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What’s in It for Me?

The health care delivery system and expectations for health care are rapidly changing.  Historical models that wait for individuals to feel ill before seeking medical care are ineffective and unsustainable. Better diabetes care will require a team-based multidisciplinary approach that increases coordination across a complex system, emphasizes prevention, and provides ongoing support. The Institute of Medicine suggests that achieving a substantial and lasting improvement in population health requires a concerted effort, including:1

Tools You Can Use

The Centre for Evidence-Based Medicine at Oxford University provides a series of tutorials on Teaching Evidence-Based Practice.

The Patient Centered Medical Home Resource Center features evidence, examples, and lessons learned from primary care practices that have transformed their approach to organizing and delivering care.

  • Rapid integration of new evidence
  • Clinical decision support
  • Enhanced communication
  • New data sources (wearable technology, apps, home monitoring)
  • Evolving team care and data coordination
  • Changing models of care delivery
  • Enhanced personal relationships and more social interaction

Beginning this journey of transformation will allow practices to keep pace with the required changes that tomorrow’s reimbursement models will demand. For practice staff, optimizing the contribution of each team member can enhance personal and job satisfaction, and promote a more effective team that promotes better outcomes and better patient experiences. Health care reform is moving persistently from transactional FFS models toward value-driven payment structures based on performance and outcomes.  The redesign of clinical practice to address these evolving models will bring people together with new purpose, new energies, new ideas and new enthusiasm to create the future of diabetes care.

References

1. Institute of Medicine (IOM). Primary Care and Public Health: Exploring Integration to Improve Population Health. Washington DC: The National Academies Press; 2012.

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Health Information Center

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HealthSense