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Applying National Diabetic Care Standards for the Management of a Hispanic Population Attending a Free Clinic.

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Title: Applying National Diabetic Care Standards for the Management of a Hispanic Population Attending a Free Clinic.
Authors: Lawson, Emily1 emily.lawson@osumc.edu, Vemulapalli, Vamsee1, Barnes, Anthony2, Scott, Sara3, Wyne, Kathleen1, Shah, Summit1,4
Source: Journal of Community Health. Aug2023, Vol. 48 Issue 4, p576-584. 9p. 2 Charts, 3 Graphs.
Subject Terms: *Hispanic Americans, *Medical students, Diabetes prevention, Glycosylated hemoglobin, Statins (Cardiovascular agents), Albumins, Uncompensated medical care, Quality assurance, Descriptive statistics, Electronic health records, Outpatient services in hospitals, Eye examination, Creatinine
Geographic Terms: Ohio
Abstract: Background: National quality measures set goals for diabetes management. Hispanic populations are higher risk for diabetes and associated complications, especially low-income communities. Research suggests free clinics provide suboptimal diabetes management. Our quality improvement project aims to improve diabetes management in the Hispanic free clinic population. Methods: Clínica Latina's volunteer medical students and physicians serve predominantly uninsured Spanish-speaking patients. Established diabetes patients that attended clinic during the study were included. Data was collected regarding patients' diabetes care for two months, then analyzed compared to quality metrics. We implemented paper checklists and electronic medical record (EMR) smart phrases for volunteers to utilize in managing diabetes. Results: 32 patients were included in the study. At baseline, 78% had an A1C check in the past 3 months, 81% were on a statin. In the past year, 81% had a lipid panel, 19% had an eye exam, 63% had a diabetic foot exam, 53% had a urine microalbumin-creatinine screening. After interventions, 97% had an A1C check, 93% were on a statin, 91% had a lipid panel, 31% had an eye exam, 75% had a foot exam, 63% had a urine microalbumin-creatinine. Patients with an LDL < 100 increased from 62 to 66%. The mean A1C did not statistically significantly change. Volunteer smart phrase utilization increased from 37 to 59.1%. Conclusion: We implemented a checklist and EMR smart phrase to optimize diabetes management in a student-run Hispanic free clinic, which improved quality metrics. Low-resource clinics serving Spanish-speaking populations may benefit from similar interventions to improve diabetic care. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Community Health is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Applying National Diabetic Care Standards for the Management of a Hispanic Population Attending a Free Clinic.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Lawson%2C+Emily%22&quot;&gt;Lawson, Emily&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt;&lt;i&gt; emily.lawson@osumc.edu&lt;/i&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Vemulapalli%2C+Vamsee%22&quot;&gt;Vemulapalli, Vamsee&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Barnes%2C+Anthony%22&quot;&gt;Barnes, Anthony&lt;/searchLink&gt;&lt;relatesTo&gt;2&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Scott%2C+Sara%22&quot;&gt;Scott, Sara&lt;/searchLink&gt;&lt;relatesTo&gt;3&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Wyne%2C+Kathleen%22&quot;&gt;Wyne, Kathleen&lt;/searchLink&gt;&lt;relatesTo&gt;1&lt;/relatesTo&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Shah%2C+Summit%22&quot;&gt;Shah, Summit&lt;/searchLink&gt;&lt;relatesTo&gt;1,4&lt;/relatesTo&gt;
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Journal+of+Community+Health%22&quot;&gt;Journal of Community Health&lt;/searchLink&gt;. Aug2023, Vol. 48 Issue 4, p576-584. 9p. 2 Charts, 3 Graphs.
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  Data: *&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Hispanic+Americans%22&quot;&gt;Hispanic Americans&lt;/searchLink&gt;&lt;br /&gt;*&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Medical+students%22&quot;&gt;Medical students&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Diabetes+prevention%22&quot;&gt;Diabetes prevention&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Glycosylated+hemoglobin%22&quot;&gt;Glycosylated hemoglobin&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Statins+%28Cardiovascular+agents%29%22&quot;&gt;Statins (Cardiovascular agents)&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Albumins%22&quot;&gt;Albumins&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Uncompensated+medical+care%22&quot;&gt;Uncompensated medical care&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Quality+assurance%22&quot;&gt;Quality assurance&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Descriptive+statistics%22&quot;&gt;Descriptive statistics&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Electronic+health+records%22&quot;&gt;Electronic health records&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Outpatient+services+in+hospitals%22&quot;&gt;Outpatient services in hospitals&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Eye+examination%22&quot;&gt;Eye examination&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Creatinine%22&quot;&gt;Creatinine&lt;/searchLink&gt;
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Ohio%22&quot;&gt;Ohio&lt;/searchLink&gt;
– Name: Abstract
  Label: Abstract
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  Data: Background: National quality measures set goals for diabetes management. Hispanic populations are higher risk for diabetes and associated complications, especially low-income communities. Research suggests free clinics provide suboptimal diabetes management. Our quality improvement project aims to improve diabetes management in the Hispanic free clinic population. Methods: Cl&#237;nica Latina&#39;s volunteer medical students and physicians serve predominantly uninsured Spanish-speaking patients. Established diabetes patients that attended clinic during the study were included. Data was collected regarding patients&#39; diabetes care for two months, then analyzed compared to quality metrics. We implemented paper checklists and electronic medical record (EMR) smart phrases for volunteers to utilize in managing diabetes. Results: 32 patients were included in the study. At baseline, 78% had an A1C check in the past 3 months, 81% were on a statin. In the past year, 81% had a lipid panel, 19% had an eye exam, 63% had a diabetic foot exam, 53% had a urine microalbumin-creatinine screening. After interventions, 97% had an A1C check, 93% were on a statin, 91% had a lipid panel, 31% had an eye exam, 75% had a foot exam, 63% had a urine microalbumin-creatinine. Patients with an LDL &lt; 100 increased from 62 to 66%. The mean A1C did not statistically significantly change. Volunteer smart phrase utilization increased from 37 to 59.1%. Conclusion: We implemented a checklist and EMR smart phrase to optimize diabetes management in a student-run Hispanic free clinic, which improved quality metrics. Low-resource clinics serving Spanish-speaking populations may benefit from similar interventions to improve diabetic care. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Journal of Community Health is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1007/s10900-023-01199-4
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      – Code: eng
        Text: English
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        PageCount: 9
        StartPage: 576
    Subjects:
      – SubjectFull: Hispanic Americans
        Type: general
      – SubjectFull: Medical students
        Type: general
      – SubjectFull: Diabetes prevention
        Type: general
      – SubjectFull: Glycosylated hemoglobin
        Type: general
      – SubjectFull: Statins (Cardiovascular agents)
        Type: general
      – SubjectFull: Albumins
        Type: general
      – SubjectFull: Uncompensated medical care
        Type: general
      – SubjectFull: Quality assurance
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Electronic health records
        Type: general
      – SubjectFull: Outpatient services in hospitals
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      – SubjectFull: Eye examination
        Type: general
      – SubjectFull: Creatinine
        Type: general
      – SubjectFull: Ohio
        Type: general
    Titles:
      – TitleFull: Applying National Diabetic Care Standards for the Management of a Hispanic Population Attending a Free Clinic.
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              Text: Aug2023
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              Y: 2023
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