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"Generally, patients see their physicians once every three months. But the decisions they make on a daily basis – what they eat, whether they exercise, medications they take and monitoring their blood sugars – are going to determine whether their diabetes is kept in good control."

‒ Denise Kaiser
Registered Dietician

Did You Know?

Research shows that patients with heart failure have four times the risk of bone fractures and 6.3 times the risk of hip fracture as other heart patients. If you have heart failure, ask your doctor about a bone density test to screen for osteoporosis.

Region-Wide Achievement by Race/Ethnicity Category

Figure 4 highlights the region’s overall achievement on our composite Outcomes and Care Processes standards, stratified by race/ethnicity category. This report describes patients in three categories related to race and ethnicity. While there were a small number of patients reported in other categories, they were too varied and too few in number (508) to provide meaningful comparisons. One system (Kaiser Permanente) does not report race/ethnicity information, so the Figure displays achievement across the 32 practices affiliated with the other six reporting health systems.

Overall, 18,237 diabetes patients with race/ethnicity known to be White, African-American or Hispanic are shown. The individual bars describe the 10,040 White (55%), 7,187 African-American (39%), and 1,010 Hispanic (6%) patients in these systems.

Figure 4.  Region-Wide Achievement on Better Health Greater Cleveland's Composite Standards, by Race/Ethnicity Category, July 2007 - June 2008


Overall achievement on our composite Outcomes standard varied a modest amount across patients by race, with African-American patients faring less well (28%) than Hispanic (37%) or white (41%) patients. There was less variation across race categories in achievement on our composite Process standard.