A qualitative study published in the Annals of Family Medicine considers how the strategies used by high-performing primary care practices to improve diabetes care might play a role in successfully managing practice change.
considers how the strategies used by high-performing primary care practices to improve diabetes care might play a role in successfully managing practice change.practices ranked in the top quartile of diabetes care improvement per their Optimal Diabetes Care scores.
Improving diabetes outcomes in primary care depends on successfully implementing effective changes to diabetes care. However, changes can be disruptive in a busy practice, and problems with clinician engagement, staff education, or support from leadership can render changes ineffective and compromise results.
The research team found that high-performing primary care practices tend to use similar strategies to manage change andin caring for patients with diabetes. Nine common strategies emerged: 1) standardizing the care process, 2) performance awareness, 3) enhancing care teams, 4) health care organization participation, 5) improving reporting systems, 6) engaging staff and clinicians, 7) accountability for tasks, 8) engaging leadership, and 9) tracking change.
The three top management themes identified by most practices were proactive care, pre-visit planning, and improving patient relationships. Primary care practices may be able to improve care for
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