It seems that hospitals and HMOs can improve outcomes for diabetics by focusing on improvement of care.
An article about my health care provider, ThedaCare, give results of a continuous improvement program in diabetes care. The following are some of the results for diabetes care:
...through a combination of strategies aimed at improving care for patients with diabetes, ThedaCare has:
Increased the number of diabetic patients receiving a yearly eye exam from 65 percent to 85 percent
Increased the number of diabetic patients with HemoglobinA1c (HbA1c) levels below 8.0 from 43 percent to 60 percent
Reduced the average HemoglobinA1c (HbA1c) level among its diabetic patients from 8.7 to 7.6
It isn't surprising to me that there has been a focus on diabetes at ThedaCare, since the head of ThedaCare is Dr. John Toussaint, an endocrinologist who was my first diabetes doctor in the area.