Patient-Centered Diabetes Management: Driving Outcomes with Education and Behavior Change


Patient-Centered Diabetes Management: Driving Outcomes with Education and Behavior Change

Patient-Centered Diabetes Management: Driving Outcomes with Education and Behavior Change

What's working in diabetes management?

According to 2011 market research conducted by the Healthcare Intelligence Network, disease-specific strategies that mobilize certified diabetes educators (CDEs), case managers and health coaches to foster self-management in individuals with diabetes are the approaches garnering the richest returns.

Patient-Centered Diabetes Management: Driving Outcomes with Education and Behavior Change takes an in-depth look at three patient-centered programs for diabetes management that are improving clinical outcomes and bending the cost curve for program participants.

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Beginning with an overview of trends in diabetes management, this 65-page special report goes on to examine the program components, staffing requirements, challenges, health and financial outcomes and ROI of the following initiatives:

  • The diabetes medical home approach at the heart of the Hudson River HealthCare (HRHC) Diabetes Collaborative, a network of 16 federally qualified health centers (FQHCs) located across six counties in New York's Hudson Valley.

    Kathy Brieger, RD, CD, HRHC chief operations officer, describes results achieved by the 12-year-old collaborative's team of physicians, nurse practitioners, physician assistants, RNs, LPNs, medical assistants (MAs), certified diabetes educators, nutritionists and community health workers (Patient Care Partners) working to manage diabetic care for 3,400 patients.

  • A comprehensive diabetes education program in place at Main Line Health System that deploys a team of CDEs and registered dietitians across four hospitals to provide multi-tiered levels of education to patients with diabetes. In a Q&A interview, Janet Wendle, RN, CDE, system director of the Main Line Health Diabetes Management program, describes the typical 10-hour education program offered to each participant and the satellite efforts that support it. She also discusses the challenges of patient follow-up, and Main Line Health's outreach to two important populations: patients with pre-diabetes and women with gestational diabetes.

    Main Line Health System was a respondent to HIN's 2011 Survey on Diabetes Management.

  • Health outcomes and ROI achieved by Alere Health Nurse Coaches who work telephonically to provide diabetic patients with information, motivation and behavioral skills (IMB). In an extended interview, Gordon Norman, MD, MBA, chief innovation officer for Alere Health, details the multi-faceted program in which 350 RN nurse coaches provide telephonic support to 46,000 individuals across all diabetes acuity levels. According to an article in the July 2010 issue of The American Journal of Managed Care, Alere's diabetes management program for a Medicare Advantage population with comorbid diabetes and coronary artery disease (CAD) was effective in reducing hospital inpatient admissions and total costs.

    Alere Health was a respondent to HIN's 2011 Survey on Diabetes Management.

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http://store.hin.com/product.asp?itemid=4420

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