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Quality of Health Care

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The Diabetic Foot

Part of the book series: Contemporary Diabetes ((CDI))

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Abstract

The challenge to deliver the highest quality health care to patients with diabetes is complex and multifaceted. The goal of this chapter is to provide the reader with a working knowledge of the conceptual framework of health care quality and measurement as applied in the treatment and management of diabetic foot care. A general understanding of the existing systems that monitor diabetes-related quality indicators and outcomes is summarized. Finally, additional information is provided on the current emphasis placed on the promotion of preventive services, reduction of quality gaps, and advancement of scientific knowledge through comparative effectiveness research.

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References

  1. Agency for Healthcare Research and Quality. Agency for healthcare research and quality website. 2000. http://www.ahrq.gov/consumer/qnt/qntqlook.htm. Accessed 15 May 2010.

  2. Committee on Quality Healthcare in America. Crossing the quality chasm: a new health system for the 21st century. Institute of Medicine Website. 2001. http://www.nap.edu/catalog/10027.html. Accessed 20 Jun 2010.

  3. Kohn LT, Corrigan JM, Donaldson MS, Committee on Quality of Health Care in America To err is human: building a safer health system. Institute of Medicine Website. 2000. http://www.nap.edu/catalog/9728.html. Accessed 20 Jun 2010.

  4. Centers for Disease Control and Prevention (CDC). FastStats: deaths and mortality. 2010 http://www.cdc.gov/nchs/fastats/deaths.htm. Accessed 5 Jul 2010.

  5. Poisal JA, Truffer C, Smith S, et al. Health spending projections through 2016: modest changes obscure part D’s impact. Health Aff (Millwood). 2007;26(2):w242–53.

    Article  Google Scholar 

  6. McGinnis JM, Foege WH. Actual causes of death in the United States. JAMA. 1993;270(18):2207–12.

    Article  PubMed  CAS  Google Scholar 

  7. McGinnis JM, Williams-Russo P, Knickman JR. The case for more active policy attention to health promotion. Health Aff (Millwood). 2002;21(2):78–93.

    Article  Google Scholar 

  8. Centers for Disease Control (CDC). Public health focus: effectiveness of disease and injury prevention. MMWR Morb Mortal Wkly Rep. 1992;41(16):265–266.

    Google Scholar 

  9. Donabedian A. Evaluating the quality of medical care. Milbank Mem Fund Q. 1966;44(3 Suppl 1):166–206.

    Article  PubMed  Google Scholar 

  10. Rodkey GV, Itani KM. Evaluation of healthcare quality: a tale of three giants. Am J Surg. 2009;198(5 Suppl):S3–8.

    Article  PubMed  Google Scholar 

  11. The Joint Commission. National Health Care Award for performance measurement: facts about the Ernest Amory Codman Award. 2010. http://www.jointcommissioncodman.org/facts/default.aspx. Accessed 10 Aug 2010.

  12. US Department of Health and Human Services. About HHS. 2010. http://www.hhs.gov/about/. Accessed 30 Aug 2010.

  13. Agency for Healthcare Research and Quality. HCUP quality indicators archive. AHRQ quality indicators, Rockville, MD. 2004. http://www.qualityindicators.ahrq.gov/hcup_archive.htm. Accessed 10 May 2010.

  14. Soni A. Diabetes management: tests and treatments among the adult US civilian noninstitutionalized population, 2007. Statistical brief #269. Agency for Healthcare Research and Quality, Rockville, MD. 2009. http://www.ahrq.gov/mepsweb/data_files/publications/st269/stat269.pdf. Accessed 20 Jun 2010.

  15. Agency for Healthcare Research and Quality. 2008 National healthcare quality and disparities reports. 2008. http://www.ahrq.gov/qual/qrdr08.htm#toc. Accessed 10 Aug 2010.

  16. Centers for Disease Control and Prevention (CDC). Behavioral risk factor surveillance system. 2010. http://www.cdc.gov/brfss/. Accessed 20 Aug 2010.

  17. Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS). National Health and Nutrition Examination Survey Questionnaire, Hyattsville, MD: US Department of Health and Human Services, Centers for Disease Control and Prevention. 2010. http://www.cdc.gov/nchs/nhanes.htm. Accessed 10 Aug 2010.

  18. Office of Disease Prevention and Health Promotion, US Department of Health and Human Services. Healthy People 2010. 2010. http://www.healthypeople.gov/. Accessed 20 Aug 2010.

  19. American Diabetes Association. Standards of medical care in diabetes – 2010. Diabetes Care. 2010;33 Suppl 1:S11–61.

    Google Scholar 

  20. Rodbard HW, Blonde L, Braithwaite SS, et al. American Association of Clinical Endocrinologists medical guidelines for clinical practice for the management of diabetes mellitus. Endocr Pract. 2007;13 Suppl 1:1–68.

    PubMed  Google Scholar 

  21. Rodbard HW, Jellinger PS, Davidson JA, et al. Statement by an American Association of Clinical Endocrinologists/American College of Endocrinology consensus panel on type 2 diabetes mellitus: an algorithm for glycemic control. Endocr Pract. 2009;15(6):540–59.

    PubMed  Google Scholar 

  22. Agency for Healthcare Research and Quality. Diabetes care quality improvement: a resource guide for state action. 2010. http://www.ahrq.gov/qual/diabsupp.htm. Accessed 10 May 2010.

  23. National Committee for Quality Assurance. Healthcare effectiveness data and information set (HEDIS). 2010. http://www.ncqa.org/tabid/59/Default.aspx. Accessed 20 Jul 2010.

  24. National Committee for Quality Assurance. Diabetes Recognition Program. 2009 http://www.ncqa.org/tabid/139/Default.aspx. Accessed 20 Aug 2010.

  25. Health Care Incentives Improvement Institute. What is bridges to excellence? 2010. http://www.bridgestoexcellence.org/Content/ContentDisplay.aspx?ContentID=18. Accessed 30 Aug 2010.

  26. National Diabetes Alliance. Aiming for excellence in diabetes care. 2010. http://www.diabetesnationalalliance.com/default.aspx. Accessed 30 Aug 2010.

  27. Wagner EH, Austin BT, Von Korff M. Improving outcomes in chronic illness. Manag Care Q. 1996;4(2):12–25.

    PubMed  CAS  Google Scholar 

  28. MacColl Institute. Improving chronic illness care. The chronic care model. 2010. http://www.improvingchroniccare.org/index.php?p=The_Chronic_Care_Model&s=2. Accessed 20 Jun 2010.

  29. Reiber GE, Raugi GJ. Preventing foot ulcers and amputations in diabetes. Lancet. 2005;366(9498):1676–7.

    Article  PubMed  Google Scholar 

  30. Deming WE. Out of the crisis. MIT Center for Advanced Engineering Study. 1986. ISBN 0-911379-01-0.

    Google Scholar 

  31. Shewhart WA. Statistical method from the viewpoint of quality control. Dover, New York; 1939. ISBN 0-486-65232-7.

    Google Scholar 

  32. Institute for Healthcare Improvement. How to improve. 2009. http://www.ihi.org/IHI/Topics/Chronic Conditions/ AllConditions/HowToImprove/ChronicTestingChanges.htm. Accessed 20 Jun 2010.

    Google Scholar 

  33. Langley GJ, Moen R, Nolan CL, Provost LP. The improvement guide: a practical approach to enhancing organizational performance. 2nd ed. Jossey-Bass A Wiley Imprint: New York; 1996. p. 370.

    Google Scholar 

  34. CAPH/SNI Diabetes Care Learning Collaborative. Improvement report. 2005. http://www.ihi.org/IHI/Topics/ChronicConditions/Diabetes/ImprovementStories/CAPHSNIDiabetesCareLearningCollaborative.htm. Accessed 20 Jun 2010.

  35. Levin ME. Management of the diabetic foot: preventing amputation. South Med J. 2002;95(1):10–20.

    PubMed  Google Scholar 

  36. Peters AL, Legorreta AP, Ossorio RC, Davidson MB. Quality of outpatient care provided to diabetic patients. A health maintenance organization experience. Diabetes Care. 1996;19(6):601–6.

    Article  PubMed  CAS  Google Scholar 

  37. Centers for Disease Control and Prevention (CDC). National diabetes surveillance system. 2008. http://www.cdc.gov/diabetes/statistics/index.htm. Accessed 10 Jan 2009.

  38. Joslin Clinical Oversight Committee. Joslin Diabetes Center and Joslin Clinic, clinical guideline for adults with diabetes. 2009. http://www.joslin.org/docs/Adult_guidelines_041109_grade_updating.pdf. Accessed 10 Mar 2010.

  39. Massachusetts Department of Public Health. Massachusetts guidelines for adult diabetes care. 2009. www.mass.gov/dph/diabetes. Accessed 25 Mar 2010.

  40. Boulton AJ, Armstrong DG, Albert SF, et al. Comprehensive foot examination and risk assessment: a report of the task force of the foot care interest group of the American Diabetes Association, with endorsement by the American Association of Clinical Endocrinologists. Diabetes Care. 2008; 31(8):1679–85.

    Article  PubMed  Google Scholar 

  41. National Institute for Health and Clinical Effectiveness. Clinical guidelines for type 2 diabetes, prevention and management of foot problems. 2004. http://guidance.nice.org.uk/CG10. Accessed 20 Jan 2010.

  42. National Diabetes Education Program’s Pharmacy, Podiatry, Optometry, and Dental Professionals’ Work Group. Working together to manage diabetes: a guide for pharmacy, podiatry, optometry, and dental professionals. 2007. http://ndep.nih.gov//publications/OnlineVersion.aspx?NdepId=NDEP-54. Accessed 10 Mar 2009.

  43. Apelqvist J, Bakker K, van Houtum WH, Schaper NC, International Working Group on the Diabetic Foot (IWGDF) Editorial Board. Practical guidelines on the management and prevention of the diabetic foot: based upon the International consensus on the diabetic foot (2007). International Working Group on the Diabetic Foot. Diabetes Metab Res Rev. 2008;24 Suppl 1:S181–7.

    Google Scholar 

  44. Armstrong DG, Lavery LA, Wunderlich RP. Risk factors for diabetic foot ulceration: a logical approach to treatment. J Wound Ostomy Contin Nurs. 1998;25(3):123–8.

    CAS  Google Scholar 

  45. Beckman TJ. Regular screening in type 2 diabetes. A mnemonic approach for improving compliance, detecting complications. Postgrad Med. 2004;115 (4):19–20. 23–7.

    Google Scholar 

  46. Shin JB, Seong YJ, Lee HJ, Kim SH, Park JR. Foot screening technique in a diabetic population. J Korean Med Sci. 2000;15(1):78–82.

    PubMed  CAS  Google Scholar 

  47. Simeone LR, Veves A. Screening techniques to identify the diabetic patient at risk of ulceration. J Am Podiatr Med Assoc. 1997;87(7):313–7.

    PubMed  CAS  Google Scholar 

  48. Singh N, Armstrong DG, Lipsky BA. Preventing foot ulcers in patients with diabetes. JAMA. 2005;293(2):217–28.

    Article  PubMed  CAS  Google Scholar 

  49. Linzer M, Manwell LB, Williams ES, et al. Working conditions in primary care: physician reactions and care quality. Ann Intern Med. 2009;151 (1):28–36. W6–9.

    Google Scholar 

  50. Janes GR. Ambulatory medical care for diabetes. 1995. http://diabetes.niddk.nih.gov/dm/pubs/america/pdf/chapter26.pdf. Accessed 3 Mar 2009.

  51. Williams L, Ridgeway S. Lower limb screening: GP mini-clinic vs podiatry clinic. Diabetic Foot. 2002;5(94):92.

    Google Scholar 

  52. Abbo ED, Zhang Q, Zelder M, Huang ES. The increasing number of clinical items addressed during the time of adult primary care visits. J Gen Intern Med. 2008;23(12):2058–65.

    Article  PubMed  Google Scholar 

  53. Cook CB, Penman A, Cobb AB, Miller D, Murphy T, Horn T. Outpatient diabetes management of medicare beneficiaries in four Mississippi fee-for-service primary care clinics. J Miss State Med Assoc. 1999;40(1):8–13.

    PubMed  CAS  Google Scholar 

  54. Dorsey R, Songer T, Zgibor J, Kelsey S, Ibrahim S, Orchard T. Does patient behavior or access factors have the largest influence on screening in type 1 diabetes? Diabetes Care. 2007;30(4):867–71.

    Article  PubMed  Google Scholar 

  55. Reiber G. Epidemiology of foot ulcers and amputations in the diabetic foot. In: Bowker JH, editor. The diabetic foot. St. Louis, MO: CV Mosby; 2001. p. 13–32.

    Google Scholar 

  56. Resnick HE, Valsania P, Phillips CL. Diabetes mellitus and nontraumatic lower extremity amputation in black and white Americans: the National Health and Nutrition Examination Survey Epidemiologic Follow-up Study, 1971–1992. Arch Intern Med. 1999;159(20):2470–5.

    Article  PubMed  CAS  Google Scholar 

  57. Centers for Disease Control and Prevention (CDC). Hospital discharge rates for nontraumatic lower extremity amputation by diabetes status – United States, 1997. MMWR Morb Mortal Wkly Rep. 2001;50(43):954–958.

    Google Scholar 

  58. Lavery LA, Ashry HR, van Houtum W, Pugh JA, Harkless LB, Basu S. Variation in the incidence and proportion of diabetes-related amputations in minorities. Diabetes Care. 1996;19(1):48–52.

    Article  PubMed  CAS  Google Scholar 

  59. Resnick HE, Carter EA, Sosenko JM, et al. Incidence of lower-extremity amputation in American Indians: the Strong Heart Study. Diabetes Care. 2004;27(8):1885–91.

    Article  PubMed  Google Scholar 

  60. Mayfield JA, Rith-Najarian SJ, Acton KJ, et al. Assessment of diabetes care by medical record review. The Indian Health Service model. Diabetes Care. 1994;17(8):918–23.

    Article  PubMed  CAS  Google Scholar 

  61. US Department of Health and Human Services, National Institutes of Health. Recovery act grant information, supported by the American Recovery and Reinvestment Act of 2009. 2010. http://grants.nih.gov/recovery/. Accessed 20 Jun 2010.

  62. Volpp KG, Das A. Comparative effectiveness – thinking beyond medication A versus medication B. N Engl J Med. 2009;361(4):331–3.

    Article  PubMed  CAS  Google Scholar 

  63. Testa MA, Simonson DC. Assesment of quality-of-life outcomes. N Engl J Med. 1996;334(13):835–40.

    Article  PubMed  CAS  Google Scholar 

  64. Testa MA, Simonson DC. Health economic benefits and quality of life during improved glycemic control in patients with type 2 diabetes mellitus: a randomized, controlled, double-blind trial. JAMA. 1998;280(17):1490–6.

    Article  PubMed  CAS  Google Scholar 

  65. Testa MA, Simonson DC, Turner RR. Valuing ­quality of life and improvements in glycemic control in people with type 2 diabetes. Diabetes Care. 1998;21 Suppl 3:C44–52.

    PubMed  Google Scholar 

  66. Phelps CE. The methodologic foundations of studies of the appropriateness of medical care. N Engl J Med. 1993;329(17):1241–5.

    Article  PubMed  CAS  Google Scholar 

  67. Margolis DJ, Kantor J, Berlin JA. Healing of diabetic neuropathic foot ulcers receiving standard treatment. A meta-analysis. Diabetes Care. 1999;22(5):692–5.

    Article  PubMed  CAS  Google Scholar 

  68. Gottrup F, Apelqvist J, Price P, European Wound Management Association Patient Outcome Group. Outcomes in controlled and comparative studies on non-healing wounds: recommendations to improve the quality of evidence in wound management. J Wound Care. 2010;19(6):237–68.

    PubMed  CAS  Google Scholar 

  69. Solomon A, Kivipelto M, Wolozin B, Zhou J, Whitmer RA. Midlife serum cholesterol and increased risk of Alzheimer’s and vascular dementia three decades later. Dement Geriatr Cogn Disord. 2009;28(1):75–80.

    Article  PubMed  CAS  Google Scholar 

  70. Bardia A, Holtan SG, Slezak JM, Thompson WG. Diagnosis of obesity by primary care physicians and impact on obesity management. Mayo Clin Proc. 2007;82(8):927–32.

    Article  PubMed  Google Scholar 

  71. Dingli D, Wolf RC, Vella A. Imatinib and type 2 diabetes. Endocr Pract. 2007;13(2):126–30.

    PubMed  Google Scholar 

  72. Fong DS, Contreras R. Glitazone use associated with diabetic macular edema. Am J Ophthalmol. 2009;147(4):583–6.e1.

    Google Scholar 

  73. Graham BB, Keniston A, Gajic O, Trillo Alvarez CA, Medvedev S, Douglas IS. Diabetes mellitus does not adversely affect outcomes from a critical illness. Crit Care Med. 2010;38(1):16–24.

    Article  PubMed  Google Scholar 

  74. Raebel MA, Ross C, Cheetham C, et al. Increasingly restrictive definitions of hyperkalemia outcomes in a database study: effect on incidence estimates. Pharmacoepidemiol Drug Saf. 2010;19(1):19–25.

    Article  PubMed  CAS  Google Scholar 

  75. Saadine JB, Fong DS, Yao J. Factors associated with follow-up eye examinations among persons with diabetes. Retina. 2008;28(2):195–200.

    Article  PubMed  Google Scholar 

  76. DARTNet. Better information for enhanced care. DARTNet informing practice improving care website. 2010. http://www.dartnet.info/. Accessed 1 Dec 2010.

  77. Sayner LR, Rosenblum BI, Giurini JM. Elective surgery of the diabetic foot. Clin Podiatr Med Surg. 2003;20(4):783–92.

    Article  PubMed  Google Scholar 

  78. Armstrong DG, Frykberg RG. Classifying diabetic foot surgery: toward a rational definition. Diabet Med. 2003;20(4):329–31.

    Article  PubMed  CAS  Google Scholar 

  79. Catanzariti AR. Prophylactic foot surgery in the diabetic patient. Adv Wound Care. 1999;12(6):312–7.

    PubMed  CAS  Google Scholar 

  80. Nishimoto GS, Attinger CE, Cooper PS. Lengthening the Achilles tendon for the treatment of diabetic plantar forefoot ulceration. Surg Clin North Am. 2003;83(3):707–26.

    Article  PubMed  Google Scholar 

  81. Mantey I, Foster AV, Spencer S, Edmonds ME. Why do foot ulcers recur in diabetic patients? Diabet Med. 1999;16(3):245–9.

    Article  PubMed  CAS  Google Scholar 

  82. Chantelau E. Therapeutic footwear in patients with diabetes. JAMA. 2002;288(10):1231–2. author reply 1323–3.

    Article  PubMed  Google Scholar 

  83. Chantelau E, Kushner T, Spraul M. How effective is cushioned therapeutic footwear in protecting diabetic feet? A clinical study. Diabet Med. 1990;7(4):355–9.

    Article  PubMed  CAS  Google Scholar 

  84. Coles S. Footwear and offloading for patients with diabetes. Nurs Times. 2008;104(3):40–3.

    PubMed  Google Scholar 

  85. Cavanagh PR, Lipsky BA, Bradbury AW, Botek G. Treatment for diabetic foot ulcers. Lancet. 2005;366(9498):1725–35.

    Article  PubMed  Google Scholar 

  86. Edmonds ME, Blundell MP, Morris ME, Thomas EM, Cotton LT, Watkins PJ. Improved survival of the diabetic foot: the role of a specialized foot clinic. Q J Med. 1986;60(232):763–71.

    PubMed  CAS  Google Scholar 

  87. Maciejewski ML, Reiber GE, Smith DG, Wallace C, Hayes S, Boyko EJ. Effectiveness of diabetic therapeutic footwear in preventing reulceration. Diabetes Care. 2004;27(7):1774–82.

    Article  PubMed  Google Scholar 

  88. Driver VR, Goodman RA, Fabbi M, French MA, Andersen CA. The impact of a podiatric lead limb preservation team on disease outcomes and risk prediction in the diabetic lower extremity: a retrospective cohort study. J Am Podiatr Med Assoc. 2010;100(4):235–41.

    PubMed  Google Scholar 

  89. Apelqvist J, Bakker K, van Houtum WH, Nabuurs-Franssen MH, Schaper NC. International consensus and practical guidelines on the management and the prevention of the diabetic foot. International Working Group on the Diabetic Foot. Diabetes Metab Res Rev. 2000;16 Suppl 1:S84–92.

    Google Scholar 

  90. Wrobel JS, Robbins JM, Charns MP, Bonacker KM, Reiber GE, Pogach L. Diabetes-related foot care at 10 Veterans Affairs medical centers: must do’s associated with successful microsystems. Jt Comm J Qual Patient Saf. 2006;32(4):206–13.

    PubMed  Google Scholar 

  91. Anichini R, Zecchini F, Cerretini I, et al. Improvement of diabetic foot care after the Implementation of the International Consensus on the Diabetic Foot (ICDF): results of a 5-year prospective study. Diabetes Res Clin Pract. 2007;75(2):153–8.

    Article  PubMed  Google Scholar 

  92. Lorig KR, Sobel DS, Ritter PL, Laurent D, Hobbs M. Effect of a self-management program on patients with chronic disease. Eff Clin Pract. 2001;4(6):256–62.

    PubMed  CAS  Google Scholar 

  93. Norris SL, Engelgau MM, Narayan KM. Effectiveness of self-management training in type 2 diabetes: a systematic review of randomized controlled trials. Diabetes Care. 2001;24(3):561–87.

    Article  PubMed  CAS  Google Scholar 

  94. Norris SL, Nichols PJ, Caspersen CJ, et al. Increasing diabetes self-management education in community settings. A systematic review. Am J Prev Med. 2002;22(4 Suppl):39–66.

    Article  PubMed  Google Scholar 

  95. Armstrong DG, Peters EJ, Athanasiou KA, Lavery LA. Is there a critical level of plantar foot pressure to identify patients at risk for neuropathic foot ulceration? J Foot Ankle Surg. 1998;37(4):303–7.

    Article  PubMed  CAS  Google Scholar 

  96. Mason J, O’Keeffe C, Hutchinson A, McIntosh A, Young R, Booth A. A systematic review of foot ulcer in patients with type 2 diabetes mellitusII: treatment. Diabet Med. 1999;16(11):889–909.

    Article  PubMed  CAS  Google Scholar 

  97. Mason J, O’Keeffe C, McIntosh A, Hutchinson A, Booth A, Young RJ. A systematic review of foot ulcer in patients with type 2 diabetes mellitus I: prevention. Diabet Med. 1999;16(10):801–12.

    Article  PubMed  CAS  Google Scholar 

  98. Valk GD, Kriegsman DM, Assendelft WJ. Patient education for preventing diabetic foot ulceration. Endocrinol Metab Clin North Am. 2002;31(3):633–58.

    Article  PubMed  Google Scholar 

  99. Mayfield JA, Reiber GE, Sanders LJ, Janisse D, Pogach LM, American Diabetes Association. Preventive foot care in diabetes. Diabetes Care. 2004;27:S63–4. Suppl 1.

    Article  PubMed  Google Scholar 

  100. Lavery LA, Higgins KR, Lanctot DR, et al. Preventing diabetic foot ulcer recurrence in high-risk patients: use of temperature monitoring as a self-assessment tool. Diabetes Care. 2007;30(1):14–20.

    Article  PubMed  Google Scholar 

  101. Lavery LA, Higgins KR, Lanctot DR, et al. Home monitoring of foot skin temperatures to prevent ulceration. Diabetes Care. 2004;27(11):2642–7.

    Article  PubMed  Google Scholar 

  102. Bruckner M, Mangan M, Godin S, Pogach L. Project LEAP of New Jersey: lower extremity amputation prevention in persons with type 2 diabetes. Am J Manag Care. 1999;5(5):609–16.

    PubMed  CAS  Google Scholar 

  103. Khoury A, Landers P, Roth M, et al. Computer-supported identification and intervention for diabetic patients at risk for amputation. MD Comput. 1998;15(5):307–10.

    PubMed  CAS  Google Scholar 

  104. Knowler WC, Barrett-Connor E, Fowler SE, et al. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med. 2002;346(6):393–403.

    Article  PubMed  CAS  Google Scholar 

  105. Diabetes Prevention Program Research Group, Knowler WC, Fowler SE, et al. 10-Year follow-up of diabetes incidence and weight loss in the diabetes prevention program outcomes study. Lancet 2009;374(9702):1677–86.

    Google Scholar 

  106. US Department of Health and Human Services. HHS FY 2010–2015 strategic plan, draft. 2010. http://www.hhs.gov/secretary/about/pubcomm_draft.pdf. Accessed 2 Sep 2010.

  107. Centers for Disease Control and Prevention (CDC). Healthy People 2010 midcourse review. 2007. http://www.healthypeople.gov/Data/midcourse/pdf/fa05.pdf. Accessed 20 Jun 2010.

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Authors and Affiliations

  1. Division of Podiatric Surgery, Department of Surgery, Mount Auburn Hospital, 330 Mount Auburn Street, Cambridge, MA, 02138, USA

    Emily A. Cook DPM, MPH, CPH

  2. Department of Biostatistics, Harvard School of Public Health, Boston, MA, USA

    Marcia A. Testa PhD, MPhil, MPH

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  1. Emily A. Cook DPM, MPH, CPH
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  2. Marcia A. Testa PhD, MPhil, MPH
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Correspondence to Emily A. Cook DPM, MPH, CPH .

Editor information

Editors and Affiliations

  1. Center, Department of Surgery, Beth Israel Deaconess Medical, 1 Deaconess Road, Boston, 02215, Massachusetts, USA

    Aristidis Veves

  2. , Division of Podiatry, Beth Israel Deaconess Medical Center, 1 Deaconess Road, Boston, 02215, Massachusetts, USA

    John M. Giurini

  3. Center, Department of Surgery, Beth Israel Deaconess Medical, 110 Francis Street, Boston, 02215, Massachusetts, USA

    Frank W. LoGerfo

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Cook, E.A., Testa, M.A. (2012). Quality of Health Care. In: Veves, A., Giurini, J., LoGerfo, F. (eds) The Diabetic Foot. Contemporary Diabetes. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-61779-791-0_24

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