{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,5]],"date-time":"2026-07-05T07:14:47Z","timestamp":1783235687747,"version":"3.54.6"},"reference-count":22,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Prim Care Community Health"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Abstract<\/jats:title>\n                    <jats:p>Uncontrolled type 2 diabetes disproportionately affects underserved populations and contributes to substantial morbidity, mortality, and healthcare costs. In Federally Qualified Health Centers (FQHCs), infrequent follow-up and inconsistent use of real-time glycemic data limit timely treatment intensification. In a multi-site FQHC serving underserved communities, baseline data demonstrated persistently high rates of uncontrolled diabetes (A1c \u22659%) despite access to in-house point-of-care A1c testing. Provider-dependent workflows, inconsistent follow-up, and low patient engagement were identified as key barriers to sustained glycemic control.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the impact of a monthly, interprofessional follow-up model incorporating medical assistant (MA)\u2013led point-of-care A1c testing and clinical pharmacy integration on glycemic control and cardiometabolic outcomes in an FQHC setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A 12-month quality improvement initiative using the Plan\u2013Do\u2013Study\u2013Act framework was implemented across multiple FQHC sites. Adults with type 2 diabetes and A1c \u22659% were enrolled. The primary outcome was the inverse diabetes quality measure (A1c \u22659%). Secondary outcomes included A1c distribution, provider-level A1c improvement, blood pressure control (&lt;130\/80 mmHg), and LDL cholesterol control (&lt;100 mg\/dL).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>An initial four-month pilot cohort of 138 patients with A1c \u22659%, managed by two primary care providers, demonstrated rapid glycemic improvement, with 81.8% achieving A1c &lt;9%. These findings informed workflow refinement and organization-wide implementation over the subsequent year, during which the inverse diabetes quality measure improved from 24.1% to 18.6% (absolute reduction of 5.5 percentage points). Concurrent improvements were observed in blood pressure control (36.0% to 40.6%) and LDL cholesterol control (45.0% to 47.0%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A monthly interprofessional follow-up model with MA-led in-house A1c testing and clinical pharmacy integration was associated with improved glycemic and cardiometabolic outcomes in an FQHC setting. This scalable approach supports value-based chronic disease management in underserved populations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21501319261464517","type":"journal-article","created":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T08:57:38Z","timestamp":1782982658000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["IMPACT-DM: Improving Management of Poorly Controlled Type 2 Diabetes (A1c \u22659%) Through Coordinated, Team-Based Care in Federally Qualified Health Centers"],"prefix":"10.1177","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-4051-001X","authenticated-orcid":false,"given":"Jose","family":"Rapanan","sequence":"first","affiliation":[{"name":"Sun Life Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elise","family":"Reitz","sequence":"additional","affiliation":[{"name":"Sun Life Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Himanshu","family":"Tiwari","sequence":"additional","affiliation":[{"name":"Sun Life Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalie","family":"Ivy","sequence":"additional","affiliation":[{"name":"Sun Life Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kerry","family":"Miller","sequence":"additional","affiliation":[{"name":"Sun Life Health"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,2]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-135-9-200111060-00012"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc08-0545"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.5144\/0256-4947.2008.411"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s13300-024-01530-9"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.26.4.1158"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.2337\/cd19-0086"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/jdi.14102"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12875-024-02277-9"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/dom.14455"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.2337\/cd19-0067"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2019.02.005"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/1077558720966148"},{"key":"e_1_3_5_14_2","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2010.0129"},{"key":"e_1_3_5_15_2","doi-asserted-by":"publisher","DOI":"10.1080\/14739879.2018.1423642"},{"key":"e_1_3_5_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.japh.2017.06.018"},{"key":"e_1_3_5_17_2","doi-asserted-by":"publisher","DOI":"10.24926\/iip.v13i1.4451"},{"key":"e_1_3_5_18_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc25-S009"},{"key":"e_1_3_5_19_2","doi-asserted-by":"publisher","DOI":"10.1370\/afm.1616"},{"key":"e_1_3_5_20_2","doi-asserted-by":"publisher","DOI":"10.1111\/dom.12880"},{"key":"e_1_3_5_21_2","doi-asserted-by":"publisher","DOI":"10.18553\/jmcp.2025.31.6.565"},{"issue":"3","key":"e_1_3_5_22_2","first-page":"12","article-title":"How to integrate clinical pharmacists into primary care","volume":"28","author":"Teichman P","year":"2021","unstructured":"Teichman P, Wan S. How to integrate clinical pharmacists into primary care. Fam Pract Manag. 2021;28(3):12-17.","journal-title":"Fam Pract Manag"},{"key":"e_1_3_5_23_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCOUTCOMES.124.011175"}],"container-title":["Journal of Primary Care &amp; Community Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21501319261464517","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/21501319261464517","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21501319261464517","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,5]],"date-time":"2026-07-05T06:17:06Z","timestamp":1783232226000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/21501319261464517"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6]]},"references-count":22,"alternative-id":["10.1177\/21501319261464517"],"URL":"https:\/\/doi.org\/10.1177\/21501319261464517","relation":{},"ISSN":["2150-1319","2150-1327"],"issn-type":[{"value":"2150-1319","type":"print"},{"value":"2150-1327","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6]]},"article-number":"21501319261464517"}}