No Cost Strategies
The Texas Health Institute (THI) convened multiple round tables to listen to the needs of Texans with diabetes. THI recognized the importance of care for those already diagnosed with diabetes and conducted relevant research centered on improving care. THI created a report, “Responding to the Epidemic: Strategies for Improving Diabetes Care in Texas,” that provides suggestions on how policymakers and stakeholders can address the burden of diabetes in Texas communities. THI suggested the following:
1. Conduct an assessment of the reach and scope of the state’s current work on diabetes prevention and treatment.
2. Recalibrate all ongoing public health activities to focus on reaching those living with diabetes today, given that diabetes in the current population is the cause of the current crisis and costs in the healthcare system (including Medicaid).
3. Ensure that the Medicaid program biannually identifies its priorities for addressing diabetes in a report to the legislature and governor.
4. Develop a budget blueprint identifying needs, costs and resources for diabetes and its complications to guide policymakers and elected officials on how best to fight the disease.
5. Consider establishing diabetes as one of the priority areas in the implementation of a Health Disparities Task Force Strategic Plan. Evaluate existing programs throughout the state that address health disparities with a focus on diabetes, and identify best practices within those programs.
6. As health information technology is implemented throughout the state, look for ways to focus on improved outcomes for patients with diabetes and support the use of best information technology available to enable better diabetes management.
7. Maximize potential federal resources available to battle diabetes.
For the detailed THI report: (PDF)
Sample Legislation: Senate Bill 796 - Sponsored by Senator Jane Nelson, Senate Bill 796 directs the Health and Human Services Commission, in coordination with the Diabetes Council, to prepare a report identifying the commission’s priorities for addressing diabetes in the Medicaid population. The council will conduct a statewide assessment of existing programs, including the areas where services to prevent diabetes and treat individuals with diabetes are unavailable. To see the Bill click here.
CULTURAL COMPETENCE PROGRAMS & HEALTH LITERACY
Center for Disease Control and Prevention (CDC): Health Literacy programs by State
CDC provides resources that include state and local collaborations, academic, government, and non-profit organizations focused on health literacy. The programs are in-line with the National Action Plan to Improve Health Literacy. To check for Health Literacy Programs in your state visit: http://www.cdc.gov/healthliteracy/
A Physician's Practical Guide to Culturally Competent Care: HHS Office of Minority Health https://cccm.thinkculturalhealth.hhs.gov/
Unified Health Communication Course: Health Resources and Services Administration http://www.hrsa.gov/publichealth/healthliteracy/index.html
SHARED MEDICAL APPOINTMENTS (SMA)
Shared Medical Appointments (SMA), often known as group medical appointments, allows a group of patients to see a provider at the same time. The provider can address diabetes and give verbal instruction to the group, as a whole, instead of individual patient visits. In order to participate, patients must sign a confidentiality waiver and HIPPA disclosure form. SMA’s have been shown to provide quality care and reduce costs
Veteran Affairs (VA) Shared Medical Appointments for Patients with Diabetes
This manual compiles the VA’s processes to facilitate Diabetes Shared Medical Appointments. It includes challenges and solutions for conducting group sessions. Additionally provided in the manual are handouts about Diabetes Care ABC’s to Better Health and a Diabetes Action Plan.
Source: Department of Veteran Affairs
The Asheville Project: Long-Term Clinical and Economic Outcomes of a Community Pharmacy Diabetes Care Program
Carole W. Cranor, Barry A. Bunting, and Dale B. Christensen
The City of Asheville North Carolina began efforts to provide education and health services for employees with chronic conditions, such as diabetes. Employees were given education through the Mission-St. Joseph’s Diabetes and Health Education Center and were then teamed with community pharmacists to ensure medications were taken correctly. Pharmacists developed thriving healthcare services which let to participant’s improved A1C levels, total health care costs, and fewer sick days.
Source: America Pharmacists Association Foundation
SUPPORT & COMMUNITY PROGRAMS
Diabetes in Tribal Schools Program is designed to increase American Indian and Alaska Native students understanding of health, diabetes, and maintaining life in balance. The DETS Project is part of a national effort to decrease the incidence and improve the care of type 2 diabetes among American Indian and Alaska Natives (AI/AN). Using a multi-disciplinary approach, the DETS Project is a K - 12 curriculum that consists of units that incorporate National Science Education Standards, Inquiry-Learning (5E model), and AI/AN cultural and community knowledge. To access the DETS Curriculum: http://www3.niddk.nih.gov/fund/other/dets/currsupplements.htm
Project POWER is a faith-based program targeting the African American community. Project POWER provides churches with a foundation for integrating diabetes awareness messages and healthy living tips into the life of the family and church. It engages the church in a variety of year-round activities that provide lessons which improve the health of church members living with diabetes, their families and the greater community as well.
Source: Project Power http://www.diabetes.org/in-my-community/programs/african-american-progra...
DiabetesSisters is a national 501c3 non-profit health organization whose mission is to improve the health and quality of life of women with, and those at risk of developing diabetes and to advocate on their behalf. The organization’s key initiatives include the orange: will campaign, SisterMatch Program, sisterTALK Blogs, the Women’s Forum, Ask the Experts Column, local Meetups and the Annual Weekend for Women Conference. For more information, please visit:
Source: DiabetesSisters http://www.diabetessisters.org/