Bibliographic record and links to related information available from the Library of Congress catalog.
Note: Contents data are machine generated based on pre-publication provided by the publisher. Contents may have variations from the printed book or be incomplete or contain other coding.
CONTENTS Preface iii Figures vii Tables ix Summary xiii Background xiii Findings and Implications xvii Acronyms xxv 1. Introduction 1 The DoD/VA Guideline Adaptation Process 3 Overview of the Diabetes Practice Guideline 4 Expected Effects on Health Care Practices 5 A Systems Approach to Implementation 7 The Demonstration Sites 12 2. Methods and Data 15 Implementation Process Evaluation Methods 16 Outcome Evaluation 18 Estimating the Costs of Care 31 3. Diabetic Population and Practices at Baseline 35 The Diabetic Population Served by Army MTFs 35 Enrollment Status and Use of MTF Services 37 Baseline Performance on Diabetes Care Measures 39 Summary 45 4. The Guideline Implementation Process 47 MEDCOM Support 48 Structure and Support at the MTFs 53 Implementation Activities and Progress 56 Highlights of Implementation by the Tricare Senior Prime Demonstration Sites 60 Lessons Learned: Conclusions and Recommendations Regarding Implementation 61 5. Effects of Guideline Implementation 65 Performance Changes Reported by MTFs 65 Analysis of Effects on Service Delivery 67 Estimated Costs of Care for MTFs in the Study 77 Summary 85 6. Synthesis of Findings from the Demonstration 87 Implications of findings on service use and cost 87 Guideline Implementation: Performance on the Critical Success Factors 92 Study Limitations 94 Appendix A. Evaluation Methodology 101 Process Evaluation 101 Evaluation of Effects (Outcomes) 105 Round 1 Data Extraction Specifications 106 Cost Estimation Methodology 118 B. Analyses of Diabetes Metrics 123 C. Graphic Representation of Baseline Service Use Data 137 References 139
Library of Congress Subject Headings for this publication:
Diabetes -- Treatment -- Standards -- United States.
Military hospitals -- United States.
Medicine, Military -- United States.
United States. Army Medical Dept.