Summary of Patients Meeting Diabetes Quality Indicators by EPCD Period
| Group and Indicator | Preimplementation: Patients Meeting Indicator | Postimplementation: Patients Meeting Indicator | P Valueb | ||||
|---|---|---|---|---|---|---|---|
| Aug 2018, % | Feb 2019, % | IRRa (P Value) | May 2019, % | Mar 2020, % | IRRa (P Value) | ||
| EPCD staff | |||||||
| D5 indicator | 42.7 | 42.3 | 0.995 (.11) | 42.9 | 45.0 | 1.005 (.001) | .01 |
| Glycemic control | 67.9 | 67.8 | 0.997 (.26) | 66.8 | 67.3 | 1.001 (.75) | .45 |
| BP control | 74.7 | 70.8 | 0.989 (<.001) | 70.8 | 73.6 | 1.005 (<.001) | <.001 |
| LDL-C control | 90.4 | 90.7 | 1.001 (.84) | 90.7 | 91.9 | 1.002 (.18) | .61 |
| Aspirin use | 94.4 | 94.9 | 1.000 (.89) | 92.7 | 94.5 | 0.998 (.65) | .73 |
| Tobacco free | 86.0 | 87.9 | 1.002 (.36) | 87.8 | 85.3 | 0.997 (.03) | .05 |
| EPCD trainee | |||||||
| D5 indicator | 36.9 | 37.0 | 0.999 (.86) | 38.9 | 42.0 | 1.011 (.003) | .14 |
| Glycemic control | 64.5 | 64.1 | 0.997 (.38) | 62.7 | 64.6 | 1.003 (.27) | .29 |
| BP control | 70.4 | 68.2 | 0.992 (.02) | 69.4 | 73.0 | 1.006 (.01) | .01 |
| LDL-C control | 90.8 | 91.2 | 0.998 (.81) | 90.6 | 92.7 | 1.003 (.24) | .52 |
| Aspirin use | 95.1 | 96.1 | 0.999 (.75) | 94.7 | 96.3 | 1.002 (.78) | .79 |
| Tobacco free | 81.0 | 83.8 | 1.003 (.44) | 83.9 | 82.6 | 0.998 (.73) | .38 |
| Non-EPCD staff | |||||||
| D5 indicator | 35.4 | 35.2 | 1.001 (.79) | 36.2 | 35.5 | 0.994 (<.001) | .05 |
| Glycemic control | 62.8 | 62.6 | 1.002 (.39) | 63.3 | 60.8 | 0.995 (<.001) | .01 |
| BP control | 70.4 | 67.9 | 0.995 (.01) | 68.6 | 69.5 | 1.000 (.91) | .02 |
| LDL-C control | 86.6 | 86.8 | 1.000 (.82) | 87.0 | 89.0 | 1.002 (.04) | .40 |
| Aspirin use | 91.7 | 91.3 | 1.000 (.93) | 91.4 | 92.8 | 1.001 (.78) | .91 |
| Tobacco free | 79.4 | 80.2 | 1.003 (.10) | 81.3 | 79.1 | 0.997 (<.001) | .01 |
BP = blood pressure; D5 = all 5 diabetes components (glycemic control, BP control, LDL-C control, aspirin use if indicated, and tobacco-free status); EPCD = Enhanced Primary Care Diabetes; IRR = incident rate ratio; LDL-C = low-density lipoprotein cholesterol.
↵a The IRR is the change in slope (monthly change in percentage of patients meeting the indicator).
↵b For comparison of IRRs between periods.