A Medicaid-Funded Statewide Diabetes Quality Improvement Collaborative: Ohio 2020‒2022

Abstract

We used a collective impact model to form a statewide diabetes quality improvement collaborative to improve diabetes outcomes and advance diabetes health equity. Between 2020 and 2022, in collaboration with the Ohio Department of Medicaid, Medicaid Managed Care Plans, and Ohio's seven medical schools, we recruited 20 primary care practices across the state. The percentage of patients with hemoglobin A1c greater than 9% improved from 25% to 20% over two years. Applying our model more broadly could accelerate improvement in diabetes outcomes. (Am J Public Health. 2023;113(12):1254-1257. https://doi.org/10.2105/AJPH.2023.307410).

FIGURE 1—

Percentage of Adults With Diabetes Whose Most Recent Hemoglobin A1c Was Greater Than 9% for All Sites Combined by Month: Ohio, 2020–2022 Note. AP = action period call or webinar; LCL = lower confidence limit; PDSA = plan, do, study, act; POC A1c = point of care A1c testing; QI = quality improvement; UCL = upper confidence limit. Monthly sample size: median = 1730; minimum = 1099; maximum = 2361.