Balasubramanian K5 Oct 21 230pm

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Using Learning Teams for Reflective Adaptation: A Quality Improvement Intervention to Enhance Diabetes and Hypertension Care in Primary Care Practices Bijal Balasubramanian, MBBS, MPH Sabrina Chase, PhD, Pamela Ohman-Strickland, PhD, Jesse C. Crosson, PhD, Paul Nutting, MD, MPH, Benjamin F. Crabtree, PhD UMDNJ-Robert Wood Johnson Medical School

Background ,[object Object],[object Object],[object Object]

Practices as Complex Adaptive Systems ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Change in emphasis: ,[object Object],[object Object]

Methods – QI intervention ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Funded by a grant from NHLBI (R01 HL70800)

Methods – Study Population ,[object Object],[object Object],[object Object]

Methods-Review of Medical Records ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Quality Indicators ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Statistical Analyses ,[object Object],[object Object],[object Object],[object Object],[object Object]

Characteristics of the Sample 57.0 60.8 (14.9) 19 (86.4) 3 (13.6) 16 (64.0) 7 (28.0) 2 (8.0) 52.3 59.0 (14.0) 16 (66.7) 8 (33.3) 19 (76.0) 6 (24.0) 0 Patient Characteristics Female (%) Age (yr) Practice Characteristics Practice type Solo Group Ownership Clinician Health system Other Control No. practices = 25 No. patients = 486 Intervention No. practices = 25 No. patients = 485

Results - Diabetes History/Monitoring Treatment Intermediate Outcomes

Results - Hypertension History/Monitoring Treatment/Intermediate Outcome

A more in-depth look ,[object Object],[object Object]

Practice A ,[object Object],[object Object],[object Object],[object Object]

Practice A ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Practice B ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Practice B ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Discussion ,[object Object],[object Object]

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Balasubramanian K5 Oct 21 230pm

1. Using Learning Teams for Reflective Adaptation: A Quality Improvement Intervention to Enhance Diabetes and Hypertension Care in Primary Care Practices Bijal Balasubramanian, MBBS, MPH Sabrina Chase, PhD, Pamela Ohman-Strickland, PhD, Jesse C. Crosson, PhD, Paul Nutting, MD, MPH, Benjamin F. Crabtree, PhD UMDNJ-Robert Wood Johnson Medical School

10.

11. Characteristics of the Sample 57.0 60.8 (14.9) 19 (86.4) 3 (13.6) 16 (64.0) 7 (28.0) 2 (8.0) 52.3 59.0 (14.0) 16 (66.7) 8 (33.3) 19 (76.0) 6 (24.0) 0 Patient Characteristics Female (%) Age (yr) Practice Characteristics Practice type Solo Group Ownership Clinician Health system Other Control No. practices = 25 No. patients = 486 Intervention No. practices = 25 No. patients = 485

12. Results - Diabetes History/Monitoring Treatment Intermediate Outcomes

13. Results - Hypertension History/Monitoring Treatment/Intermediate Outcome

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Notas del editor

Today, I present the efficacy of a practice based intervention designed with a theoretical framework using complexity science to improve diabetes and hypertension care in family practices

Balasubramanian K5 Oct 21 230pm

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Balasubramanian K5 Oct 21 230pm

Notas del editor