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"My regular physician is very much a friend to me, so I feel comfortable going in and talking to her… I think that having that kind of relationship is very important for a person with diabetes or any disease. You need to trust your doctor, and trust yourself that you can ask questions."

‒ Elaine
Cleveland, OH

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Research shows that patients with heart failure have four times the risk of bone fractures and 6.3 times the risk of hip fracture as other heart patients. If you have heart failure, ask your doctor about a bone density test to screen for osteoporosis.

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Checkup Report > Part Two : Better Health's Diabetes Checkup - Regional Results > Achievement by Estimated Educational Attainment

Region-Wide Achievement by Estimated Educational Attainment

Figure 6 highlights the region’s overall achievement on our composite Outcomes and Care Processes standards, stratified by estimated patient educational attainment. As with our income estimates, each practice organization used the 2000 Census to provide estimates of each patient’s educational attainment. Patients are divided into three categories in relation to the percentage of high school graduates in their neighborhood in the 2000 census; high education reflects neighborhoods with graduation rates above 90%; low education reflects neighborhoods with graduation rates below 80%; and “medium” reflects neighborhoods with graduation rates between 80% and 90%.

A total of 23,793 patients with available Census information are reported. Of those patients, 5,518 (23%) live in High Education neighborhoods, 9,062 (38%) live in Medium Education neighborhoods, and 9,215 (39%) live in Low Education neighborhoods.

Figure 6. Region-Wide Achievement on Better Health Greater Cleveland's Composite Standards, by Educational Attainment Category, July 2007 - June 2008

Results by estimated educational attainment were quite similar to those across income categories. Achievement on our composite Outcomes Standard varied from 45% in the highest education level to 33% in the lowest education level. Again, there was much less variation across educational categories in the achievement of our Summary Process Standard.