264198 Innovative Partners for Health Addressing Diabetes Disparities: A Community-Based Collaboration Between a Major Insurer and a Safety-Net Hospital

Tuesday, October 30, 2012

Clarita Santos, MPH , Director, Community Health Initiatives, Blue Cross and Blue Shield of Illinois, Chicago, IL
Joseph F. West, MSc, ScD , Sinai Health System, Sinai Urban Health Institute, Chicago, IL
Scott Sarran, MD, MM , Chief Medical Officer, Government Programs, Health Care Service Corporation, Chicago, IL
African American and Latino communities are disproportionately affected by diabetes in the United States. Blue Cross and Blue Shield of Illinois (BCBSIL) recognizes the importance of collaboration among providers, community-based resources and payers in helping to eliminate the health inequities and complications associated with diabetes treatment and care. BCBSIL has partnered with Sinai Health System, a safety-net hospital in Chicago, to pilot a study where Community Health Workers (CHW) will survey 3,000 residents to identify 800 residents with Type 2 diabetes and another 350 residents at high-risk for the disease in two Chicago communities: South Lawndale, a predominantly Mexican American community and North Lawndale, a predominantly African American community. Upon identification, residents are assigned to diabetes navigators and providers for comprehensive medical management and care coordination. Local providers and community organizations will work together to offer additional neighborhood-based supports important to people managing diabetes over the longer-term. The pilot is funded under BCBSIL's Healthy Kids, Healthy Families, a three-year grant initiative to improve the health status of children and their families by focusing on: nutrition education, physical activity promotion, disease prevention and management and safe environments. The aim of this pilot is to better understand how to reduce the impacts of Type 2 diabetes in underserved communities by leveraging community resources to improve the identification, care coordination and on-going supports needed for long-term success. BCBSIL presenters will discuss why they deem it essential that health plans gain a better understanding of ways to more cost-effectively address the health status and cost challenges presented by high prevalence chronic diseases such as diabetes through new partnerships that move beyond patient-specific, episodic care to multi-faceted, coordinated community collaborations.

Learning Areas:
Chronic disease management and prevention
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs

Learning Objectives:
Discuss strategies for effective collaborations among hospitals, community agencies, community health workers, epidemiologists, residents and payers in culturally diverse communities. Identify roles payers play in increasing access to health insurance and care for uninsured, while increasingly focusing on patient outcomes, patient satisfaction, safety and efficiencies. Explain how investing in and building alliances to develop sustainable programs build stronger, healthier communities.

Keywords: Chronic Diseases, Health Disparities

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: In my role as Chief Medical Officer, I am most interested in furthering collaborations among key stakeholders (hospitals, community agencies, community health workers, epidemiologists, residents and payers) to continuously improve quality and efficiency. I have held numerous medical leadership roles within Advocate HealthCare, the University of Chicago Health System and Lutheran General Health System. As a result, I have first hand knowledge of the critical role partnerships play in care coordination.
Any relevant financial relationships? Yes

Name of Organization Clinical/Research Area Type of relationship
Blue Cross and Blue Shield of Illinois n/a Employment (includes retainer)

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.