Medical record review To assess the effect of the intervention on the quality of diabetes care delivered in participating practices, we will audit the medical records of 100 randomly selected patients with diabetes in each practice. The quality of diabetes care will be assessed for 100 patients from each practice at baseline, in year 3 following the initial intervention and then again in year 5 following the delivery of the delayed intervention to control practices for a total of 3000 medical records at each assessment period.