Highlights
- •Successfully implemented a QI initiative to change primary care practice workflows.
- •Effectively identified women aged 18–44 years at high risk for type 2 diabetes.
- •Increased provision of preventive education for women at-risk for T2DM.
- •Improved completion rate of clinically recommended T2DM screenings.
Abstract
Aims
Type 2 diabetes mellitus (T2DM) rates continue to increase across women of reproductive
age in the United States. The Ohio Type 2 Diabetes Learning Collaborative aimed to
improve education and screening for T2DM among women aged 18–44 years at high risk for developing T2DM.
Methods
Fifteen primary care practices across Ohio participated in a 12-month quality improvement
(QI) collaborative, which included monthly calls to share best practices, one-on-one
QI coaching, and Plan-Do-Study-Act cycles. Monthly, practices submitted data on three
outcome measures on preventive education and three measures on clinical screening
for T2DM.
Results
Increases across each of the three preventive education rates (range of percent increase:
53.6% – 60.0%) and each of the three screening rates for T2DM (15.0% – 19.4%) were
observed. Specifically, screening rates for high-risk women with two or more risk
factors for T2DM (excluding gestational diabetes mellitus (GDM)) increased by 16.8%
(60.5%–77.3%) while rates for T2DM among women with a history of GDM increased by
15.0% (75.0 – 90.0).
Conclusions
A quality improvement collaborative increased preventive education and screening rates
for women at high-risk for T2DM in primary care settings.
Abbreviations:
T2DM (type 2 diabetes mellitus), GDM (gestational diabetes mellitus), QI (quality improvement), PCP (Primary Care Providers)Keywords
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Article info
Publication history
Published online: November 06, 2019
Accepted:
September 30,
2019
Received in revised form:
September 19,
2019
Received:
April 17,
2019
Identification
Copyright
© 2019 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved.
