Delivery system design was implemented into the main intervention group.

Practice were asked to redesign the process in which they saw their patients with diabetes for routine visits. This was our way of implementing a modified version of the mini clinic that I talked about before. As part of this practice redesign, a CDE was made available to the provider on the day of their choosing – so in order to maximize the time, office staff were encouraged to schedule routine visits on these days. Also, these diabetes days were designed with the idea that the provider would be more focused on diabetes for that particular day. And providers were encouraged to refer patients to the CDE for point of service education whenever possible.