Doctor of Nursing Practice (DNP)
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College of Nursing
Dr. Mary D Mites-Campbell
Publication Date / Copyright Date
Nova Southeastern University
Jacqueline McDonald. 2017. Managing Diabetic A1C at a Primary Care Center: A Nurse Practitioner Perspective. Capstone. Nova Southeastern University. Retrieved from NSUWorks, College of Nursing. (53)
Background: At a primary care center in Brooklyn, New York, approximately 27% of diabetic patients with abnormal Hgb A1C fail to return for follow-up appointments, as recommended by the Centers for Disease Control and Prevention (CDC). According to electronic medical records (EMR), healthcare providers demonstrated inconsistency in ordering and monitoring Hgb A1C and clinic follow-up appointments for patients.
Purpose: The purpose of this quality improvement project was to determine retrospectively the healthcare providers’ ordering, monitoring, and follow-up appointments for adult diabetic patients with abnormal Hgb A1Cs; to develop and implement astandardized process for healthcare providers to monitor and follow these patients, especially those with possible nonclinic follow-up compliance and abnormal Hgb A1C; to determine prospectively healthcare providers’ ordering, monitoring, and follow-up appointments; and to evaluate the prospective charts to determine if Hgb AIC results changed from abnormal to normal or elevation over time until the next follow-up appointment.
Health and environmental sciences, Centers for Disease Control and Prevention, Electronic medical records, Healthcare providers
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