194504 Amputation prevention initiative part one: A joint effort of the Massachusetts Public Health Association and the Massachusetts Podiatric Medical Society

Tuesday, November 10, 2009: 2:30 PM

James J. DiResta, DPM, MPH , Department of Surgery, Anna Jaques Hospital, Newburyport, MA
Emily Cook, DPM, MPH , Department of Surgery, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, MA
Jeremy Cook, DPM, MPH , Department of Surgery, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, MA
Part one of an ongoing project, the Amputation Prevention Initiative, a collaboration of the Massachusetts Podiatric Medical Society and the Massachusetts Public Health Association. It assesses the needs of the population of diabetic patients in the Commonwealth of Massachusetts, a significant number who are suspect of having increased risk factors for LEA (lower extremity amputation). Lack of available podiatric care combined with the complicating factors of DPN (distal peripheral neuropathy) and PAD (peripheral arterial disease) associated with diabetes are predisposing factors leading to foot ulcers, difficulty in healing foot wounds and gangrene that can lead to lower extremity amputation. Numerous studies have alluded to the need for palliative professional podiatric foot care in this population and the need for regular diabetic foot care and screening as major preventative tools in amputation prevention. Via a policy initiative and through health education and a promotion program we can improve upon the rates of foot screenings, the delivery of podiatric care and the education of both the patient and family of patients who suffer from this disease disorder and initiate these LEA preventative measures. The policy change will effectively identify and screen those most at risk and of greatest need which will result in a significant decrease in the overall morbidity of this population group by lessening the incidence of LEA. An improvement model program on Amputation Prevention will be formulated to create a significant change in present primary care practice and attempt to create a new direction in health care policy.

Learning Objectives:
identify and quantify rates of LEA (lower extremity amputations), at-risk populations, and policy initiatives recommended to prevent LEA begin to formulate an advocacy strategy that will bring a change in health care policy on amputation prevention to stakeholders in public health, government and third party payers create a public education amputation prevention program bring this amputation prevention model of collaboration and partnership between a podiatric medical society and state public health association to other states

Keywords: Diabetes, Public Health Education and Health Promotion

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Chair Public Health Committee Massachusetts Podiatric Medical Society, Chair elect APHA Podiatric Section
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.