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Delivery system design was implemented into the main
intervention group.
Practice were asked to redesign the process in which
they saw their patients with diabetes for routine visits. This was
our way of implementing a modified version of the mini clinic that I
talked about before. As part
of this practice redesign, a CDE was made available to the provider
on the day of their choosing – so in order to maximize the time,
office staff were encouraged to schedule routine visits on these
days. Also, these diabetes
days were designed with the idea that the provider would be more
focused on diabetes for that particular day.
And providers were encouraged to refer patients to the CDE
for point of service education whenever possible.
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