e State are similar to the national average for HbA1c tests two or more times per year, and annual eye exams, and foot exams. Washington's rates are higher than, but within 5 percentage points, of the national average. Washington, however, is not among the top decile States when compared with best-in-class averages (go to Table 2.1).
Keep in mind that data on diabetes process measures provide a partial picture of diabetes care in each State. Outcome measures would be a valuable addition for understanding the impact of care processes in each State. The NHQR provided one of its diabetes outcome measures — avoidable admissions for uncontrolled, uncomplicated diabetes — by 14 States including the four example States reviewed above. These data are discussed in Step 2.