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Advanced Comprehensive Diabetes Care (ACDC)

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ACDC is a VA Home Telehealth-administered program for Veterans with persistently poor diabetes control despite receiving VA diabetes care. ACDC augments standard Home Telehealth services with additional diabetes self-management support and clinician-guided medication management. Critically, ACDC is specifically designed to use only existing VA staffing and infrastructure, so it can be easily implemented at any VA site. Randomized trial data shows that ACDC improves hemoglobin A1c compared to clinic-based usual care and standard Home Telehealth diabetes services; in real-world practice, ACDC lowers hemoglobin A1c by 1.6% (n=576), and Veterans maintain most of this benefit as much as 3 years after finishing the program.

This innovation is scaling widely with the support of national stakeholders. See more scaling innovations.


December 2013, Durham VA Medical Center


7 successful, 9 in-progress, 1 unsuccessful

Awards and Recognition:

Diffusion of Excellence Promising Practice, Rural Promising Practice, VHA Shark Tank Winner, QUERI Program



  • Mean hemoglobin A1c reduction 1.6% as of the end of FY2022 (n=576)
  • Qualitative Veteran and staff feedback is consistently positive
  • Implementation is cost-neutral in the short-term, and is likely to be cost-saving as the benefits of diabetes control accrue

Diffusion tracker

Does not include Clinical Resource Hubs (CRH)


VT: White River Junction VA Medical Center (White River Junction)
  • Started adoption on 01/2018, ended on 09/2018.




During the 2018 Shark Tank competition, the VA Diffusion of Excellence Initiative selected ACDC as a winner, or Gold Status Practice.