Practice facilitation to improve diabetes care in primary care: a report from the EPIC randomized clinical trial.

ABSTRACT:

Purpose

We investigated 3 approaches for implementing the Chronic Care Model to improve diabetes care: (1) practice facilitation over 6 months using a reflective adaptive process (RAP) approach; (2) practice facilitation for up to 18 months using a continuous quality improvement (CQI) approach; and (3) providing self-directed (SD) practices with model information and resources, without facilitation.

Methods

We conducted a cluster-randomized trial, called Enhancing Practice, Improving Care (EPIC), that compared these approaches among 40 small to midsized primary care practices. At baseline and 9 months and 18 months after enrollment, we assessed practice diabetes quality measures from chart audits and Practice Culture Assessment scores from clinician and staff surveys.

Res

SUBMITTER: Dickinson WP 

PROVIDER: S-EPMC3896533 | biostudies-literature | 2014 Jan-Feb

REPOSITORIES: biostudies-literature