The Society and Avalere have partnered with Pottstown Medical Specialists (PMSI), a physician-owned multispecialty group in Pottstown, Pa., as the first primary care site for the quality improvement study. PMSI began enrolling patients in June.
An estimated 33 percent of adults aged 65 or older have diabetes. This age group is particularly at risk for hypoglycemia, or low blood sugar, associated with treatment using insulin and/or sulfonylurea medications. Hypoglycemia can cause episodes of dangerously low blood sugar that can lead to seizures, coma and even death. The U.S. Department of Health and Human Services has identified hypoglycemia as one of the top three preventable and measurable adverse drug events.
“Hypoglycemia can harm patients with diabetes and leads to significant healthcare costs. Our new quality improvement study is designed to evaluate tools and processes in primary care that can hopefully reduce the risk of hypoglycemia in older patients with type 2 diabetes,” said Jeffrey Boord, M.D., M.P.H., of Parkview Health in Fort Wayne, Ind. Boord is the Chair of the Steering Committee that developed the Hypoglycemia Prevention Initiative. “PMSI’s strong commitment to providing patients with diabetes with self-management training is illustrated by their accreditation from the American Association of Diabetes Educators as a Diabetes Self-Management Education and Support program, make it an ideal partner for evaluating our hypoglycemia prevention interventions in a real-world primary care setting,” he said.
The cost and frequency of hypoglycemia is high and is often under recognized as a public health problem. In 2009, hypoglycemia resulted in nearly 300,000 emergency room visits of adult patients with type 1 or type 2 diabetes. For Medicare beneficiaries in 2010, hospitalization resulting from hypoglycemia was associated with 30-day readmission and 30-day mortality rates of 18 percent and 5 percent, respectively.
“Avalere is excited to be a part of this groundbreaking quality initiative to help treat older adults who are at risk of developing hypoglycemia,” said Kristi Mitchell, Practice Director at Avalere Health. “Collaboration is key when comes to addressing complex and chronic diseases. We look forward to continuing our work on the HypoPrevent study so that we can provide primary care physicians with the necessary tools to identify and treat patients at-risk for developing hypoglycemia.”
The quality improvement study, HypoPrevent, evaluates a two-pronged intervention in primary care practice. The first part is a screening tool that identifies older patients with diabetes at risk of treatment-related hypoglycemia. The second is a clinical decision support tool that facilitates shared decision making with patients on ways to reduce their risk of hypoglycemia through the individualization of blood sugar goals and/or changes in medication management.
“We are committed to delivering the highest quality medical healthcare through the coordination of properly planned, managed and utilized medical services,” said Wade Brosius, D.O., PMSI Medical Director. “Our partnership with the Society and Avalere will help us improve patient safety through a systems-based approach and make a major impact on the burden of hypoglycemia among older adults with diabetes.”
In conjunction with HypoPrevent, the Society formed a technical expert panel to develop quality measures—tools that help us measure or quantify healthcare processes, outcomes, patient perceptions, and organizational structure—to reduce the risk of hypoglycemia in the outpatient setting. These measures will be designed to allow providers to identify areas for improvement and track the success of their efforts, ultimately leading to reduced hypoglycemia.
The Hypoglycemia Prevention Initiative is funded by Merck, Novo Nordisk, Lilly, Sanofi, and Abbott.
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About the Endocrine Society
Endocrinologists are at the core of solving the most pressing health problems of our time, from diabetes and obesity to infertility, bone health, and hormone-related cancers. The Endocrine Society is the world’s oldest and largest organization of scientists devoted to hormone research and physicians who care for people with hormone-related conditions.
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Avalere Health, an Inovalon Company, is a strategic advisory company whose core purpose is to create innovative solutions to complex healthcare problems. Based in Washington, D.C., the firm delivers actionable insights, product solutions, and custom analytics for leaders in healthcare business and policy. Avalere’s experts span 230 staff drawn from Fortune 500 healthcare companies, the federal government (e.g., CMS, OMB, CBO and the Congress), top consultancies and nonprofits. The firm offers deep substance on the full range of healthcare business issues affecting the Fortune 500 healthcare companies. Avalere’s focus on strategy is supported by a rigorous, in-house analytic research group that uses public and private data to generate quantitative insight. Through events, publications and interactive programs, Avalere insights are accessible to a broad range of customers. For more information, visit avalere.com, or follow us on Twitter @avalerehealth.