Abstract
The purpose of this retrospective case-control review is to determine the effectiveness of a registered nurse case managers (RNCMs) certified diabetes educator (CDE) quality improvement case management program. RNCMs have a long tradition of providing chronic care intervention, particularly for the high-risk diabetes population with glycosylated hemoglobin (A1C) of 9% or more. However, limited data are available with regard to evaluation of such programs in a Veterans Health Administration population. Results: A large population (N = 3956) of high-risk veterans with a baseline A1C of 9% or more (mean = 10.6%) was seen by the RNCM's. Paired T-tests of A1C after the last RNCM visit showed a statistically significant A1C reduction (p < 0.001) (mean = 8.5%), after 14-26 months of intervention. Conclusions: RNCMs clinical intervention demonstrated significant A1C reduction (~ 2%). This is an important finding for health care policy makers for planning interventions with respect to long-term management of diabetes mellitus.
Original language | English (US) |
---|---|
Pages (from-to) | 202-205 |
Number of pages | 4 |
Journal | Applied Nursing Research |
Volume | 29 |
DOIs | |
State | Published - Feb 1 2016 |
Externally published | Yes |
Keywords
- Diabetes
- Primary care
- Registered nurse case management
ASJC Scopus subject areas
- Nursing(all)