CommentaryImproving Diabetes Care and Outcomes: The Secondary Benefits of a Public Health–Managed Care Research CollaborationDesai, Jay; Solberg, Leif; Clark, Cynthia; Reger, Laurel; Pearson, Teresa; Bishop, Don; Roberts, Martha; Sniegowski, Russ; O'Connor, PatrickAuthor Information Jay Desai, MPH, is an Epidemiologist with the Minnesota Diabetes Program, Minnesota Department of Health, St. Paul, Minnesota. Leif Solberg, MD, is the Clinical Director of Care Improvement Research, HealthPartners Research Foundation, Bloomington, Minnesota. Cynthia Clark, MA, is the Public Health Advisor for the Division of Diabetes Translation, Centers for Disease Control and Prevention, Atlanta, Georgia. Laurel Reger, MBA, is the Quality Improvement Specialist for the Minnesota Diabetes Program, Minnesota Department of Health, St. Paul, Minnesota. Teresa Pearson, MS, RN, CDE, was the Manager for Disease Management, Medical Management, HealthPartners, Bloomington, Minnesota at the time this article was written. She now is the System Diabetes Program Coordinator, Fairview Health Services. Don Bishop, PhD, is the Director of the Center for Health Promotion, Minnesota Department of Health, St. Paul, Minnesota. Martha Roberts, MPH, is the Coordinator of the Minnesota Diabetes Program, Minnesota Department of Health, St. Paul, Minnesota. Russ Sniegowski, MPH, is the Chief of the Health Systems Section in the Division of Diabetes Translation, Center for Disease Control and Prevention, Atlanta, Georgia. Patrick O'Connor, MD, MPH, is the Senior Clinical Investigator for HealthPartners Research Foundation, Bloomington, Minnesota. Corresponding author: Jay Desai, MPH, Minnesota Diabetes Program, Minnesota Department of Health, P.O. Box 64882, St. Paul, MN 55164–0882 (e-mail: firstname.lastname@example.org). The authors thank all the past and present members of the IDEAL steering committee and the participating IDEAL primary care clinics in Minnesota: Allina Medical Clinic (Coon Rapids, Faribault, Forest Lake, and Mora clinics); Eagan Medical Associates; Health Partners' Bloomington, Brooklyn Center, and Maple Grove clinics; Mork Clinic, (Anoka); Northwest Family Physicians, (Plymouth); Ramsey Health Center for Women (St. Paul); Regina Medical Center (Hastings); St. James Family Clinic, St. James; Stillwater Medical Group, Stillwater; and Westview Clinic (West St. Paul). The Project IDEAL was supported with funds from the Centers for Disease Control and Prevention, Cooperative Agreement #U32/CCU500347 to the Minnesota Department of Health with a subcontract to HealthPartners Research Foundation. Journal of Public Health Management and Practice: November 2003 - Volume 9 - Issue - p S36-S43 Buy SDC Abstract The project Improving Diabetes Care through Empowerment, Active Collaboration and Leadership (IDEAL) is a collaborative translational research project of the Minnesota Diabetes Program (MDP) at the Minnesota Department of Health and HealthPartners (HP), a large managed care organization. The research was designed to test a quality improvement model to improve diabetes care delivery and outcomes in primary care clinics, but the collaboration was structured from the beginning to maximize potential secondary effects. The MDP and HP participated jointly in every aspect of the project. Personnel from other health care systems and academic and quality improvement organizations also participated in IDEAL. Secondary effects included heightened priority for diabetes care improvement at HP and within its medical group, along with an increased emphasis on a population approach for both of these organizations. Simultaneously, the MDP developed a better understanding of the issues and potential for improving care in primary care clinics, medical groups, and managed care organizations. These benefits resulted in further collaboration between the MDP, HP, and other managed care, health care, and quality improvement organizations in Minnesota. Thus, Project IDEAL has been a successful collaboration of public health and managed care whose contribution to improved diabetes care in Minnesota health systems extends far beyond the original scope of the project. © 2003 Lippincott Williams & Wilkins, Inc.