Project IMPACT (IMproving America’s Communities Together): Diabetes
In this extensive project, participating pharmacists in collaboration with clinic staff and diabetes educators at 25 sites, provided patients with diabetes self-management education including medication therapy management, glucose monitoring, personal goal setting, weight management, nutrition and physical activity. More than 2,000 participants representing a cross-section of U.S. ethnic groups and including the uninsured, under-insured, homeless, those living below the poverty line and with higher rates of diabetes received care during the project period. Statistically significant improvements were measured for key indicators of diabetes, most notably for HbA1c. Healthy behaviors also increased, including quitting smoking and getting eye and foot examinations and flu shots.
- Engaging pharmacists as integral members of the healthcare team was useful and effective in increasing access to personalized diabetes care.
- Average HbA1c levels of participants dropped from 9.0% to 8.2%, a statistically significant decrease.
- Collecting a minimum dataset in all communities helped standardize the care that was provided and contributed a wealth of information that helped show the efficacy of project implementation.
- The Patient Self-Management Credential for Diabetes allowed pharmacists and other healthcare providers to customize the care they provided to meet patient-specific needs related to diabetes knowledge, skills, and performance.
Qualitative data collection and video montages for each site helped identify challenges and assets affecting patient populations, detect lessons learned through program implementation, and highlight stories of success.