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2011: 60% clinical time saving reported in diabetes self management project

 

2011: 60% clinical time saving reported in diabetes self management project

As part of the West Midlands rollout of Florence, the South and East Staffordshire Community Diabetes team set out to tackle a significant and wide spread problem.  Groups of diabetic patients were unable to consistently manage their condition within the normal clinical pathway, resulting in avoidable contacts and admissions to say nothing of the unnecessary distress and anxiety experienced by patients’.

The team initiated a low cost innovation project, measuring a mix of qualitative and quantitative data with the purpose of determining if the methods used might deliver sufficient positive outcomes to support larger scale deployment and evaluation.

They designed an innovative pilot project to help patients to help themselves with Florence.    The projects' aim was to increase the quality of care, which if achieved would result in improved patient experience, better self management and improved HBA1c levels.  The impact of improved quality should also see an immediate productivity gain through less visits and phone calls and improved prevention with less hospital admissions.

The clinician led pilot consisted of 22 patients with a mix of type 1 and type 2 diabetes and reflected the mix of patients the team usually dealt with on a day to day basis. Each patient was monitored over 12 weeks.

Baseline

Six months of baseline data was collected for each patient prior to enrolment in the following categories. 

-       Clinical Time (Phone calls and clinic appointments)

-       Medication compliance

-       HBA1C levels

-       Hypo’s and admissions

-       Patient satisfaction

Results

Clinical Time: 60% reduction in the amount of clinical time taken to manage patients (inclusive of time spent with Florence)

Medication Compliance:  80% of participants who were not already “compliant” at the start, increased compliance with their medication regime which more than doubled the number of fully compliant patients compared to the baseline.

HBA1c Levels:  At the time of writing this analysis is incomplete, however so far results show 55% of participants have lower HBA1c levels compared to their baseline.

Hypo events and admissions:  Three of the participants previously had  frequent hypoglycaemic attacks.  During participation, two had no attacks and one had a single mild attack (much milder than usual).  None of the participants were admitted to hospital, however the sample size and number of baseline events are to too small to establish if admissions were avoided.

Patient Satisfaction:  Patients were asked a range of questions after week 12.  Questions range from understanding of Florence (Flo), privacy, comfort, confidence, self management, and reassurance received from Flo. Additionally patients were asked if  they would like to see Florence as a standard service in the future, and how the service (Flo) supports the current healthcare services they receive.  Responses have shown 100% positive feedback and patients have asked if they can continue to be supported by Flo.

For further information contact:  Hayley.Darlington@southstaffspct.nhs.uk