Implementation and Evaluation of Shared Medical Appointments in Veterans With Diabetes: A Quality Improvement Study

OBJECTIVE The aim of this study is to implement and evaluate shared medical appointments (SMA) in veterans with diabetes. BACKGROUND Health systems are challenged to meet the complex care needs of veterans with diabetes. Use of SMA has resulted in significant improvements in A(1c), blood pressure, and self-management skills in this population. METHODS Shared medical appointments were implemented in a Veterans Administration Health System. A(1c), blood pressure, total cholesterol, high-density lipoprotein, low-density lipoprotein, triglycerides, weight, and height were collected at baseline, 3 months, and 6 months; hospitalization anytime; and veteran satisfaction at baseline and 6 months. RESULTS From October 15, 2015, to March 15, 2016, 30 male veterans with diabetes participated in monthly SMA. Outcome measures except for high-density lipoprotein improved significantly (P < .02) from baseline to 6 months. No veterans were hospitalized. Veteran satisfaction increased significantly (P < .001). CONCLUSION Shared medical appointment can be a highly effective intervention for veterans with diabetes. Nursing leaders need to be at the forefront of implementing SMA for populations with chronic conditions.