VETERAN DIABETES

MANAGEMENT

PROGRAMSuzette Phillips

MHA/626 Managed Health Care

February 25, 2013

Jack Lazarre

Running head: DIABETES MANAGEMENT PROGRAM

VETERANS HEALTH ADMINSTRATION

Diabetes Constitute a quarter patients in the VHA Focus centered care

Unique laboratory electronic health recordTransforms health careAccelerate discovery

U.S. Dept of Veterans Affairs Diabetes Program Patients with diabetes, thyroid, and skeletal

health Collaborates

National Prevention Center Food and Nutrition Services Office of Research and Development

Develop clinical guidelines Prevention Treatment Endocrine disorders

Improving health of Veterans with diabetes and endocrine disorders

VETERAN DIABETES MANAGEMENT PROGRAM

INTRODUCTION• Veterans Health Administration

• Veterans Diabetes Management Program What is diabetes Role preventing diabetes Patient and physician incentives Case Management Facilities Quality of care Prescription benefits The future of data use Conclusions

• Disease Management Programs are implemented to educate and guide patients to live a healthier lifestyle and learn tools to keep this disease under control.

WHAT IS DIABETES? Diabetes

Body does not make enough insulinBody does not use insulin properlyUntreated has many permanent effects to

body Heart disease Kidney disease Amputations, Blindness, Other serious issues

InsulinHormone helps body use glucose for energy

ROLE OF PREVENTING DIABETES

Early detection Lifestyle changes

Education Improve physical activityDecrease obesity through health dietMatch Veterans with individual treatmentsProviding management supportDecrease cardiovascular

Developing programs indentify risk of diabetes Improving quality of life and reducing

complications

PATIENT/PHYSICAN INCENTIVES

Veterans Integrated Service NetworkDecision making and accountability providing

careReceives money based on number of veterans

cared forKeeping patients healthy better outcomesLower costsData collections and feedback performance

improve its care Patient incentives improve care

Patient center care Preventative care

CASE MANAGEMENT

Proactive case management interventionGlycemic control Intermediate cardiovascular outcomesAdherence to specific care standardsShort term resource utilizationUsing Simulation models establishing the

impact of change Satisfaction

FACILITIES

Location Veterans Health AdministrationVISNs (Veterans Integrated Service Networks

Twenty-one regions Location Facility types

QUALITY OF CARE

Hemoglobin tests Examined process of quality of care Measure to adjust patient level differences Performance monitoring program Statistical Analysis Collect medical records Patient surveys Recognizing multitude of complex factors

influence ideal hemoglobin Difference between clinical practice and

guidelines For each quality measure calculate percentage of

patients who met recommended quality standard

PRESCRIPTION BENEFITS

Veterans Affairs Provider NetworkComplete Medical careOver the counter medicationsSuppliesPrescription medicationsMedical and surgical supplies

FUTURE DATA USE VHA - Electronic Health System

Most sophisticated system Enabled rapid learning Increased number of veterans seen Decreased costs EHS -National diabetes registry Operational data transfer into useful information Tracking diabetic complications Identify patients “high-risk” Monitor quality outcomes

DIABETES PROCESS QUALITY IN THE VETERANS HEALTH ADMINISTRATION (VHA), SELECTED YEARS 1995–2005

©2007 by Project HOPE - The People-to-People Health Foundation, Inc.

CONCLUSION Veterans Health Administration-diabetes

program Improve quality of life

One quarter veteran patients diagnose diabetes Focus on diabetes and endocrine Reduce diseases Early detection Lifestyle changes Testing, counseling, and reducing complications Cost effective Improve outcomes Benefits

Prescription, medications, and supplies EHS

Most sophisticated system improve data performances

REFERENCES

Ashish, K. (September 2006). What can the rest of the health care system learn from the Veterans quality and safety. Web M & M. Revised from;http://www.webmm.ahrq.gov/perspective.aspx?perspectiveID=31

Kerr, E. A., et. (August 17, 2004). Diabetes care quality in the Veterans affairs health care system and commercial managed care: They triad stud. Annals of

Internal Medicine. Revised from; http://annals.org/article.aspx?articleid=717756 Kerr E. A., et. (December 2011). Diabetes Queri center 2011 strategic plan. VA Ann

Arbor Healthcare System VA Center for Clinical Management Research. Revised from; http://www.queri.research.va.gov/about/strategic_plans/dm.pdf

Kupersmith, J. (2007). Advancing evidence-based care for diabetes: lessons from the Veterans health Administration. Health Affairs Revised from;

http://content.healthaffairs.org/content/26/2/w156.full N.A. (2012 ). What is diabetes? WakeMed Health & Hospitals. Revised from;

http://www.wakemed.org/landing.cfm?id=132 U.S. Dept of Veterans Affairs. (July 23, 2010). Vet Centers Specialty Care Services.

Revised from; http://www2.va.gov/directory/guide/vetcenter_flsh.asp U.S. Dept of Veterans Affairs. (April 12, 2011). Your VA drug coverage. VA Heart of

Texas health Care Network. Revised from; http://www.heartoftexas.va.gov/drug_policy.asp

U.S. Department of Veterans Affairs. (February 8, 2013). Diabetes and endocrinology services. Specialty Care Services. Revised from;

http://www.medicalsurgical.va.gov/ U.S. National Institutes of Health. (August 1, 2012). Department of VA , proactive case

management. U.S. National Library of Medicine. Revised from; http://clinicaltrials.gov/ct2/show/NCT00013208