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"There are certain things based on strong evidence that we should be doing to take the best care of our patients. The challenge as a physician is making sure you’re meeting those with your patients while at the same time addressing all the things the patient thinks is important."

‒ Dr. James Gutierrez
Cleveland Clinic

Did You Know?

Merely thinking about getting a salad instead of french fries can satisfy intentions to eat healthily, but it makes it easier to go ahead and order fries after all, new research shows. Researchers found that people were substantially more likely to choose the least-healthy option on a menu, such as a cheeseburger or ice cream, when the menu included a single more virtuous option, such as a veggie burger or fruit. Read the full story.

What and Who Does the Community Health Checkup Include?

This report covers care for more than 25,000 adult patients (ages 18-75) with diabetes who received care in our partner practices between July 1, 2007 and June 30, 2008. It includes region-wide and clinical practice-level information about how Greater Cleveland’s participating primary care practices are doing in their care and outcomes. In this Checkup, we report achievement of 42 primary care group practice sites, including 33 practices that first reported their results in the June 2008 report. As a result of obtaining data from these same practices twice, this Checkup also offers us a first glimpse of change in our achievement as compared with our first Checkup which covered achievement during calendar year 2007.

As in our first report, this Checkup also describes our results for patient subgroups. Insurance status and race, where available, are collected from medical records. One organization (Kaiser Permanente) does not currently have race-related information on its patients. Household income and education are estimated from census data near the patient’s home. Subgroups and categories reported are shown in Table 1.

Table 1.  Checkup patient subgroups

Patient's Primary Insurance

Medicare
Commercial
Medicaid
Uninsured

Patient's Race/Ethnicity

White
African-American
Hispanic
Other

Income

High
Medium
Low

Educational Attainment

High
Medium
Low