New York State Diabetes Campaign Overview Deborah Zahn, MPH Deputy Director

1. New York StateDiabetes Campaign OverviewDeborah Zahn, MPHDeputy Director

2. New York State Diabetes Campaign: Why Diabetes? • More than 1.5 million New York State residents have diabetes • The number of New Yorkers with diabetes has more than doubled in the last decade • The total cost of diabetes for New York in 2006 was estimated at $12.9 billion • $8.7 billion in excess medical costs • $4.2 billion in lost productivity • Diabetes as a “wedge” issue

3. New York State Diabetes Campaign: Our Response The New York State Health Foundation (NYSHealth) has committed $35 million over five years toward a statewide campaign to reverse the epidemic of diabetes in New York.

4. New York State Diabetes Campaign:Areas of Focus • Improving Clinical Care and Outcomes • Improving diabetes outcomes at community health centers, hospital OPDs, and private physicians • Mobilizing Communities • Supporting community-based diabetes prevention, screening, and management strategies • Promoting Policy • Pursuing payment policies that sustain comprehensive, coordinated care for diabetes patients • Supporting community-based policy strategies • e.g., increasing availability of nutritious foods and recreation spaces

5. New York State Diabetes Campaign:What We Do • Adults not kids • Wholesale not retail • Intermediaries not consumers

6. Mobilizing Communities Improving Clinical Care Promoting Policy New York State Diabetes Campaign: Targets FBOs CHCs Housing Privates Worksites CAMPAIGN OPDs State Medicaid Health Plans Local Environments

7. New York State Diabetes Campaign: Campaign Partners • Campaign will support networks of “hub” organizations throughout the state to achieve its goals • Each hub will drive change among its members or constituencies • Providing technical assistance • Communicating and disseminating information • Developing and fostering opportunities to learn together • Hubs and partners primarily will be solicited by the Campaign • Hubs can be statewide or regional

8. New York State Diabetes Campaign: First Steps • Dr. Neil Calman, President and CEO of the Institute for Family Health, chosen to lead the campaign with NYSHealth • Established NYSHealth Diabetes Policy Center to pursue payment and environmental policy changes • Awarded 12 organizations grants focused on improving the quality of clinical care to patients living with diabetes and community engagement • Engaged the Community Health Care Association of New York State, the Academy of Family Physicians, the New York Chapter of the American College of Physicians, and the Hospital Association of New York State as initial clinical hubs

9. New York State Diabetes Campaign: First Steps • Engaged Bridges To Excellence to provide technical expertise on payment policy • Partnering with the New York Diabetes Coalition to assess barriers to improving diabetes outcomes and to develop state-level public health measures for diabetes • Working with Center for Health Workforce Studies to assess supply and demand of Certified Diabetes Educators • Assessing other diabetes policy issues

10. New York State Diabetes Campaign: Next Steps • Engage additional clinical and community hubs throughout State • Develop a pool of clinical and faith-based technical assistance resources • Initiate a statewide social marketing campaign targeting providers and community- and faith-based organizations • Engage payers to align payment policies with producing positive diabetes outcomes • Develop plan for seeking reimbursement for additional diabetes resources, including diabetes educators and community health workers • Initiate the Campaign evaluation

11. New York State Diabetes Campaign: Next Steps: P2 Collaborative Partnership • Western New York meeting with the New York Diabetes Coalition - TONIGHT! • We’re exploring many opportunities, including: • Supporting improvements in patient health outcomes • Developing a business case for quality improvements and incentive payments • Collaborating on social marketing