Practice self-assessment and work process redesign Following the initial meeting of practice champions, practices will initiate a process of organizational self-assessment and work process redesign to ensure effective implementation and use of a diabetes registry. Clinician champions will use a self-assessment checklist designed to ensure that as part of this process champions focus on learning 1) current practice systems and procedures relating to diabetes care and the management and control of diabetes, 2) how these systems and procedures may be affected by registry use, and 3) which work processes will need to be changed or adapted to accommodate new registry-related work (including data entry, patient follow up, and visit preparation). Champions will then use these tools to focus on redesigning work processes to support these new tasks. These changes will necessarily be specific to each participating practice and will be tailored to the skills of the available staff members.