Target: Type 2 Diabetes Evidence-Based Activities

Target: Type 2 Diabetes has introduced four pillars of practice to help organizations adopt guideline-directed care and improve patient outcomes.
Outpatient Pillars

Each pillar contains;

  • An element of institutional policy or a defined standard of care
  • An element of practice assessment compared to the standard
  • Specific content associated with strong scientific evidence to improve the care of patients with Type 2 diabetes

Each element is a recommended practice. See the Target: Type 2 Diabetes Pillar Resources & Examples Toolkit for the full rationale and guideline recommendations.

Pillar 1: Equitable Health Outcomes

Social Drivers of Health (SDoH) effect many patients with diabetes. It is important to not only screen for SDoH but also provide adequate referrals to address the needs of each patient. 

Adopt policy to gather race & ethnicity data & SDoH data, Monitoring to assess use of standard process, Training care team on techniques to gather,  Training care team on impacts of SDoH & resources available, Stratification of A1C performance rate by 2 subgroups, Examine data for gaps to take action

*when clinically indicated

[2] Monitored/Monitoring” can be achieved through means such as but not limited to manual chart review, peer review, sampling, or analysis of EMR or population health data, at least annually to assess If the policy/protocol is being followed. This requirement does not specify a level of adherence to the policy/protocol.
[8] “Standard process” refers to any protocol or practice that is documented or organizationally accepted and is systematically available.