Visit frequency for diabetes
Ensure diabetic patients are seen at the right frequency, based on their age, comorbidities and degree of diabetes control.
Clinical notes
For patients with diabetes, whenever an appointment is changed or updated, ensure the patient has an upcoming appointment scheduled within the appropriate interval. If not, create a recommendation to either schedule an appointment (if no appointment is scheduled), or re-schedule the next appointment for a sooner date (if an appointment is scheduled but not soon enough). The right appointment intervals are as follows: every 1 month for very poorly controlled diabetics, every 3 months for poorly controlled diabetics, and every 6 months for well-controlled diabetics. Very poorly controlled diabetes is defined as severely elevated A1c (A1c > 9 for standard patients or A1c > 10 for patients with reduced life expectancy) and/or 3 or more episodes of level 2 hypoglycemia per week (defined as FSG < 55). Poorly controlled diabetes is defined as elevated A1c (A1c 7-9 for standard patients or A1c 8-10 for patients with reduced life expectancy), or 1-2 episodes of Level 2 hypoglycemia per week (defined as FSG < 55). Well controlled diabetes is defined as well controlled A1c (A1c < 7 for standard patients or A1c < 8 for patients with reduced life expectancy) and no episodes of hypoglycemia. Reduced life expectancy for this protocol is calculated based on age and conditions.
