Table of contents for Implementation of the diabetes practice guideline in the Army Medical Department : final evaluation / Donna O. Farley ... [et al.].

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.


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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.