The HEDIS measure of the percent of diabetic patients with a HgA1c greater than 9.0% is an indicator

of poor glycemiccontrol and a risk factor for complications12. Reducing this measure is a quality

improvement goal that requires a multidisciplinary approach and data-driven strategies34.

A quality improvement team is a group of individuals with different roles and responsibilities who

work together to achieve a common aim56. The team should include representatives from various

areas of the clinic, such as management, clinical staff, and data analysts78.

The clinic manager is responsible for providing effective and consistent leadership, communicating

the vision and the steps for improvement, engaging the team in planning and monitoring, allocating

resources and training, and fostering a culture of open communication and continuous learning78.

The quality improvement specialist is responsible for analyzing and reviewing the clinical and

business data, suggesting and selecting the key priority areas, implementing and evaluating the

improvement interventions, and reporting the results and outcomes78.

The provider champion is responsible for modeling enthusiasm and support for quality

improvement, leading the clinical discussions and decisions, influencing and educating other

providers and staff, and ensuring adherence to evidence-based guidelines and best practices78.

The HEDIS chart abstractor, the coder, and the primary care provider are also important members of

the quality improvement process, but they are not sufficient to form a comprehensive and effective

team. The HEDIS chart abstractor and the coder are mainly involved in collecting and coding the

data, while the primary care provider is mainly involved in delivering the care. They need the

guidance and coordination of the clinic manager, the quality improvement specialist, and the

provider champion to align their efforts and achieve the desired

outcomes78. Reference: 1: Hemoglobin A1c Control for Patients with Diabetes (HBD) 2: Glycemic

Status Assessment for Patients with Diabetes 3: Quality Improvement Team Roles and

Responsibilities - PracticeAssist 4: The Roles & Responsibilities of A Quality Management

Team 5: QUALITY IMPROVEMENT TEAMS COMPOSITION 6: Comprehensive Diabetes Care -

NCQA 7: HEDIS 2022 Manual - Johns Hopkins Medicine 8: HEDIS® Hemoglobin A1c Control for

Patients with Diabetes (HBD) 9: GSD - Glycemic Status Assessment for Patients With Diabetes