1. INTRODUCTION

The instructions that follow in the subsequent sections describe a standardized method for assessing the diabetes care and the health status of diabetes patients at your facility. Using a uniform process and standardized definitions provides consistency as you monitor patient care patterns over time. It allows valid comparison of your facility with other IHS, tribal and urban facilities. During the chart audit, diabetes care is compared to the IHS Standards of Care for Patients with Type 2 Diabetes. Instructions for sample size calculations, selecting charts for the audit, and standard definitions for each item are given on the next few pages. Additional assistance, if necessary, can be obtained from your Area Diabetes Consultant.