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A chronic-care success in Pennsylvania

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The  Pennsylvania Chronic Care Initiative, which enrolled more than 150 primary-care practices in its multiple regional collaboratives, has provided data management for all practices and interventional services for low-performing ones.

Participating practices achieved excellent results, including:

  • “Decreasing the percentage of patients with diabetes (DM) in participating practices who have an A1C measure of greater than 9% from 33% to 20% (target: <5 %).
  • “Increasing the percentage of patients with DM in participating practices whose BP is documented in the past year < than 130/80 mm Hg from 40% to 49% (target: >70%).
  • “Increasing the percentage of patients with DM in participating practices with LDL < 100 mg/dl from 38% to 50% (target: >70%).
  • “Increasing the percentage of patients with DM in participating practices who have a self-management goal documented within the past 12 months from 33% to 62% (target: >90%).”

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