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August 2021 
Enhanced Quality in Primary Care for Elders
with Diabetes and Dementia 
(EQUIPED-ADRD)
Up-to-date: The State of Lab Tests
for Our Older Adults with DM-ADRD
As part of our quality improvement (QI) program for older adults with diabetes and dementia (DM-ADRD) we are reviewing labs, more specifically HbA1c values, which are recommended to be done on an annual basis. As expected, the COVID-19 pandemic exacerbated the existing barriers to care for older adults with DM-ADRD resulting in a significant decrease in the number of patients with DM-ADRD who have recent HbA1c values and other labs.
Our analysis of Epic data revealed that approximately

 40% of over 900
patients with diabetes and dementia in our QI program

 have NOT had an HbA1c
in the past year. 
 
Please keep in mind that the findings have limitations due to lack of recently recorded data or receipt of labs and services outside of NYULH system. We are hopeful that older patients with diabetes and dementia will soon be able to have this necessary lab work. Below we include our NYULH guidelines for diabetes and dementia care.
 
 Thank you to all for being part of this QI program. This is an important step in improving care for our older patients with diabetes and dementia at NYULH.  
NYULH Guidelines for Diabetes with Alzheimer's Disease and Related Dementia NYULH Guidelines for Diabetes with Alzheimer's Disease and Related Dementia
Check-ups for Older Adults with Diabetes  
American Diabetes Association. 12. Older adults: Standards of Medical Care in Diabetes—2020. Diabetes Care 2020;43(Suppl. 1):S152-S162.  American Diabetes Association. 12. Older adults: Standards of Medical Care in Diabetes—2020. Diabetes Care 2020;43(Suppl. 1):S152-S162. 
Guiding Principles for the Care of People With or at Risk for Diabetes Guiding Principles for the Care of People With or at Risk for Diabetes
CDC Information for Diabetes Professionals CDC Information for Diabetes Professionals

Joshua Chodosh, MD, MSHS, FACP
Director, Division of Geriatrics and Palliative Care
Director, Freedman Center on Aging, Technology and Cognitive Health (CATCH)
NYU CDC BOLD Public Health Center of Excellence for Early Detection of Dementia, co-Lead
NYU Alzheimer’s Disease Center ORE Core Leader
Professor of Medicine and Population Health
EQUIPED-ADRD
An enhanced quality improvement initiative (QI) to improve ambulatory care for older patients with Diabetes Mellitus and Alzheimer’s Disease and Related Dementias (DM-ADRD) and their caregivers.
 
LEADS:
Joshua Chodosh, MD, MSHS, FACP
Rosie Ferris, MPH
Project Manager 
(646) 501-0601
Rosie.Ferris@nyulangone.org


Division of Geriatric Medicine and Palliative Care
Department of Medicine, NYU School of Medicine






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