Successful Change Management Strategies for Improving Diabetes Care Delivery Among High-Performing Practices

Article Figures & Data

Table 1.

Performance Characteristics of Selected Practices

Clinic	Health Care System Size (>12 Practices)	Average Annual Increase in ODC, %	Average Annual Increase in ODC	ODC Measure in 2019	Total Diabetes Population in 2019
A	No	3.1	0.062	0.579	302
B	Yes	4.0	0.079	0.553	215
C	Yes	2.3	0.045	0.571	631
D	No	3.2	0.064	0.516	273
E	Yes	2.5	0.050	0.660	259
F	Yes	0.3	0.007	0.529	1,432
G	Yes	1.6	0.032	0.530	1,250
H	Yes	2.2	0.044	0.517	286
I	Yes	2.2	0.044	0.593	351
J	Yes	3.8	0.076	0.585	1,129

Table 2.

Code Counts Extracted During Interviews That Identified Change Management Strategies Important for Improving Diabetes Care

Change Management Strategy	Practice										No. of Comments	No. of Clinics
Change Management Strategy	A	B	C	D	E	F	G	H	I	J	No. of Comments	No. of Clinics
Clinician and staff engagement		2	2			4	6	1	4	4	23	7
Accountability	5	4			1		2	2	2	1	17	7
Performance awareness	1	2		1	2	3	1	1	1	4	16	9
Staff education		3		1					2	1	7	4
Reminders		1		1		1					3	3
Effective care teams		1	6	2	4	2	1	2	2	2	22	9
Engaged leadership	2	2				1			3	1	9	5
Quality-improvement activities	1	1					5		1	1	9	5
Standardization as a QI strategy	9	3	5	3	2	4	5	4	1	4	40	10
Documentation		1		1					1		3	3
Patient expectations	1	1				1				1	4	4
Health care organization support	3	1		2	1	1	4	3	3		18	8
Population-based reporting	1	2		1	1	3		1	1	3	13	8

Table 3.

Code Counts Extracted During Interviews That Identified Care Management Themes Considered Most Important for Improving Diabetes Care

Care Management Theme	Practice										No. of Key Quotes	No. of Clinics
Care Management Theme	A	B	C	D	E	F	G	H	I	J	No. of Key Quotes	No. of Clinics
Proactive approach to care	2	2	4	1	4	4	2	1	2	3	25	10
Patient relationship/interaction	1	3	8	3		3	3	3		3	27	8
Previsit planning				2	2	2	3		1	3	13	6
Patient education			2	1						1	4	3
Intensifying activities	1										1	1
Priority				1							1	1