Diabetes INSIDE: Improving Population HbA Testing and Targets in Primary Care With a Quality Initiative.

Objective: To improve outcomes of patients with adult type 2 diabetes by decreasing HbA undertesting, reducing the proportion of patients with poor glycemic control, and lowering mean HbA levels using a quality improvement (QI) program.

Research Design And Methods: Six years of outpatient electronic health record (EHR) data were analyzed for care gaps before and 2 years after implementing a QI initiative in an urban academic medical center. QI strategies included ) individual provider and departmental outcome reports, ) patient outreach programs to address timely follow-up care, ) a patient awareness campaign to improve understanding of achieving clinical goals, ) improving EHR data capture to improve population monitoring, and ) professional education.