An integrated virtual care service was first launched in september 2015 with specialist diabetes clinicians at rcht being able to access primary care records a series of education events are held with participating practices a local tariff was agreed in autumn 2016 and full rollout for the rcht catchment area in autumn 2017. We report the first 5 years of a comprehensive integrated approach to diabetes care at group health cooperative of puget sound a large group model health maintenance organization in washington state the program is population based evidence based and patient centered primary care teams receive support in the form of electronic diabetes registries evidence based guidelines patient self . Diabetic care an integrated subspecialty and primary care approach pohl sl hodge rh jr evans ws hodge ss lumelsky weinbaum j the university of virginia department of medicine has reorganized its adult diabetic ambulatory care program to provide optimal primary care and subspecialty services. Diabetes management in primary care an integrated approach best book a national web conference on the impact of implementing the effectiveness of implementing an electronic health record on diabetes care and outcomes 2012 health serv res 474 15221540 herrin j da graca b aponte p stanek hg cowling t fullerton c hollander p ballard dj impact of an ehr based diabetes management
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