PR, SC, TN, TX, VA, WA, WI. Contracts were awarded to: DC, GA, LA, MD, NY and Virgin Islands. The QIO identified both the practice and the ancillary organizations (e.g., community health centers, senior centers, faith-based organizations, etc.) that it would work with as part of the CMS-approved Diabetes Self-Management Education (DSME) process. The QIO facilitated training of appropriate personnel (e.g., nurses, Certified Diabetes Educators (CDEs), Community Health Workers (CHWs), etc.) at the identified organizational sites using evidence-based DSME programs within the underserved population of the Participating Practices (PPs). The QIO was required to establish a partnership with the primary care physician (PCP), CDE, and CHW to facilitate the accessibility of DSME services to patients. The QIO was required to work with the PPs to improve/increase their adherence to clinical guidelines for appropriate use of utilization measures for HbA1c, Lipids, and Eye Exams, as evidenced by Medicare claims billed by physicians for beneficiaries in priority populations with diabetes. The chart below identifies the Disparities 28th month evaluation measures, targets, and results. Measures Targets Results Maintain % 80% of the recruitment participating practices Increase % 55% of 100% of recruited pass beneficiaries beneficiaries completing had to DSME complete training DSME HbA1c 8% 100% Reduction in pass failure Rate Eye Exam 4% 100% Reduction in pass Failure Rate Lipids 8% 100% Reduction in pass Failure Rate
PR, SC, TN, TX, VA, WA, WI. Contracts were awarded to: DC, GA, LA, MD, NY and Virgin Islands. The QIO identified both the practice and the ancillary organizations (e.g., community health centers, senior centers, faith-based organizations, etc.) that it would work with as part of the CMS-approved Diabetes Self-Management Education (DSME) process. The QIO facilitated training of appropriate personnel (e.g., nurses, Certified Diabetes Educators (CDEs), Community Health Workers (CHWs), etc.) at the identified organizational sites using evidence-based DSME programs within the underserved population of the Participating Practices (PPs). The QIO was required to establish a partnership with the primary care physician (PCP), CDE, and CHW to facilitate the accessibility of DSME services to patients. The QIO was required to work with the PPs to improve/increase their adherence to clinical guidelines for appropriate use of utilization measures for HbA1c, Lipids, and Eye Exams, as evidenced by Medicare claims billed by physicians for beneficiaries in priority populations with diabetes. The chart below identifies the Disparities 28th month evaluation measures, targets, and results. Measures Targets Results Maintain % recruitment 80% of the participating practices 100% pass Increase % of beneficiaries completing DSME training 55% of recruited beneficiaries had to complete DSME HbA1c 8% Reduction in failure Rate 100% pass Eye Exam 4% Reduction in Failure Rate 100% pass Lipids 8% Reduction in Failure Rate 100% pass
The-2011-report-to-congress-.docx