New Vision Family Health Team is a busy primary care practice in Kitchener, Ontario. On average, outcomes for patients in the practice who had been diagnosed with type 2 diabetes were not meeting clinical best practice guidelines. The team realized it needed to redesign its chronic disease management system to improve care for these patients. Initially, they focused their efforts on one senior physician’s roster of 70 patients with type 2 diabetes (OHQC Quality Monitor, 2010). New Vision FHT was one of the featured success stories in the 2010 Ontario Health Quality Council Yearly Report – read more to learn about how they were able to design a diabetes program that better met the needs of their patients.