Outpatient management of diabetes involves targeted interventions and investigations aimed at improving diabetes-related complications. In the fast-paced environment of the modern primary care clinic, providers often fall short of meeting the numerous requirements of comprehensive diabetes care. To that end, we have developed a diabetes “flowsheet” for incorporation into the electronic medical record. This flowsheet is comprised of key clinical investigations (e.g. proteinuria) and outcomes (e.g. HbA1C) and may help primary care providers meet diabetes management goals and ultimately improve outcomes. Our goal was to introduce the flowsheet to medical residents and achieve a usership rate of 50% (i.e. 50% of residents would use the flowsheet in their diabetic patients\u27 progress notes). However, our first several PDSA cycles instead focused on addressing two major challenges: creating a flowsheet that balances usability with ease-of-use, and overcoming technical obstacles to incorporation of the flowsheet into a medical note. Moving forward, we will focus our efforts on promoting use of the flowsheet and ultimately evaluate its impact on quality measures and clinical outcomes
