"Using a Multidisciplinary Team and Clinical Redesign to Improve Blood Pressure Control in Patients with Diabetes."
dc.contributor.author | Choe, HM | |
dc.contributor.author | Bernstein, SJ | |
dc.contributor.author | Cooke, D | |
dc.contributor.author | Stutz, D | |
dc.contributor.author | Standiford, C | |
dc.coverage.spatial | Lansing, MI | |
dc.date.accessioned | 2022-08-25T16:17:38Z | |
dc.date.available | 2022-08-25T16:17:38Z | |
dc.date.issued | 2007-04-01 | |
dc.identifier.uri | https://www.ncbi.nlm.nih.gov/pubmed/18641505 | |
dc.identifier.uri | https://hdl.handle.net/2027.42/174134 | en |
dc.description.abstract | OBJECTIVE: Optimal blood pressure (BP) control in patients with diabetes poses a challenge in primary care clinics because of the complexity of the disease and competing patient care demands. We used a multidisciplinary team to standardize and improve hypertension care for patients with diabetes by implementing a visual and action-oriented high BP prompt, collaborative practice agreement, medication intensification protocol, and home BP monitoring machine loan program. DESIGN: Prospective, pre-/poststudy. SETTING: General medicine clinic affiliated with a large academic healthcare system. PATIENTS: Two hundred sixty-three patients with type 2 diabetes mellitus. RESULTS: Hypertension control (ie, BP < 135/80 mm Hg) in patients with diabetes improved from 53.6% to 69.3% (P < .001) after implementing a standardized BP assessment and treatment process. There was also a significant decrease of 4 mm Hg in both the mean systolic and diastolic BPs after the intervention. The improvement in BP control was associated with an increase in the average number of antihypertensive medications from 1.56 to 1.93. CONCLUSIONS: The use of a process-oriented clinical redesign and a multidisciplinary team approach resulted in improved BP management in patients with diabetes in a primary care setting. © 2008 Wolters Kluwer Health | Lippincott Williams & Wilkins. | |
dc.description.sponsorship | Poster presentation at the Michigan Chapter of the National Kidney Foundation's Champion of Hope Dinner | |
dc.language | eng | |
dc.subject | Aged | |
dc.subject | Comorbidity | |
dc.subject | Diabetes Mellitus, Type 2 | |
dc.subject | Female | |
dc.subject | Humans | |
dc.subject | Hypertension | |
dc.subject | Interdisciplinary Communication | |
dc.subject | Male | |
dc.subject | Middle Aged | |
dc.subject | Prospective Studies | |
dc.subject | Treatment Outcome | |
dc.title | "Using a Multidisciplinary Team and Clinical Redesign to Improve Blood Pressure Control in Patients with Diabetes." | |
dc.type | Presentation | |
dc.identifier.pmid | 18641505 | |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/174134/2/Cooke-Using a Multidisciplinary Team and Clinical Redesign-2008.pdf | |
dc.identifier.doi | 10.1097/01.QMH.0000326727.01203.99 | |
dc.identifier.doi | https://dx.doi.org/10.7302/5865 | |
dc.date.updated | 2022-08-25T16:17:37Z | |
dc.identifier.orcid | 0000-0002-4642-3864 | |
dc.identifier.name-orcid | Choe, HM; 0000-0002-4642-3864 | |
dc.identifier.name-orcid | Bernstein, SJ | |
dc.identifier.name-orcid | Cooke, D | |
dc.identifier.name-orcid | Stutz, D | |
dc.identifier.name-orcid | Standiford, C | |
dc.working.doi | 10.7302/5865 | en |
dc.owningcollname | Pharmacy, College of |
Files in this item
Remediation of Harmful Language
The University of Michigan Library aims to describe library materials in a way that respects the people and communities who create, use, and are represented in our collections. Report harmful or offensive language in catalog records, finding aids, or elsewhere in our collections anonymously through our metadata feedback form. More information at Remediation of Harmful Language.
Accessibility
If you are unable to use this file in its current format, please select the Contact Us link and we can modify it to make it more accessible to you.