Expanding Access to Continuous Glucose Monitoring in Medicare Patients Receiving Specialty Diabetes Care: A Quality Improvement Project
Authors' conclusion
Quality improvement interventions targeting providers and patients can help translate policy changes into clinical practice. Creating interventions with all patients in mind can prevent new differences in care as innovations are adopted.
Study context
- Population
- Qualifying Medicare patients with diabetes on insulin at a single diabetes specialty clinic
- Comparison
- Pre- vs postintervention
- Outcome
- Percentage of eligible patients using CGM
- Follow-up
- 8 months of intervention
Methodological detailssingle diabetes specialty clinic, Plan-Do-Study-Act (PDSA) cycles, interprofessional study team, process mapping
- Single diabetes specialty clinic
- Plan-Do-Study-Act (PDSA) cycles
- Interprofessional study team
- Process mapping
Main finding
As reported in the abstract
Percentage of eligible Medicare patients using CGM · over 8 months of intervention
- Percentage of eligible Medicare patients using continuous glucose monitoring (CGM) increased from 49.6% to 62.6%
Further findings
Median number of CGM orders started monthly (process measure)
- Median number of CGM orders started monthly increased from 34 to 60
Characteristics of patients using vs not using CGM · pre- and postintervention
- Patients using CGM were younger, had lower A1c and were more often enrolled in the EHR patient portal than those not using CGM
- No differences in other demographic factors between the groups
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Expanding Access to Continuous Glucose Monitoring in Medicare Patients Receiving Specialty Diabetes Care: A Quality Improvement Project. Endocr Pract. Published 23 June 2025. doi:10.
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