Clinical Diabetes Centers of Excellence - A Model for Future Adult Diabetes Care.

Clinical Diabetes Centers of Excellence - A Model for Future Adult Diabetes Care.

J Clin Endocrinol Metab. 2018 Jan 04;:

Authors: Draznin B, Kahn PA, Wagner N, Hirsch IB, Korytkowski M, Harlan DM, McDonnell ME, Gabbay RA

Abstract
While diabetes research centers are well defined by National Institutes of Health, there is no clear definition for clinical Diabetes Centers of Excellence (DCOE). There are multiple clinical diabetes centers across the US, some established with philanthropic funding; however, it is not clear what defines a DCOE from a clinical perspective and what the future will be for these centers.In this Perspective we propose a framework to guide advancement for DCOE. With the shift toward value-based purchasing and reimbursement and away from fee for service, defining the procedures for broader implementation of DCOE as a way of improving population health, patient care experience (including quality and satisfaction), and reducing healthcare costs becomes critically important. It is prudent to implement new financial systems for compensating diabetes care that may not be provided by fiscally constrained private and academic medical centers.We envision that future clinical DCOE would be composed of a well-defined infrastructure and six domains or pillars serving as the general guiding principles for developing expertise in diabetes care that can be readily demonstrated to stakeholders including healthcare providers, patients, payers, and government agencies.

PMID: 29309595 [PubMed - as supplied by publisher]

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