The Evaluation of the Implementation of a Shared Medical Appointment for Patients with Diabetes in a Rural Private Practice

2.50
Hdl Handle:
http://hdl.handle.net/10755/555997
Category:
Full-text
Type:
DNP Capstone Project
Level of Evidence:
Case-Control Study
Research Approach:
Pilot/Exploratory Study
Title:
The Evaluation of the Implementation of a Shared Medical Appointment for Patients with Diabetes in a Rural Private Practice
Author(s):
Rohrbach, Rebecca
Lead Author STTI Affiliation:
Non-member
Advisors:
Gaspar, Phyllis; Gaspar, Timothy M.
Degree:
DNP
Degree Year:
2015
Grantor:
University of Toledo
Abstract:

Abstract

 

Objective: This practice improvement project was designed to test the efficacy and feasibility of implementing Shared Medical Appointments (SMA) as an innovative approach to improve the care of diabetic patients while containing costs in a rural private practice associated with an Accountable Care Organization (ACO).

           

Methods: Five Medicare quality measures specific to diabetes were used as patient outcomes: hemoglobin A1C control (

 

Results: Fifteen patients participated in one or more monthly SMAs with groups ranging from two to five participants per appointment over 10 months. Participants indicated a high level of satisfaction with themes associated with social support. No significant difference between groups in the attainment of CMS measurements was found between groups however, the BMI was significantly improved for the SMA group.

 

Conclusions: The SMA may be a venue to activate patients to achieve health outcomes in a cost-effective manner if the recommended census of eight participants is achieved. Recommendations for implementation are provided.

 

Citation:
Rohrbach, R. (2015, May). The evaluation of the implementation of a shared medical appointment for patients with diabetes in a rural private practice (Doctoral capstone project). Retrieved from http://www.nursinglibrary.org/vhl/handle/10755/555997
Keywords:
Shared Medical Appointment; Accountable Care Organization; Triple Aim; Chronic Care Model
MeSH:
Appointments and Schedules; Accountable Care Organizations; Rural Health Services
Note:
This work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.
Repository Posting Date:
2015-05-28T19:05:07Z
Date of Publication:
2015-05-28

Full metadata record

DC FieldValue Language
dc.contributor.advisorGaspar, Phyllisen_US
dc.contributor.advisorGaspar, Timothy M.en_US
dc.contributor.authorRohrbach, Rebecca-
dc.date.accessioned2015-05-28T19:05:07Z-
dc.date.available2015-05-28T19:05:07Z-
dc.date.issued2015-05-28-
dc.identifier.citationRohrbach, R. (2015, May). The evaluation of the implementation of a shared medical appointment for patients with diabetes in a rural private practice (Doctoral capstone project). Retrieved from http://www.nursinglibrary.org/vhl/handle/10755/555997-
dc.identifier.urihttp://hdl.handle.net/10755/555997-
dc.description.abstract<div class="WordSection1"> <p align="center"><strong>Abstract</strong></p> <p> </p> <p><strong>Objective: </strong>This practice improvement project was designed to test the efficacy and feasibility of implementing Shared Medical Appointments (SMA) as an innovative approach to improve the care of diabetic patients while containing costs in a rural private practice associated with an Accountable Care Organization (ACO).</p> <p><strong>            </strong></p> <p><strong>Methods: </strong>Five Medicare quality measures specific to diabetes were used as patient outcomes: hemoglobin A1C control (</p> <p><strong> </strong></p> <p><strong>Results: </strong>Fifteen patients participated in one or more monthly SMAs with groups ranging from two to five participants per appointment over 10 months. Participants indicated a high level of satisfaction with themes associated with social support. No significant difference between groups in the attainment of CMS measurements was found between groups however, the BMI was significantly improved for the SMA group.</p> <p><strong> </strong></p> <p><strong>Conclusions:</strong> The SMA may be a venue to activate patients to achieve health outcomes in a cost-effective manner if the recommended census of eight participants is achieved. Recommendations for implementation are provided.<strong></strong></p> <p><strong> </strong></p> </div>en_GB
dc.description.sponsorshipNorthern Ohio Medical Specialists Healthcareen_GB
dc.language.isoen_USen
dc.subjectShared Medical Appointmenten_GB
dc.subjectAccountable Care Organizationen_GB
dc.subjectTriple Aimen_GB
dc.subjectChronic Care Modelen_GB
dc.subject.meshAppointments and Schedulesen_US
dc.subject.meshAccountable Care Organizationsen_US
dc.subject.meshRural Health Servicesen_US
dc.titleThe Evaluation of the Implementation of a Shared Medical Appointment for Patients with Diabetes in a Rural Private Practiceen_US
dc.typeDNP Capstone Projecten
dc.contributor.departmentNon-memberen
thesis.degree.grantorUniversity of Toledoen
thesis.degree.levelDNPen
dc.description.noteThis work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.-
thesis.degree.year2015-
dc.type.categoryFull-texten
dc.evidence.levelCase-Control Studyen
dc.research.approachPilot/Exploratory Studyen
dc.author.detailsRebecca Rohrbach, DNP Candidate, MSN, RN. email: rrohrbach@nomshealthcare.comen_GB
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