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Published in: Community Mental Health Journal 2/2013

01-04-2013 | Original Paper

A Case Control Study of the Implementation of Change Model Versus Passive Dissemination of Practice Guidelines for Compliance in Monitoring for Metabolic Syndrome

Authors: Dawn I. Velligan, Desiree Castillo, Linda Lopez, Bren Manaugh, Charlotte Davis, Juanita Rodriguez, A. Camis Milam, Albana Dassori, Alexander L. Miller

Published in: Community Mental Health Journal | Issue 2/2013

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Abstract

We developed an intervention to improve compliance with guidelines for monitoring metabolic syndrome and compared compliance prior to intervention and three times post-intervention at three community mental health clinics in Texas. One test clinic received intervention and two other clinics served as controls. Fifty random charts were reviewed from each clinic for three specific, 1–2 weeks periods over the course of 18 months. There were significant improvements in the ordering of labs, the presence of lab results in the chart, and documentation of blood pressure, body mass index and waist circumference in the intervention clinic over time in comparison to the control clinics. Documented evidence of physician action with respect to out of range values remained low. Metabolic monitoring is a multi-step process. Removing barriers, creating specific procedures, and dedicating staff resources can improve compliance with monitoring.
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Metadata
Title
A Case Control Study of the Implementation of Change Model Versus Passive Dissemination of Practice Guidelines for Compliance in Monitoring for Metabolic Syndrome
Authors
Dawn I. Velligan
Desiree Castillo
Linda Lopez
Bren Manaugh
Charlotte Davis
Juanita Rodriguez
A. Camis Milam
Albana Dassori
Alexander L. Miller
Publication date
01-04-2013
Publisher
Springer US
Published in
Community Mental Health Journal / Issue 2/2013
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-011-9472-z

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