Innovations in prediabetes care: A collaboration of the AMA, Y and Family medicine practices
A pilot group of medical practices referred their patients with prediabetes to a community based program offered by the Y. Patients who were Medicare-eligible and had lab values indicating prediabetes were referred to a local YMCA. The YMCA provided a CDC-approved, standardized year-long educational program which included information on healthier eating, physical activity and other behavior changes.
The AMA provided practice support, provider education and a linkage between the local efforts of the YMCA and practices, and national-level coordination. Christiana Care Health System, one of the largest in the country, participated in this effort through the Family Medicine faculty/resident practice.
We will describe the method of patient identification and referral, to include as many eligible patients as possible without adding to provider and staff burden. We will also present data on the number of patients referred and those who actually followed up. Preliminary results indicate this is a viable model to identify and treat individuals with prediabetes via provider involvement and coordinated linkage to community-based health education programs. By presentation time, clinical data on effectiveness should also be available.
Learning Areas:Administer health education strategies, interventions and programs
Chronic disease management and prevention
Clinical medicine applied in public health
Implementation of health education strategies, interventions and programs
Describe Christiana Care's Prediabetes Initiative Explain the steps to creating a prediabetes screening and referral process Discuss opportunities to increase prediabetes testing and referral in a health system
Keyword(s): Primary Care, Diabetes
Qualified on the content I am responsible for because: As CCHS Department of Family & Community Medicine Medical Director I was responsible for the implementation of the Pre-diabetes project which will be presented. I have direct clinical experience caring for patients with pre-diabetes/diabetes, teach at a national, state and local level on topics including obesity, prediabetes/diabetes and am the primary care lead for our Primary Care and Community Medicine Diabetes Clinical Care pathway.
Any relevant financial relationships? Yes
|Name of Organization||Clinical/Research Area||Type of relationship|
|American Academy of Family Physicians||Obesity, Clinical Preventive Services||Commission on Health of the Public & Science member and subcommittee chair and Speaker's bureau and teaching engagements|
|Christiana Care Quality Partners||Quality Improvement Committee||Advisory Committee/Board|
|Highmark Delaware Health Equity Committee||Health Equity Committee||Advisory Committee/Board|
|Christiana Care Health System||family medicine||Clinical leader for Diabetes Clinical Care Pathway and 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.