A Multidisciplinary Team Approach in Diabetes Patients in Puerto Rico and its Impact on Hospital Admission Rates
Hospital admissions are a significant concern for the Centers for Medicare and Medicaid Services because utilization costs peaked due to increasing admissions and readmissions rates (CMS, 2014). The Centers for Medicare and Medicaid Services (CMS, n.d.) reported 425,893 members enrolled in a Medicare Advantage Organization (MAO) in Puerto Rico in the year 2014. A MAO on the island identified 73% of its chronic care patients with a diagnosis of uncontrolled type 2 diabetes in the year 2015. International Diabetes Federation (2015) reported 365,100 total diabetics in Puerto Rico for 2015. The MAO had a special interest to provide specialized care to its diabetic members, which gave the opportunity to study admission rate outcomes of an innovative program directed to the uncontrolled diabetes population.