Operational Excellence, Internal Medicine
A1c monitoring is an important aspect of controlling the health of a diabetic patient. An adult internal medicine clinic noted that the percentage of their diabetic patients who had an A1c higher than 9 or no reading within the past year exceeded the national average. As a result, operational excellence methods were implemented with the overall goal to reduce their percentage to 18% or less.
A root cause analysis identified several deficiencies to includelack of essential equipment, variations in
staff education and the absence of daily reminders.
Post KPI implementations, an overall decrease in the percentage of patients with poorly controlled diabetes was attained. Next steps include ongoing monthly reviews of patients with A1c >9 or have not been seen in 12 months
Aronson, Jennifer; Bellino, Leanne; Eisenhardt, Elizabeth; Bryant, Diane; Pelletier, Haley; Internal Medicine Team; and Adult Outpatient Clinic, "Strategies To Improve Control Of Blood A1C In Diabetics" (2017). Maine Medical Center. 1.
Community Health and Preventive Medicine Commons, Endocrine System Diseases Commons, Endocrinology, Diabetes, and Metabolism Commons, Family Practice Nursing Commons, Geriatric Nursing Commons, Hematology Commons, Internal Medicine Commons, Nursing Administration Commons, Nutritional and Metabolic Diseases Commons, Pharmacy and Pharmaceutical Sciences Commons, Primary Care Commons, Public Health and Community Nursing Commons