Journal for healthcare quality : official publication of the National Association for Healthcare Quality
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BlueCross BlueShield on the Rochester Area (BCBSRA) initiated a clinical quality improvement project that increased its diabetic retinopathy screening rate from 42.8% in 1995 to 58.1% in 1997. A multidisciplinary team examined the processes and discovered both member (patient) and provider (physician) barriers to annual screening. ⋯ Providers identified a role for BCBSRA to reinforce patient education on eye examinations and to assist with tracking of services. Involvement of these key stakeholders was critical to understanding and overcoming barriers.