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A Focus on Quality and MNCM Data Improve Patient Care Results

A community makes a difference in providing effective health care

Two poor communities have contrasting approaches to  healthcare. One takes a collaborative approach to medicine, creating better outcomes for residents receiving treatment.

By  Noam N. Levey
Photography, video by Carolyn Cole
March 9, 2014

BATON ROUGE, La. — Patients begin lining up outside Capitol City Family Health Center before the doors open at 7:30 a.m.

The clinic, on a ragged stretch of the boulevard that separates the black and white sections of town, is a refuge for thousands of this old southern capital’s poorest and sickest residents. They come seeking relief from diabetes, heart disease and other debilitating illnesses.

Twelve hundred miles up the Mississippi River, in the shadow of a public housing tower in St. Paul, Minn., the waiting room at the Open Cities Health Center also fills daily with the city’s poorest.

But the patients in Minnesota receive a very different kind of care, which  leads to very different outcomes. They are more likely to get recommended  checkups and cancer screenings. If very ill, they can usually see specialists.  Their doctors rely on sophisticated data to track results.

Diabetics at the St. Paul clinic are twice as likely as those in Baton Rouge  to have their blood  sugar under control. That can slow the onset of more serious problems such  as kidney failure and blindness.

Young patients with asthma also benefit from Minnesota’s more comprehensive  medical system. Asthmatic children in the state’s poorest neighborhoods are 37%  less likely than those in Louisiana to end  up in a hospital.

And poor seniors in Minnesota are half as likely to be prescribed  a high-risk drug and 38% less likely to go to the  emergency room for an ailment that could have been treated in a doctor’s  office.

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AF4Q Highlights MNCM’s Composite Diabetes Measures

Composite Measures: A New Gold Standard in Diabetes Care

Type II diabetes has become a national public health threat. As a chronic disease, diabetes is one of the leading causes of death and disability.  As rates of diabetes increase, so, too, do associated direct and indirect costs.  Aligning Forces for Quality communities that have implemented customized diabetes composite measures into their public reporting structures are already experiencing success in both clinical outcomes and improved performance. Synthesizing indicators of good diabetes management has helped simplify the challenges of chronic care management while improving efficiency and performance.

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