“…Community practices are ideally situated to lead disease management efforts, but face barriers such as lack of time, poor reimbursement, lack of available staff, and inadequate information technology. 3 Although barriers do exist, effective methodologies have been used to improve care in busy practices, such as measuring performance and providing feedback, and using Plan-Do-Study-Act (PDSA) 4 cycles to test improvement strategies. Plan includes initial problem identification, probable causes of the problem, potential solutions and data needed to evaluate them, and improvement goals.…”