Department of Veterans Affairs' Quality Enhancement Research Initiative for Diabetes Mellitus

Diabetes is a common disease, which frequently leads to serious, high-cost complications. Estimates show that in fiscal year 1994 (FY94), 12.5% of outpatients in the Veterans Health Administration (VHA) received diabetes-specific medications, accounted for almost 25% of all VHA pharmacy costs, had a hospitalization rate 1.6 times that of veterans without diabetes, and made 3.6 million outpatient visits to VA clinics. Research demonstrates that much of the mortality and morbidity associated with diabetes can be prevented, and rigorous evidence-based guidelines have been developed. The short-term objectives of the Quality Enhancement Research Initiative for Diabetes Mellitus (QUERI-DM) are to (1) gather baseline information on how current VHA diabetes care differs from the VHA guidelines, (2) develop an efficient, validated system for monitoring key diabetes quality standards in the VHA, (3) evaluate the effectiveness of current approaches to diabetes care and the success of guideline implementation initiatives, and (4) initiate 2 to 4 large-scale quality improvement projects to enhance adherence to practice guidelines and evaluate their impact on patient outcomes, including quality of life

Diabetes mellitus · Family medicine · Guideline · Health care · Intensive care medicine · Management system · Medical emergency · MEDLINE · Operations management · Quality management · Research design · Veterans Affairs · Clinical practice guidelines implementation · Diabetes Management and Education · Emergency Medicine · Internal Medicine · Medicine · Pharmacy · Primary Care and Health Outcomes

• Addressing Racial and Ethnic Health Disparities

  Richard M Campanelli•American Journal of Public Health•2003

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• The Veterans Health Administration’s Promotion of Health Equity for Racial and Ethnic Minorities

  Michael J Fine, John G Demakis•American Journal of Public Health•2003

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• Health Insurance Status, Cost-Related Medication Underuse, and Outcomes Among Diabetes Patients in Three Systems of Care

  John D Piette, Todd H Wagner et al.•Medical Care•2004

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• Measures of Adherence to Oral Hypoglycemic Agents at the Primary Care Clinic Level

  Edwin S Wong, John D Piette et al.•Medical Care•2012

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• Physician Process and Patient Outcome Measures for Diabetes Care

  Marcia M Ward, Jon W Yankey et al.•Medical Care•2004

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• Racial Disparities in Diabetes Care Processes, Outcomes, and Treatment Intensity

  Michele Heisler, Dylan M Smith et al.•Medical Care•2003

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