TY - JOUR
T1 - A case control study of the implementation of change model versus passive dissemination of practice guidelines for compliance in monitoring for metabolic syndrome
AU - Velligan, Dawn I.
AU - Castillo, Desiree
AU - Lopez, Linda
AU - Manaugh, Bren
AU - Davis, Charlotte
AU - Rodriguez, Juanita
AU - Milam, A. Camis
AU - Dassori, Albana M
AU - Miller, Alexander L.
N1 - Funding Information:
Acknowledgments We would like to thank the dedicated staff at the Center for Health Care Services and specifically, Ms. LaVerne Scott, medical assistant for their commitment to this project. The contribution of UTHSCSA investigators was funded by a research infrastructure grant from the National Institute of Mental Health R24 MH072830.
PY - 2013/4
Y1 - 2013/4
N2 - We developed an intervention to improve compliance with guidelines for monitoring metabolic syndrome and compared compliance prior to intervention and three times post-intervention at three community mental health clinics in Texas. One test clinic received intervention and two other clinics served as controls. Fifty random charts were reviewed from each clinic for three specific, 1-2 weeks periods over the course of 18 months. There were significant improvements in the ordering of labs, the presence of lab results in the chart, and documentation of blood pressure, body mass index and waist circumference in the intervention clinic over time in comparison to the control clinics. Documented evidence of physician action with respect to out of range values remained low. Metabolic monitoring is a multi-step process. Removing barriers, creating specific procedures, and dedicating staff resources can improve compliance with monitoring.
AB - We developed an intervention to improve compliance with guidelines for monitoring metabolic syndrome and compared compliance prior to intervention and three times post-intervention at three community mental health clinics in Texas. One test clinic received intervention and two other clinics served as controls. Fifty random charts were reviewed from each clinic for three specific, 1-2 weeks periods over the course of 18 months. There were significant improvements in the ordering of labs, the presence of lab results in the chart, and documentation of blood pressure, body mass index and waist circumference in the intervention clinic over time in comparison to the control clinics. Documented evidence of physician action with respect to out of range values remained low. Metabolic monitoring is a multi-step process. Removing barriers, creating specific procedures, and dedicating staff resources can improve compliance with monitoring.
KW - Atypical antipsychotics
KW - Community mental health
KW - Implementation of change model
KW - Metabolic syndrome monitoring
KW - Practice guidelines
KW - Serious mental illness
UR - https://www.scopus.com/pages/publications/84877927456
UR - https://www.scopus.com/inward/citedby.url?scp=84877927456&partnerID=8YFLogxK
U2 - 10.1007/s10597-011-9472-z
DO - 10.1007/s10597-011-9472-z
M3 - Article
C2 - 22350562
AN - SCOPUS:84877927456
SN - 0010-3853
VL - 49
SP - 141
EP - 149
JO - Community Mental Health Journal
JF - Community Mental Health Journal
IS - 2
ER -