Review and Develop Key Performance Indicators for Enhancing Standard Diabetes Care in Health Promotion Clinic, Health Promotion Center 1 Chiang Mai

Abstract

          Health promotion clinic Health Promotion Center Region 1 Chiang Mai has begun providing follow-up care to patients with chronic Non-communicable diseases; NCDs since the year 2014. Diabetes is a major problem of the clinic in NCDs. The research team directly responsible for this task is interested in developing diabetes care process using Key Performance Indicators; KPIs.

          This study aims to review KPIs from various sources compared with standardized patient care guidelines and develop KPIs that reflect the quality of care for diabetics. Reference literature reviewed during the year 2015-2020 include The American Diabetes Association; ADA, KPIs by the clinical practice network for diabetes care development (Toward Clinical Excellence Network-DM; TCEN-DM),KPIs under the Ministry of Public Health criteria and the criteria of the Department of Disease Control.

          According to studies, even the name of the quality metric is same. But there are differences, especially the target of glucose levels: KPIs in Thailand define the same fixed target in all patients while the ADA assigns target sugar levels based on individual characteristics (Patient-Centered Approach). In addition, TCEN-DM criteria are met with KPIs for process indicators that cover the screening process. Treatment of co-morbidity and complications for diabetics, while no other source cites.

          The results led to the development of clinical KPIs include diabetes control by setting a goal for glucose and controlled blood pressure levels for patients with type-specific diabetes mellitus, relatives and health officials must jointly plan care goals.