The evaluation of the implementation of a shared medical appointment for patients with diabetes in a rural private practice
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Rebecca Rohrbach, DNP Candidate, MSN, RN rrohrbach@nomshealthcare.com
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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.
Type | DNP Capstone Project |
Acquisition | Self-submission |
Review Type | Faculty Approved: Degree-based Submission |
Format | Text-based Document |
Evidence Level | Case-Control Study |
Research Approach | Pilot/Exploratory Study |
Keywords | Shared Medical Appointment; Accountable Care Organization; Triple Aim; Chronic Care Model |
CINAHL Subject(s) | Accountable Care Organizations; Appointments and Schedules |
MESH Subject(s) | Rural Health Services |
MESH Subject(s) | Rural Health Services |
Grantor | The University of Toledo |
Advisor | Gaspar, Phyllis; Gaspar, Timothy M. |
Level | DNP |
Year | 2015 |
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