Baseline data was collected at the beginning of the program, program completion and 3 months post program completion (Appendix A). This data included biometric data: weight, BMI, blood pressure, LDL and hemoglobin A1C. Blood glucose meters were downloaded and reviewed individually with patients to assist with pattern recognition and changes made to medication regimen if needed.
Evaluation of Patient Generated Data: Patients were asked to rate their perceptions of support for managing their diabetes using a 0-100 scale. Patients were assisted and supported in developing nutrition and physical activity SMART goals at visit two through six. They were asked to self-report their adherence to personal SMART goals for physical activity level since last visit, dietary choices and portions at each visit, 1 month and 3 months post program …show more content…
The cost per patient participating in one shared medical visit (N=6) with a nurse practitioner, RN and RD decreases to $65 (Appendix G). The cost of salaries for one patient to receive 8, two-hour visits for self-management education and medication titration with a nurse practitioner, RN and RD equals $3096. The cost per patient (N=6) participating in shared medical visits decreases to $516 for the equivalent number of visits (Appendix H). One patient, scheduled for traditional patient provider visits with a nurse practitioner, RN and RD uses one clinic visit per provider totaling three clinic appointments. The same three appointments can be used to see 6 patients using the shared medical visit model. Six patients participated in shared medical visits for 8 visits or a total of 24 clinic visits. The same number of patients, receiving the same care in a traditional patient provider visit would utilize a total of 144 clinic appointments.