The document discusses the Veterans Health Administration diabetes management program. It notes that diabetes patients constitute a quarter of VHA patients and the program focuses on centered care for diabetes and endocrine disorders. The program aims to improve quality of life through early detection, lifestyle changes, testing, counseling and reducing complications. It utilizes the VHA's sophisticated electronic health system to monitor outcomes and identify high-risk patients in order to improve cost-effectiveness and health outcomes for veterans with diabetes.

1. Running head: DIABETES MANAGEMENT PROGRAM
Suzette Phillips
MHA/626 Managed Health Care
February 25, 2013
Jack Lazarre

2.  Diabetes
 Constitute a quarter patients in the VHA
 Focus centered care
 Unique laboratory electronic health record
 Transforms health care
 Accelerate discovery

3.  U.S. Dept of Veterans Affairs Diabetes Program
 Patients with diabetes, thyroid, and skeletal health
 Collaborates
 National Prevention Center
 Food and Nutrition Services
 Office of Research and Development
 Develop clinical guidelines
 Prevention
 Treatment
 Endocrine disorders
 Improving health of Veterans with diabetes and
endocrine disorders

4. • Veterans Health Administration
• Veterans Diabetes Management Program
 What is diabetes
 Role preventing diabetes
 Patient and physician incentives
 Case Management
 Facilities
 Quality of care
 Prescription benefits
 The future of data use
 Conclusions
• Disease Management Programs are implemented to educate and
guide patients to live a healthier lifestyle and learn tools to keep
this disease under control.

5.  Diabetes
 Body does not make enough insulin
 Body does not use insulin properly
 Untreated has many permanent effects to body
 Heart disease
 Kidney disease
 Amputations,
 Blindness,
 Other serious issues
 Insulin
 Hormone helps body use glucose for energy

6.  Early detection
 Lifestyle changes
 Education
 Improve physical activity
 Decrease obesity through health diet
 Match Veterans with individual treatments
 Providing management support
 Decrease cardiovascular
 Developing programs indentify risk of diabetes
 Improving quality of life and reducing complications

7.  Veterans Integrated Service Network
 Decision making and accountability providing care
 Receives money based on number of veterans cared for
 Keeping patients healthy better outcomes
 Lower costs
 Data collections and feedback performance improve its
care
 Patient incentives improve care
 Patient center care
 Preventative care

8.  Proactive case management intervention
 Glycemic control
 Intermediate cardiovascular outcomes
 Adherence to specific care standards
 Short term resource utilization
 Using Simulation models establishing the impact of
change
 Satisfaction

9.  Location Veterans Health Administration
 VISNs (Veterans Integrated Service Networks
 Twenty-one regions
 Location
 Facility types

10.  Hemoglobin tests
 Examined process of quality of care
 Measure to adjust patient level differences
 Performance monitoring program
 Statistical Analysis
 Collect medical records
 Patient surveys
 Recognizing multitude of complex factors influence ideal
hemoglobin
 Difference between clinical practice and guidelines
 For each quality measure calculate percentage of patients
who met recommended quality standard

11.  Veterans Affairs Provider Network
 Complete Medical care
 Over the counter medications
 Supplies
 Prescription medications
 Medical and surgical supplies

12.  VHA - Electronic Health System
 Most sophisticated system
 Enabled rapid learning
 Increased number of veterans seen
 Decreased costs
 EHS -National diabetes registry
 Operational data transfer into useful information
 Tracking diabetic complications
 Identify patients “high-risk”
 Monitor quality outcomes

13. ©2007 by Project HOPE - The People-to-People Health Foundation, Inc.

14.  Veterans Health Administration-diabetes program
 Improve quality of life
 One quarter veteran patients diagnose diabetes
 Focus on diabetes and endocrine
 Reduce diseases
 Early detection
 Lifestyle changes
 Testing, counseling, and reducing complications
 Cost effective
 Improve outcomes
 Benefits
 Prescription, medications, and supplies
 EHS
 Most sophisticated system improve data performances

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