Outpatient diabetes management of Medicare beneficiaries in four Mississippi fee-for-service primary care clinics.

C. B. Cook, A. Penman, A. B. Cobb, D. Miller, T. Murphy, T. Horn

Research output: Contribution to journal › Article

10 Citations (Scopus)

Abstract

BACKGROUND: As part of a quality improvement initiative aimed at increasing physician compliance with standards of care for diabetes patients, diabetes practice patterns among Medicare beneficiaries in four primary care clinics were examined in Mississippi. METHODS: Retrospective chart reviews of Medicare beneficiaries with a diagnosis of diabetes were conducted to examine physician compliance with recommended diabetes monitoring services. RESULTS: Fifty-three percent of all beneficiaries did not have a recorded A1c test while 54 percent did not have a recorded foot exam. The percentage without foot exams decreased with quarterly visits. Seventy-two percent and 68 percent of patients had testing for lipids and proteinuria, respectively, although variability in types of testing performed was seen. Seventy-six percent of beneficiaries did not have a referral for a dilated eye exam. CONCLUSIONS: The study has uncovered, within several primary care sites in Mississippi, variable documentation of compliance with many clinically relevant recommendations relating to the care of elderly patients with diabetes. These items can be targeted for improvement as part of a statewide quality improvement initiative for Medicare beneficiaries.

Original languageEnglish (US)
Pages (from-to)8-13
Number of pages6
JournalJournal of the Mississippi State Medical Association
Volume40
Issue number1
StatePublished - 1999
Externally publishedYes

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Mississippi
Fee-for-Service Plans
Medicare
Primary Health Care
Outpatients
Quality Improvement
Foot
Physicians
Standard of Care
Proteinuria
Documentation
Patient Care
Referral and Consultation
Lipids

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Outpatient diabetes management of Medicare beneficiaries in four Mississippi fee-for-service primary care clinics. / Cook, C. B.; Penman, A.; Cobb, A. B.; Miller, D.; Murphy, T.; Horn, T.

In: Journal of the Mississippi State Medical Association, Vol. 40, No. 1, 1999, p. 8-13.

Research output: Contribution to journal › Article

Cook, CB, Penman, A, Cobb, AB, Miller, D, Murphy, T & Horn, T 1999, 'Outpatient diabetes management of Medicare beneficiaries in four Mississippi fee-for-service primary care clinics.', Journal of the Mississippi State Medical Association, vol. 40, no. 1, pp. 8-13.
Cook CB, Penman A, Cobb AB, Miller D, Murphy T, Horn T. Outpatient diabetes management of Medicare beneficiaries in four Mississippi fee-for-service primary care clinics. Journal of the Mississippi State Medical Association. 1999;40(1):8-13.
Cook, C. B. ; Penman, A. ; Cobb, A. B. ; Miller, D. ; Murphy, T. ; Horn, T. / Outpatient diabetes management of Medicare beneficiaries in four Mississippi fee-for-service primary care clinics. In: Journal of the Mississippi State Medical Association. 1999 ; Vol. 40, No. 1. pp. 8-13.
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abstract = "BACKGROUND: As part of a quality improvement initiative aimed at increasing physician compliance with standards of care for diabetes patients, diabetes practice patterns among Medicare beneficiaries in four primary care clinics were examined in Mississippi. METHODS: Retrospective chart reviews of Medicare beneficiaries with a diagnosis of diabetes were conducted to examine physician compliance with recommended diabetes monitoring services. RESULTS: Fifty-three percent of all beneficiaries did not have a recorded A1c test while 54 percent did not have a recorded foot exam. The percentage without foot exams decreased with quarterly visits. Seventy-two percent and 68 percent of patients had testing for lipids and proteinuria, respectively, although variability in types of testing performed was seen. Seventy-six percent of beneficiaries did not have a referral for a dilated eye exam. CONCLUSIONS: The study has uncovered, within several primary care sites in Mississippi, variable documentation of compliance with many clinically relevant recommendations relating to the care of elderly patients with diabetes. These items can be targeted for improvement as part of a statewide quality improvement initiative for Medicare beneficiaries.",
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N2 - BACKGROUND: As part of a quality improvement initiative aimed at increasing physician compliance with standards of care for diabetes patients, diabetes practice patterns among Medicare beneficiaries in four primary care clinics were examined in Mississippi. METHODS: Retrospective chart reviews of Medicare beneficiaries with a diagnosis of diabetes were conducted to examine physician compliance with recommended diabetes monitoring services. RESULTS: Fifty-three percent of all beneficiaries did not have a recorded A1c test while 54 percent did not have a recorded foot exam. The percentage without foot exams decreased with quarterly visits. Seventy-two percent and 68 percent of patients had testing for lipids and proteinuria, respectively, although variability in types of testing performed was seen. Seventy-six percent of beneficiaries did not have a referral for a dilated eye exam. CONCLUSIONS: The study has uncovered, within several primary care sites in Mississippi, variable documentation of compliance with many clinically relevant recommendations relating to the care of elderly patients with diabetes. These items can be targeted for improvement as part of a statewide quality improvement initiative for Medicare beneficiaries.

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