Type II diabetes has become a national public health threat. As a chronic disease, diabetes is one of the leading causes of death and disability.  As rates of diabetes increase, so, too, do associated direct and indirect costs.  Aligning Forces for Quality communities that have implemented customized diabetes composite measures into their public reporting structures are already experiencing success in both clinical outcomes and improved performance. Synthesizing indicators of good diabetes management has helped simplify the challenges of chronic care management while improving efficiency and performance.