{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T16:11:17Z","timestamp":1761063077124,"version":"build-2065373602"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2012,1,6]],"date-time":"2012-01-06T00:00:00Z","timestamp":1325808000000},"content-version":"vor","delay-in-days":370,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["accpjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pharmacotherapy"],"published-print":{"date-parts":[[2011,1]]},"abstract":"<jats:p><jats:bold>Study Objective.<\/jats:bold> To assess diabetes care in a network of primary care practices that include pharmacist support by using a scoring system designed for the National Committee for Quality Assurance (NCQA) Diabetes Recognition Program (DRP) measures.<\/jats:p><jats:p><jats:bold>Design.<\/jats:bold> Retrospective medical record review.<\/jats:p><jats:p><jats:bold>Data Source.<\/jats:bold> Subset of the National Interdisciplinary Primary Care Practice\u2010Based Research Network (NIPC\u2010PBRN).<\/jats:p><jats:p><jats:bold>Patients.<\/jats:bold> A total of 1309 adults who were seen at 17 practices for an outpatient diabetes mellitus visit between January 1 and June 30, 2008.<\/jats:p><jats:p><jats:bold>Measurements and Main Results.<\/jats:bold> Patient demographic data and NCQA DRP process and outcome measures (hemoglobin A<jats:sub>1c<\/jats:sub> [A1C], blood pressure, and low\u2010density lipoprotein cholesterol [LDL] level measurements; eye and foot examinations; nephropathy assessment; and smoking status and cessation advice or treatment) were recorded. Points for each measure were compiled, and practices achieving a sufficient score for NCQA recognition (\u2265 75.0 points) were identified. Pharmacists were also surveyed regarding their services, participation in quality improvement initiatives, use of electronic medical records, and methods of data extraction. The relationships between DRP measures and quality improvement activities, pharmacist involvement in diabetes care, and use of electronic medical records were analyzed. The DRP outcome measures were satisfactory: mean \u00b1 SD A1C 7.6% \u00b1 1.9%, LDL level 99.1 \u00b1 35.1 mg\/dl, and systolic and diastolic blood pressures 130.2 \u00b1 18.1 and 74.4 \u00b1 10.8 mm Hg, respectively. Five practices (29%) achieved a sufficient score for NCQA recognition. No significant relationships were noted between DRP measures and participation in quality improvement, type of clinical pharmacy services, or use of electronic medical records (p&gt;0.05). In a regression analysis, only electronic medical record use was significantly related to DRP measures (p=0.02).<\/jats:p><jats:p><jats:bold>Conclusion.<\/jats:bold> Diabetes care in the NIPC\u2010PBRN appears satisfactory, but improvements are necessary if NCQA recognition is the goal. Use of electronic medical records was associated with better DRP measures.<\/jats:p>","DOI":"10.1592\/phco.31.1.23","type":"journal-article","created":{"date-parts":[[2010,12,23]],"date-time":"2010-12-23T08:46:26Z","timestamp":1293093986000},"page":"23-30","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Measuring Diabetes Care in the National Interdisciplinary Primary Care Practice\u2010Based Research Network (NIPC\u2010PBRN)"],"prefix":"10.1002","volume":"31","author":[{"given":"Lori M.","family":"Dickerson","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adrienne Z.","family":"Ables","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles J.","family":"Everett","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"III","given":"Arch G.","family":"Mainous","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Allison M.","family":"McCutcheon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oralia V.","family":"Bazaldua","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cynthia A.","family":"Weber","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barry L.","family":"Carter","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"National Interdisciplinary Primary Care Practice\u2010Based Research Network","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,1,6]]},"reference":[{"issue":"1","key":"e_1_2_1_2_2","first-page":"S4","article-title":"Executive summary: standards of medical care in diabetes\u20142009","volume":"33","author":"American Diabetes Association.","year":"2009","journal-title":"Diabetes Care"},{"key":"e_1_2_1_3_2","unstructured":"National Diabetes Education Program National Institute of Health and Centers for Disease Control and Prevention.Team care: comprehensive lifetime management for diabetes. Available fromhttp:ndep.nih.govmediaTeamCare.pdf. AccessedFebruary 10 2010."},{"key":"e_1_2_1_4_2","first-page":"47","article-title":"Drugs for type 2 diabetes","volume":"6","author":"Anonymous.","year":"2008","journal-title":"Treat Guidel Med Lett"},{"key":"e_1_2_1_5_2","first-page":"1","article-title":"Drugs for hypertension","volume":"7","author":"Anonymous.","year":"2009","journal-title":"Treat Guidel Med Lett"},{"key":"e_1_2_1_6_2","first-page":"9","article-title":"Drugs for lipids","volume":"6","author":"Anonymous.","year":"2008","journal-title":"Treat Guidel Med Lett"},{"key":"e_1_2_1_7_2","unstructured":"National Committee on Quality Assurance American Diabetes Association.Diabetes physician recognition program (DPRP). Available fromhttp:www.ncqa.orgtabid139Default.aspx. AccessedFebruary 10 2010."},{"key":"e_1_2_1_8_2","unstructured":"Agency for Healthcare Research and Quality.National healthcare quality report 2009: diabetes. 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