JoAnn M. Sperl-Hillen

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OBJECTIVE To assess two physician learning interventions designed to improve safety and quality of diabetes care delivered by primary care physicians (PCPs). RESEARCH DESIGN AND METHODS This group randomized clinical trial included 57 consenting PCPs and their 2,020 eligible adult patients with diabetes. Physicians were randomized to no intervention(More)
OBJECTIVE Inexpensive and standardized methods to deliver medical education to primary care physicians (PCPs) are desirable. Our objective was to assess the impact of an individualized simulated learning intervention on diabetes care provided by PCPs. RESEARCH DESIGN AND METHODS Eleven clinics with 41 consenting PCPs in a Minnesota medical group were(More)
Problem Provider adherence to current diabetes care clinical guidelines is relatively low. We developed a virtual case-based Simulated Diabetes Education (SimDE) intervention to teach primary care residents how to implement current diabetes care clinical guidelines, and evaluated the impact of this tool in a randomized trial. Methods Nineteen primary care(More)
OBJECTIVE We tested the hypothesis that intensive (systolic blood pressure [SBP] <120 mmHg) rather than standard (SBP 130-139 mmHg) blood pressure (BP) control improves health-related quality of life (HRQL) in those with type 2 diabetes. RESEARCH DESIGN AND METHODS Subjects were 1,028 ACCORD (Action to Control Cardiovascular Risk in Diabetes) BP trial(More)
An approach was developed and tested to identify strategies used by physicians treating patients with type 2 diabetes. In a previously published study 19 physicians treated 3 simulated type 2 diabetes patients to a standard blood glucose (A1c) goal. A1c trajectories of physicians treating each patient were analyzed using functional data analysis (FDA). Two(More)
INTRODUCTION The study analyzes the effect of an advanced access program on quality of diabetes care. METHODS We conducted this study in a medical group of 240,000 members served by 17 primary care clinics. Seven thousand adult patients older than 18 years of age with diabetes were identified from administrative databases. Two aspects of advanced access -(More)
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