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    Diabetic Information Fluency and HBA1C Assessment

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    Author
    Sparks, John Ryan
    Issue Date
    2019
    Keywords
    American Diabetes Association
    Education Update
    Guidlines
    HBA1C
    Provider Fluency
    Advisor
    Prettyman, Allen
    
    Metadata
    Show full item record
    Publisher
    The University of Arizona.
    Rights
    Copyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction, presentation (such as public display or performance) of protected items is prohibited except with permission of the author.
    Abstract
    Background: Over the last 60 years diabetes rates have risen sharply from less than 1% to nearly 8% of Americans diagnosed with diabetes. The increase has disproportionately impacted lower-income and minority members of society placing much of the burden on Federally Qualified Health Centers in both rural and urban populations. The American Diabetes Association (ADA) produces guidelines for the monitoring of care, principally though HbA1c levels. Further, the ADA has moved from an annual guideline update to a continually evolving document increasing the burden of education on providers. Purpose: To evaluate if providing educational updates on diabetes care, as a quality improvement measure, impacts clinical behavior, by way of increased levels of HbA1c assessment in guideline-recommended patients. Methods: Non-experimental, pre-test, post-test, one-group design, assessing short-term knowledge improvement after, lecture style, educational update along with a simple comparison of the rate at which providers assess patients for HbA1c control before and after updated diabetes protocol and medication education. Results: After completion of the educational update there was a modest improvement of 15.5% in post-test scores when compared to pre-test results. Comparing the 30-days prior to the 30days post educational update the rate of missed assessment opportunities fell from 13.3% to 7.2% or a positive change of 6.1% or a nearly 46% reduction in missed assessments. Conclusion: Overall, the quality improvement effort to provide educational updates on current ADA guidelines appears to have had a positive impact on increasing the rate of HbA1c assessment at a local level
    Type
    text
    Electronic Dissertation
    Degree Name
    D.N.P.
    Degree Level
    doctoral
    Degree Program
    Graduate College
    Nursing
    Degree Grantor
    University of Arizona
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