Statement of the problem Conclusion/recommendations Will frequent provisions of physicians’ hemoglobin A1c profiles improve glycemic control? Yar Pye MD, Liming Yang MD MS, Randy Wang BA, and Myint Tin, MD Lutheran Family Medicine, Brooklyn, NY Statement of the problem The effectiveness of primary care physicians in diabetic care is frequently sub-optimal Different interventions improved diabetic control Ongoing monitoring of key variables with yearly feedback system found effective 1 Methods: continued Profiling on physicians’ HbA1c yearly in 2004, 2x a year in 2005, quarterly in 2006 (till 6/06) Patients without HbA1c for the last 6 months, or uncontrolled group (HbA1c 9.5 or above) - recalled Average HbA1c, % of patients with known HbA1c and % of uncontrolled patients -recorded 4 Percent of uncontrolled group and % of diabetic patients with known hemoglobin A1c 6 Objectives To gauge improvement in glycemic control by accelerating provisions of physicians’ hemoglobin A1c (HbA1c) profiles from yearly to semi-annually, then quarterly 2 Average Hemoglobin A1c 5 Conclusion/recommendations A semi-annual feedback system helped reduction of average HbA1c and % of uncontrolled diabetes Quarterly profiling improved % of patients with known HbA1c further A longer study - required to determine other merits of quarterly feedback of HbA1c 7 Methods 30 months-long observational study An urban-setting clinic: 9 attendings and 22 residents All diabetic adults non-pregnant aged 20 and above (n=300 to over 400) Age range 27-89 ( median 61, average 65), 1/3 male and 2/3 female 3