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Next we tackled decision support
Based on information from several studies in a variety of practices, we realized that our providers were not meeting standard of care. The UPMC and academic leadership mandated the use of ADA standards for system-wide quality improvement.  Provided a benchmark. In order to facilitate guideline adherence, particularly for our primary care practices, Dr. Solano, the medical director of the community practices and our endocrinologist, Dr. Mary Korytkowski began a broad based education campaign that included regional seminars, system programs, introducing self-management concepts and certified educators and teaching their office staff.
 
Providers were also given timely feedback about their patients and de-identified reports were provided to demonstrate where their practice was as compared to their peers.