Overview

Diabetes is a common chronic disease in our community and can lead to serious health complications such as heart attack and stroke, eye problems including diabetic retinopathy and glaucoma, serious foot-related complications including diabetic neuropathy and ulcers, and kidney disease.  When diabetes is controlled, there is less chance of these serious health complications occurring. TFHS strives to help community members with diabetes control their disease and maintain a healthy blood sugar level to support a high quality of life.

Goal

Increase the proportion of adults with diabetes who are in control with an A1c<9 from 70.7% to the Healthy People 2030 goal of 88.4% by June 30, 2029.

Target Population

Tahoe Forest adult patients with diabetes

Diabetes in Control(A1c<9) chart description: Chart showing that in 2023 70.7% of people had a1c<9, or diabetes in control, 9.5% had a1c out of control and 19.9% were untested. Compared to 2024, 75.1% were a1c <9, 9.9% were out of control and 15% were untested. Next to chart is a green arrow pointing up indicating that higher percentages are equal to improvement.

Up arrow with improvement on it

* Patient has either not been tested within the past year or patient’s electronic health record does not have an A1c value that is captured in the data.

CY2023 CY2024
HP 2030 Target 88.4% 88.4%
A1C In Control (<9) 70.7% 75.1%
A1C Out of Control (>9) 9.5% 9.9%
Untested 19.9% 15%
  • Chair – Alison Semrad, DO – Endocrinologist
  • Workgroup Members:  Community Health, Chronic Care Management, Nutrition, Primary Care, Community Health Advocacy, Business Intelligence, and Wellness
  • Timeline: Launched November 20, 2024
  1. Expanded Education – Group and Individual
  2. Increased Outreach to Encourage and Support Testing
  3. Advancement in Technology –A1c Testing in Outpatient Clinics
  4. Data Capture Refinement – Improve How External Labs are Recorded in the Patient’s Chart

Coming soon

 

  • Hemoglobin A1c – A blood test that measures your average blood sugar level over the past three months
  • A1c<9 Baseline Data represents TFHS patients with a diagnosis of diabetes between 2022 to 2023 and an A1c<9
  • Healthy People 2030 (HP2030) sets data-drive national objectives to improve health and well-being over the next decade.  HP2030 includes 359 core- or measurable- objectives as well as developmental and research objectives. HP2030 Objective – Reduce the proportion of adults with diabetes who have an A1c value above 9 percent.
  • Untested – Patient has either not been tested within the past year or patient’s electronic health record does not have an A1c value that is captured in the data. Some reasons for this are using labs outside of Tahoe Forest and how the lab value from an external lab is stored in the patient’s chart. This is an area we are working to improve throughout the health system as it relates to all external labs and screenings. Easier access to accurate lab values improves patient care.