Table 3.

UCSD SRFCP Diabetic Patient Outcomes From December 2008–December 2009 Compared With Published Outcomes of Diabetic Patients From Varying Practice Types, Locations, and Insurance Status

Insurance Location	Unins. UCSD SRFCP	Insured Medicare FFS, San Diego, CA¹³	Insured Medicare FFS, CA¹³	Insured VA, US¹⁴	Insured Managed Care, US¹⁴	Insured and Unins, NHANES III US¹⁵	Insured Managed Care, US¹⁶	Mixed Rural NC¹⁷	Insured Resident Clinic VA, NC¹⁸	Mixed Resident Clinic NC¹⁸
n	182	17,055	255,897	1,273	6,901	414	8,661	142	249	391
Process measures (patients who received exams)
BP	100%			96%^*	89%^*			98.6%^†
HbA1c	99.5%	84.6%^*	83.1%^*	93%^*	83%^*		84.8%^*	88.0%^*	96%^*	98%^†
LDL	93%	81.2%^*	80.2%^*	79%^*	63%^*		68.7%^*	68.3%^*	87%^†	74%^*
TG	88%
HDL	88%
μ alb/cr	80%			92%^‡	81%^†		78.6%^†	62.0%^*	63%^†	36%^*
Ophtho exam	32%	55.2%^‡	54.9%^‡	57%^‡	28%^†		77.6%^‡	20.4%^*	93%^‡	77%^‡
Intermediate outcomes (percent of patients at goal)
LDL <100	70%			52%^*	36%^*				72%^†	66%^†
LDL <130	86%			86%^†	72%^*			40.1%^*	87%^†	86%^†
BP <130/80	45%					35.8%^*			34%^*	38%^†
BP <140/90	77%			53%^*	52%^*	59.6%^*		51.4%^*	65%^*	64%^*
BP, HbA1C, and chol	7.8%					7.3%^†
HbA1c <7.0	30%					37%^†
7.0 to 8.0	29%					26%^†
>8.0	41%					37%^†
>9.0	30%					20%^‡
>9.5	24%			8%^‡	20%^†			37.3%^*
>10%	19%					12.4%^†

USCD—University of California San Diego SRFCP—Student-Run Free Clinic Project

UCSD SRFCP outcome is significantly better than published outcome (P<.05)

^†

UCSD SRFCP is not statistically different than published outcome (P>.05)

^‡

UCSD SRFCP outcome is significantly worse than published outcome (P<.05)

BP—blood ressure

Chol—cholesterol

CHC—community health center

FFS—fee for service

HbA1c—hemoglobin A1c

HDL—high density lipoprotein

LDL—low density lipoprotein

μalb/cr—urine mircoalbumin/creatinine ratio

TG—triglycerides

Mixed—uninsured and insured

Unins:—uninsured

VA—Veterans Affairs