Audits and Feedback to Staff
Audits and feedback should be part of a strategy for improving performance and supporting quality and safety in diabetes care. Audits and feedback provide health care professionals with summary data about clinical performance and patient health outcomes to allow for assessment and adjustment in key performance measures. Medical record audits may serve as a primary focus for assessing patient health outcomes. However, maintaining and routinely reviewing clinical flow sheets, time-cycle data, and performance improvement plans can also serve as valuable ways to evaluate performance and identify areas that need to be addressed. Technological advances applied to diabetes registries and EHR systems make a wide range of data increasingly available to health care teams. Standardizing routine, auto-generated reports about key performance measures, such as characteristics of patients with elevated A1C, length of wait before being placed into an exam room, proportion of patients who present for visits without labs, or lists of patients with significant gaps in care, can support health care teams in identifying trends and solving problems.