Competency-based Curriculum: Group Visits
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Competency-based Curriculum: Group Visits >  Outcomes

Outcomes

Last updated at 04/17/2009 10:40:20 AM EST by Traci Nolte

          Many resources that describe outcomes of group medical visits, including many presentations currently listed on the fmdrl.  For a recent review of outcomes, refer to the Jabar, et al article in Family Practice Management listed in the reference section below. For measuring outcomes for group medical visit patients with similar diseases, the following indicators are options that can be measured at the first group and at key points during or after the group sessions. It is very instructional for patients and providers to provide indicator values to attenders as part of the group. Many electronic medical records provide the option of graphing patient results over time. This provides great feedback to participants as to how their self-management plans affect key medical values. Measures can include, but not be limited to, the biological markers and process measures described below

Cardiac Measures:  blood pressure, lipids, cholesterol, weight, Body Mass Index, depression (PHQ9); documented aspirin, pneumovax,

Diabetes Measures: HbA1c, cholesteral, lipids, body mass index, weight, depression (PHQ9); documented eye exam, foot dilation and other HEDIS measures

Asthma Measures: peak flow, etc..

 

 

 
References
Beck A, Scott J, Williams P, et al. A randomized trial of group outpatient visits for chronically ill older HMO  
        members: the cooperative health care clinic. J Am Geriatr Soc 1997; 45: 543-9.
 
Coleman E, Grothaus L, Sandhu N, Wagner E. Chronic care clinics: a randomized\ controlled trial of a new
        model of primary care for frail older adults. J Am Geriatr Soc 1999; 47: 775-83.
 
Ickovics, JR, Kershaw, TS, Westdahl, C, Schindler Rising, S, Klima, C, Reynolds, H & Magripes, U. Group
        prenatal care and preterm birth weight: results from a matched cohort study at public clinics. Obstet
        Gynecology 2003;102:1051-7.
 
Jabar, R, Braksmajer, A & Trillling, J. Group visits for chronic illness care: models, benefits and challenges.
        Family Practice Management.January, 2006.
 
Masley S, Phillips S, Copeland JR. Group office visits change dietary habits of patients with coronary artery
        disease. J Fam Pract 2001; 50: 235-9.
 
Sadur CN, Moline N, Costa M, et al. Diabetes management in a health maintenance organization: efficacy of
        care management using cluster visits. Diabetes Care 1999; 22: 2011.
 
Scott JC, Conner DA, Venohr I, et al. Effectiveness of a group outpatient visit model for chronically ill older
        health maintenance organization members: a 2-year randomized trial of the cooperative health care clinic.
        J Am Geriatr Soc 2004; 52: 1463-70.
 
Trento M, Passera P, Bajardi M, et al. Lifestyle intervention by group care prevents deterioration of type II
        diabetes: a 4-year randomized controlled clinical trial. Diabetologia 2002; 45: 1231-9.
 
Trento M, Passera P, Borgo E, et al. A 5-year randomized controlled study of learning, problem solving ability,
        and quality of life modifications in people with type 2 diabetes managed by group care. Diabetes Care
        2004; 27: 670-5.
 
Wagner E, Grothaus L, Sandhu N. Chronic care clinics for diabetes in primary care. Diabetes Care 2001; 25:
        695 - 700.
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