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Use the assessment tool on www.diabetesatwork.org, health insurer cost records ... Creating a Successful Diabetes Prevention and Management Program ...

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act on diabetes how can we partner together

ACT On Diabetes: How can we partner together?

Pam Allweiss MD, MPH [email protected]

Consultant: CDC Division of Diabetes Translation

Faculty: University of Kentucky

u s diabetes prevalence all ages 2005
U.S. Diabetes PrevalenceAll Ages, 2005
  • 20.8 million people have diabetes

Diagnosed: 14.6 million people

      • Type 1 diabetes accounts for 5 – 10%
      • Type 2 diabetes accounts for 90 – 95%
    • Undiagnosed: 6.2 million people
    • Incidence: 1.5 million cases diagnosed in 2005

NIDDK, National Diabetes Statistics fact sheet. HHS, NIH, 2005.

remember
REMEMBER
  • The lifestyle changes and medical care recommended for diabetes control helps prevent and control all chronic diseases.
  • Look at benefits that PAY for lifestyle changes: nutritional counseling in people already diagnosed and ALSO at high risk for developing diabetes
  • Reimburse for this
  • Look at the co-pays and compliance. Multiple drugs
potential barriers to business and community partnerships make into opportunities
Potential Barriers to business and community partnerships: Make into opportunities
  • Lack of communication opportunities
  • Lack of a common working language
  • Lack of clarity in whom to contact in business
  • Lack of clarity in whom to contact in a community\'s health
potential barriers to business and community partnerships make into opportunities7
Potential Barriers to business and community partnerships: Make into opportunities
  • Unclear information on available community health programs
  • Absence of information on a program’s impact on the business productivity
  • Limited ability to attract and initiate grant based projects
  • Lack of clarity in determining when to activate business participation
what can my company do
What Can My Company Do?
  • Develop a Supportive Work Environment
    • Reimburse for glucose testing supplies
    • Develop a support group
    • Educate other employees about diabetes
    • Implement programs at the worksite to educate employees about diabetes, metabolic syndrome, CV risk factors
    • Develop community health partnerships
    • Coordinate All Health Efforts Integrate education for chronic diseases
what can my company do9
What Can My Company Do?
  • Identify actions to improve diabetes care and education
  • Implement programs at the worksite to educate employees about diabetes and other diseases related to diabetes
  • Provide the best health care possible at a reasonable cost
creating a successful diabetes prevention and management program
Creating a Successful Diabetes Prevention and Management Program
  • Assess your company’s need and interest
  • Use the assessment tool on www.diabetesatwork.org, health insurer cost records
  • Evaluate costs and benefits to show possible costs savings and outcomes
  • Communicate findings with all key decision makers
creating a successful diabetes prevention and management program11
Creating a Successful Diabetes Prevention and Management Program

2. Develop or purchase a diabetes education and intervention program

  • Reimburse for glucose testing supplies
  • Develop a support group
  • Educate other employees about diabetes
  • Create a wellness committee
  • Sponsor health screenings
  • Provide education on chronic disease prevention and control
creating a successful diabetes prevention and management program12
Creating a Successful Diabetes Prevention and Management Program

3. Communicate with Employees

  • Assess attitudes and preferences
  • Identify how best to communicate with employees
  • Define target audience if needed
  • Involve employees in program development
  • Implement and evaluate the communications program
  • Incorporate an array of NDEP diabetes education materials and resources into intervention program
creating a successful diabetes prevention and management program13
Creating a Successful Diabetes Prevention and Management Program

4. Evaluation

  • Assess program effectiveness (employee satisfaction and participation)
  • Measure program outcomes (improved health, behavior change, risk reduction, financial impact)
  • Report findings to key decision makers and employees
develop communication opportunities
Develop Communication Opportunities

2 different worlds: Learn about each other’s culture

Find out about newsletters

Joint conferences

Goal: Understanding of the 2 worlds

know the language
Presenteeism, ROI

Retinopathy

A1c

Disease management

Acronyms

Use a glossary

Know the Language
know the issues facing the business
Know the Issues Facing the Business
  • Rising health costs
  • Absenteeism
  • Presenteeism
  • Productivity
  • Purchasing power
know whom to contact who is the point person
Know whom to contact: Who is the “point person”
  • Contacting the CEO is probably not the best approach
  • Can be intimidating: multiple sites
  • Local vs corporate
  • Best contact may vary with the nature of the community health project.
  • Candidates might be from human resources, benefits, health services, employee health or the community affairs office.
  • This could be the corporate medical director, vice president of human resources,
educate business about the contact person in public health
Educate business about the “contact” person in public health
  • Market yourself and the contact info
  • Educate the business about the community health projects
  • Make the community info readily available
  • Many businesses have never heard of the DPCPs or CV health teams
  • Preconceived notion of what “health department” does
eight opportunities for business community collaboration
Eight Opportunities for Business-Community Collaboration
  • Build consensus around health priorities for the community: Participate in local, regional meetings of business leaders, health providers, public health officials to prioritize specific issues in the community
  • Develop consumer-responsive programs:It’s all about the health care consumer. Know your market, your population’s health needs
  • Develop web-based “direct to consumer” health information:Web info is “hot”. Employers want their employees to use it but people tend to trust non profit community groups as a source of info (likely to be evidenced based)
eight opportunities for business community collaboration20
Eight Opportunities for Business-Community Collaboration
  • Use business to help promote and disseminate health messages to the public: Employers are a source of info for their employees. Have the business spread your message
  • Develop web-based access for employers to get data on local and regional health issues: Make the info that the public health world has (prevalence of a certain condition, local demographics etc) readily accessible to business. Be useful
eight opportunities for business community collaboration21
Eight Opportunities for Business-Community Collaboration
  • Develop research with emphasis on productivity, disability and lost time from jobs: Develop or research what other groups have done.
  • Fund and develop programs via local non-profits: Government grants are usually not available to employers. The public agencies that may have received these grants can partner with business and can disseminate the project through the workplace.
8 approach local business groups and coalitions for assistance
8) Approach local business groups and coalitions for assistance
  • National Business Group on Health: NBGH
  • National Business Coalition on Health: NBCH
  • ACOEM
  • Chamber of Commerce
  • Diabetes coalitions
websites
Websites

http://ndep.nih.gov

http://www.cdc.gov/team-ndep

http://www.diabetesatwork.org

http://www.betterdiabetescare.org

Commercial printer-ready Zip cartridges or CDs also available. Call 1-800-860-8747

http://www.healthdisparities.net

NDEP

resources
Resources
  • www.diabetesatwork.org
  • www.cdc.gov/diabetes
  • www.ndep.nih.gov
  • National Business Group on Health www.wbgh.com
  • National Business Coalition on Health www.nbch.org
  • American College of Occupational and Environmental Medicine www.acoem.org
  • American Occupational Health Nurses www.aaohn.org
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