Percentage of visits in which diabetic foot ulcers among patients aged 18 years and received adequate off-loading during a 12-month reporting period, stratified by location of the ulcer. Off-loading is not a simple documentation process but may include performing a procedure such as Total Contact Casting or providing appropriate footwear. The location of the diabetic foot ulcer on the foot (e.g., heel/midfoot vs. toes) determines the type of off-loading device that is appropriate, the patient’s risk of falling, the probability of successful off-loading and thus the likelihood of major amputation. The clinician needs to evaluate these factors and then provide the most appropriate off-loading option.