The Missouri Diabetes Prevention and Control Program

The Missouri Diabetes Prevention and Control Program (MDPCP) collaborated with six federally qualified health centers (FQHCs) and one National Health Service site that participated in the Bureau of Primary Health Care's National Health Disparities Diabetes Collaborative. From June 2000 to June 2002, each center implemented the Chronic Care Model in one or more clinics, forming teams of diabetes-related health care specialists. Each center established an initial "population of focus," a registry of patients with diabetes. Additional provider or site registries were added as the project period progressed. The Diabetes Electronic Measurement System (DEMS) was used to monitor indicators of health status, health behaviors, and services received.

The goal of this program is to improve diabetes care in Missouri.

The MDPCP's second-year evaluation of aggregate data from the combined diabetes registries of the seven Missouri health centers participating in the Diabetes Collaborative found that the number of patients enrolled in the Diabetes Collaborative increased from 1,107 to 3,431, or by 210%. In the aggregate registries, there were significant improvements in the prevalence of 10 key measures: average A1C value (-3%), retinal eye exam (+197%), dental exam or referral (+325%), foot exam (+18%), influenza vaccination or referral (+149%), cholesterol testing (+37%), body mass index calculation (+15%), diabetes education (+78%), self-management goal setting (+24%), and nutrition counseling (+92%).