Fair Haven Community Health Center Diabetes Prevention Program Updated 8Dec10

OGTT Follow Up Checklist Yes No

Have all charts been completed?
Has all data been entered into PECS, including OGTT numbers?
Has all patient billing, OGTT, and Insulin numbers data been entered in DPP spreadsheet?
Have all patient billing coupons been created and pasted on Encounter Forms?
Have all billing encounter forms been delivered to billing?
Has the patient attendence list with DNKA's been delivered to billing?
Have all patient results been aquired and printed?
Have all patient results been entered into the DPP spreadsheet?
Have all patient results been reviewed and signed by provider?
Have all patients been contacted with their results?
Has all contact with patients been recorded in patient charts and DPP spreadsheet?
Has proper follow-up for people with abnormal results been conducted?
Has follow-up appoint been scheduled with PCP?
Have all Pre-DM or DM been invited to participate in the Study?
Schedule intake appointment been scheduled?
Has results letter been sent to patients?
Have copies of results letters been made and filed in PCP folders?
Have copies of lab results been made and filied in PCP folders?
Has new diagnosis been entered into PECS?
Have charts been reviewed to ensure proper data entry?
Have all patients who were scheduled but did not attend the OGTT been rescheduled?Have all
DNKA's been rescheduled and data entered into DPP spreadsheet?