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Diabetes Projects
National Diabetes Collaborative
The Centers for Disease Control and Prevention (CDC) is working with
the Bureau of Primary Health Care (BPHC) and the Institute for Healthcare
Improvement (IHI) to improve diabetes care within federally funded health
centers. This National Diabetes Collaborative's purpose is to improve
diabetes performance measures through improved health care delivery systems
and to increase access and decrease health disparities among medically
underserved populations.
Goal
- To delay or decrease complications by reaching more than 90% of patients
with diabetes receiving two A1C blood tests annually (at least 3 months
apart).
Methods
- Build capacity of health center teams to provide good diabetes patient
care through excellence in health center systems.
- Encourage collaborative learning and action, share knowledge, and
expand partnerships at the local, state, and national levels.
Improvement model
The Improvement Model of the National Diabetes Collaborative has these
parts:
- A national collaboration model to support and implement the improvements
that include the BPHC, CDC, and other national partners, as well as
the national network of health centers.
- An improvement process model based on the plan, do, study, and
act improvement cycle emphasizing "breakthrough" concepts.
- A diabetes care model that promotes excellence in patient self-management,
clinical decision support, positive delivery system redesign, clinical
information systems, and strong partnerships with state and local community
organizations.
Results
Results to date indicate the success of this collaborative model in improving
the A1C blood test rates among the health centers' diabetes populations.
- Since January 1999, the National Diabetes Collaborative has provided
training and support on the Improvement Model to more than 260 health
centers.
- CDC has also encouraged state diabetes prevention and control programs (DPCPs) to
become partners with the health centers in the Collaborative. To date,
40 DPCPs have participated with the health centers and 29 DPCPs have received
formal DPCP training on the Collaborative methods.
- The DPCPs provide technical assistance, resources, and links to the
health centers in their improvement strategies.
- CDC facilitates monthly calls with the DPCPs to network and share
ideas, and provides tools and training to DPCPs to help the health centers
reach the improvement objectives.
Future role
The BPHC is expanding the focus of the Collaborative to include more
chronic conditions. A key issue among all national partners is how to
maintain the momentum and sustain the improvements over time.
CDC and the DPCPs have an opportunity to build on the diabetes-specific
work of the Collaborative within the states to develop, support, and influence
health systems that serve populations disproportionately burdened by diabetes.
CDC will continue to partner with the BPHC to strengthen the capacity
of the DPCPs to support federally funded health centers to sustain and
spread diabetes improvements. CDC will focus on strengthening state-level
infrastructures to support the improvement work of health centers consistent
with the national Health Disparities Collaborative. The capacity-building
plan will refine the public health-specific National Diabetes Collaborative
curriculum developed in 2001, and add new training tools, formats, and
opportunities for DPCPs and their partners.
Areas of focus for DPCP capacity-building include the following:
- Increased application of the breakthrough improvement process and
the diabetes care model as demonstrated by diabetes-specific coaching
and support that had been provided by BPHC or IHI.
- Increased consultant and coaching skills to help health centers use
the diabetes care model as demonstrated by expanding the average gains
reported in the clinical performance measures.
- Skill-building as demonstrated by adapting at least one public health
community-based approach for each of the six parts of the chronic care
model.
- Skill-building in developing effective partnerships to strengthen
the state's infrastructure by involving entities in the larger diabetes
community that have complementary organizational goals, approaches,
or relevant resources.
Health Disparities National Congress
The Health Resources and Services Administration, Bureau of Primary Health Care and Institute for Healthcare
Improvement* are pleased to announce the
Health Disparities National Congress on September 11-13, 2003.
CDC's Division of Diabetes Translation is one of the national partners of the
Health Disparities Collaborative along with its network of state-based
diabetes prevention and control programs. The congress will showcase the
work of a network of health centers that are trying to improve health
outcomes nationally for medically underserved and underinsured Americans
with chronic diseases including asthma, diabetes, cardiovascular disease,
and depression.
For more information, please visit Health Disparities Collaborative at
www.healthdisparities.net*.
More information
For more information, call the CDC Diabetes Inquiry Line toll free 1-800-CDC-INFO
1-888-232-6348 TTY
or E-mail cdcinfo@cdc.gov . Further
information is also available from the National Association of Community
Health Centers at http://www.nachc.com* and from the Health
Disparities Collaborative.
* Links to non-Federal organizations are provided solely
as a service to our users. Links do not constitute an endorsement of any
organization by CDC or the Federal Government, and none should be inferred.
The CDC is not responsible for the content of the individual organization
Web pages found at this link.
Historical
Page last modified: December 20, 2005
Content Source: National Center for Chronic Disease Prevention and Health Promotion
Division of Diabetes Translation
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Diabetes & Me