Objective 3: Change the System of Care

Objective 3 Change the system of care: additional strategies are outlined on this slide1 The most successful practices have an institutional priority for providing high quality of care2 Recent initiatives such as the Patient Centered Medical Home show promise to improve outcomes through coordinated primary care and offer new opportunities for team-based chronic disease care3 Alterations in reimbursement that reward the provision of appropriate and high quality care rather than visit-based billing,4 and that can accommodate the need to personalize care goals, may provide additional incentives to improve diabetes care5 It is clear that optimal diabetes management requires an organized, systematic approach and involvement of a coordinated team of dedicated health care professionals working in an environment where patient-centered high quality care is a priority146References American Diabetes Association. Standards of medical care in diabetes—2013. Diabetes Care 2013;36(suppl 1):S50. Tricco AC, Ivers NM, Grimshaw JM, et al. Effectiveness of quality improvement strategies on the management of diabetes: a systematic review and metaanalysis. Lancet 2012;379:2252-2261. Bojadzievski T, Gabbay RA. Patient centered medical home and diabetes. Diabetes Care 2011;34:1047-1053. Rosenthal MB, Cutler DM, Feder J. The ACO rules—striking the balance between participation and transformative potential. N Engl J Med 2011;365:e6. Washington AE, Lipstein SH: The Patient-Centered Outcomes Research Institute: Promoting better information, decisions, and health. N Engl J Med 2011;365:e31.