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West Tennessee Healthcare, a public, not-for-profit healthcare system whose primary facility is located in Jackson, TN, midway between the cities of Memphis and Nashville, is one of the top ten systems of its size as designated by Modern Healthcare Magazine. The system contains locations throughout 17 counties in Western Tennessee that provide a full range of care services and is one of the region's top employers. In 2013, its mission to "improve the health and well-being of the communities" it serves was challenged by internal findings showing that 35 percent of their inpatient population was living with diabetes; the disease significantly impacted their outpatient population as well. Although West Tennessee had opened a community clinic to support diabetes management, clinicians sought to improve and benchmark care results through participation in an 11-hospital Glycemic Control and Inpatient Care Coordination program with the Society of Hospital Medicine. This initiative presented an opportunity for West Tennessee to combine EHR-maintained data, such as A1C, blood glucose, C peptide and body mass index results, with patient accounting data to create clinical dashboards and a scorecard registry. The initiative also involved collecting external data to help benchmark success.