Diabetes Self-Management Goals in an Internal Medicine Clinic: A Quality Improvement Initiative

This quality improvement project further highlights the importance of self-management goals in improving biomedical outcomes and disease management markers. Despite a significant improvement in HbA1c, no changes were observed in patient-reported health perceptions. Overall, patients indicated high adherence and positive feedback with this intervention. The goal-setting tool and standardized documentation strategy as implemented are a viable strategy for satisfying a PCMH accreditation standard. Future studies could address limitations such as single-site design, response rates, and review specific effects on perceptions with the use of validated survey instruments. Similar self-management interventions can be applied to other chronic diseases where daily lifestyle choices influence outcomes.