Professional Documents
Culture Documents
Dallas, Texas
CDC 2011 Diabetes Translation Conference
Minneapolis , MN
April , 2011
www.alliancefordiabetes.org
Diabetes Equity Project (DEP)
• Primary Goals
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This project was supported by a grant from The Merck Company Foundation through its Alliance to Reduce Disparities in Diabetes program.
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Diabetes Equity Project (DEP):
Interventional Strategy
• Intervention Program
• Patient Relationship Expansion
• Community Diabetes Education Program (CoDE™)
• One-on-One format - Up to 7 patient contacts per
year
• Culturally competent relationship-based program delivery
• Treatment adherence & disease control
troubleshooting
• Knowledge Transfer Expansion
• ADA Standards of Care & AADE’s 7 Self-Care
Behavior Education
• System Expansion
• Disease registry management – Targeted patient
recall (VIPs)
3
• Regular physician reporting – Fax, Scanned, HIE
DEP Early Results:
Race & Ethnicity Demographics -
2010
68.7% Hispanic
•DEP Data from DiaWeb and includes patients enrolled through 2/24/11 and patient visits up through 3/11/10.
•Minnesota Community Measurement and Minnesota Department of Health. 55.0% (A1c < 7) 2009 data - Includes patients from 1/1/2008 through 12/31/2009 with two
or more visits coded with a diabetes ICD-9 code, and has been seen within 7/1/2008 through 12/31/2009 once regardless of any diagnosis code . Measured annually.
http://www.health.state.mn.us/diabetes/pdf/FactSheet2010.pdf.
•HealthTexas Provider Network Decision Support EHR Audit Report Dashboard. Percentage of Patients with A1c Control. Includes patients with two or more
patient visits at least 7 days apart. December 2010 Audit
DEP Early Results:
Glucose Control - Dec.09 – Nov.10
* For patients with at least two A1c measurements. Change from baseline is statistically significant (p-value <.001) at 3,
6, 9, and 12 months. 8
DEP Early Results:
Disparity Reduction – Dec.09 – Nov.10
*Note: For patients that left the program, the average of the most recent A1c measure was
8.5. Specifically, for those patients who had 2 or more visits, the average of the most recent
10
A1c measure was 8.1.
DEP Early Results:
Blood Pressure Control - 2010
•DEP Data from DiaWeb and includes patients enrolled and patient visits through 12/31/2010.
•Minnesota Community Measurement and Minnesota Department of Health. Includes patients from 1/1/2008 through 12/31/2009 with two or more visits coded with a
diabetes ICD-9 code, and has been seen within 7/1/2008 through 12/31/2009 once regardless of any diagnosis code . Measured annually.
http://www.health.state.mn.us/diabetes/pdf/FactSheet2010.pdf.
•HealthTexas Provider Network Decision Support EHR Audit Report Dashboard. Includes patients with two or more patient visits at least 7 days apart. December 2010
Audit
DEP Early Results:
Improving Service Quality – Top Box
Scores
N 121 82 133 108 62 65 221 151 165 154 194 216 224 165
.
•DEP Data from DiaWeb and includes patients enrolled through 2/24/11 and patient visits up through 3/11/10.
Diabetes Equity Project (DEP):
Next Steps - #2
jameswa@baylorhealth.edu
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