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Quality Improvement Initiatives

Funded by the Ohio Department of Health (ODH), the Gestational Diabetes Postpartum Care Learning Collaborative is engaging practices in a quality improvement (QI) deep dive effort to test strategies aimed at increasing education and screening for Type 2 Diabetes (T2DM) among women with a history of gestational diabetes (GDM), with a special emphasis on high-risk women enrolled in Medicaid. The collaborative provides:

  • patient and provider toolkits,

  • access to clinical experts,

  • monthly coaching calls, and

  • rapid cycle data feedback.

Why the gestational diabetes postpartum care learning collaborative?

  • GDM affects an estimated 3-9% of all pregnancies in Ohio

  • About half of all women diagnosed with GDM during pregnancy will develop T2DM

    • This equates to about 9,000 pregnancies in Ohio each year

  • It is recommended that women with a history of GDM be screened for pre-diabetes and diabetes within 6-12 weeks postpartum

  • Despite this recommendation, only 46% of women kept their postpartum appointment.

  • Only 30-35% of providers are aware of the risk that women with GDM have of developing T2DM.

  • Establishing a relationship between the OBGYN and other primary care providers can improve women's knowledge about GDM and improve follow-up of diabetes testing at 6-12 weeks postpartum.

Project Goals:

  • Identify best practices for improving diabetes screening and postpartum patient care;

  • Implement practitioner and patient-focused toolkits; and

  • Provide support to clinical teams to implement diabetes screening, identification, education, and treatment.


  • The collaborative toolkits provide patients and providers with resources on clinical guidelines and best practices.

For more information, please visit the Ohio GDM Postpartum Care Learning Collaborative.