Chronic Illness with Complexity: Implications for ... - CiteSeerX

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FY1999/2000 data because of their extensive validation10,19 and nonavailability of DepiC ... complications of diabetes) derived from ICD-9-CM codes.24.
Chronic Illness with Complexity: Implications for Performance Measurement of Optimal Glycemic Control Pramod Meduru, MD, MPH1,2, Drew Helmer, MD, MS1,2,3, Mangala Rajan, MBA1, Chin-Lin Tseng, DrPH1,3, Leonard Pogach, MD, MBA1,3, and Usha Sambamoorthi, PhD1,4,5 1

Center for Healthcare Knowledge Management, VA New Jersey Healthcare System, East Orange, NJ, USA; 2War Related Illness and Injury Study Center, VA New Jersey Healthcare System, East Orange, NJ, USA; 3University of Medicine and Dentistry of New Jersey–New Jersey Medical School, Newark, NJ, USA; 4Department of Community Health and Preventive Medicine, Morehouse School of Medicine, Atlanta, GA, USA; 5Institute for Health, Healthcare Policy, and Aging Research, Rutgers University, New Brunswick, NJ, USA.

OBJECTIVE: To evaluate the association between chronic illness with complexity (CIC) and optimal glycemic control. PARTICIPANTS: Cross-sectional and longitudinal analyses of Diabetes Epidemiologic Cohort database of Veterans Health Administration (VHA) users with diabetes, less than 75 years old, with HbA1c tests in fiscal year (FY) 1999 and 2000, alive at FY2000 end (N=95,423). DESIGN/MEASUREMENTS: Outcomes were HbA1c