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.