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Case Study: Improving Diabetes Outcomes with Chronic Care Staffing

Story by Connor Danielowski / March 24, 2026

Overview

Managing diabetes requires more than occasional office visits. For many practices, limited time and resources make it difficult to provide the consistent follow-up patients need to stay on track.

Chronic Care Staffing (CCS) partnered with healthcare providers across the United States to deliver ongoing care coordination, patient education, and engagement between visits. The result was measurable, large-scale improvement in diabetes outcomes.


The Challenge

Primary care practices face several barriers when managing diabetic populations:

  • Limited time for patient education during visits
  • Inconsistent follow-up between appointments
  • Poor medication adherence
  • Lack of ongoing lifestyle and nutrition support
  • Difficulty identifying issues before they escalate

Without consistent engagement, many patients struggle to maintain controlled A1C levels, increasing their risk for serious complications.


The Solution

Chronic Care Staffing implemented a fully supported care coordination model designed to extend care beyond the clinic.

CCS Support Model Includes:

  • Ongoing patient communication and check-ins
  • Chronic disease education and coaching
  • Medication adherence support
  • Nutrition counseling and lifestyle guidance
  • Proactive monitoring and early intervention

This approach ensures patients receive continuous support, not just episodic care.


The Care Team Advantage

A key differentiator in CCS’s model is its multidisciplinary care team, which works alongside providers to support patients at every stage.

Care Team Includes:

  • Certified Medical Assistants (CMAs)
  • Licensed Practical Nurses (LPNs)
  • Registered Nurses (RNs)
  • Registered Dietitians (RDs)
  • Certified Diabetes Care and Education Specialists (CDCES)

Each role contributes to a more comprehensive and proactive care experience. Clinical staff manage coordination and outreach, while dietitians and diabetes educators provide specialized guidance that directly impacts blood sugar control.


The Results

Measurable Improvement in A1C Levels

  • 2024 Average A1C: 8.39
  • 2025 Average A1C: 7.24
  • Total Reduction: 1.15 points

This level of improvement represents a significant shift in disease control across a large patient population.

Scale of Impact

  • 10,000+ diabetic patients actively supported nationwide

Thousands of patients improved their ability to manage diabetes, reducing their risk of long-term complications and hospitalizations.


Clinical Impact of A1C Reduction

Even modest reductions in A1C can lead to meaningful health benefits. A decrease of over 1 point is associated with lower risk of:

  • Cardiovascular disease
  • Kidney disease
  • Vision loss
  • Nerve damage
  • Stroke

By improving A1C at scale, CCS is helping providers deliver better outcomes while supporting long-term patient health.


Extending Care Beyond Office Visits

Diabetes management happens daily, not just during appointments.

CCS bridges the gap between visits by giving patients consistent access to:

  • Education and accountability
  • Clinical support and guidance
  • Lifestyle coaching
  • Ongoing communication

This continuous engagement keeps patients on track and allows providers to intervene earlier when issues arise.


Delivering a Higher Standard of Chronic Disease Management

Chronic Care Staffing enables healthcare providers to deliver a higher standard of chronic disease management without increasing internal workload.

By combining a multidisciplinary care team with proactive patient engagement, CCS has helped improve outcomes for more than 10,000 diabetic patients—and continues to scale that impact nationwide.

 
Chronic Care
Management Benefits
Outsourcing Chronic
Care Management
Improve
Patient Care
Generate Greater
Practice Revenue
Remote
Patient Monitoring
Highly Qualified
Care Coordinators
What is Chronic
Care Management?
Who is Eligible for Chronic
Care Management?