Improving Diabetes Care and Outcomes on the South Side of Chicago
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Aligning to Improve Outcomes: The Alliance to Reduce Disparities in Diabetes A presentation from a symposium at the Centers for Disease Control and Prevention’s (CDC) Division of Diabetes Translation's (DDT) 34th annual Diabetes Translation Conference on April 11-14, 2011 in Minneapolis, Minnesota.
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Improving Diabetes Care and Outcomes on the South Side of Chicago
- 1. University of ChicagoImproving Diabetes Care and Outcomes on the South Side of Chicago
- 2. Improving Diabetes Care and Outcomes on the South Side of Chicago
- 4. Diabetes Mellitus Death Rates (per 100,000) -by Community Area
- 5. Community Areas with the Lowest Median Household Income PSA: 8 of 10 8 of Chicago’s 10 lowest income communities are in UCH’s primary service area. H At least 33% below the citywide average
- 6. Project Goals Short-term goals: Improve access to care Improve quality of care Improve clinical outcomes Long-term goals: Strengthen partnerships among HCs, CBOs and University of Chicago Empower communities to address diabetes Be sustainable
- 7. 6 Participating Health Centers ACCESS Booker Family Health Center ACCESS Grand Boulevard Health Center Chicago Family Health Center Friend Family Health Center University of Chicago Kovler Diabetes Center University of Chicago Primary Care Group
- 8. Intervention Six health centers 2 academic clinics 4 FQHCs Patient activation/ communication training Provider communication training Clinic Redesign Community Connections
- 9. Intervention Six health centers 2 academic clinics 4 FQHCs Patient activation/ communication training Provider communication training Clinic Redesign Community Connections
- 10. Patient Intervention Patient communication training Patient empowerment Culturally tailored diabetes education Shared decision-making Discuss (Information-Sharing) Debate (Deliberation) Decide (Decision-Making) 2-3 hr classes x 10 weeks Pilot (n=21): 86% attended > 70% classes Improved self-efficacy, self-mgnt
- 12. Changes in Self-Efficacy: 3-month follow-up
- 13. Changes in Self-Care Behaviors
- 14. Changes in Self-Care Behaviors (3 mo f/u)
- 15. Patient Intervention: Mobile Phone Pilot 4 week pilot at PCG (n=18) Text message reminders re: diabetes self-management Improvements in: Diabetes self-efficacy Self-foot examinations Medication adherence
- 17. Changes in Self-Efficacy P<0.01 P<0.01
- 18. Intervention Provider communication training Shared Decision-Making Clinic Redesign Community Health Workers Peer educators Group visits Community Connections Education Resources
- 19. Our Project Team Marshall Chin Monica Peek Abigail Wilkes Tonya Roberson Kristine Bordenave Michael Quinn Doriane Miller Lisa Vinci Andrew Davis Elbert Huang Jonathan Birnberg Keisha Bishop Jonathan Dick Shantanu Nundy Melinda Drum Hui Tang Shannon Wilson Deborah Burnet Karen Kim Dawnavan Davis Thomas Fisher Quin Golden Eric Whitaker Asim Mishra Laura Derks Mickey Eder Peggy Hasenauer Louis Philipson Rick Kittles Marla Soloman Rebecca Lipton Tiffany White Donald Goens Melishia Bansa
- 20. Funding/ Support Merck Company Foundation NIDDK R18 DK083946-01A1 NIDDK P60 DK20595 (DRTC) NIDDK K23 DK075006 NIDDK K24 DK071933 University of Chicago CTSA Pilot and Collaborative Translational and Clinical Studies Award
Notes de l'éditeur
- Although it was not significant, there was still substantial improvement in the number of patients who felt that were able to meet the challenge of their diabetes. It changed from 0 participants at baseline to 7 afterward.
- Although it was not significant, there was still substantial improvement in the number of patients who felt that were able to meet the challenge of their diabetes. It changed from 0 participants at baseline to 7 afterward.
- Although it was not significant, there was still substantial improvement in the number of patients who felt that were able to meet the challenge of their diabetes. It changed from 0 participants at baseline to 7 afterward.
- Although it was not significant, there was still substantial improvement in the number of patients who felt that were able to meet the challenge of their diabetes. It changed from 0 participants at baseline to 7 afterward.
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