Disease Management Update
Volume V, No. 1
May 1, 2008

Dear Healthcare Intelligence Network Client,

According to the American Diabetes Association, 9.7 million of women 20 years or older have diabetes. Nearly one-third of them do not know it. Moreover, the prevalence of diabetes is two to four times higher among non-Hispanic black, Hispanic/Latino American, American Indian and Asian/Pacific Islander women than among non-Hispanic white women.

This week's Disease Management update looks at the number of female diabetics giving birth and the outcomes that could occur if diabetes were cured. The number of women with diabetes giving birth has increased dramatically, and this rise includes different racial and ethnic groups. Additionally, if diabetes is discovered early enough in patients to cure them, billions of healthcare dollars would be saved and millions of deaths prevented.

Visit HIN's blog to read about the benefits of providing medical homes for diabetics.

Your colleague in the business of healthcare,
Jessica Papay
Editor, Disease Management Update

If this is a forwarded copy of Disease Management Update and you like what you see, you can register to receive your own copy of this complimentary service. Sign up at: http://www.hin.com/dmdesktop/diseasemanagement.html

Table of Contents

  1. Diabetes Doubling Before Motherhood
  2. Disease Management Q&A: Identifying Ready-to-Change Patients
  3. HealthSounds Podcast: Building an Advanced Medical Home to Improve Chronic Care Outcomes
  4. Drug Combo Could Lower Diabetes Complications and Costs
  5. Survey of the Month: Patient Registeries
  6. Better Health Outcomes Through Disease Management and Case Management Services

1. Diabetes Doubling Before Motherhood

Diabetes before motherhood more than doubled in six years among teenage and adult women, according to a Kaiser Permanente study published in the May issue of Diabetes Care.

This study looked at 175,249 women who gave birth in 11 Kaiser Permanente hospitals in Southern California between 1999 and 2005. There were twice as many births to women with diabetes in 2005 as there were in 1999. Of the women in the study, 52 percent were Hispanic, 26 percent were white, 11 percent were Asian/Pacific Islanders and 10 percent were black. Diabetes increased fivefold among 13- to 19-year-olds giving birth and doubled among 20- to 39-year-old women giving birth.

To learn more about this study, please visit:

2. Disease Management Q&A: Identifying Ready-to-Change Patients

Each week, a healthcare professional responds to a reader's query on an industry issue. This week's expert is David Larsen, director of quality improvement at Select Health.

Question: How are you identifying patients that are likely to embrace the self-management of their disease?

Response: One of the reasons we have the interactive voice response call is so that you have the stages of change and the literature around that. Weíre trying to identify partially through our interactive voice response calls those patients who are ready to make changes, who will commit to make changes, who want help and then getting the help to them in a timely manner and in a method that meets their needs. Itís a good way to get through a large population rapidly and sort out those patients who are ready to change and ready to improve versus churning through patients slowly.

For more details on diabetes disease management programs, please visit:

We want to hear from you! Submit your question for Disease Management Q&A to info@hin.com.

3. HealthSounds Podcast: Building an Advanced Medical Home to Improve Chronic Care Outcomes

In this week's disease management podcast, Dr. Lonnie E. Fuller, medical director for the Pennsylvania Medicaid ACCESS Plus Primary Care Case Management and Disease Management (PCCM-DM) program and Dawn Bazarko, UnitedHealthcare's senior vice president of clinical innovation, examine medical home projects in action.

To listen to this complimentary HIN podcast, please visit:

4. Drug Combo Could Lower Diabetes Complications and Costs

A highly detailed mathematical simulation model can help people with undiagnosed diabetes identify whether they likely have the disease and can predict ways for dramatically reducing the costs and complications associated with this now epidemic illness.

The Archimedes Model, originally developed by researchers at Kaiser Permanente, was used to make predictions in three areas: what would happen if diabetes were cured, if all people with diabetes reached their treatment goals, and if the disease were treated more aggressively. Curing diabetes would dramatically reduce the risk of heart attacks in the United States by 40 percent and prevent nearly 4.5 million deaths over a 30-year period. It would also reduce healthcare costs by $444 billion over the same period of time.

To view more of this study's findings, please visit:

5. Survey of the Month: Patient Registries

Many healthcare organizations use patient registries to create a realistic view of clinical practice, patient outcomes, safety and comparative effectiveness and to support evidence development and decision-making. Complete our online survey on patient registries by May 31, and you'll receive a free summary of the results.

To participate in this survey and receive its results, please visit: http://www.surveymonkey.com/s.aspx?sm=5OTbdp3eEaksGtQNlOyqyA_3d_3d

6. Better Health Outcomes Through Disease Management and Case Management Services

McKesson Corporation and CMS Health Integrated are providing CoverColorado with the nationís first integrated care program for high-risk health plan participants. More than 3,000 people with chronic and high-cost health conditions now have access to an around-the-clock, integrated care program that includes both disease management and case management services.

To download this complimentary white paper, please visit:
Please forward this news announcement to your colleagues who might find it useful.
Contact HIN: For more information on the products and services available through the Healthcare Intelligence Network, contact us at (888) 446-3530 / (732) 528-4468, fax (732) 292-3073 or email us at info@hin.com.
All contents of this message Copyright 2008