The purpose of the evidence-based practice innovation project (EPIP) is to address uncontrolled diabetes by implementing an evidence-based shared medical appointment (SMA) intervention which based on the body of the evidence will help improve diabetes outcomes. A pilot implementation and retrospective chart review were conducted. Data was collected on outcome indicators such as blood pressure, lipid values, body mass index, A1C, and knowledge. The results of a pilot SMA implementation revealed that patients who participated in the weekly SMA saw an improvement in post-mean values compared to pre-mean values. Mean A1c dropped to 7.0% from 7.11%; systolic blood pressure improved to125 mmHg from 128 mmHg; diastolic blood pressure dropped to 77 mmHg from 84 mmHg; body mass index dropped to 33.63 kg/m2 from 35.44 kg/m2; and, knowledge increased from 52% to 93%. Retrospective chart review findings revealed that the number of patients who were at goal A1C increased from 25% to 38% post intervention. The number of patients at goal for hypertension increased from 65% to 88%, and mean HbA1c dropped from 8.0% to 7.5%. These findings are consistent with those represented in the body of the evidence, suggesting SMA as an effective and feasible intervention to helping diabetes patients to meet glycemic goals and improving diabetes outcomes. Therefore, policy and culture change are warranted to adopt and sustain SMA as the standard of diabetes care. New clinic policies, SMA clinic mentors, and utilization of conceptual models will promote sustainability of SMA.

Date of publication

Spring 4-10-2019

Document Type

DNP Scholarly Project



Persistent identifier


Committee members

DR. Sandra Petersen; Dr. Marcie Lusk


Doctor of Nursing Practice