This document summarizes the mid-point findings of a study assessing diabetes care trends in medical practices participating in Massachusetts' Patient Centered Medical Home Initiative. It found that the percentage of diabetic patients screened for depression significantly improved over the first 21 months, rising from 20.5% to 45.9%. While other measures like blood pressure and cholesterol control showed no significant changes, the authors note that process measures may improve earlier than outcomes. They conclude that practices will need more time under the new model to demonstrate broader improvements in care.