A diverse mix of ten publicly funded, semi-private, and private outpatient diabetes clinics in India and Pakistan were involved in the evaluation of the multi-component intervention strategy (care coordination and DS-EHR managed care) as part of the CARRS Trial. The DS-EHR system integrated patient consultation and laboratory data, and used built-in algorithms based on prevailing clinical guidelines to enhance physician’s responsiveness to treatment modification. The non-physician care coordinator fully managed the DS-EHR software for data-entry of intervention group participants, and communication of decision support system (DSS) care management prompts to the physician during consultations via a print-out or electronic display. Physicians could, at their discretion, accept or reject care prompts and modify treatment plans based on clinical judgment.