Community-Clinical Linkages to Prevent Type 2 Diabetesacademicdepartments.musc.edu/medicine/Divisions/Endocrinology/DS… · Community-Clinical Linkages to Prevent Type 2 Diabetes
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Christopher Holliday, PhD, MPHDirector, Population Health and Clinical-Community Linkages
Community-Clinical Linkages to Prevent Type 2 Diabetes
22nd Annual Diabetes Fall Symposium for Primary Health Care ProfessionalsSeptember 22-23, 2016North Charleston, SC
The AMA has promoted scientific advancement, improved public health, and invested in the doctor and patient relationship through three strategic focus areas:
Population Adults aged 40 to 70 years who are overweight or obese
Recommendation Grade: B
Screen for abnormal blood glucose. Offer or refer patients with abnormal glucose to intensive behavioral counseling interventions to promote a healthful diet and physical activity.
Risk Assessment Risk factors include overweight and obesity or a high percentage of abdominal fat, physical inactivity and smoking.
Screening Tests Hemoglobin A1c or fasting plasma glucose or an oral glucose tolerance test.
Combined Diet and Physical Activity Promotion Programs for Prevention of Diabetes: Community Preventive Services Task Force Recommendation Statement Nicolaas P. Pronk, PhD; Patrick L. Remington, MD, MPH, on behalf of the Community Preventive Services Task Force*
The Task Force recommends:• Use of combined diet and physical activity promotion programs by health
care systems, communities, and other implementers to provide counseling and support to clients identified as being at increased risk for type 2 diabetes.
• Economic evidence indicates that these programs are cost-effective.
Ann Intern Med. 2015;163(6):465-468. doi:10.7326/M15-1029
"This program has been shown to reduce health care costs and help prevent diabetes, and is one that Medicare, employers and private insurers can use to help 86 million Americans live healthier.”
- HHS Secretary Sylvia M. Burwell
Building a case for prevention – CMS expansion of Medicare benefits to include DPP
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• CMS agrees that the National Diabetes Prevention Program is a worthwhile investment!
• $2,650 medical cost savings in 15 months (Medicare)^
• $2,700 medical cost savings in 1 year (commercial)^^ per prevented case
^ Office of the Actuary, Centers for Medicare and Medicaid Services. “Certification of Medicare Diabetes Prevention Program”. March 23, 2016.^^ American Medical Association. 2009-2012 individual level data from the Truven Health MarketScan® Lab Database - a 4.4 million subsample of the Truven Health MarketScan® Treatment Pathways. MarketScan is a registered trademark of Truven Health Analytics Inc.
First ever preventive service model eligible for expansion under Medicare holds promise for employers, private insurers and patients
than normal but not at the level of diabetes. This condition is prediabetes.
• Prediabetes is a serious condition: It raises your risk of heart attack and stroke and poses a very high risk of eventually progressing to full-blown diabetes.