Improvements in Diabetes Quality Measures

Caravan Health ACO (Accountable Care Organization) Improvements in Diabetes Quality Measures

What a 40% improvement in blood sugar control tells us about how ACOs are helping patients 

Impact Story Published by Caravan Health

"Knox Community Hospital in Mount Vernon, Ohio saw dramatic changes from interventions stemming directly from ACO participation. They reduced the rate of uncontrolled high blood sugar among its patients 15 percentage points from a measure of 19.6 in 2016 to one of 4.4 in 2017. They also increased diabetes eye exams from 30.4 percent in 2016 to 35.3 percent in 2017 – an increase of more than 16 percent. Knox Hospital identified several initiatives as the driving forces behind their dramatic improvements. They have made identification of uncontrolled diabetes a priority. Clinical staff reviewed the charts of all patients with diabetes, flagging all those with a HbA1c level higher than 7 (Medicare uses 9 as a cut off but in other populations control is tighter, using less than 7 as the desired level). All of these patients were contacted and enrolled in their newly launched chronic care management program. Knox Hospital has also started a quality subcommittee made up of the medical director, care managers, coding specialists, IT experts, office staff, and others. To get their 20 primary care providers on board with new workflows required for ACO participation, the quality subcommittee set out to educate all practices on these new initiatives and how ACO participation would benefit them and their patients. The ACO leaders at Knox Hospital are encouraged by the excellent results from their diabetes intervention. In the coming year, they are planning to address mammograms and colonoscopies with the same data-driven and integrated approach to increase the quality of care and outcomes for their patients."

Read more in this whitepaper from Caravan Health