Improving cardiovascular disease in underinsured patient populations.
Project Overview
Clinics with patient populations which have a large proportion of unrecognized pre diabetes, poorly controlled diabetes, and poorly controlled hypertension will collaborate with UTHealth to help improve cardiovascular disease prevention. This is accomplished by working with clinics to increase referral rates to Diabetes Prevention Program, Diabetes Self-management education, and enroll in HTN monitoring programs.
Referral rates are increased by improving clinic logistics to include more clinical care staff such as community health workers, medical assistants, and case managers. It also involves optimizing electronic health care records, and working with providers of chronic disease programs to provides these services.