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Effects of Quality Improvement Strategies for Type 2 Diabetes in Bronx, N.Y.

The first 300 words of the full text of this article appear below.

	Introduction

 
Improving care of people with diabetes has become a major goal for many institutions. This is particularly important in the Bronx because we deal with a large underserved population of ethnic/racial minorities that is susceptible to more diabetes and further complications. Montefiore Medical Center already has in place many resources, such as multidisciplinary diabetes workgroups committed to implementing quality improvement (QI) projects. To carry on such endeavors, a complex and well-designed administrative support system is required from the executive office. The QI committees rely on step-by-step methodologies to define a series of factors that occur systematically and result in improved care. The large population with diabetes is cared for mainly by primary care physicians (PCPs) that are part of a large sophisticated health care system. Because of both the complexity and diversity of the population, several programs are tailored to the needs of specific subgroups. The implementation of different interventions and their effectiveness and cost must be properly assessed. Thus, QI projects are necessary to provide meaningful information that can be used for improving these health care systems and the patient care they provide.

In this article, we describe the population of the Bronx, the structure and programs that are dedicated to diabetes at Montefiore, and our information technology (IT) system and how it can be used for QI programs. We also provide an example of how the system is being used.

	Patient Population in the Bronx

 
Although the Bronx is only one borough in New York City, its population is larger than all but five U.S. cities. This is a vibrant and younger population of diverse racial/ethnic backgrounds. Data from the U.S. Census Bureau, year 2000, illustrate how the Bronx statistics compare to national statistics. Average population age in the Bronx is 33.27 years versus 36.22 years nationally (71% are < 44 years of . . . [Full Text of this Article]

	Diverse Programs, Integrated care

 

	IT systems

 

	QI Programs

 

	QI: A sample Program

 

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