A pharmacist visit improves diabetes standards in a patient-centered medical home (PCMH)

Am J Med Qual. Nov-Dec 2012;27(6):529-34. doi: 10.1177/1062860612444304. Epub 2012 Jun 7.

Abstract

Many patients with diabetes do not receive recommended standards of care. Diabetes patients were seen by a pharmacist in a diabetes assessment service (DAS) 1 week prior to a physician appointment to complete diabetes standards. Completion rates of American Diabetes Association (ADA) standards were compared between patients of 5 physicians offered the DAS intervention and a concurrent cohort of randomly selected patients of nonparticipating physicians. A total of 94 patients were seen by DAS; 210 patients comprised the controls. DAS patients had a significantly higher proportion of each standard completed (glycosylated hemoglobin, lipids, foot exam, eye referral, pneumococcal and influenza vaccination, and urine microalbumin) compared with the control group (P < .001). An average of 3.3 ± 1.8 diabetes standards per patient were completed. A planned visit with a pharmacist prior to a physician appointment, with the goal of completing ADA standards of care, was feasible and effective in this university-based family medicine center.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Diabetes Mellitus / therapy*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Patient Care Team / organization & administration
  • Patient-Centered Care / methods
  • Patient-Centered Care / organization & administration*
  • Pharmacists*
  • Quality Indicators, Health Care
  • Quality of Health Care / organization & administration
  • Workforce
  • Young Adult