Impact of COVID-19 on Diabetes Care
This study describes changes in routine care for patients with type 2 diabetes (T2DM) among AMGA member health care organizations (HCOs) during COVID-19. In Jan/Feb 2020 fewer than 1% of visits were conducted via telehealth (range 0–3%) increasing to 64% by April (range 13–90%). Home testing/monitoring of HbA1c and drive-thru clinics may explain why some HCOs seemed better equipped to test and monitor patients. Patients with A1c levels >9 had fewer visits. Black patients had smaller declines in visits and greater use of telehealth. Asian patients had the largest decrease of in-person visits.
Strategies to Improve Care for People with Obesity
Results of a three-year, population health focused, obesity care model learning collaborative in which 10 U.S. health care organizations implemented strategies within primary care practices that improved care for patients with obesity.
Predicting Patients at Greatest Risk of Developing Diabetes
What if you could use data in the EHR to predict who, among people with pre-diabetes, is at greatest risk of developing diabetes and who is most likely to benefit from different evidence-based interventions? This prediabetes care model, embedded in the EHR used at the point of care is improving decisions about treatment for patients with prediabetes.
Timely Treatment of Patients with Diabetes and Cardiovascular Disease
Patients with type 2 diabetes who are at risk of or have been diagnosed with cardiovascular disease (CVD) can benefit from new glucose lowering medications with cardiovascular benefit, like SGLT2is and GLP1s. But care gaps exist in the uptake of these new therapies.
Improving Adult Pneumococcal and Influenza Immunization Rates
AMGA’s adult immunization best practices learning collaborative achieved significant improvements in adult immunization rates in a short time period. Strategies health care organizations implemented to improve vaccination rates can be translated for use in other adult vaccination efforts, such as for COVID-19.
A Case for Precise Blood Pressure Measurement
Blood pressure (BP) data in electronic records of patients with hypertension can be used to improve care. BP values are often rounded and recorded to the nearest 10 mm Hg, but using precise measurement can reduce risks of stroke, heart disease, other adverse vascular events, and even death by enabling more timely treatment.