caa a22 4500 467934401 CHVBK 20180406152952.0 cr unu---uuuuu 170328e20060801xx s 000 0 eng 10.1007/s10900-006-9015-7 doi (NATIONALLICENCE)springer-10.1007/s10900-006-9015-7 A Program to reduce the disparity in the rate of biennial lipid profiles between african-american and white medicare beneficiaries with diabetes mellitus in new york city [Elektronische Daten] [Terry Mahotière, Katja Ocepek-Welikson, Maryanne Daley, Johan Byssainthe] The burden of diabetes is more severe for minority populations than for the white population in the United States. Analysis of Medicare fee-for-service claims data revealed a significant disparity regarding screening for lipids between white and African-American Medicare beneficiaries with diabetes as measured by the biennial lipid profile indicator in New York State and the disparity was even greater in New York City. Thus IPRO, the Medicare New York State Quality Improvement Organization, launched a multifaceted quality improvement project to reduce the disparity, targeting African-American Medicare beneficiaries with diabetes in New York City and the providers who serve them. There was an absolute increase of 16.7% in the proportion of African-American beneficiaries with diabetes receiving a biennial lipid profile in the intervention areas and the disparity reduced by 9.8% between African-American and all eligible white beneficiaries in the intervention areas. Although it was not feasible to determine the direct impact of selected interventions on reducing the disparity, the interventions collectively appeared to be effective. Springer Science+Business Media, Inc., 2006 racial/ethnic disparities nationallicence diabetes nationallicence Medicare nationallicence quality Improvement nationallicence african-American nationallicence diabetes self-management education nationallicence Mahotière Terry IPRO, 1979 Marcus Avenue, 11042, Lake Success, NY, USA aut Ocepek-Welikson Katja IPRO, 1979 Marcus Avenue, 11042, Lake Success, NY, USA aut Daley Maryanne IPRO, 1979 Marcus Avenue, 11042, Lake Success, NY, USA aut Byssainthe Johan IPRO, 1979 Marcus Avenue, 11042, Lake Success, NY, USA aut Journal of Community Health Kluwer Academic Publishers-Plenum Publishers; http://www.springer-ny.com 31/4(2006-08-01), 263-288 0094-5145 31:4<263 2006 31 10900 https://doi.org/10.1007/s10900-006-9015-7 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10900-006-9015-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Mahotière Terry IPRO, 1979 Marcus Avenue, 11042, Lake Success, NY, USA aut NATIONALLICENCE 700 1- Ocepek-Welikson Katja IPRO, 1979 Marcus Avenue, 11042, Lake Success, NY, USA aut NATIONALLICENCE 700 1- Daley Maryanne IPRO, 1979 Marcus Avenue, 11042, Lake Success, NY, USA aut NATIONALLICENCE 700 1- Byssainthe Johan IPRO, 1979 Marcus Avenue, 11042, Lake Success, NY, USA aut NATIONALLICENCE 773 0- Journal of Community Health Kluwer Academic Publishers-Plenum Publishers; http://www.springer-ny.com 31/4(2006-08-01), 263-288 0094-5145 31:4<263 2006 31 10900 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer