Data Transparency Measure:
Diabetes - Poor Control
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What is diabetes? Why screen HbA1c?
Diabetes is a disease in which the body has a shortage of insulin, a decreased ability to use insulin, or both. Insulin is a hormone that allows glucose (sugar) to enter cells and be converted to energy. When diabetes is not controlled, glucose and fats remain in the blood and, over time, damage vital organs.
As defined by the Mayo Clinic, the HgbA1c test is a common blood test used to diagnose type 1 and type 2 diabetes and then to gauge how well a person is managing their diabetes. The A1C test result reflects the person's average blood sugar level for the past two to three months. Specifically, the A1C test measures the percentage of the person's hemoglobin — a protein in red blood cells that carries oxygen — coated with sugar (glycated). A higher A1C level means poorer blood sugar control, which increases the risk that the person will experience complications due to their diabetes.

For the Data Transparency Project, clinics will report the percentage of diabetic patients at their clinic considered to have "poorly controlled" diabetes (their most recent HgbA1c result > 9%). While diabetes can be a complex measure to improve, research has shown that even reducing a patient's A1c by one percentage point can reduce their risk of eye, kidney, and nerve diseases by 40 percent. For a patient with diabetes, every percentage point counts!

UDS Definition 2017
CLICK HERE to be linked to the current UDS Definition.
What actions can we take as a clinic to improve this measure?
Helpful materials for taking action:
For more information on this measure, refer to the links below:

Resources and Tools for Decreasing Diabetes Poor Control:

Name Date File size Hits    
EHR Workflows for Diabetes Management: Supplemental material from Data/QI Review - Feb. 2018 2018-02-22 3.83 MB 317
Data/QI Review: EHR Workflows for Diabetes Management - Feb. 2018 2018-02-22 1.26 MB 275
Best Practices in Comprehensive Diabetic Care and Patient Engagement: Supplemental material from Learning & Sharing Session - Dec. 2017 2017-12-20 4.34 MB 318
Learning & Sharing Session: Best Practices in Comprehensive Diabetic Care and Patient Engagement - Dec. 2017 2017-12-20 1.75 MB 328
Core Competencies of Care: Supplemental material from QMIC - Oct. 2017 2017-10-30 478.15 KB 502
QMIC: Humanizing the Data: Linking Patient Stories to Quality Improvement - Oct. 2017 2017-10-30 2.01 MB 392
Learning & Sharing Session: Examples of Effective Chronic Disease Management Programs Across the Nation - Sept. 2016 2016-12-28 1.38 MB 913
Data/QI Review: Diabetes Prevention Program - Mar. 2016 2016-12-28 1.65 MB 634
Nutrition Services CCO Survey: Supplemental material from Learning & Sharing Session - Nov. 2015 2015-12-01 234.05 KB 728
Learning & Sharing Session: Diabetes Poor Control - Nov. 2015 2015-12-01 1.25 MB 953
Diabetic Management Tools from UCSF - Neighborhood Health Center 2014-06-27 12.6 MB 926
Diabetic Management - Central City Concern 2017-01-12 1.6 MB 581

Have an article, workflow, toolkit or anything else that you would like to share with other clinics about this measure? Email the Data Transparency Team at .