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

Diabetes Care. 2008 Nov;31(11):2166-8. doi: 10.2337/dc08-0469. Epub 2008 Aug 11.


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.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Albuminuria / urine
  • Ambulatory Care Facilities / standards*
  • Blood Pressure
  • Diabetes Mellitus / blood
  • Diabetes Mellitus / therapy*
  • Diabetes Mellitus / urine
  • Female
  • Glycated Hemoglobin / analysis
  • Humans
  • Lipids / blood
  • Male
  • Middle Aged
  • Quality Assurance, Health Care / standards*
  • Quality Indicators, Health Care / standards
  • Treatment Outcome


  • Glycated Hemoglobin A
  • Lipids