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Diabetes Model Project

Diabetes Model Of Care Project

Diabetes Model Of Care Project

Newsletter - DDHHS Diabetes Model of Care Project - October 2017 Queensland Health has established an Integrated Care Innovation Fund (ICIF) with a primary aim to invest in initiatives that generate new ideas for better integration of care, address fragmentation in services and achieves greater efficiency and value from health delivery systems. Hospital and Health Services (HHS) were asked to work in collaboration with their local Primary Healthcare Network (PHN) and other community health providers to develop and progress new models of care and approaches to integrated care for funding consideration by the Department. This innovation is based on a stepped-up approach for diabetes care. There are two main aims: Reduce the demand on specialist and emergency services by up-skilling primary health care to manage their patients within the community. Improve patient health literacy and self-management to "close the gap" and improve health outcomes. Reduce the number of diabetic frequent flyers to ED; Reduce hospital admissions for diabetes related complications; Empower patients to self-care leading to improved medication compliance/titration and diabetic control Improve health outcomes for indigenous people ("Closing the Gap" in health status and a reduction in the number of people discharged against medical advice); and Reduce chronic potentially preventable hospitalisations (PPH). This innovation is based on a stepped-up approach providing innovative care solutions for low throughto high need diabetics. The project has four key components: Aboriginal and Torres Strait Islander (ATSI) Care Coordination Virtual Team Continue reading >>

Training Highlights: Diabetes Care, Project Management, Grant Coordination.

Training Highlights: Diabetes Care, Project Management, Grant Coordination.

Training Highlights: Diabetes Care, Project Management, Grant Coordination. This summer, mark your calendars for a live webinar, an in-person class, and some on-demand professional development time with sessions from Region 7, Region 5, and Region 1. From Region 7: Midwestern Public Health Training Center (University of Iowa) Culture, Technology, and Disease: The Omaha Model of Diabetes Care Live webinar on July 17: A Presentation on Tribal Diabetes care, targeted towards Community Health Workers, Nurse Navigators and diabetes management. Including information on working to solve the food desert issues. From Region 5 LPS: IU Richard M. Fairbanks School of Public Health Managing Multiple Priorities and Projects Live in-person on August 14:To be held in Denton, Maryland, this class will introduce participants to proven techniques, guidelines, and strategies for staying on top of the competing priorities and conflicting projects faced by all public health professionals. The end result will be the ability to accomplish more with better results and less stress. From Region 1: New England Public Health Training Center (Boston University) Living on Grants: Practical Budgeting Guidelines Webinar on demand: How can your public health organization be better prepared for budget time?Learn the basics of grant budget development and how to manage a grant-based budget from proposal to post award.No Matter what level of budget management or review is your responsibility, this webinar can help you identify the requirements and limitations for grant budget development and the fiscal requirements after your proposal is awarded. Continue reading >>

Model For Diabetes Care Wdf06-219

Model For Diabetes Care Wdf06-219

Developing a sustainable model for quality and affordable diabetes care within the Cambodian public health system. 2004 and 2005 prevalence surveys in Cambodia have demonstrated that in urban areas approximately 10% of adults have diabetes. 25-35% of adults suffer from high blood pressure. In a poor rural community surveyed in Siem Reap, 5% of adults had diabetes and 12% were hypertensive. Two thirds of those diagnosed with diabetes were unaware of the condition. Currently, there are limited services for diabetes care in Cambodia. Those that exist are primarily in the capital city, Phnom Penh. Most patients in the provinces - if they are aware of their condition - seek care from traditional healers, private practitioners or travel to Phnom Penh. In addition, the public health service in Cambodia is almost entirely geared towards treating acute illnesses with very little provision for managing chronic diseases. There is no framework for structured outpatient care by physicians at a referral hospital level for patients with non-communicable diseases (NCDs), such as diabetes and heart diseases. It is hoped that this project could provide a model for the establishment of outpatient care, which could be rolled out to other provinces and eventually expanded to cover other NCDs. The project seeks to develop a sustainable model for quality and affordable diabetes care within the Cambodian public health system and to explore preventive strategies. The project is implemented by the Ministry of Health in close collaboration with the Cambodian Diabetes Association and WHO. Diabetes services will be established in the provincial referral hospitals of five provinces; Kampong Cham, Battambang, Prey Veng, Pursat and Kampong Thom. There are 24 provinces in Cambodia and these five provi Continue reading >>

New Echo Telemedicine Project Targets Diabetes Care Coordination

New Echo Telemedicine Project Targets Diabetes Care Coordination

New ECHO Telemedicine Project Targets Diabetes Care Coordination Primary care providers in California and Florida will soon be using the Project ECHO telemedicine platform to improve care coordination for patients with Type 1 diabetes. -Primary care providers in Florida and California will soon be using telemedicine to improve care management and coordination for patients with Type 1 diabetes. Armed with a $1.6 million grant from the Leona M. and Harry B. Helmsley Charitable Trust, the University of Florida Diabetes Institute will use the nationally recognized Project ECHO (Extension for Community Healthcare Outcomes) telemedicine platform in an 18-month pilot to counsel providers across the state on how to treat patients with the chronic condition. The goal of a program like ECHO is to empower primary care doctors to treat patients on their own, rather than sending those patients to specialist care, which is often hard to access, time-consuming and expensive. "Our hope is to reach adult and pediatric type 1 diabetes patients who may not see an endocrinologist for routine care but who could really benefit from the expertise of those specialists, Ashby Walker, PhD, director of health quality initiatives at the UF Diabetes Institute, said in a release issued by the Helmsley Trust . Its an opportunity to provide better care for patients living with a chronic disease that requires 24/7 management, Dr. Michael Haller, a professor and chief of pediatric endocrinology at the UF College of Medicine, told the Independent Florida Alligator . Type 1 diabetes is tough even for the patients who have great access to great care. READ MORE: Is Project ECHO the Telemedicine Model That Healthcare Is Missing? Some patients, particularly lower income urban and rural residents, may lack op Continue reading >>

Biosimulation Modeling For Diabetes: Physical Activity Into The Meal Glucoseinsulin Model Of Type 1 Diabetes: In Silico Studies

Biosimulation Modeling For Diabetes: Physical Activity Into The Meal Glucoseinsulin Model Of Type 1 Diabetes: In Silico Studies

Copyright 2009 Diabetes Technology Society This article has been cited by other articles in PMC. A simulation model of a glucose-insulin system accounting for physical activity is needed to reliably simulate normal life conditions, thus accelerating the development of an artificial pancreas. In fact, exercise causes a transient increase of insulin action and may lead to hypoglycemia. However, physical activity is difficult to model. In the past, it was described indirectly as a rise in insulin. Recently, a new parsimonious model of exercise effect on glucose homeostasis has been proposed that links the change in insulin action and glucose effectiveness to heart rate (HR). The aim of this study was to plug this exercise model into our recently proposed large-scale simulation model of glucose metabolism in type 1 diabetes to better describe normal life conditions. The exercise model describes changes in glucose-insulin dynamics in two phases: a rapid on-and-off change in insulin-independent glucose clearance and a rapid-on/slow-off change in insulin sensitivity. Three candidate models of glucose effectiveness and insulin sensitivity as a function of HR have been considered, both during exercise and recovery after exercise. By incorporating these three models into the type 1 diabetes model, we simulated different levels (from mild to moderate) and duration of exercise (15 and 30 minutes), both in steady-state (e.g., during euglycemic-hyperinsulinemic clamp) and in nonsteady state (e.g., after a meal) conditions. One candidate exercise model was selected as the most reliable. A type 1 diabetes model also describing physical activity is proposed. The model represents a step forward to accurately describe glucose homeostasis in normal life conditions; however, further studie Continue reading >>

A Gaming Approach To Improving Diabetes Care

A Gaming Approach To Improving Diabetes Care

A gaming approach to improving diabetes care Diabetes is undoubtedly one of the most challenging health problems in the 21st century, currently affecting more than 280 million people in the world. Diabetes is associated with impaired glucose homeostasis, which is influenced by insulin. Although diabetes cannot be cured, it can be kept under control with the right treatment. This includes carefully managing diet, exercising, injecting insulin and taking medications to keep the blood glucose level within the target range. The role of the patient in the treatment is thus central. Figure 1. Glucose metabolism for a type-2 diabetes patient. Red and blue lines represent glucose and insulin flows respectively. Thin and thick lines represent impairments. For a good management of diabetes, the patients have to be aware of the factors which influence their metabolism. This is why we want to provide them with an educational diabetes simulator, a tool that, in response to external stimuli, predicts the glucose and insulin temporal profile in the blood, the two indicators of a correct therapy. The goal of the design project was to develop the core of the simulator: a physiology-based model of glucose metabolism in diabetes patients in response to food and insulin intake. We first modeled a healthy-person and then modified it to get the diabetes-patient models: type-1 and type-2. For each model we identified the main processes in production, usage and storage of glucose (Fig.1). The models were based on state-of-the-art literature models, coupled and modified according to our needs. The resulting model is a set of coupled differential equations characterized by fifteen parameters. For model identifiability, the number of unknown parameters was reduced to six by studying their sensit Continue reading >>

Kahnawake Schools Diabetes Prevention Project - About Ksdpp

Kahnawake Schools Diabetes Prevention Project - About Ksdpp

Mission Statement of KSDPP back to top The Kahnawake Schools Diabetes Prevention Project (KSDPP) designs and implements intervention activities for schools, families and community to prevent type 2 diabetes through the promotion of healthy eating, physical activity and positive attitude for present and future Kahnawakero:non and for other Aboriginal communities. KSDPP conducts community based research on these activities, trains community intervention workers and academic and community researchers and reports all research results to the community. Kahnawake is a Mohawk territory of 7000 people on the south shore of the St Lawrence River 15 kilometers from downtown Montreal. The Mohawk Nation is part of the Iroquois Confederacy whose traditional lands cover an area that includes southern Quebec and Ontario, and northern New York State. Traditional diet consisted of corn, beans and squash supplemented by foods acquired through fishing, hunting and gathering. The current community was founded in 1680 and established at its present location in 1716. There is strong community control over politics, health and social services and education, combined with higher levels of education and acquisition of professional degrees. In the past thirty years, Kahnawake has made a strong commitment to reinforce Mohawk culture and language within community structures and the Iroquoian philosophy of participation by the people in decision-making continues to be reinforced. Type 2 diabetes has emerged as a major public health threat to Aboriginal populations in the second half of the 20th Century. Rare before the 1940s Type 2 diabetes has become increasingly common among indigenous peoples in North America, Australia and the South Pacific Islands. In Canada, the prevalence of Type 2 diabetes Continue reading >>

Diabetes Science Fair Projects And Experiments

Diabetes Science Fair Projects And Experiments

Use jello shapes to model insulin (a medication) and test if, in your model, insulin is functional after being soaked in enzymes found in the stomach. [E] A Device to Detect Diabetic Retinopathy [E] Does Measured Blood Glucose Correlate with Tear Glucose? [E] Inhibit Advanced Glycation End-products to Combat Atherosclerosis, Cancer and Diabetic Disorders [E] Which drinks out of Coke, Red Bull, Gatorade, and Sunny D will have the highest glucose concentration level after adding the enzyme invertase? [P] [P] Novel Use of Cyanidin and Eugenol to Inhibit alpha-Glucosidase for Type 2 Diabetes [E] Evaluation of Alpha Amylase Inhibition by Different Medicinal Plants [E] Arduino-Based Foot Neuropathy Analyzer [E] Comparing the Results of Blood Glucose Meters [E] Which Fast Acting Insulin, Novolog or Humalog, affects Type 1 Juvenile Diabetic's blood sugar the best. [E] Testing the accuracy of blood glucose readings and showing the importance of properly cleaning your finger before testing blood glucose levels. [E] The effect of high glucose intake on cells (oxidative stress) in type 2 diabetes patients [E] [E] Determine if a controlled diet and exercise will lower blood glucose levels and reduce the amount of insulin requirements of a type 1 diabetic. [E] A comparative Pharmacological study on non-diabetic and type II diabetic subjects (under a doctor's supervision), and observe blood glucose levels after the consumption of Opuntia (nopales cactus). [E] Test results intend to show that the Type-1 diabetic can improve the stability of his or her own blood sugar levels during the night by eating high protein dinners that produce more predictable blood sugar levels and lower the risk of developing hypoglycemia during the night. [E] Determine if the presence of a carbohydrate (star Continue reading >>

A Long-term Mechanistic Computational Model Of Physiological Factors Driving The Onset Of Type 2 Diabetes In An Individual

A Long-term Mechanistic Computational Model Of Physiological Factors Driving The Onset Of Type 2 Diabetes In An Individual

Click through the PLOS taxonomy to find articles in your field. For more information about PLOS Subject Areas, click here . A long-term mechanistic computational model of physiological factors driving the onset of type 2 diabetes in an individual Roles Conceptualization, Formal analysis, Investigation, Methodology, Software, Supervision, Validation, Writing review & editing Affiliation PricewaterhouseCoopers LLP, New York, New York, United States of America Roles Conceptualization, Formal analysis, Investigation, Methodology, Software, Writing review & editing Affiliation PricewaterhouseCoopers LLP, New York, New York, United States of America Roles Data curation, Formal analysis, Investigation, Project administration, Software, Validation, Visualization, Writing review & editing Affiliation PricewaterhouseCoopers LLP, New York, New York, United States of America Roles Data curation, Investigation, Software Affiliation PricewaterhouseCoopers LLP, New York, New York, United States of America Roles Conceptualization, Investigation, Methodology, Supervision Affiliation PricewaterhouseCoopers LLP, New York, New York, United States of America Roles Conceptualization, Funding acquisition, Project administration, Resources, Supervision Affiliation PricewaterhouseCoopers LLP, New York, New York, United States of America Roles Conceptualization, Funding acquisition, Project administration, Resources, Supervision Affiliation PricewaterhouseCoopers LLP, New York, New York, United States of America Continue reading >>

Project Impact: Diabetes

Project Impact: Diabetes

Webinar presented to the National Center for Health in Public Housing Group Sandra Leal, PharmD, MPH, FAPhA, CDE from El Rio Health Center Webinar presentation was titled "Understanding the Value of Integrating Pharmacy Services to Improve the Health Outcomes and Patient Safety."Discussed benefits of integrating clinical pharmacy services in underserved communities citing Project Impact Diabetes as a model for success in these populations. There was a positive response from the Public Housing group and establishing a relationship with the group could lead topotential opportunities for collaboration. Many participants have aninterestin impacting underserved communities. Pharmacists on the Care Team: Demonstrating Value Sandra Leal, PharmD, MPH, FAPhA, CDE from El Rio Health Center Sandra was joined by a group of people: an experienced PSPC team fromQueensCare; Romic, director of pharmacy atGlendale Adventist Medical Center; Terry Hair of Community Health Alliance of Pasadena (CHAP); and Ryan Gates fromKern Medical Center. Ryan'ssafety net hospital serves one of the most disparate counties in the state and is severely undercapitalized and underwater. He understands the value of the pharmacist on the care team and was one of the key players in the sponsorship and passing of SB 493. Micah Hata fromWestern University was also involved.The Inland Empire is also a prime target for establishing pharmacist teams and Micah could be instrumental in helping provide resources via residencies and student rotations. CareMore,amedicare advantage organization with significant resources allocated to pharmacy participated as well.Content shared included outcomes related to pharmacists interventions like Project Impact Diabetes results, CMMI outcomes from USC and results from PSPC. The fu Continue reading >>

A Quality Improvement Project In Diabetes Patient Education During Hospitalization

A Quality Improvement Project In Diabetes Patient Education During Hospitalization

A Quality Improvement Project in Diabetes Patient Education During Hospitalization One institutional quality improvement model, the FADE process, offers a useful approach to assessing and improving diabetes inpatient education. FADE stands for focus, analyze, develop, and execute. First, we focused on the 17% of all inpatients on one day who had diabetes. Second, we analyzed the current level of diabetes education provided, using a quality improvement (QI) survey tool. The most interesting data revealed that we offered education less frequently to people over age 65, but that older patients who received education had higher scores than younger patients who received education. Third, we developed a diabetes teaching protocol for use by staff nurses with inpatients. Finally, 6 months after protocol implementation, we re-executed our QI survey tool. We found that test scores were slightly better than pre-protocol-implementation survey scores, but that fewer patients had received self-management education. The poor implementation of the protocol was investigated, and steps are being taken to improve diabetes care and education. An institution's quality improvement (QI) model offers a useful approach to assessing and improving diabetes patient education. Diabetes patient education fits easily into QI processes; inclusion in such processes has many advantages, not the least of which is that education can then be viewed as an integral part of care for a person with diabetes as a primary or secondary diagnosis. In inpatient settings, diabetes patient education is a part of total care of the patient and is by its nature shared by all health care providers. These providers will feel a more committed investment in patient education if that process shares similarities with other Q Continue reading >>

Rural Project Examples: Diabetes

Rural Project Examples: Diabetes

Need: To help people with chronic conditions learn how to manage their health. Intervention: A small-group 6-week workshop for individuals with chronic conditions to learn skills and strategies to manage their health. Results: Participants have better health and quality of life, including reduction in pain, fatigue, and depression. Project ECHO Extension for Community Healthcare Outcomes Need: To increase the capacity for more effective treatment of chronic, complex conditions in rural and underserved communities. Intervention: Through a specially-designed project, remote primary care providers work with academic specialists as a team to manage chronic conditions of rural patients, expanding remote providers knowledge base through shared case studies. Results: Patient management and care provided by rural providers through ongoing education and mentoring from Project ECHO has proved as effective as treatment provided by specialists at a university medical center. Need: To reduce health disparities in two rural/frontier counties in southwest New Mexico. Intervention: Community health workers work with clients to help them better manage their health and promote awareness of healthy lifestyle options in the community. Results: Better health outcomes for patients. Need: Rural Appalachian Kentucky residents have deficits in health resources and health status, including high levels of cancer, heart disease, hypertension, asthma, and diabetes. Intervention: Kentucky Homeplace was created as a community health worker initiative to address the lifestyle choices, inadequate health insurance, and environmental factors that are believed to contribute to these diseases. Results: From July 2001 to June 2016, over 152,262 rural residents have been served. Preventive health strategies Continue reading >>

Research Projects - Lifestyle, Overweight And Diabetes > Cost-effectiveness Of Care For Patients With Type 2 Diabetes, An Evaluation Of An Innovative Shared Diabetes Care Model > Methods - Emgo

Research Projects - Lifestyle, Overweight And Diabetes > Cost-effectiveness Of Care For Patients With Type 2 Diabetes, An Evaluation Of An Innovative Shared Diabetes Care Model > Methods - Emgo

In Amstelland, the implemented diabetes care consists of among others, structured care achieved by the use of a central database, a coordinating role for the diabetes nurse and an active recall system. In West-Friesland, patients receive care by the Diabetes Care System West-Friesland (DCS) in addition to the care delivered by their own general practitioner. Patients receive their annual medical check-up in this specialized diabetes centre, in combination with education and self-management support. The Diabetes Care System coordinates the care and offers feedback to the general practitioner regarding patient outcomes. The control group consists of patients of GP's who are affiliated to the NIVEL's "CMR-Peilstations", and patients of GPs, located in West-Friesland, who do not receive care by the Diabetes Care system. Diabetes patients in the control group will receive the current usual diabetes care. We are developing the MICADO model for the purpose of evaluating the long term cost-effectiveness of interventions in diabetes patients and in the general population. The MICADO model is a markov-type, multistate transition model which is set up to estimate long term microvascular and macrovascular complications of type 1 and type 2 diabetes. The MICADO model has elaborate modeling of complications and gives outcomes in terms of complications, quality of life, costs and cost-effectiveness. It is capable of evaluating interventions targeting diabetes patients as well as prevention programs in a general population and comparing these. Welcome, you have reached the website of the EMGO/Amsterdam Public Health research institute. The EMGO+ research institute has fully merged its research activities into the Amsterdam Public Health research institute (APH), a multidisciplinary in Continue reading >>

Project Impact: Diabetes Care Model Improves Health Outcomes In Underserved Populations In 25 Communities With A High Incidence Of Diabetes

Project Impact: Diabetes Care Model Improves Health Outcomes In Underserved Populations In 25 Communities With A High Incidence Of Diabetes

Project IMPACT: Diabetes Care Model Improves Health Outcomes in Underserved Populations in 25 Communities with a High Incidence of Diabetes We are experimenting with display styles that make it easier to read articles in PMC. The ePub format uses eBook readers, which have several "ease of reading" features already built in. The ePub format is best viewed in the iBooks reader. You may notice problems with the display of certain parts of an article in other eReaders. Generating an ePub file may take a long time, please be patient. Project IMPACT: Diabetes Care Model Improves Health Outcomes in Underserved Populations in 25 Communities with a High Incidence of Diabetes Chronic disease is responsible for 7 of 10 deaths in the United States and 75% of the nation's $2.2-trillion healthcare bill. 1 , 2 According to the American Diabetes Association, nearly 26 million Americans have diabetes, and more than 200,000 die of this chronic disease annually. Patients with diabetes are at increased risk for diabetes-related complications, including heart disease, stroke, kidney failure, blindness, and lower-limb amputations. 3 In 2010, the Bristol-Myers Squibb (BMS) Foundation announced the establishment of Together on Diabetesa 5-year, $100-million initiative designed to improve the health outcomes of underserved patients with type 2 diabetes in the United States, China, and India. One of the first 4 organizations in the BMS Foundation's Together on Diabetes, the American Pharmacists Association (APhA) Foundation received a grant from the BMS Foundation to launch Project IMPACT: Diabetes, to bring quality care to underserved people in 25 US communities with a high incidence of diabetes. The objectives of Project IMPACT: Diabetes are to expand the proven community-based model of care Continue reading >>

Diabetes 2030

Diabetes 2030

DIABETES 2030 – U.S., STATE, AND METROPOLITAN TRENDS The Institute for Alternative Futures has updated its diabetes forecasting model and extended its projections to 2030. We have prepared estimates of the burden of diabetes in the years 2015, 2020, 20205, and 2030 for each of the 50 states plus 18 major metropolitan areas. A grant from Novo Nordisk supported the Institute’s research. The data and forecasts are freely available for use by policy makers and legislators, reporters, members of the diabetes community, and the general public. The resultant professional article: Diabetes 2030: Insights from Yesterday, Today, and Future Trends, by Rowley, Bezold, Arikan, Byrne and Krohe published in Population Health Management has just been released ahead of print free to the public online at It describes the methodology, diabetes trends from 2015 to 2030, and their implications for America. Full text HTML, full text PDF and Full Text PDF with links to references versions of the article are available at the web site. The data have been analyzed and configured to help answer questions such as: What will be the future cost of diabetes in a particular state or major city? What will be the impact of diabetes on population groups that are disproportionately affected by diabetes, such as older adults? How will the growing burden of diabetes affect employers and employees? How many healthcare workers will be needed to manage diabetes in the next 15 years? These projections of the human and economic impact of diabetes paint a vivid picture of the potential devastating future toll of diabetes in America, and underscore the need for immediate and aggressive action to help prevent diabetes whenever possible in those at risk, and improve the U.S. health care system to more effectivel Continue reading >>

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