Preliminary results from a multidisciplinary university-based disease state management program focused on hypertension, hyperlipidemia, and diabetes

Journal of Pharmacy Practice, 05/11/2012

Patients involved in the multidisciplinary DSM showed improved clinical outcomes after 3 months. Ongoing analysis of patient outcomes will determine the long–term effectiveness of the disease state management (DSM).

Methods

  • Enrollees met with a pharmacist, nurse, exercise physiologist, and students in these disciplines to improve clinical outcomes and fitness parameters.
  • Clinical values, quality of life, patient knowledge of disease states, and patient satisfaction were assessed.

Results

  • Of the 20 patients in the pilot program, 17 completed 1 nursing and 2 pharmacist visits; 8 completed exercise physiology visits.
  • At baseline, elevated blood pressure readings were observed in 64.7% (11 of 17) of patients, 20% of those with diabetes (1 of 5) had an elevated hemoglobin A1c value (HbA1c), and 82.4% (14 of 17) had a cholesterol value that was not at goal.
  • At least 1 medication–related problem was observed in 16 patients (94.1%).
  • At 3 months, all patients with diabetes achieved HbA1c levels at or below 7%, 4 patients attained blood pressure control, and 1 achieved normal cholesterol readings.
  • Patients characterized participation in the program as valuable and convenient.

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