2018 Award Winners

Together 2 Goal® is pleased to honor the following participating organizations for their achievements in diabetes care.

Best Performance – Large Group

Sharp Rees-Stealy Medical Group

Best Performance – Small Group

The Baton Rouge Clinic AMC           PriMed Physicians

Most Improved – Large Group

Mercy Medical Group


Tulane University

Most Improved – Small Group

The Portland Clinic

Honorable Mention

Coastal Carolina Health Care, P.A.

Together 2 Goal® asked each award winner what they felt was critical to their success, and a number of themes emerged. They attributed their impressive patient outcomes to the following activities, many of which are part of the campaign planks:

  • Building accountable, coordinated diabetes care teams

  • Fostering collaboration between primary care physicians, diabetes case managers, clinic nurses, specialists, and other members of the care team

  • Increasing physician awareness of diabetes programs

  • Collaborating with patients to set achievable goals

  • Offering and promoting patient self-management tools and programs (e.g., nutrition, group classes)

  • Ordering labs in advance of patient appointments to inform care plans

  • Streamlining care processes to enhance efficiency

  • Educating care team members on protocols and workflows

  • Outreaching to patients, particularly those who hadn’t met their targets, to schedule follow-up visits

  • Conducting intensive case management of patients with diabetes and multiple comorbidities

  • Developing and utilizing electronic patient registries

  • Creating actionable, embedded point-of-care tools

  • Emphasizing careful documentation to capture quality performance and identify care gaps

  • Leveraging organization-wide, transparent monthly reports to track performance at the provider and organization level

  • Benchmarking progress against medical groups nationwide via Together 2 Goal® blinded comparative data reports

  • Adopting best practices from other Together 2 Goal® groups and internal advisory committees

All seven organizations were recognized at the AMGA Foundation Donor Reception during AMGA’s 2018 Annual Conference. Check back soon for pictures from the event!

PARTICIPATING GROUPS

PARTICIPATING GROUPS