Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2008 Nov;31(11):2166-8.
doi: 10.2337/dc08-0469. Epub 2008 Aug 11.

Baseline quality-of-care data from a quality-improvement program implemented by a network of diabetes outpatient clinics

Maria C E Rossi  1 , Antonio Nicolucci, Adolfo Arcangeli, Antonino Cimino, Gualtiero De Bigontina, Carlo Giorda, Illidio Meloncelli, Fabio Pellegrini, Umberto Valentini, Giacomo Vespasiani; Associazione Medici Diabetologi Annals Study Group
Affiliations

Baseline quality-of-care data from a quality-improvement program implemented by a network of diabetes outpatient clinics

Maria C E Rossi et al. Diabetes Care. 2008 Nov.

Abstract

Objective: To describe patterns of diabetes care and implement benchmarking activities at the national level.

Research design and methods: A total of 86 clinics participated, all using electronic medical records. Quality indicators were identified, and software was developed, enabling the extraction of the information needed for quality-of-care profiling.

Results: Overall, 114,249 patients with type 2 diabetes were seen during 2004. A1C was measured at least once in 88.0% of the patients, lipid profile in 64.6%, blood pressure in 77.2%, and microalbuminuria in 48.1%. Overall, 43.1% of individuals had A1C <or=7.0%, 36.6% had blood pressure <or=130/85 mmHg, and 29.8% had LDL cholesterol <100 mg/dl. Only 5.5% of the patients had achieved all the favorable outcomes. Wide between-center variation was documented for all indicators.

Conclusions: This study is the first step of a nationwide quality-improvement effort and documents the possibility of obtaining standardized information to be used for diabetes care profiling and benchmarking activities.

PubMed Disclaimer

References

    1. Saydah SH, Fradkin J, Cowie CC: Poor control of risk factors for vascular disease among adults with previously diagnosed diabetes. JAMA 291:335–342, 2004 - PubMed
    1. Harris MI: Health care and health status and outcomes for patients with type 2 diabetes. Diabetes Care 23:754–758, 2000 - PubMed
    1. Beaton SJ, Nag SS, Gunter MJ, Gleeson JM, Sajjan SS, Alexander CM: Adequacy of glycemic, lipid, and blood pressure management for patients with diabetes in a managed care setting. Diabetes Care 27:694–698, 2004 - PubMed
    1. De Berardis G, Pellegrini F, Franciosi M, Belfiglio M, Di Nardo B, Greenfield S, Kaplan SH, Rossi MC, Sacco M, Tognoni G, Valentini M, Nicolucci A: QuED (Quality of Care and Outcomes in Type 2 Diabetes) Study Group: quality of diabetes care predicts the development of cardiovascular events: results of the QuED study. Nutr Metab Cardiovasc Dis 18:57–65, 2008 - PubMed
    1. Fleming BB, Greenfield S, Engelgau MM, Pogach LM, Clauser SB, Parrott MA: The Diabetes Quality Improvement Project: moving science into health policy to gain an edge on the diabetes epidemic. Diabetes Care 24:1815–1820, 2001 - PubMed

Publication types