With significant support from the California HealthCare Foundation, and in partnership with Kaiser Permanente, SNI is working with 11 public hospital systems to improve chronic illness care for people with diabetes served by public primary clinics statewide .

SEED (Spreading Effective and Efficient Diabetes Care in California’s Public Hospital Systems) involves two regional learning collaboratives, leadership development for the spread of chronic care improvements, and cash grants and consultant services for adoption and spread of electronic disease registries. With 20 clinic improvement teams in 2007 (consisting of administrators, physicians, nurses, and medical assistants), and 19 more improvement teams in 2008, the changes are spreading rapidly.

The purpose of the SEED program is to improve the effectiveness of public hospital primary care clinics in caring for the growing number of patients living with diabetes. We have achieved improvement through the adoption of the Chronic Care Model and the use of chronic disease registry data at the point of care.

SEED activities focus on:

  • Clinical Information Systems
  • Delivery System Design
  • Self-Management Support

SNI is also tracking chronic care clinical and process measures to demonstrate the program’s effectiveness at improving the health of patients with diabetes, as well as to measure how well changes in the delivery system are being spread across large public hospital systems.