Related Experiment Video
Updated: Jul 13, 2025

Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
A Medicaid-Funded Statewide Diabetes Quality Improvement Collaborative: Ohio 2020‒2022
Shari D Bolen1, Joshua J Joseph1, Kathleen M Dungan1
1Shari D. Bolen is with the Department of Medicine, The MetroHealth Medical Center and Case Western Reserve University, Cleveland, OH. Joshua J. Joseph is with the Department of Internal Medicine, The Ohio State University Wexner Medical Center, Columbus. Kathleen M. Dungan is with the Department of Medicine, The Ohio State University Wexner Medical Center, Columbus. Elizabeth A. Beverly is with the Department of Primary Care at The Diabetes Institute, Ohio University, Athens. Adam T. Perzynski is with the Department of Medicine and Department of Sociology, The MetroHealth Medical Center and Case Western Reserve University. Douglas Einstadter and Jordan Fiegl are with the Department of Medicine, The MetroHealth Medical Center and Case Western Reserve University. Thomas E. Love is with the Department of Medicine and Population and Quantitative Health Sciences, The MetroHealth Medical Center and Case Western Reserve University. Douglas Spence, Katherine Jenkins, Allison Lorenz, and Shah Jalal Uddin are with The Ohio State Government Resource Center, Columbus. Kelly McCutcheon Adams is with the Institute for Healthcare Improvement, Boston, MA. Michael W. Konstan is with the Department of Pediatrics, Case Western Reserve University. Mary S. Applegate is with the Ohio Department of Medicaid, Columbus.
Abstract:
We used a collective impact model to form a statewide diabetes quality improvement collaborative to improve diabetes outcomes and advance diabetes health equity. Between 2020 and 2022, in collaboration with the Ohio Department of Medicaid, Medicaid Managed Care Plans, and Ohio's seven medical schools, we recruited 20 primary care practices across the state. The percentage of patients with hemoglobin A1c greater than 9% improved from 25% to 20% over two years. Applying our model more broadly could accelerate improvement in diabetes outcomes. (Am J Public Health. 2023;113(12):1254-1257. https://doi.org/10.2105/AJPH.2023.307410).
Related Concept Videos
Chronic Pancreatitis II: Collaborative Care
Assessment:
Diabetes: Management and Pharmacotherapy
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Health Information Technology and Healthcare Information System
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Diabetes Mellitus: Type 2 and Gestational
Peripheral Artery Disease III: Interprofessional Care
Chronic Kidney Disease III: Interprofessional Care

