Clinic details

• 6 attending physicians
• ~40 resident physicians
• 1 dietician
• 1 social worker (MSW)
• 1 pharmacist
• 2 LPNs (2 more as “transitions of care” LPNs in hospitals)
• 5 MAs

Project Description

Goal: Improve adherence with Annual Wellness Visits (AWVs), as well as diabetes screenings. 

Methods:

1) Utilize the electronic health record to identify patients who are eligible for an AWV.

2) Contact eligible patients to schedule an AWV.

3) Complete diabetes screen as applicable.

Results

This project increased the number of patients completing their AWV, as well as increased the number of diabetes screenings. There was also a positive financial impact to the clinic, generating a net income of over $7,000 (see below).

Clinic details

• 6 attending physicians
• ~40 resident physicians
• 1 dietician
• 1 social worker (MSW)
• 1 pharmacist
• 2 LPNs (2 more as “transitions of care” LPNs in hospitals)
• 5 MAs

Project Description

Goal: Institute a team-based medication refill protocol.

Methods: A written policy was developed and overseen by a pharmacist, but executed by an LPN, to screen incoming medication refill requests.

Results

As of June, 2022:

• “Light days” refill authorizations include ~50 requests, all of which used to go to physicians, with predictable delays in authorizations
• “Heavy day” is closer to ~100 requests
• No detectable change in patient satisfaction:

Clinic details

• 6 attending physicians
• ~40 resident physicians
• 1 dietician
• 1 social worker (MSW)
• 1 pharmacist
• 2 LPNs (2 more as “transitions of care” LPNs in hospitals)
• 5 MAs

Project Description

Goal: Improve the care of patients with diabetes mellitus through increased availability of diabetes self-management education (DSMES).

Methods:

Results