowledge regarding various barriers of diabetes management from the perspectives of both patients and clinicians. To access this article, please choose from the options below. A new slant on storytelling. Clinical Diabetes. Authors In recent years, we have witnessed an increasing focus on “evidence-based medicine.”
Indeed, for the first time, the American Diabetes Association (ADA) this year has provided evidence gradings for its position statement on “Standards of Medical Care for Patients With Diabetes Mellitus.” This position statement is reprinted in abridged form in this issue (page 24). The entire document can be found in Diabetes Care1 or on the ADA Web site at.
Clinical Guidelines and Recommendations. National Guideline Clearinghouse™ The National Guideline Clearinghouse™ (NGC), an AHRQ initiative, is a publicly available database of evidence-based clinical practice guidelines and related documents.
Updated weekly with new content, the NGC provides physicians and other health professionals, health care providers, health plans, integrated delivery systems, purchasers, and others an accessible mechanism for obtaining objective, detailed information on clinical practice guidelines and to further their dissemination, implementation, and use. U.S. Preventive Services Task Force (USPSTF) Created in 1984, the U.S. Diabetes Resources for Health Care Professionals. Decision Aids In participatory decision-making, physicians actively engage patients in treatment and other care decisions.
Such patient participation appears to be associated with better understanding of care.  Participation in decision-making can play a key role in patient understanding of diabetes self-management and subsequent self-care practices.  People with diabetes with limited education benefit from specific instruction in foot care, food choices, and monitoring hemoglobin A1c.  Involving patients in treatment decision-making alone, however, does not appear to be sufficient to improve biomedical outcomes.   Diabetes-Specific Recommendations and Guidelines American Academy of Family Physicians American Association of Clinical Endocrinologists American College of Physicians American Diabetes Association. Hunger And Weight Gain With Insulin. I have Type 2 diabetes.
For years I could easily lose weight— even when I didn't try very hard. I didn't get treatment due to lack of money and insurance. Motivational Interviewing and Diabetes: What Is It, How Is It Used, and Does It Work? Motivational interviewing (MI) has recently become a topic of great interest in the diabetes behavioral field, having been the focus of workshops and research presentations at national meetings such as the Society of Behavioral Medicine, the American Diabetes Association, the North American Association for the Study of Obesity, and the Behavioral Research in Diabetes Exchange.
The Motivational Interviewing Network of Trainers (MINT) was founded in 1995 and sponsors a website (www.motivationalinterviewing.org) through which MI trainers and researchers share information and ideas. This site provides information, research findings, and training opportunities and is a good starting point for further exploration of MI. Hettema et al.7 have cogently reported on the emerging theory of how MI affects behavior change. Further work is being conducted to tease out how the increase in change talk is related to outcome. Motivational Interviewing Beyond the Clinical Setting: The AiM App. For many people, there is no doubt that mobile devices play a major role in their day-to-day existence.
From keeping one organized to maintaining contact with friends, family, and co-workers, these devices just seem to be getting harder and harder to get away from. Given the number of hours these devices spend attached to their owners, there is much potential to use them to facilitate behavior change. This is the rationale behind the “AiM App to Improve Motivation.” Recently, this app came to my attention. I found the idea of attempting to bring the clinical practice of motivational interviewing to a mobile device, for people seeking to make changes in their lives, quite fascinating. HTML5 vs. Native Apps. Every supplier needs a website, and increasingly, suppliers also want apps.
Movista’s Stan Zylowski talked with Andy Schuch about the different frameworks available for apps. Can you do without an app? As consumers increasingly use their smartphones while shopping, suppliers increasingly want to reach shoppers with an app. Don’t forget, however, the Zero Moment of Truth: most shoppers have already done their research and made their decisions before they come into the store. Always-on shoppers will access your website on any device they happen to be using, whether it’s their desktop computer at work during a coffee break, their big-screen TV at home during a commercial break, their laptop while waiting at the airport, their tablet as they unwind in the evening, or their phone in the store aisle. This omnichannel reality means that a responsive website — a website that look good on any size of screen and is accessible on any device — is the highest priority.
Comments comments. AdherenceRx. > Frequently Asked Questions Why should we use AdherenceRx's Behavioral Coaching model versus other adherence strategies we currently use?
Unlike many adherence strategies such as reminder letters, devices, incentive programs, coaching and medication assistance services, AdherenceRx offers: > A patient-centric approach not predicated on a pre-determined number of interactions and customized to meet individual patient needs. > A solid research base for behavioral change integrating well-established foundations in psychology. > A personal touch with a dedicated coach What type of professionals are the coaches? Do patients work with multiple coaches? What communication methods are used for the AdherenceRx program? How long is a recommended coaching program? Can AdherenceRx scale programs at a national level?
Emmi Solutions Partners with AdherenceRX. AdherenceRx Partners with Emmi Solutions to Expand Its Web-Based Patient Self-Management Tools in their Behavioral Health Coaching Model. CHICAGO, IL - Jun 10, 2009 AdherenceRx, a leader in physician and pharmacist prescribed health coaching services steeped in the methodology of behavior science, has partnered with Emmi Solutions, the market leader in interactive patient engagement programs, to deliver reliable and integrated patient self-management services. At the direction of a patient's health coach, patients are prescribed a series of interactive patient education modules aimed at improving health literacy via a unique and effective technology platform that tracks patient engagement.
Interactive patient education is becoming essential in establishing baseline metrics related to a patient's health literacy and understanding of a particular health condition. EmmiPrevent Demo. Summary of the HIPAA Privacy Rule. Permitted Uses and Disclosures Permitted Uses and Disclosures. A covered entity is permitted, but not required, to use and disclose protected health information, without an individual’s authorization, for the following purposes or situations: (1) To the Individual (unless required for access or accounting of disclosures); (2) Treatment, Payment, and Health Care Operations; (3) Opportunity to Agree or Object; (4) Incident to an otherwise permitted use and disclosure; (5) Public Interest and Benefit Activities; and (6) Limited Data Set for the purposes of research, public health or health care operations.18 Covered entities may rely on professional ethics and best judgments in deciding which of these permissive uses and disclosures to make. (1) To the Individual.
A covered entity may disclose protected health information to the individual who is the subject of the information. Field Assistance Bulletin. Printer Friendly Version Date: February 14, 2008 Memorandum For: Virginia C. Smith, Director of EnforcementRegional Directors From: Daniel J. The effect of a diabetes collaborative care management program on clinical and economic outcomes in patients with type 2 diabetes.