Program evaluation of Sea Mar’s Chronic Care Program for Latino and Caucasian patients with type 2 diabetes: providers and staff perspectives

Figures & data

Figure 1 Integration of the Chronic Care Coordinator into the chronic care model for effective diabetes care.

Table 1 Sample of questions on the staff and provider attitudes and perceptions survey (SPAPS)

Workflow at Sea Mar, around the care of patients with diabetes, is smooth and efficient. Workflow at Sea Mar, around the care of patients with diabetes, has improved in the last 2 years. The Chronic Care Coordinator makes a positive difference in clinical work flow, especially in treating patients with diabetes. The quality of care I provide our patients with type 2 diabetes has improved over the last couple of years. I believe outcomes of Sea Mar patients with diabetes have improved over the last couple of years. Our Chronic Care Coordinator has helped to improve the care of my patients with type 2 diabetes. I see more patients with type 2 diabetes than 2 years ago. The Chronic Care Coordinator role is well-integrated at my clinic.

Note: Responses to questions were based on a 5-point Likert-type rating scale ranging from strongly disagree to strongly agree.

Table 2 Primary barriers to adoption of the Chronic Care Coordinator (CCC) role identified from the provider and staff comments

Structure Limited provider access. Confusion regarding role expectations of the CCC. Cumbersome Electronic Health Record (EHR) not yet adapted to chronic care follow-up. Process 4. Inconsistent team communications. 5. Inconsistent follow-up. Outcomes 6. CCC disease knowledge → patient education → patient activation. 7. Reduced CCC turnover rate.