Diabetes Care Quality Improvement

The Agency for Healthcare Research and Quality (AHRQ) has developed Diabetes Care Quality Improvement: A Resource Guide for State Action and its companion workbook, Diabetes Care Quality Improvement: A Workbook for State Action. This Resource Guide was designed in partnership with the Council of State Governments to help States assess the quality of diabetes care and create quality improvement strategies.

This report was prepared for AHRQ by The Medstat Group, Inc. and The Council of State Governments under Contract No. 290-00-0004.

Prepared by Rosanna M. Coffey, Ph.D., Trudi L. Matthews, M.A., and Kelly McDermott, M.A.

Contents

Acknowledgments
Foreword
Executive Summary
Introduction: How and Why To Use This Resource Guide
  Purpose of the Resource Guide
  Audiences for the Resource Guide
  Structure and Organization of the Resource Guide
Module 1: Background — Making the Case for Diabetes Care Quality Improvement
  The Importance of Diabetes
  The NHQR and NHDR as Resources for State Leaders
  The Quality Improvement Opportunity
Module 2: Data — Understanding the Foundation of Quality Improvement
  Quality Measurement
  Sources of NHQR Data on Diabetes Care
Module 3: Information — Interpreting State Estimates of Diabetes Quality
  Deriving Information From Data
  Step 1: Identifying Appropriate Metrics and Comparisons
  Step 2: Interpreting the Data: What Does It Mean?
Module 4: Action — Learning From Activities Currently Underway
  Selected Public/Private Quality Improvement Initiatives
  Selected Federal Programs and Resources for Diabetes Care Quality Improvement
  State Approaches to Diabetes Care Quality Improvement
  Selected Local Quality Improvement Efforts
Module 5: Improvement — Developing a Strategy for Diabetes Quality Improvement
  A Model for Quality Improvement
  Developing a State Strategy For Improving Diabetes Care Quality
  Integrating Quality Improvement Activities Across Conditions
  The Importance of Evaluation
Module 6: The Way Forward — Promoting Quality Improvement in the States
  What Can State Leaders Contribute to Quality Improvement?
References
Appendixes:
A. Acronyms Used in This Resource Guide
B. List of NHQR Data Sources, Including Those Supporting State Estimates
C. Additional Data Resources Related to Diabetes Care Quality
D. Benchmarks From the NHQR
E. Information on Statistical Significance
F. NHQR Quality Measures for All Conditions by State
G. Index of Diabetes Quality Improvement Initiatives
H. CDC Funding for States' Diabetes Programs, 2003-2004

Disclaimer and Copyright Information

This document is in the public domain and may be used and reprinted without permission except for any copyrighted materials noted for which further reproduction is prohibited without the specific permission of copyright holders. AHRQ appreciates citation as to source, and the suggested format is provided below:

Coffey RM, Matthews TL, McDermott K. Diabetes Care Quality Improvement: A Resource Guide for State Action. (Prepared by The Medstat Group, Inc. and The Council of State Governments under Contract No. 290-00-0004). Rockville, MD: Agency for Healthcare Research and Quality, Department of Health and Human Services; September 2004. AHRQ Pub. No. 04-0072.