A quality initiative implementing CDC STAT toolkit to prevent prediabetes progression in primary care

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dc.contributor.advisorBaldwin, Sara
dc.contributor.authorIsah, Charlotte
dc.contributor.committeeMemberWalker-Smith, Tammy
dc.contributor.committeeMemberGarcia, Theresa
dc.contributor.committeeMemberIvy, Diana
dc.date.accessioned2020-11-06T00:14:49Z
dc.date.available2020-11-06T00:14:49Z
dc.date.issued2020-08
dc.description.abstractBackground: Untreated prediabetes (pre-DM) has the potential to progress to type 2 diabetes (T2D). Among the 33.9% of U.S. adults living with pre-DM, 70% are unaware of their diagnosis. The purpose of this DNP project was to design an evidence-based quality improvement (QI) project to improve provider adoption of the STAT (Screen/Test/Act Today) toolkit to prevent progression of pre-DM to T2D. This detailed toolkit was developed to identify, screen, and refer at-risk patients to community diabetes prevention programs (DPPs). Design and methods: A quality improvement initiative to determine if the use of the CDC pre-DM STAT toolkit improved provider adoption of patient screening, testing, management and referral to a community DPP with the goal of preventing progression of pre-DM to T2D. The EHR triggered the pre-DM risk assessment at annual visits, PCP reviewed scores with patients with moderate to high risk, BMI and A1C are measured and patients referred to community DPP. Pretest and posttest were used to analyze patient knowledge pre and post intervention, while paired t-test measured changes in AIC and BMI. Findings: Sample included 2 females and 5 males, over 21 and less than 75 years old. During the 3-month implementation, screening and referral rates doubled with 75% of participants showing an average 3% reduction in A1C from baseline to 3 months. In this primary care setting, the CDC pre-DM STAT toolkit provided an efficient, detailed clinical reference to increase patient screening for pre-DM, improving referral to DPPs. Due to COVID-19 barriers, reduced progression of pre-DM to T2D could not be measured in this QI project’s limited timeframe.en_US
dc.description.collegeCollege of Nursing and Health Sciencesen_US
dc.description.departmentNursing Practiceen_US
dc.format.extent46 pagesen_US
dc.identifier.urihttps://hdl.handle.net/1969.6/89098
dc.language.isoen_USen_US
dc.rightsThis material is made available for use in research, teaching, and private study, pursuant to U.S. Copyright law. The user assumes full responsibility for any use of the materials, including but not limited to, infringement of copyright and publication rights of reproduced materials. Any materials used should be fully credited with its source. All rights are reserved and retained regardless of current or future development or laws that may apply to fair use standards. Permission for publication of this material, in part or in full, must be secured with the author and/or publisher.en_US
dc.rights.holderIsah, Charlotte Feyisayo
dc.subjectprimary careen_US
dc.subjectprediabetes STAT toolkiten_US
dc.subjectdiabetes preventionen_US
dc.subject.lcshnursingen_US
dc.subject.lcshmedicineen_US
dc.subject.lcshpublic healthen_US
dc.titleA quality initiative implementing CDC STAT toolkit to prevent prediabetes progression in primary careen_US
dc.typeTexten_US
dc.type.genreDissertationen_US
dcterms.typeText
dcterms.typeText
thesis.degree.disciplineNursing Practice DNPen_US
thesis.degree.grantorTexas A & M University--Corpus Christien_US
thesis.degree.levelDoctoralen_US
thesis.degree.nameDoctor of Nursing Practiceen_US

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