The goal of this site is to provide information and resources to improve clinical outcomes of diabetes care in outpatient clinics. This web site is intended to help other clinics duplicate the ECARE-DIABETES program. We welcome medical professionals to use any or all of our program components.


The ECARE-DIABETES program is designed to improve the outcomes of diabetes care for rural and minority families. The program uses an educator-coach to work alongside a primary care physician-provider to deliver patient self-management coaching, medication intensification and diabetes education. Education with coaching from non-physician is the primary tool to achieve patient self-management.

The program involves clinic care redesign including expanded roles for nurses and front desk staff, physicians and Educator/coaches forming a care team and the physician playing a key leadership role. These redesign strategies are formulated into a 6 step delivery design.