New Mexico Health Care New Mexico Health Care

Takes On DiabetesTakes On Diabetes

NMHCTOD MissionNMHCTOD MissionTo serve as a public-private coalition that improves the To serve as a public-private coalition that improves the

health of New Mexicans who have diabetes and reduces health of New Mexicans who have diabetes and reduces the economic toll of the diabetes epidemic by: the economic toll of the diabetes epidemic by: coordinating and integrating the coordinating and integrating the activities of public and activities of public and

private diabetes organizations; private diabetes organizations; maintaining a maintaining a statewidestatewide diabetes practice guidelinediabetes practice guideline; ; serving as a serving as a statewide developer, clearinghouse, and statewide developer, clearinghouse, and

distributiondistribution center for current, center for current, practical resourcespractical resources related to related to the education, detection, treatment, and ultimately prevention the education, detection, treatment, and ultimately prevention of diabetes in New Mexico; and of diabetes in New Mexico; and

providing providing measurementmeasurement of the status of New Mexico of the status of New Mexico diabetes care and outcomes, diabetes care and outcomes,

working with working with communities communities to meet their needs. to meet their needs.

Coalition Development

Taking On Diabetes – national initiative AAIP/AHIP, Funding sources, Pharma New York, Kansas City, Albuquerque Albuquerque -> statewide project New Mexico Health Care Takes On Diabetes

(NMHCTOD)

Infrastructure

Leadership: Voluntary Board of Directors and Steering Committee, Contracted Executive Director Input from all stakeholders

Membership: Health plans, NM DOH, QIO, ADA, diabetes care

providers, local health agencies, medical/professional societies, community, and pharma that have a recognized constituency influencing diabetes and outcomes

Distinguished clinicians Current board membersCurrent board members

Jeremy Gleeson, M.D. PresidentJeremy Gleeson, M.D. President Eugene Sun, M.D. – Vice PresidentEugene Sun, M.D. – Vice President Norm White, M.D. – TreasurerNorm White, M.D. – Treasurer

Steering CommitteeSteering Committee Bruce A. Mann, M.D., (chair) Norm White, Bruce A. Mann, M.D., (chair) Norm White,

M.D., Leslie Shainline, R.N., Pat Montoya, R.N., M.D., Leslie Shainline, R.N., Pat Montoya, R.N., Julie Broyles, M.D., Eugene Sun, M.D., Jeremy Julie Broyles, M.D., Eugene Sun, M.D., Jeremy Gleeson, M.D, Jeannette Velarde, M.D.Gleeson, M.D, Jeannette Velarde, M.D.

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Partners and OpportunitiesBCBSNM PHP

DOH

LHP

Medicaid Medicare

UHCMHP

Key Focus Areas Initial:

Too many guidelines single guideline Practical resource guide for people “in the

trenches”Why Economies of Scale Think tank of experience, expertise, education

Evolution: Focus on improving the “ABCs” plus other basic

clinical measures

To…Single state guideline

Value

Independent Survey 90% use NMHCTOD material 80% said reduces hassle because “one

guideline” 75% use it with their patients

Lay Guideline 2009English and Spanish

Practical Resources

Dissemination of information

Through in-kind support by members with distribution channels: Medical Society, Primary Care Association,

AAFP, ACP, Health Plans, Optometric Association, Public Health Association, Conference booths, Diabetes Advisory Council, DOH, and QIO and others...including pharmaceutical companies, but no pharma logos

Presentations and conferences

3 On-line CME - Free

Summary Period: Last 12 MonthsSummary Period: Last 12 MonthsApril 2008 – March 2009April 2008 – March 200912 Months – hits = 327,105, pages = 79,692, 12 Months – hits = 327,105, pages = 79,692,

AWARDS

Compendium International awards

MarCom Awards – X 2 AVA Awards

Local NM Podiatric Medical Association

Communication vehicles:

General Meetings, Quarterly (excellent attendance)

Web site (www.nmtod.com) Yearly Clinical Guideline (with national ADA

approval)

Data ReportsData Reports Valid measurement of population health:

HEDIS® Data collection trended since 2000 Data collection trended since 2000 Provided by health plans end of JuneProvided by health plans end of June Data analysis and report by NMMRA – in-kindData analysis and report by NMMRA – in-kind

Effectiveness

HEDIS is a registered trademark of the National Committee for Quality Assurance

Toolkit Work Group

Health Plans Professional Organizations UNM NM DOH SME as needed

Dilated Eye Exam Work GroupDilated Eye Exam Work Group

Work Group – Health Plans, DPCP, NMPCA, Work Group – Health Plans, DPCP, NMPCA, NMMRA, UNM and professional organizations NMMRA, UNM and professional organizations

Developed and revised materials for both patients Developed and revised materials for both patients and providersand providers

Partnering with Ben Archer Clinics/NMPCAPartnering with Ben Archer Clinics/NMPCA Received NEI renewal grantReceived NEI renewal grant Connected with National Chronic Disease Connected with National Chronic Disease

DirectorsDirectors

Why successful

Scope Size Commitment Collaboration with public and private sector In-kind support

Success Issues

NMHCTOE - New Mexico Health Care Takes On Everything

Other agendas Loss of focus – scope issues

Obstacles and Challenges Funding…Funding…Funding Availability of volunteer committee members Time Rural/Frontier state issues:

Exposure, distribution, dissemination Health literacy, cultural limitations, and

patient behavior Relative low level technology in many

clinicians’ offices

Next Steps

Collaboration ?

Contact information NMHCTOD web site – WWW.NMTOD.COM or WWW.NMTOD.ORG

Charm Lindblad – clind48535@aol.com

QUESTIONS