ORLANDO, Florida — The use of electronic Best Practice Advisories doubled the rate of patient referrals for diabetes self-management education and support services, new research found.
"Diabetes education is a best practice. We thought if we made it easy and the provider could just click 'order', that it would increase because part of the problem with getting people into diabetes education is providers aren't ordering it.
The BPA would"fire" when a patient met these criteria: At least 18 years of age, speaks English, has an active T2D diagnosis, has not attended a previous UNC DSMES class in the past year, and has one of the following: A new T2D diagnosis with no DSMES, an A1c > 8.5% , a new complication, or a recent care transition .
After adjustment for differences in baseline characteristics, the odds ratio for a DSMES order being placed was 2.08 in the intervention vs control clinics, a significant difference. Other significant predictors included Black race , higher comorbidity count , and a new T2D diagnosis . Factors reducing the likelihood of a DSMES referral included hospitalization and a new diabetes-related diagnosis .
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