Assessment of the relationship between diabetes treatment intensification and quality measure performance using electronic medical records.

ABSTRACT:

Aims

Assess the relationship between timely treatment intensification and hemoglobin A1C (HbA1C) control quality-of-care performance measures, i.e., HbA1C levels, among patients with uncontrolled type 2 diabetes.

Materials and methods

Electronic medical records and diabetes registry data from a large, accountable care organization (ACO) were used to isolate a sample of adult patients with type 2 diabetes who received at least one oral antidiabetes agent and had at least one HbA1C level measurement ≥8.0% (64 mmol/mol; i.e., uncontrolled diabetes) between 7/1/2011 and 6/30/2015. Treatment intensification status was evaluated for each patient during a 120-day treatment intensification window following the index HbA1c measure. Two-level hierarchical generalized linear models, wi

SUBMITTER: Arnold RJG 

PROVIDER: S-EPMC5997332 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature