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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?

Pam Allweiss MD, MPH pca8@cdc.gov

Consultant: CDC Division of Diabetes Translation

Faculty: University of Kentucky




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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.


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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


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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


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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


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What Can My Company Do? Make into opportunities

  • 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


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What Can My Company Do? Make into opportunities

  • 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


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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


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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


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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


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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


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Develop Communication Opportunities Program

2 different worlds: Learn about each other’s culture

Find out about newsletters

Joint conferences

Goal: Understanding of the 2 worlds


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Presenteeism, ROI Program

Retinopathy

A1c

Disease management

Acronyms

Use a glossary

Know the Language


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Know the Issues Facing the Business Program

  • Rising health costs

  • Absenteeism

  • Presenteeism

  • Productivity

  • Purchasing power


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Know whom to contact: Who is the “point person” Program

  • 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,


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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


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Eight Opportunities for Business-Community Collaboration health

  • 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)


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Eight Opportunities for Business-Community Collaboration health

  • 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


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Eight Opportunities for Business-Community Collaboration health

  • 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.


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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


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Websites assistance

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


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Resources assistance

  • 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