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ACT On Diabetes: How can we partner together

Use the assessment tool on www.diabetesatwork.org, health insurer cost records ... Creating a Successful Diabetes Prevention and Management Program ...

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ACT On Diabetes: How can we partner together

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  1. ACT On Diabetes: How can we partner together? Pam Allweiss MD, MPH pca8@cdc.gov Consultant: CDC Division of Diabetes Translation Faculty: University of Kentucky

  2. We Have an Epidemic of Diabetes!

  3. Diabetes Trends US 1980-2002

  4. U.S. Diabetes PrevalenceAll Ages, 2005 • 20.8 million people have diabetes Diagnosed: 14.6 million people • Type 1 diabetes accounts for 5 – 10% • Type 2 diabetes accounts for 90 – 95% • Undiagnosed: 6.2 million people • Incidence: 1.5 million cases diagnosed in 2005 NIDDK, National Diabetes Statistics fact sheet. HHS, NIH, 2005.

  5. REMEMBER • The lifestyle changes and medical care recommended for diabetes control helps prevent and control all chronic diseases. • Look at benefits that PAY for lifestyle changes: nutritional counseling in people already diagnosed and ALSO at high risk for developing diabetes • Reimburse for this • Look at the co-pays and compliance. Multiple drugs

  6. Potential Barriers to business and community partnerships: Make into opportunities • Lack of communication opportunities • Lack of a common working language • Lack of clarity in whom to contact in business • Lack of clarity in whom to contact in a community's health

  7. Potential Barriers to business and community partnerships: Make into opportunities • Unclear information on available community health programs • Absence of information on a program’s impact on the business productivity • Limited ability to attract and initiate grant based projects • Lack of clarity in determining when to activate business participation

  8. What Can My Company Do? • Develop a Supportive Work Environment • Reimburse for glucose testing supplies • Develop a support group • Educate other employees about diabetes • Implement programs at the worksite to educate employees about diabetes, metabolic syndrome, CV risk factors • Develop community health partnerships • Coordinate All Health Efforts Integrate education for chronic diseases

  9. What Can My Company Do? • Identify actions to improve diabetes care and education • Implement programs at the worksite to educate employees about diabetes and other diseases related to diabetes • Provide the best health care possible at a reasonable cost

  10. Creating a Successful Diabetes Prevention and Management Program • Assess your company’s need and interest • Use the assessment tool on www.diabetesatwork.org, health insurer cost records • Evaluate costs and benefits to show possible costs savings and outcomes • Communicate findings with all key decision makers

  11. Creating a Successful Diabetes Prevention and Management Program 2. Develop or purchase a diabetes education and intervention program • Reimburse for glucose testing supplies • Develop a support group • Educate other employees about diabetes • Create a wellness committee • Sponsor health screenings • Provide education on chronic disease prevention and control

  12. Creating a Successful Diabetes Prevention and Management Program 3. Communicate with Employees • Assess attitudes and preferences • Identify how best to communicate with employees • Define target audience if needed • Involve employees in program development • Implement and evaluate the communications program • Incorporate an array of NDEP diabetes education materials and resources into intervention program

  13. Creating a Successful Diabetes Prevention and Management Program 4. Evaluation • Assess program effectiveness (employee satisfaction and participation) • Measure program outcomes (improved health, behavior change, risk reduction, financial impact) • Report findings to key decision makers and employees

  14. Develop Communication Opportunities 2 different worlds: Learn about each other’s culture Find out about newsletters Joint conferences Goal: Understanding of the 2 worlds

  15. Presenteeism, ROI Retinopathy A1c Disease management Acronyms Use a glossary Know the Language

  16. Know the Issues Facing the Business • Rising health costs • Absenteeism • Presenteeism • Productivity • Purchasing power

  17. Know whom to contact: Who is the “point person” • Contacting the CEO is probably not the best approach • Can be intimidating: multiple sites • Local vs corporate • Best contact may vary with the nature of the community health project. • Candidates might be from human resources, benefits, health services, employee health or the community affairs office. • This could be the corporate medical director, vice president of human resources,

  18. Educate business about the “contact” person in public health • Market yourself and the contact info • Educate the business about the community health projects • Make the community info readily available • Many businesses have never heard of the DPCPs or CV health teams • Preconceived notion of what “health department” does

  19. Eight Opportunities for Business-Community Collaboration • Build consensus around health priorities for the community: Participate in local, regional meetings of business leaders, health providers, public health officials to prioritize specific issues in the community • Develop consumer-responsive programs:It’s all about the health care consumer. Know your market, your population’s health needs • Develop web-based “direct to consumer” health information:Web info is “hot”. Employers want their employees to use it but people tend to trust non profit community groups as a source of info (likely to be evidenced based)

  20. Eight Opportunities for Business-Community Collaboration • Use business to help promote and disseminate health messages to the public: Employers are a source of info for their employees. Have the business spread your message • Develop web-based access for employers to get data on local and regional health issues: Make the info that the public health world has (prevalence of a certain condition, local demographics etc) readily accessible to business. Be useful

  21. Eight Opportunities for Business-Community Collaboration • Develop research with emphasis on productivity, disability and lost time from jobs: Develop or research what other groups have done. • Fund and develop programs via local non-profits: Government grants are usually not available to employers. The public agencies that may have received these grants can partner with business and can disseminate the project through the workplace.

  22. 8) Approach local business groups and coalitions for assistance • National Business Group on Health: NBGH • National Business Coalition on Health: NBCH • ACOEM • Chamber of Commerce • Diabetes coalitions

  23. Websites http://ndep.nih.gov http://www.cdc.gov/team-ndep http://www.diabetesatwork.org http://www.betterdiabetescare.org Commercial printer-ready Zip cartridges or CDs also available. Call 1-800-860-8747 http://www.healthdisparities.net NDEP

  24. Resources • www.diabetesatwork.org • www.cdc.gov/diabetes • www.ndep.nih.gov • National Business Group on Health www.wbgh.com • National Business Coalition on Health www.nbch.org • American College of Occupational and Environmental Medicine www.acoem.org • American Occupational Health Nurses www.aaohn.org

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