By Claire Hutkins Seda, Writer, Migrant Clinicians Network and Managing Editor, Streamline
Every three years, a health center completes an operational site visit (OSV) during which numerous program requirements are reviewed, including quality management. The Uniform Data System (UDS) quality measures, defined by the Health Resources and Services Administration (HRSA), paint a picture of how the health center is progressing to improve the health of its patients. The diabetes measure asks health centers to determine how many patients between the ages of 18 and 75 with diabetes had a hemoglobin A1c of greater than nine. Nationwide, the number of patients with diabetes with an A1c greater than nine -- a level indicating their diabetes is not in control -- has been slowly increasing.
“We’re working with a population that has a gradually higher percentage of uncontrolled diabetes,” said Candace Kugel, FNP, CNM, MS, Migrant Clinicians Network’s Specialist in Clinical Systems and Women’s Health, during MCN’s recent webinar on the HRSA Diabetes Quality Improvement Initiative. The nationwide landscape requires health centers to increase their attention on diabetes and build strategies to address the epidemic of out-of-control diabetes in the US.
During the OSV, health centers are presented with a unique technical assistance opportunity to support their diabetes improvement efforts through the Diabetes Performance Analysis session. In addition to reviewing the UDS diabetes measure and the health center’s current figures and trends over time, the health center and the HRSA review team perform a root cause analysis and then build together a list of three action steps that the health center can take to make a bigger impact. Learn more about the Diabetes Quality Improvement Initiative and prepare for an operational site visit by watching MCN’s webinar, now archived on MCN’s Archived Webinar page: https://www.migrantclinician.org/archived-webinars.html.
HRSA Diabetes Quality Improvement Initiative webpage: https://bphc.hrsa.gov/qualityimprovement/clinicalquality/diabetes.html
Diabetes self-management tools: https://www.cdc.gov/diabetes/dsmes-toolkit/
Read this article in the Spring 2020 issue of Streamline here!
Sign up for our eNewsletter to receive bimonthly news from MCN, including announcements of the next Streamline.