1. COMPARING AUDIT DATA 2011 Program data Northeastern Tribal Health Systm *The clinical measures listed on these documents were used by the programs over the past 10 years and were current at their time of use. However, these example documents are not intended to serve as current clinical guidelines. Programs using these documents will need to ensure the clinical measures are current for their intended use.

2. As of 8/5/2011:  Active NTHS Diabetes Patients:800  Active Heart Savers Participants:87  Inactive HS Participants:20  Deceased HS (since ‘05): 8  Completed assessments in 2011:80  Annual recruitment goal:25  Number enrolled in 2011:15

3. National Mean NTHS A1c <7%40%55% A1c <8%68%72% BP <130/80 36%36% Lipids Tested81%95% LDL <10062%52% Trigs <15046%56% ASA Therapy74%70% UA Obtained76%84% RD Appt34%24% Exercise Education45%53%

4. National Mean Heart Savers A1c <7%40%53% A1c <8%68%79% BP <130/80 36%36% Lipids Tested81%98% LDL <10062%57% Trigs <15046%54% ASA Therapy74%80% UA Obtained76%93% RD Appt34%60% Exercise Edu45%85%

5. Heart Savers (87) NTHS Overall (800) A1c <8%79%72% Lipids Tested98%95% LDL <10057%52% ASA Therapy80%70% UA Obtained93%84% RD Appt60%24% Exercise Edu85%53% EKG Past 5 yrs86%67% Tobacco Use22%34%

6.  A one point drop in HbA1C reduces risk of developing diabetes-related complications by 40%.  Since 1997, NTHS diabetes patients dropped HbA1C average from 8.37% to 6.9%  Seventy-nine (79%) of Heart Savers participants have an HbA1C of 8%.  Six (6) patients (7%) of 87 Heart Savers have an A1c >10% vs. Seventy (70) 9% of the overall NTHS Diabetes Registry.

7.  What does the data show us?  Patients that receive intensive education and clinical case management tend to have:  More controlled A1c, Lipids.  More patients have annual exams completed.  Less patients continue to use tobacco.  Risk for developing complications from diabetes is significantly reduced.