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Table 1 Primary care provider and nurse care manager ratings of the anticipated effectiveness of panel management activities on improving patient outcomes

From: Developing a toolkit for panel management: improving hypertension and smoking cessation outcomes in primary care at the VA

Category of panel management strategy

 

Percent of responses (n = 49)

Not improve

Improve only a little

Improve somewhat

Improve a great deal

(%)

(%)

(%)

(%)

Ensure Continuous Connection to Care

Avoiding “no shows”

2

14

51

33

Reconnecting patients who haven’t been seen in the clinic

2

16

39

43

Broad Education and Connection to Clinical Resources

Providing educational packets and brief counseling

-

6

43

51

Linking patients with need specific resources with those available within VA

2

4

51

43

Adherence Support

Following up on patients who don’t refill medications on time

-

8

43

49

Following up with patients who have just been prescribed medications that have complicated instructions or regimens

-

6

43

51

Promoting adherence by checking in with patients, identifying barriers

2

6

47

45

Identifying patients who need a review of their medication (e.g., titration/adjustment)

4

4

49

43

Target Patients with Special Needs

Making a list of patients with specific lab values for follow-up

2

14

43

41

Making a list of patients who need specific tests ordered

2

21

41

37

Addressing co-morbidities (e.g., referring patients with severe depression to mental health; connecting diabetic patients to Diabetes Clinic)

-

6

51

43