Compliance with hemoglobin A1c (A1c) testing is suboptimal despite the clear national recommendations and guidelines established for care of patients with diabetes. Recent studies have demonstrated a relationship between participation in a diabetes disease management (DM) program and improved adherence to A1c testing. A focused intervention study was initiated to investigate the ability of a DM program to drive improvement in A1c testing. A cohort of 36,327 members experienced a statistically significant increase (29%) in A1c testing while participating in the 6-month focused intervention. This finding demonstrated that a focused DM intervention is able to deliver improvement in a clinical process metric critical for managing patients with diabetes, thereby reducing their risk of disease exacerbation.
Recommended CitationOrr, Patty M. ; McGinnis, Matthew A.; Hudson, Laurel R.; Coberley, Sadie S.; Crawford, Albert; Clarke, Janice L.; and Goldfarb, Neil I., "A focused telephonic nursing intervention delivers improved adherence to A1c testing" (2006). School of Population Health Faculty Papers. Paper 30.