Improving Diabetes Control Using Lean Six Sigma Quality Improvement in an Endocrine Clinic in a Large Accountable Care Organization | Zendy

Usha Kollipara | Zendy; Mario Rivera-Bernuy | Zendy; Joseph Putra | Zendy; Jessica Burks | Zendy; Amber Meyer | Zendy; Shayla Ferguson | Zendy; Carolyn Nelson | Zendy; Jackie Mutz | Zendy; Sasan Mirfakhraee | Zendy; Puneet Bajaj | Zendy; Asra Kermani | Zendy; Jason Fish | Zendy; Sadia Ali | Zendy

Open Access

Improving Diabetes Control Using Lean Six Sigma Quality Improvement in an Endocrine Clinic in a Large Accountable Care Organization

Author(s) -

Usha Kollipara,

Mario Rivera-Bernuy,

Joseph Putra,

Jessica Burks,

Amber Meyer,

Shayla Ferguson,

Carolyn Nelson,

Jackie Mutz,

Sasan Mirfakhraee,

Puneet Bajaj,

Asra Kermani,

Jason Fish,

Sadia Ali

Publication year - 2020

Publication title -

clinical diabetes

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.931

H-Index - 37

eISSN - 1945-4953

pISSN - 0891-8929

DOI - 10.2337/cd20-0048

Subject(s) - medicine , glycemic , quality management , diabetes mellitus , lean six sigma , psychological intervention , six sigma , workflow , pdca , control (management) , lean manufacturing , nursing , operations management , endocrinology , management , engineering , management system , economics

This article describes a quality improvement project to reduce the number of patients with diabetes who have poor glycemic control in a large tertiary care endocrinology clinic. The project used the Lean Six Sigma Define-Measure-Analyze-Improve-Control process improvement methodology to develop clinic workflow processes for obtaining A1C measurements in a timely manner to facilitate interventions to improve glycemic control. The percentage of patients with poorly controlled diabetes (A1C >9.0% or missing value in the past 12 months) significantly improved from 26.4% at baseline to 16% (P <0.001), and the proportion of patients with an A1C test within 3–6 months of an appointment improved from 76 to 92%.

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