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Full-Text Articles in Family Practice Nursing
Addressing Referral Discrepancies For Hyperglycemia Diagnosis Codes, Brooke Buffington, Aubrey Parnell, Abigail Brohammer
Addressing Referral Discrepancies For Hyperglycemia Diagnosis Codes, Brooke Buffington, Aubrey Parnell, Abigail Brohammer
Doctor of Nursing Practice Projects
Diabetes mellitus and prediabetes affect 34 million and 88 million Americans, respectively. The early detection and management of elevated blood glucose levels is fundamental to preventing comorbid complications. While other countries have published referral guidelines, the United States is lacking in practice standards. At a central Illinois healthcare institution, the diagnosis code for elevated blood glucose (R73) was noted at a higher rate than endocrinology referrals. The purpose of this retrospective investigation was to explore the root causes of this disproportion through deidentified patient data. The average number of wait days for an endocrinology appointment was investigated and found to …
Using An Electronic Health Record Alert System To Screen And Manage Patients With Diabetes Mellitus Type 2 In A Rural Primary Care Setting, Simon Katumu
Doctor of Nursing Practice Projects
Diabetes Mellitus type 2 is the 7th leading cause of death and affects nearly 10% of the US population. Early detection of this condition leads to the initiation of treatment and lowers the risk for complications and better outcomes. Frequent testing of hemoglobin A1Cs in those already diagnosed also leads to better management, glycemic control and improves health outcomes. This project utilized a feature in the electronic health record system of a rural primary care clinic to remind providers to screen at-risk patients and retest those who were either due or overdue for hemoglobin A1C testing. Hemoglobin A1C readings were …