Background: The reported rate for diabetes among California American Indian and Alaska Natives (AI/AN) is 4.3%, a rate that is believed to be substantially underestimated but is still higher than the reported rate for the U.S. all races rate. The true rate of diabetes among California AI/AN is believed by experts to be far higher than these reported rates due to racial misclassification and poor local data collection. To improve the quality and quantity of diabetes data for the California IHS Area, the California Area Diabetes Surveillance Project (CADSP) was r established. The goal of CADSP is to build sustainable infrastructure for California Indian health care sites to ensure capacity to monitor, manage, and treat diabetes within their respective communities. CADSP is modeled after the successful Northwest Tribal Diabetes Surveillance Project. Methods: Visits were made to 32 Indian health care sites in the California Area. Capacity assessments were conducted, RPMS data was evaluated, training was provided on the RPMS, diabetes registers were implemented, and RPMS data clean up was initiated. Results: In the first year of CADSP, preliminary results indicate the number of sites using the RPMS diabetes register increased by 82%, the number of sites that incorporated a diabetes team increased by 23% (5/22), and 22% (7/32) initiated RPMS data cleanup. Conclusions: Through a combination of on-site evaluations, intensive technical assistance, and computer software training, CADSP has initiated an infrastructure for diabetes management and surveillance that will enable improved diabetes data reporting among California Area Indian health care sites.
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Learning Objectives: Identify methods for improving the quality and quanity of diabetes health information Identify the scope of tracking elements in the Indian Health Service diabetes register Idenity the data quality issues that influence the extent to which the burden of diabetes can be accurately measured within American Indian communities
Keywords: Diabetes, Data Collection
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.