Utah Diabetes Prevention and Control Program
An Effective Practice
To help meet the recommended standards of care for people with diabetes, the Utah Diabetes Prevention and Control Program convened a group of nine health plans to develop, implement, and evaluate care management strategies. The health plans matched members with diabetes to their most likely primary care provider and determined whether the members had received the recommended screening tests by using HEDIS measurements. Members received a personal profile of their screening test history and information on the recommended tests and their frequency, their health plan's policy for reimbursement for each test, and an incentive for getting an eye exam (e.g., a 60-minute telephone calling card).
Goal / Mission
The goal of this program is to help meet the recommended standards of care for people with diabetes in Utah.
Results / Accomplishments
After the program was implemented in March 2000, participating health plans collected HEDIS data on diabetes-related screening tests from 3,000 patient charts to evaluate the intervention. The results, although not exclusively attributed to the intervention, were significant. A1C testing for commercial and Medicaid plan members increased 12.5% to 86% and 1.5% to 79%, respectively. Commercial plans increased the percentage of patients with A1C levels below 7% to 33% (a 40% increase); the percentage below 8% increased to 53% (a 25% increase). For the Medicaid plans, there were also improvements in A1C levels among patients (by 19% for those below 7% and by 18% for those below 8%). The percentage of documented eye exams improved for both commercial (by 18% to a level of 47%) and Medicaid (by 5% to a level of 48%) plans.
About this Promising Practice
- Primary Contact
- Utah Department of Health
Division of Community and Family Health Services
288 North 1460 West
P.O. Box 142107
Salt Lake City, Utah 84114-2107
Health / Diabetes
Health / Access to Health Services
- Utah Diabetes Prevention and Control Program
- US Department of Health and Human Services: Steps to a Healthier US
- Date of publication
- Date of implementation
- Mar 2000
- For more details