Supplemental Table S1.
Domain | Outcome measure | Process measure | Population prevalence | Intervention cohort incidence |
---|---|---|---|---|
Microvascular complications | Kidney disease – classification
|
Kidney disease – process/quality care
|
X | X |
Dialysis | X | X | ||
Peripheral neuropathy | Process/quality care
|
X | X | |
Retinopathy – classification
|
Retinopathy – process/quality care
|
X | X | |
Wound/skin ulcer treatment – classification
|
Wound/skin ulcer treatment – process
|
X | X | |
Macrovascular complications | Amputation procedures – classification
|
Amputation procedures – process/quality care
|
X | X |
Acute MI events | Guideline medication use | X | X | |
Stroke events | Guideline medication use | X | X | |
Coronary revascularization procedures | Guideline medication use | X | X | |
Heart failure | Guideline medication use | X | X | |
Diabetes control | Hemoglobin A1c:
|
Hemoglobin A1c – process/quality care
|
X | X |
Glucose |
|
X | X | |
Hypoglycemia events | X | X | ||
Hyperglycemia events | X | X | ||
Hyperosmolar | X | X | ||
Ketoacidosis | X | X | ||
Risk factors | Obesity | Weight, diet, activity monitoring | X | X |
Hypertension
|
Hypertension
|
X | X | |
Hyperlipidemia
|
Hyperlipidemia
|
X | X | |
Smoking status (Fagerstrom test for Nicotine Dependence) | Smoking cessation program attendance | X | ||
Exercise status (Stanford scale) | Activity monitoring | X | ||
Patient-reported outcomes | Global health scale score (PROMIS-9) | Survey completion rate | X | |
Patient depression score (PHQ-2) | Survey completion rate | X | ||
mDiabetes care profile score (patient perception of self-management skills) | Survey completion rate | X | ||
Medication adherence score (Morisky) | Survey completion rate | X | ||
Health services utilization | Emergency department encounters (DM-related and non-DM related | X | X | |
Inpatient encounters (DM-related, cardiovascular-related, and other) | X | X | ||
Outpatient encounters
|
X | X | ||
Length of stay for inpatient admissions | X | X | ||
Billing charges for health services | X | |||
Prediction of adverse outcomes | SEDI risk algorithm scoring | X | X | |
Death | Mortality status | X | X |
BP, blood pressure; CDE, Certified Diabetes Educator; CKD, chronic kidney disease; DM, diabetes mellitus; MI, myocardial infarction; NPDR, nonproliferative diabetic retinopathy; PDR, proliferative diabetic retinopathy; RD, Registered Dietitian; SEDI, Southeast Diabetes Initiative.