Equity-Focused Evaluation of a Medicaid-Funded Statewide Diabetes Quality Improvement Project Collaborative
Authors' conclusion
The Ohio Diabetes QIP, focused on multisector collaborative approaches, reduced the percentage of patients with A1C >9% by ≥20% among NHW, NHB, and Hispanic populations. Given the persistence of disparities, further equity-focused refinements are warranted to address disparities in diabetes control.
Study context
- Population
- Patients with diabetes in 20 practices across 11 health systems in the Ohio Medicaid-funded Diabetes Quality Improvement Project (QIP); 54% female; Non-Hispanic White (NHW) 42%, Non-Hispanic Black (NHB) 43%, Hispanic 8%, non-Hispanic Asian 4%, other 3%
- Participants
- 7,689 patients
- Comparison
- Intervention vs preintervention period
- Outcome
- Reduction by ≥20% in the percentage of NHB and Hispanic patients with HbA1c >9%
- Follow-up
- 2 years
Methodological detailsstatewide, multisector collaborative, collective impact model, pre-post, 20 practices across 11 health systems, quality improvement (QI) strategies: data audit and feedback, peer-to-peer learning, QI coaching/practice facilitation, subject matter expert consultation, Electronic health record data, preintervention (2019-2020) and intervention (2020-2022) periods
- Statewide
- Multisector collaborative
- Collective impact model
- Pre-post
- 20 practices across 11 health systems
- QI strategies: data audit and feedback, peer-to-peer learning, QI coaching/practice facilitation, subject matter expert consultation
- Electronic health record data, preintervention (2019-2020) and intervention (2020-2022) periods
Main finding
As reported in the abstract
Proportion of patients with HbA1c >9%, baseline to year 2
NHW: from 19% to 12%
37% reduction
NHB: from 23% to 18%
22% reduction
Hispanic: from 29% to 23%
20% reduction
Original publication
Equity-Focused Evaluation of a Medicaid-Funded Statewide Diabetes Quality Improvement Project Collaborative. Diabetes Care. Published 10 October 2024. doi:10.
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