Dec. 16, 2019
- Educate Yourself
- Gather Key Disparities Data for Your Patients
- Assess Your Office Culture
- Reach Out to Your Patients
- Use Evidence-based Interventions
- Ask About Social Determinants of Health
- Utilize Community Resources
- Speak Up
The typical official Healthcare Effectiveness Data and Information Set (HEDIS®) quality measure for diabetes include the percentage of people with diabetes who have their:
- A1cs tested at least annually
- A1c above 9 and under 8 and/or 7
- Eyes examined annually
- Feet examined annually
- Nephropathy screening
- Blood pressure well controlled
- Lipids checked and treated
- BMI under 30
- Dental exam completed annually
1. Educate Yourself
Cultural competence is defined as the ability of providers and organizations to effectively deliver health care services that meet the social, cultural and linguistic needs of patients.1 Knowing this, the American Diabetes Association provides ain multiple languages to help you share information with your patients.
With an emphasis on learning about a culturally and linguistically appropriate clinical encounter, the U.S. Department of Health and Human Services offers to learn more about applying the National CLAS Standards in daily work.
2. Gather Key Disparities Data for Your Patients
Race or ethnicity, sex, age, disability, socioeconomic status and geographic location all contribute to an individual's ability to achieve good health. It is important to recognize the impact that social determinants have on health outcomes of your office's patient population.
By using resources like those listed below, you may determine key disparities of your patients.
3. Assess Your Office Culture
- Make sure all patients feel welcome in your office by having your staff follow a .
- Visit the and the on the U.S. Department of Health and Human Services Office of Minority Health website for suggestions and training on culturally appropriate signage at the right reading level.
- Have culturally diverse reading material in the office.
- Make an item at your monthly staff meetings.
- Make some hours and walk-in policies helpful to people with limited resources.
4. Reach Out to Your Patients
Proactive outreach is effective in closing care gaps. The registry function in the electronic medical record can be used to find patients whose last recorded A1c was over a year ago or was abnormal. Consider inviting them back for an appointment or a recheck with a nurse.
You may want to encourage your patient to call in or keep track of their blood sugar readings between visits and document.
5. Use Evidence-based Interventions
One approach you may choose is the American Diabetes Association's (ADA's) which is updated and published annually and provides the most current evidence- based recommendations for diagnosing and treating adults and children with all forms of diabetes. ,
6. Ask About Social Determinants of Health (SDoH)
Examples of SDoH include transportation limitations, access to healthy foods, ability to afford medication, safe and affordable housing, public safety and physical barriers, especially for people with disabilities.
7. Utilize Community Resources
Establish good two-way communication with effective community groups for Diabetes Self-Management Education (DSME) found on the site. See the site for DSME classes in your area. Many local clinics or agencies host chronic disease self-management education classes.
8. Speak Up
Don't think yourstops at the office door. Voice your support for improvements in SDoH.
1Betancourt, J. R., Green, A. R., & Carrillo, J. E. 2002. Cultural competence in health care: Emerging frameworks and practical approaches. New York: The Commonwealth Fund
HEDIS is a registered trademark of National Committee for Quality Assurance (NCQA)
The above material is for informational purposes only and is not a substitute for the independent medical judgment of a physician or other health care provider. Physicians and other health care providers are encouraged to use their own medical judgment based upon all available information and the condition of the patient in determining the appropriate course of treatment. References to third party sources or organizations are not a representation, warranty or endorsement of such organizations. Any questions regarding those organizations should be addressed to them directly. The fact that a service or treatment is described in this material is not a guarantee that the service or treatment is a covered benefit and members should refer to their certificate of coverage for more details, including benefits, limitations and exclusions. Regardless of benefits, the final decision about any service or treatment is between the member and their health care provider.
Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association