The Omni Shoreham Hotel, Washington,...

The Omni Shoreham Hotel, Washington, DC

“Mom, I miss you so much…”

Learn how you can help Stop Diabetes. Visit checkupamerica.org or call 1-800-DIABETES (342-2383).

Type 2 diabetes steals the lives we cherish most. Nearly a quarter million a year. But it can be prevented.

Nearly 80 million Americans have prediabetes. But because prediabetes doesn’t always have symptoms, nine out of ten people who have it don’t even know it.

Know your risk before it’s too late. Especially if you’re over 45 or overweight. More importantly, do something about it. Eat better, stay active and lose weight.

You have a lot to live for. Stop Diabetes®. For yourself, and the people you love.generated at BeQRious.com

A Toast Eng 7x10 COL.indd 1 9/5/11 9:47 AM

TABLE OF CONTENTS

I. Forum Overview Greetings from the President’s Executive Office 3

Welcome from Geralyn Spollett, President, Health Care and Education, ADA 4

Goals of 2012 Forum 5

Planning Committee 6

Planning Committee Disclosures 8

Faculty Disclosures 9

Commercial Support 9

II. Agenda Agenda-at-a-Glance 10

Detailed Agenda 11

III. Biographies Chief Executive Officer 13

Moderator 13

Keynote Speakers 15

Special Guest Speakers 16

Breakout Session Presenters 19

Panel Moderators and Panelists 25

IV. Promising Practice Presentations Promising Practice Oral Presenters 32

Promising Practice Poster Presenters 35

4.

5th Annual Disparities Partnership ForumWelcome from Geralyn Spollett, President, Health Care & Education

I would personally like to welcome you to the American Diabetes Association’s Fifth Annual

Disparities Forum, Overcoming Disparities: Diabetes Care in High-Risk Populations. The

Association is proud to convene community and health leaders from across the country to

address the challenges faced by high-risk populations when it comes to diabetes preven-

tion, detection and treatment.

As a participant in this gathering, I applaud you for playing a valuable role in the fight to

Stop Diabetes®. While diabetes affects Americans of all ages and walks of life, minority

populations are disproportionately affected, having a higher incidence of type 2 diabetes

and often less able to obtain the resources they need to properly manage the disease.

If current trends continue, one out of every three Americans will have diabetes in 2050 and that number changes

to nearly one out of every two in minority populations. The statistic is daunting but it must inspire us to collaborate

and identify solutions to improve resources within these communities. Our hope is that by addressing the issues of

cultural competency, health literacy and health equality, we will one day be able to eliminate disparities in health

care at the community level.

Diabetes is an epidemic, and we must do our part to empower dialogue and action to change its course. Thank you

for your participation in this critical effort, and we look forward to your insights on how we can change the future of

diabetes, together.

Sincerely,

Geralyn Spollett, MSN, ANP-CS, CDE

President, Health Care & Education

5.

Goals of 2012 Forum Target Audience

This Forum is designed to facilitate dialogue among healthcare professionals, students, community health educators, academicians, community leaders and lay people, public health practitioners and officials, policy makers and analysts, government officials, researchers, program administrators, patient advocacy groups and voluntary health organizations. Learning Objectives: Upon completion of this program, the participants should be able to: •Explorecollaborativemethodstoimprovediabetescareinhighriskpopulationsbyaddressingcultural competency, health literacy and health equity •Discusstheprevention,diagnosisandtreatmentofpatientswithdiabetesinhighriskpopulations •Listsuccessfulpracticesthataddresstheneedforculturalcompetency,healthequityandhealthliteracy to provide quality diabetes care • Identifykeyelementsofcoalition-buildingatthecommunityleveltoimprovethequalityofdiabetescare in high risk populations

Accreditation Statements: Physicians: The American Diabetes Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. TheAmericanDiabetesAssociationdesignatesthisliveactivityforamaximumof10.25AMAPRA Category1credit(s)™.Physiciansshouldclaimonlythecreditcommensuratewiththeextentoftheir participation in the activity. Doctors of Osteopathy: Category 2 credit will be awarded for formal educational programs that are ACCME-accredited or AAFP-approved. Physician Assistants: AAPA accepts certificates of participation for educational activities certified for AMAPRACategory1Credit™fromorganizationsaccreditedbyACCMEorarecognizedstatemedical society.Physicianassistantsmayreceiveamaximumof10.25hoursofCategoryIcreditforcompleting this program. Nurses: The American Diabetes Association is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s COA. California Board of Registered Nursing: The American Diabetes Association is also a provider approved bytheCaliforniaBoardofRegisteredNursing,ProviderNo.CEP-12196.Thisactivityisapprovedfor10.25 contact hours. Dietitians:TheAmericanDiabetesAssociationisaContinuingProfessionalEducation(CPE) AccreditedProviderwiththeCommissiononDieteticRegistration(CDR).Registered dietitians(RDs)anddietetictechnicians,registered(DTRs)willreceive10.25continuing professionaleducationunits(CPEUs)forcompletionofthisprogram/material.

Certified Diabetes Educators

To satisfy the requirement for renewal of certification by continuing education for the National Certification Board forDiabetesEducators(NCBDE),continuingeducationactivitiesmustbediabetesrelatedandapprovedbya providerontheNCBDEListofApprovedProviders(www.ncbde.org).NCBDEdoesnotapprovecontinuing education.TheAmericanDiabetesAssociationisontheNCBDEListofApprovedProviders.

6.

Successful Completion Statement/Obtain Certificate CertificatesofCompletion/Attendanceareprovidedtoregisteredattendeesbaseuponcomplicationofthe onlineevaluationthatwillbeavailableathttp://professional.diabetes.org/disparitiesforumthroughNovember 9,2012.Forquestionsregardingcontinuingeducation,[email protected]. Content Validation Statements •Allrecommendationsinvolvingclinicalmedicinearebasedonevidenceacceptedwithintheprofessionof medicine as adequate justification for their indications and contraindications in the care of patients; AND/OR •Allscientificresearchreferredtoorreportedinsupportorjustificationofapatientcarerecommendation conformstogenerallyacceptedstandardsofexperimentaldesign,datacollection,andanalysis.

Planning CommitteeLurelean B. Gaines, MSNDesignated Nurse Planner

Chairperson, Department of NursingEastLosAngelesCollege

Monterey Park, CA

Elizabeth Mayer-Davis, PhD, RD, MSPH Professor, Department of Nutrition

Univ. of North Carolina at Chapel HillChapel Hill, NC

Robin Nwankwo, RD, MPH, CDEUniversity of Michigan Medical Education

Ann Arbor, MI

Louie SanchezChiefofStaff,SenatorEddieLucio,Jr.

TexasSenateDistrict27San Benito, TX

Geralyn Spollett, MSN, ANP-CS, CDEAssociate Director, Yale Diabetes Center

Adult Nurse Practitioner, EndocrineNew Haven, CT

Darryl Tonemah, PhD, M Ed, BSHealth and Wellness Consultant

Lewiston,NY

Ho Luong Tran, MD, MPHPresident&/CEO

National Council of Asian Pacific Islander PhysiciansWashington, DC

Tracy M. Walton, Jr., MD President Emeritus

National Medical AssociationWashington, DC

Lois Wessel, RN, FNPAssociate Director and Project Manager

Association of Clinicians for the UnderservedTysons Corner, VA

7.

Sefa AinaAssociate Dean and Director, Asian American Resource Center

Pomona CollegeClaremont, CA

Nia Aitaoto, MPH, MSPrincipalinvestigator/ProjectDirector

University of IowaIowa City, IA

Stephanie B. C. Bailey, MD, MSDean, College of Public Service and Urban AffairsTennesseeStateUniversity/AvonWilliamsCampus

Nashville, TN

Acacia Bamberg Salatti Deputy Director of the Center for Faith-Based and

Neighborhood Partnerships

Elena Bastida, PhDProfessor, Health Promotion and Disease Prevention

Florida International UniversityMiami,FL

Ronny A. Bell, PhD, MSProfessor, Epidemiology and Prevention

Wake Forest School of MedicineWinston-Salem, NC

Carla Boutin-Foster, MD, MSAssociate Professor in Medicine and Public Health; Director, Center of ExcellenceinDisparitiesResearch;AssistantDeanforFacultyDiversity

Weill Cornell Medical CollegeNew York, NY

Angela Brega, PhDAssociate Professor, Centers for American Indian and Alaska Native Health

Colorado School of Public HealthAurora, CO

Enrique Caballero, MDDirector,LatinoDiabetesInitiative,

JoslinDiabetesCenter,HarvardMedicalSchool Boston, MA

Jeffrey Caballero ExecutiveDirector,

Association of Asian Pacific Community Health Organizations Oakland, CA

Anthony Cannon, MD, FACEClinical Endocrinologist

Private PracticeBlackwood,NJ

Aida Giachello, PhDProfessor, Department of Preventive Medicine

Northwestern University Feinberg School of MedicineOakLawn,IL

J. Nadine Gracia, MD, MSCEDeputyAssistantSecretaryforMinorityHealth(Acting)

US Department of Health and Human Services – Office of Minority HealthRockville, MD

Garth Graham, MD, MPH, FACPAssistant Dean for Health Policy; Chief of the Health Services Research

Section, Department of MedicineUniversity of Florida School of Medicine

Gainesville,FL

Pedro Jose Greer, Jr., MDAssistant Dean, Academic Affairs

Herbert Werthiem College of MedicineFlorida International University

Miami,FL

Leonard Jack, Jr., PhD, MScDirector, Center for Minority Health & Health Disparities Research and

Education; Chair, Department of Public Health SciencesXavierUniversityofLouisiana

NewOrleans,LA

Jeff JohnsonJournalist,NationalCommentator,Author

MSNBC,Politic365.comandTomJoynerMorningShowShaker Heights, OH

Jane K. Kadohiro, DrPH, APRN, CDE

Coordinator, ADA Education Recognition; APRN and Diabetes EducatorThe Queen’s Medical Center, Queen’s Diabetes Education Center

Honolulu, HI

George L. King, MDChief Scientific Officer, Professor of MedicineJoslinDiabetesCenter,HarvardMedicalSchool

Boston, MA

Charlotte Kuo, MSN, APRN-BCNurse Practitioner

San Francisco General HospitalSan Francisco, CA

Sophie KwonSpecial Assistant on Health Policy and Community Engagement


Kenneth P. Moritsugu, MD, MPH, FACPMVice President, Global Professional Education and Strategic Relations and

Worldwide ChairmanTheJohnsonandJohnsonDiabetesInstitute

Great Falls, VA

Guadalupe Pacheco, MSWSenior Health Advisor


Ray Samoa, MDAssistant Professor

City of Hope Medical CenterDuarte, CA

Brian Smedley, PhDVice President and Director, Health Policy InstituteJointCenterforPoliticalandEconomicStudies

Washington, DC

Donald Warne, MD, MPHDirector, Master of Public Health Program

North Dakota State UniversityFargo, ND

Andi K. Weiss, MPHSenior Behaviorist

MicroMass Communications, Inc.Cary, NC

Lois Wessel, RN, FNPAssociate Director and Project Manager

Association of Clinicians for the UnderservedTysons Corner, VA

Augustus A. White, III, MD, PhDEllen and Melvin Gordon Distinguished Professor, Medical Education;

Professor, Orthopaedic SurgeryHarvard Medical School

Boston, MA

Faculty

8.

Disclosure StatementAs a provider of continuing education, it is the Association’s policy to ensure balance, independence, objectivity,

and scientific rigor in all of its educational activities. All participating faculty and planning committee members are required to disclose to the program audience any financial relationships related to the subject matter of this program. Disclosure information is reviewed in advance in order to manage and resolve any possible conflicts of interest. The

intent of this disclosure is to provide participants with information on which they can make their own judgments.

Planning Committee Disclosures

Lurelean B. Gaines, MSNDisclosed no conflict of interest

Elizabeth Mayer-Davis, MSPH, PhD, RD Disclosed no conflict of interest

Robin Nwankwo, RD, MPH, CDEBoardMember/AdvisoryPanel:

Boerhinger-Ingelheim; NIH:NIDDKConsultant:EliLilly

Louie Sanchez

Disclosed no conflict of interest

Geralyn Spollett, MSN, ANP-CS, CDEDisclosed no conflict of interest

Darryl Tonemah, PhD, M Ed, BSDisclosed no conflict of interest

Ho Luong Tran, MD, MPHDisclosed no conflict of interest

Tracy M. Walton, Jr., MD Disclosed no conflict of interest

Lois Wessel, RN, FNPDisclosed no conflict of interest

9.

Sefa AinaDisclosed no conflict of interest

Nia Aitaoto, MPH, MSDisclosed no conflict of interest

Stephanie B. C. Bailey, MD, MSDisclosed no conflict of interest

Acacia Bamberg SalattiOmission due to printing deadline.

Disclosure will be made on-site.

Elena Bastida, PhDDisclosed no conflict of interest

Ronny A. Bell, PhD, MSDisclosed no conflict of interest

Carla Boutin-Foster, MD, MSDisclosed no conflict of interest

Angela Brega, PhDDisclosed no conflict of interest

Enrique Caballero, MDOmission due to printing deadline.

Disclosure will be made on-site.

Jeffrey CaballeroDisclosed no conflict of interest

Anthony Cannon, MD, FACESpeaker’sBureau:Merck,Auxilium,

Novo Nordisk, Inc., Sanofi

Aida Giachello, PhDDisclosed no conflict of interest

J. Nadine Gracia, MD, MSCEDisclosed no conflict of interest

Garth Graham, MD, MPH, FACPDisclosed no conflict of interest

Pedro Jose Greer, Jr., MDDisclosed no conflict of interest

Leonard Jack, Jr., PhD, MScDisclosed no conflict of interest

Jeff JohnsonDisclosed no conflict of interest

Jane K. Kadohiro, DrPH, APRN, CDEDisclosed no conflict of interest

George L. King, MDResearch support: sanofi-aventis

(MoniespaidtoJoslinDiabetesCenter)

Charlotte Kuo, MSN, APRN-BCDisclosed no conflict of interest

Sophie KwonDisclosed no conflict of interest

Kenneth P. Moritsugu, MD, MPH, FACPMEmployee:Johnson&Johnson

Guadalupe Pacheco, MSWDisclosed no conflict of interest

Ray Samoa, MDDisclosed no conflict of interest

Brian Smedley, PhDDisclosed no conflict of interest

Donald Warne, MD, MPHDisclosed no conflict of interest

Andi K. Weiss, MPHDisclosed no conflict of interest

Augustus A. White, III, MD, PhDBoardMember/AdvisoryPanel:Capstone

Consultant: Zimmer

Commercial SupportThis educational activity is supported,

in part, byMerckandLillyUSA,LLC.

Faculty Disclosures

10.

Program Schedule-at-a-Glance Monday, October 22, 2012

8:00am–8:15am WelcomeandIntroductions Opening Remarks

8:15am–8:45am CelebrityGuestSpeaker

8:45am–9:45am KeynoteAddress

9:45am–10:15am GuestSpeakerPresentationonCulturalCompetency

10:15am–10:45am Panel Discussion I: Diabetes Care in High Risk Populations: Cultural Competency

10:45am–11:00am Break

11:00am–12:00pm PanelDiscussionII:DiabetesCareinHighRiskPopulations:HealthLiteracy

12:00pm–1:00pm InspirationalLunch

1:00pm–2:30pm ConcurrentSessionsI:CulturalCompetencyandHealthLiteracy

2:30pm – 3:00pm Break

3:00pm–4:30pm ConcurrentSessionsII:CulturalCompetencyandHealthLiteracy 4:30pm ForumAdjourns

5:00pm – 5:30pm Awards Dinner Reception & Poster Review

5:30pm–7:30pm COMMUNITYSPIRITAWARDSDINNER

Tuesday, October 23, 2012

8:00am-8:15am Opening&Introductions

8:15am-8:45am SpecialGuestSpeakerPresentation

8:45am–9:15am GuestSpeakerPresentationonHealthEquity

9:15am–9:45am PromisingPracticesOralPresentations

9:45am–10:45am PanelDiscussionIII:DiabetesCareinHighRiskPopulations–HealthEquity

10:45am–11:00am Break

11:00am–12:30pm ConcurrentSessions:HealthEquity

12:30pm–1:30pm “TakingtheBaton”Lunch–ClosingRemarksandNextSteps Abstract Winners Honored

11.

Program ScheduleMonday, October 22, 2012

8:00am - 8:15am Welcome and Introduction of Moderator Larry Hausner, Chief Executive Officer, American Diabetes Association Moderator: Garth Graham, MD, MPH, FACP, Assistant Dean for Health Policy and Chief of the Health Services Research Section, Department of Medicine, University of Florida School of Medicine

Opening Remarks Robert Ratner, MD, Chief Scientific-Medical Officer, American Diabetes Association Geralyn R. Spollett, MSN, ANP-CS, CDE, President, Health Care & Education

8:15am – 8:25am Special Guest Speaker Making a Difference, Making it Better Pedro Jose Greer, Jr., MD, Assistant Dean Academic Affairs, FIU Herbert Werthiem College of Medicine

8:25am – 9:30am Keynote Address What Dr. Martin Luther King, Jr., Would Want Us to Know About Health Care Disparities Augustus A. White, III, MD, PhD, Ellen and Melvin Gordon Distinguished Professor of Medical Education and Professor of Orthopaedic Surgery, Harvard Medical School

9:30am – 10:00am Guest Speaker on Cultural Competency The Culture of Diabetes: Lessons My Mother Taught Me Carla Boutin-Foster, MD, MS, Associate Professor, Medicine and Public Health; Director, Center of Excellence in Disparities Research; Assistant Dean for Faculty Diversity, Weill Cornell Medical College

10:00am – 10:45am Panel Discussion: Diabetes Care in High Risk Populations – Cultural Competency Moderator Carla Boutin-Foster, MD, MS African American Panel: Miko Horn (patient), Caregiver (TBA), Anthony Cannon, MD (physician) Hispanic/Latino Panel: Patient (TBA), Lois Wessel (caregiver), Enrique Caballero, MD (physician) Asian American Native Hawaiian Pacific Islander Panel: Patient (TBA); Jane Kadohiro, DrPH, APRN, CDE (caregiver), Ray Samoa, MD (physician) Questions & Answers

10:45am – 11:00am Break

11:00am - 12:00pm Panel Discussion: Diabetes Care in High Risk Populations – Health Literacy Moderator: Jeff Johnson, Journalist, National Commentator, Author Panelists: Leonard Jack, Jr., PhD, MSc, Dir , Center for Minority Health, Xavier University of Louisiana Elena Bastida, PhD, Professor, Health Promotion and Disease Prevention, Florida Int’l University Nia Aitaoto, MPH, MS, Principal Investigator/Project Director, University of Iowa Angela Brega, PhD, Centers for Am Indian/Alaska Native Health, Colorado School of Pub Health Questions & Answers

12:00pm – 1:00pm Lunch American Diabetes Association’s Video Premier Guest Speaker Trouble in Paradise: The Impact of Colonization on Pacific Islander Health Sefa Aina, Associate Dean and Director, Asian American Resource Center, Ponoma College

1:00pm – 2:30pm Concurrent Sessions I: Cultural Competency and Health Literacy

Session 1: (will not be repeated) Can We Re-program our Hidden Brain Biases? Augustus A. White, III, MD, PhD, Ellen and Melvin Gordon Distinguished Professor of Medical Education and Professor of Orthopaedic Surgery, Harvard Medical School

Session 2: Latino Institute: Cultural Competency and Health Literacy in the Hispanic/Latino Community Guadalupe Pacheco, MSW, Sr Health Advisor, Office of Minority Health Enrique Caballero, MD, Director, Latino Diabetes Initiative, Joslin Diabetes Center, Harvard Medical School

Session 3: Diversity in Diabetes in Asian Americans And Pacific Islanders – Pathophysiology And Sociology George King, MD, Chief Scientific Officer, Professor of Medicine, Joslin Diabetes Center, Harvard Medical School

Session 4: Cultural Competency in American Indian Health Donald Warne, MD, MPH, Director, Master of Public Health Program, North Dakota State University

Session 5: Cultural Competency and Health Literacy Disparity: Implications for Diabetes Care and Prevention among African-Americans Leonard Jack, Jr., PhD, MSc, Director, Center for Minority Health & Health Disparities Research and Education and Chair, Department of Public Health Sciences, Xavier University of Louisiana

2:30pm – 3:00pm Break

12.

3:00pm – 4:30pm Concurrent Sessions II: Cultural Competency and Health Literacy

Session 1: Prevention: Why Is It So Hard?! (will not be repeated) Stephanie B. C. Bailey, MD, MS, Dean, College of Public Service and Urban Affairs, Tennessee State University/Avon Williams Campus

Sessions 2 - 5: See Concurrent Sessions I

4:30pm Forum Adjourns

5:00pm- 5:30pm Awards Dinner Reception & Poster Review

5:30pm – 7:30pm Community Spirit Awards Dinner Mistress of Ceremony: Cortney Hicks, MAJIC 102.3 Award Recipients: Actor Ben Vereen Actors David & Tamela Mann Ronny Bell, PhD, MS Kenneth Moritsugu, MD, MPH, FACPM Pedro Jose Greer, Jr., MD

Tuesday, October 23, 2012 8:00am - 8:15am Opening/Introductions Moderator: Dr. Garth Graham

8:15am – 8:45am Special Guest Speaker The Affordable Care Act and HHS Action on Health Disparities J. Nadine Gracia, MD, MSCE, Deputy Assistant Secretary for Minority Health (Acting) and the Acting Director of the Office of Minority Health at the U S Department of Health and Human Services (HHS)

8:45am – 9:15am Keynote Speaker Health Inequities in High Risk Populations Kenneth Moritsugu, MD, MPH, FACPM, Rear Admiral, United States Public Health Service (Retired), Vice President, Global Strategic Affairs, LifeScan, a Johnson & Johnson Company and Chairman, Johnson & Johnson Diabetes Institutes

9:15am - 9:45am Promising Practices Presentations Effect of Group Visits vs. Usual Care to Initiate Insulin Charlotte Kuo, MSN, APRN-BC, Nurse Practitioner, San Francisco General Hospital

Sex, Support and the Pursuit of Happiness: Increasing Confidence Among Women with Diabetes Andi Weiss, MPH, Senior Behaviorist, MicroMass Communications, Inc

9:45am – 10:45am Panel Discussion: Diabetes Care in High Risk Populations – Health Equity

Moderator: Brian D. Smedley, PhD, Vice President, Joint Center for Political and Economic Studies Panelists: Aida Giachello, PhD, Professor, Dept of Preventive Med, Northwestern University Ronny Bell, PhD, MS, Professor, Epidemiology & Prevention, Wake Forest School of Medicine Sophie Kwon, Special Asst, Health Policy & Community Engagement, HHS, OMH Acacia Bamberg Salatti Questions & Answers

10:45am – 11:00am Break

11:00am - 12:30pm Concurrent Sessions I: Health Equity Session 1: Building Stronger Communities for Better Health Brian D. Smedley, PhD, Vice President and Director, Health Policy Institute, Joint Center for Political and Economic Studies

Session 2: Health Inequities in the Hispanic/Latino Community Aida L. Giachello, PhD, Professor, Department of Preventive Medicine, Northwestern University Feinberg School of Medicin

Session 3: Health Inequities in the African American Community Acacia Bamberg Salatti, Deputy Director, Center for Faith-Based and Neighborhood Partnerships, US Department of Health and Human Services

Session 4: Health Inequities in the Asian American Native Hawaiian Pacific Islander Community Jeffrey Caballero, MPH, Executive Director, Association of Asian Pacific Community Health Organizations

Session 5: Health Inequities in the American Indian/Alaska Native Community Ronny Bell, PhD, MS, Professor, Epidemiology and Prevention, Wake Forest School of Medicine

12:30pm – 1:30pm Promising Practices Lunch Closing Remarks by Dr. Elena Rios, President and CEO, National Hispanic Medical Association Abstract Winners Honored – Robin NwankwoClosing Remarks/Next Steps – Robert Ratner, MD, and Iris Hunter, PhD, MEd

13.

Chief Executive OfficerLarry Hausner

LarryHausnerisChiefExecutiveOfficer of the American Diabetes Association, the nation’s largest voluntary health organization leading the fight to Stop Diabetes®. Hausner has been with the Association since October2007,bringingmorethan

20yearsofextensivemanagementexperienceinnonprofits,coupled with a strong understanding of mission-driven organizations. He brought this focus on mission to the American Diabetes Association with not only a renewed commitment to funding research, but also a strong focus on advocacy efforts, local programs, education initiatives and prevention programs to both improve the quality of life for those living with diabetes and for those at risk of getting this disease. Currently, Hausner serves as Chairperson-ElectoftheNationalHealthCouncil(NHC),Co-ChairoftheCenters for Public Health Roundtable, and a member of the National Institute of Diabetes and Digestive and Kidney Disease(NIDDK)strategicplanningstrategygroup.In2010,he received the Impact Award from the Invisible Disabilities Association for leading the charge in helping people living with diabetes through local and national education, research and support. Before joining the American Diabetes Association, HausnerservedasChiefOperatingOfficerforTheLeukemia&LymphomaSociety,wherehehadoversightandmanagementof revenue generation, finance and budget, information technology, patient services, public policy, marketing and communications, human resources, and field management. RevenuesforTheLeukemia&LymphomaSocietygrewunderhisleadershipfrom$165milliontomorethan$270million.InhisnonprofitexperiencesbeforeLeukemia,HausnerwasemployedbytheNationalMultipleSclerosisSocietyfor15years, where he rose to the position of Chief of Staff. Hausner earned a Master’s degree in marketing management from the University of Rhode Island. He also holds a Bachelor of Science degree in marketing with a minor in accounting from the same university. In addition, he studied performance management systems and governance as leadership at Harvard University, strategic planning at the Massachusetts Institute of Technology, and non-profit strategic planning at Wharton University.

ModeratorDr. Garth N. Graham, MD, MPH, FACP

Dr. Garth N. Graham, MD, MPH, FACP is the Assistant Dean for Health Policy and Chief of the Health Services Research Section in the Department of Medicine at the University of Florida School of Medicine. At the college of Public Health

and Health Professional he will work as the Medical Director for the Center for Medicaid and the Uninsured. His prior public health work includes serving as the Deputy Assistant Secretary for Minority Health at the Department of Health and Human Services. In that role he coordinated Federal health policy that addressed the needs ofminoritypopulations,namedtothatpositionatage29hewasone of the youngest persons to lead a US Public Health Service Agency. He led the development of the first Federal government plan to eliminate disparities, the development of the first national setofdatastandardsfordisability,race/ethnicityandprimarylanguageandalsoexpandedthenumberofstateOfficesofMinorityHealth present across the country.

He also previously worked on the faculty of Harvard Medical School and as an Attending Physician in the Medical Access Unit at Massachusetts General Hospital and served as a visiting scientist at the Harvard School of Public Health. He has authored articles thathavebeenpublishedintheJournaloftheAmericanMedicalAssociation, Health Affairs and Circulation. He has served on a number of boards including the North America Thrombosis Forum, World Health Organization Scientific Group on Equity Analysis and Research, Board of Directors of Physicians for Human Rights and the Federal Coordinating Council on Comparative Effectiveness Research. He was also recently named the Distinguished Millennium Visiting Scholar at Columbia University in New York.

Dr. Graham earned an M.D. from the Yale School of Medicine, where he graduated cum laude. He was inducted into the Alpha Omega Alpha medical honor society and named a Yale President Public Service Fellow. He also earned an M.P.H. from the Yale School of Epidemiology and Public Health with a focus in health policy administration. He trained at Massachusetts General Hospital andJohnsHopkinsandisaFellowoftheAmericanCollegeofPhysicians.TheBusinessNetworkJournalnamedhimoneoftheFortyLeadersunderForty,ModernHealthcareMagazinenamedhimoneofthe“Top25MinorityExecutivesinHealthcare”andtheAmerican College of Cardiology awarded him the inaugural CREDO award for his work in reducing cardiovascular disparities.

Biographies

14.

Geralyn R.Spollett, MSN, ANP-CS, CDE

Geralyn R. Spollett, MSN, ANP-CS, CDE is President, Health Care & Education of the American Diabetes Association, the nation’s largest voluntary health organization leading the fight to Stop Diabetes®. She is an adult nurse practitioner and Associate Director of Yale Diabetes Center, affiliated with

the Yale School of Medicine Faculty Practice. She also serves ontheAdvisoryBoardofAventisPharmaceuticalsandEliLillyCompany.

Spollett has been an American Diabetes Association volunteer formorethan15yearsandhasservedontheProgramsandProfessional Practice Committees, a previous term on the National Board of Directors, and on her local Community LeadershipBoard.ShehasalsoservedasChairoftheNationalCertification Board for Diabetes Educators. She is serving as Editor for the Educator’s Corner of Practical Diabetology and has served as an Associate Editor of Diabetes Spectrum and The Diabetes Educator. She was an Associate Editor for the American Diabetes Association book, The Complete Nurses Guide to Diabetes Care. She also received the American DiabetesAssociationEducatorAwardin2006.

Spolletthaswonawardsforexcellenceinclinicalpractice,nursingandteaching.Duringher10yearsattheYaleSchoolof Nursing, she taught in the diabetes care concentration, conducted research in type 2 diabetes in black women, and lectured nationally and internationally on diabetes management from a nurse practitioner perspective. She has written more than 40articlesandbookchapterslargelyfocusingonthecareandmanagement of people with diabetes and been a speaker at numerous professional education conferences in Connecticut.

She earned her Bachelor of Science in nursing from Fairfield University in Fairfield, CT, and her Master of Science with distinction in primary care from Boston College in Chestnut Hill, MA.

Robert E. Ratner, MD

Dr. Robert E. Ratner is Chief Scientific & Medical Officer for the American Diabetes Association, the nation’s largest voluntary health organization leading the fight to Stop Diabetes®.

Dr. Ratner joined the Association in May 2012andprovidesleadershipandoversightof scientific and medical activities including

research, clinical affairs, program recognition and certification, medical information and professional education. In this capacity, he will oversee the Association’s support of a broad range of professional education activities and the development of the American Diabetes Association Clinical Practice Recommendations, clinical consensus reports and expertopinions.In2011,theAssociationprovided$34.6millioninresearchfunds,fundingmorethan400grantsat139leadingU.S.research institutions.

Prior to joining the American Diabetes Association, Dr. Ratner was a Professor of Medicine at Georgetown University Medical School and Senior Research Scientist at the MedStar Health Research Institute in metropolitan Washington, DC. He recently completed a sabbatical asaRobertWoodJohnsonFoundationHealthPolicyFellow,havingserved as the study director for the Institute of Medicine Comparative Effectiveness Research Priorities Committee, and a program examinerforhealthreformintheHealthDivisionoftheU.S.OfficeofManagement and Budget.

He received his MD from Baylor College of Medicine in Houston, TexaswherehealsocompletedhisInternalMedicinetraining.Heunderwent fellowship training in Endocrinology and Metabolism at HarvardMedicalSchoolandtheJoslinDiabetesCenterinBoston.HerecentlycompletedsixyearsofserviceontheSteeringCommitteeoftheNationalDiabetesEducationProgram(NDEP),representingthe American Diabetes Association. He has served on the Board of Directors of the National Certification Board for Diabetes Education and the American Association of Diabetes Educators, and is Past-President of the Washington Area Affiliate of the American Diabetes Association. He has served as the Chair of the Government Relations Committee and the Pregnancy Council of the American Diabetes Association.

HeisaPrincipalInvestigatorfortheDiabetesPreventionProgram(DPP)andDPPOutcomesStudyoftheNationalInstitutesofHealth(NIH)and serves on the Steering Committee for the project nationwide. At Georgetown University, he served on the University Research Committee, andco-chairedtheJointOversightCommitteeforClinicalResearch.

HeiscurrentlyanAssociateEditoroftheJournalofClinicalEndocrinology and Metabolism. His research interests include diabetes therapeutics and complications, with an emphasis on translational efforts from controlled trials into community-based practice. He is the authorofmorethan120originalscientificarticlesand20bookchapters.

Biographies

15.

Augustus A. White, III, MD, PhDAugustus A. White, III, MD, PhD, serves as the Director of the Culturally Competent Care Education program, the Ellen and Melvin Gordon Distinguished Professor of Medical Education, and Professor of Orthopedic Surgery at Harvard Medical School. He is a former Professor in the Harvard-MIT Division of Health Sciences and Technology and past Master of the Oliver Wendell Holmes Society. Dr. White has served as an Orthopedic Surgeon-in-Chief, Emeritus, at the Beth Israel Deaconess Medical Center inBostonfrom1978to1991.From1992to1994,Dr.WhiteservedastheChiefofSpineSurgeryatBethIsraelandwasDirectoroftheDanielE.HoganSpineFellowshipProgramfrom1983to2003.From1993-2012,heservedasaDirectorofCapstoneTherapeuticsCorporation.From2001-2010,heserved as a Director of Zimmer Holdings Inc., a leading orthopedic implant manufacturer. Dr. White is a recipient of the Bronze Star, which he earned while stationed as a Captain in the U.S. Army Medical Corps in Vietnam. For the past decade, Dr. White has focused on the national fight for equality in healthcare.Thisisthesubjectofhisnewbook(withDavidChanoff)SeeingPatients:UnconsciousBias in Health Care. He is a graduate of Brown University, where he was the first black president of his traditionally white fraternity, and graduated from Stanford University Medical School, where he

was student body President and that institution’s first African American graduate. Subsequently, he trained at Yale Medical Center becoming the first black surgical resident and, later, Yale’s first African American professor of surgery. He holds a PhD from the Karolinska Institute in Stockholm, and a certificate from the Advanced Management Program of the Harvard Business School.

Kenneth Moritsugu , MD, MPH, FACPM

Dr.KennethMoritsugu,VicePresidentforGlobalStrategicAffairsforJohnson&Johnson’sFamilyof Diabetes Companies, is responsible for developing and coordinating the strategic efforts of the franchiseinaddressingtheincreasingdiabetespandemic.HeisChairmanoftheJohnson&JohnsonDiabetes Institutes, a global initiative to provide training in state-of-the-art science, information, and technology relevant to diabetes prevention, diagnosis, and treatment. In addition to overseeing the Institute,Dr.MoritsuguworkstodevelopotherinnovativeprogramsandstrategiesthatwillhelpJ&Jand the health community better address the delivery of diabetes care around the world. RearAdmiralMoritsuguwastheActingSurgeonGeneraloftheUnitedStatesfromJuly2006untilhis retirement from the Commissioned Corps of the United States Public Health Service in September 2007,after37yearsofactiveduty.AsActingSurgeonGeneral,heservedasthenation’stopdoctor,communicating the best available science and information to the American people; as well as the operationalcommanderofthenearly6,000CommissionedCorpshealthpersonnel.Healsoservedas the Deputy Surgeon General for nine years. Dr. Moritsugu served in many diverse assignments,

including Director of the Division of Medicine of the Health Resources and Services Administration; Director of the National Health ServiceCorps;andMedicalDirectorandAssistantBureauDirectoroftheU.S.DepartmentofJustice’sFederalBureauofPrisons.Dr.MoritsuguhasbeentheFederalrepresentativetoglobalhealthagencies,andhasprovidedexpertisetomanyinternationalorganizations and governments.

Also, an educator, Dr. Moritsugu is an Adjunct Professor of Global Health at the George Washington University School of Public Health and Health Services, and Adjunct Associate Professor of Preventive Medicine at the Uniformed Services University of the HealthSciences.Hehasspokenandwrittenextensivelyacrossawiderangeoftopicsincludingdiabetes,emergencyresponse,mental health, and organ and tissue donation and transplantation. His professional life has been marked by numerous recognitions, fromtheuniformedservices,toacademicinstitutions,tohealthcareorganizations:numerousmedalsanddecorations,12honorarydegrees, several Board memberships, and countless awards.

Dr.MoritsuguwasbornandraisedinHonolulu,Hawaii.HereceivedhisBaccalaureateDegreewithHonorsinClassicalLanguagesfromtheUniversityofHawaiiin1967,anM.D.fromtheGeorgeWashingtonUniversitySchoolofMedicinein1971andanM.P.H.inHealthAdministrationandPlanningfromtheUniversityofCalifornia,Berkeleyin1975.HecompletedresidencesinbothInternalMedicine and in Preventive Medicine, and is a Fellow of the American College of Preventive Medicine, the Royal Society of Medicine, and the Royal Society of Public Health.

Keynote Speakers

16.

Pedro J. Greer, Jr., MD

Dr.PedroJ.Greerhasanunwaveringcommitmentandisanadvocateforthosewithoutaccesstohealthcare. Throughout his career, Dr. Greer has received numerous awards and Honorary Doctoral degrees. Mostrecently,hewasrecognizedasa2009PresidentialMedalofFreedomhonoree,andin1993,hewashonoredasaMacArthurFoundation“GeniusGrant”Fellow.Dr.GreerisboardcertifiedinMedicineandGastroenterologyandhasbeenpracticinginMiami,Floridasince1991.HeestablishedCamillusHealthConcernandSaintJohnBoscoinMiami,Florida,healthcarecentersforpersonswhoarehomeless,undocumented,uninsured,andlowincome.Betterknownas“Joe,”Dr.GreerwroteWakingupinAmerica,anautobiographicalaccountofcaringforpersonswhoarehomeless.InJuly2007,Dr.Greerjoinedthenewlyestablished Florida International University Herbert Wertheim College of Medicine as Assistant Dean for AcademicAffairs.HeledthecreationoftheDepartmentofHumanities,Health,andSociety,andinJanuary

2009becameitsFoundingChair.Dr.Greerandthedepartmentfacultyhavespearheadedauniqueundergraduatemedicaleducationprogram to prepare physicians to assess and address the social determinants that affect health care access and health outcomes. The goalsaretoeducatehighlyskilled,ethical,andculturallycompetentphysiciansattunedtothecomplexhealthandsocialneedsofSouthFlorida’s diverse populations. Dr. Greer currently serves in various capacities for a multitude of national, state, and local organizations. HeisaTrusteeattheRANDCorporation(America’soldestandlargestthinktank)andisthecurrentChairofthePardeeRANDGraduateSchoolBoardofGovernors.Additionally,Dr.GreerservedasChairfortheHispanicHeritageAwardsFoundationfrom2002to2012.Heisa member of Alpha Omega Alpha National Medical Honor Society and a fellow in the American College of Physicians and the American College of Gastroenterology.

Sefa Aina

Sefa Aina is a member of the President’s Advisory Commission on Asian Americans and Pacific Islanders andtheDirectoroftheAsianAmericanResourceCenter(AARC)atPomonaCollege.PriortocomingtoPomona,Mr.AinaworkedattheUCLAAsianAmericanStudiesCenterasacounselor,organizationaladvisorandinstructor.He’salsoafoundingmemberofPacificIslanderEducationandRetention(PIER),whichdoestutoringandmentoringforPacificIslanderyouthintheCarson,LongBeachandInglewoodareasofLosAngeles.He’safoundingmemberoftheNationalPacificIslanderEducatorsNetwork(NPIEN)andEmpoweringPacificIslanderCommunities(EPIC).Mr.AinagraduatedfromUCLAwithaBAinHistoryandiscurrentlystartingtheMastersprograminAsianAmericanStudiesalsoatUCLA.

Special Guest Speakers (in order of appearance)

17.

J. Nadine Gracia, MD, MSCEDr.J.NadineGraciaistheDeputyAssistantSecretaryforMinorityHealth(Acting)andtheActingDirectoroftheOfficeofMinorityHealthattheU.S.DepartmentofHealthandHumanServices(HHS).TheOfficeofMinority Health is dedicated to improving the health of racial and ethnic minority populations through the development of health policies and programs that will help eliminate health disparities.

A pediatrician with epidemiology training, Dr. Gracia has served in academic medicine and government. From2010to2011,shewastheChiefMedicalOfficerfortheHHSOfficeoftheAssistantSecretaryforHealth(OASH).Sheprovidedprogrammaticandpolicyleadershipandcoordinationofaportfoliothatincludedchild and adolescent health, climate change, disaster preparedness, environmental health, global health, Haiti recovery, and the White House Council on Women and Girls. Most recently, she led the development ofHHS’s2012environmentaljusticestrategy,whichaddressesthedisproportionateexposureofminorityand low-income communities and Indian tribes to environmental hazards and promotes healthy community environments.

In2008-2009,Dr.GraciawasoneoffourteenWhiteHouseFellowsandwasassignedtoHHS,wheresheworkedinOASHandtheOfficeoftheSecretary.Duringthelasttwomonthsofthefellowship,shewasapolicyadvisorintheOfficeoftheFirstLady,assistinginthedevelopment of the childhood obesity initiative.

Previously, Dr. Gracia was a clinical instructor and general pediatrics research fellow at the Children’s Hospital of Philadelphia, conducting research on community risk factors for violence. She received a Master of Science in Clinical Epidemiology from the University of Pennsylvania and a medical degree from the University of Pittsburgh School of Medicine. Dr. Gracia completed pediatrics residency and served as Chief Pediatrics Resident at Children’s Hospital of Pittsburgh. She is board-certified in pediatrics and is a fellow of the American Academy of Pediatrics.

Dr. Gracia is an advocate for minority and vulnerable populations and lectures nationwide on health disparities and children’s health. She is a National President Emeritus of the Student National Medical Association and a past Postgraduate Physician Trustee of the National Medical Association. A first-generation Haitian-American, Dr. Gracia earned a Bachelor of Arts with Honors in French at Stanford University.

Elena Victoria Rios, MDElena Victoria Rios, MD, MSPH serves as President & CEO of the National Hispanic Medical Association, (NHMA).ThemissionoftheorganizationistoempowerHispanicphysicianstoimprovethehealthofHispanicpopulations. Dr. Rios also serves as President of NHMA’s National Hispanic Health Foundation affiliated with the Robert F. Wagner Graduate School of Public Service, New York University, to direct educational andresearchactivities.Dr.RiosalsoservesontheNationalHispanicLeadershipAgenda,CampaignAgainstObesity Board of Directors and the American Medical Association Commission to End Health Disparities.

Dr. Rios has lectured and published articles and has received several leadership awards, including awards from the U.S. Department of Health and Human Services, the Congressional Black, Hispanic, Asian and Native AmericanCaucuses,AmericanPublicHealthAssociationLatinoCaucus,AssociationofHispanicHealthExecutives,MinorityHealthMonth,Inc.,HispanicMagazine,Verizon’sFirstPollinCommunityServiceAward,and Amerimed. Dr. Rios was appointed to the Minority Alumni Hall of Fame of Stanford University in October, 2006.Shewasawardedthe2008LatinoMentalHealthAdvocacyandPolicyAwardinNewYork,recognized

asthetop10LatinosinhealthcarebyLatinoLeadersMagazine,BiographiesHealthCareReformImplementationfortheHispanicCommunity31NationalHispanicMedicalAssociationHistoryAndUpdate–March2011governmentforHispanics.

Since the election of President Barack Obama, NHMA assisted the Transition Team on input for the priorities for minority health and Hispanic health, addressing our priorities to the new Administration’s leadership along with the National Hispanic Health Agenda and with theminorityhealthmeeting,alongwithoursisterorganizations.In2009,NHMAworkedwiththeWhiteHouseonthenewfocusonhealthcarepolicy,coordinating50physiciansfromacrossthenationforanNHMAObama-BidenHealthCareCommunityDiscussionsinJanuary,advocated for and participated with the White House Children’s Health Insurance Program Signing Event, provided qualified Hispanic physicianandnursenomineesforHHSleadershippositions.Ayearago,NHMAwasoneoftwoLatinoorganizationsinvitedtospeakatthe White House Health Care Reform Summit with President Obama, senators and congressmen and other leaders of major stakeholder organizations.Also,inMarch2010,NHMAwasaparticipantwiththeWhiteHousehealthreformmeetingwithnationalhealthleadersaswell as with Speaker Pelosi’s meeting with stakeholders to educate more Congressmen on the importance of health reform.

Special Guest Speakers (in order of appearance)

This activity is sponsored by

Medtronic Foundation and LifeScan Inc.

19.

Stephanie B. C. Bailey, MD, MS

StephanieB.C.Bailey,MD,MS,isalifetimechampionofcommunityhealthexcellence.SherecentlyservedforfouryearsastheChiefforPublicHealthPracticeoftheCenterforDiseaseControlandPrevention(CDC)(2006-2010)wheresheoversawprogramsandofficesfocusedonpublichealthlaw,publichealthsystemstandards/accreditation/communityassessment,surveillanceforemergingissuesinpublichealthpractice,publichealthsystem research and CDC’s portfolio management to the states.

SheheldthepositionofDirectorofHealthfortheCityofNashville/DavidsonCounty(1985-2006)whereaspart of her accomplishments, she established a national presence for MPHD; the Bridges to Care, an access to

careprogram,tosubsequentlyincludeaJailcomponent,BridgestoCarePlus(secondaryandtertiarycare)andthePharmaceuticalpartnershipwithKroger’sandWal-Mart;thefirstYouthAdvisoryBoardinthecityin1996;theSTDFreeCoalition;andwastheleadcitydepartmentfortheCity’sManagingforResultsInitiative.In1995,sheconvenedthefirstcommunitystrategicplanforNashvillefocusingonhealthissuesentitledHealthyNashville2000+whichwasrefreshedin2001toHealthyNashville2010+byMayoralexecutiveorder. In 2005, she was appointed to chair Alignment Nashville’s Health Committee which resulted in a roadmap for Nashville to become American’s Healthiest City for Children.

TodaysheisDeanoftheCollegeofPublicServicesandUrbanAffairsatTennesseeStateUniversity.Herpurposeinlifeis:“Toliftpeopleupsothattheycansoar”.Sheisanagentforhealingandby‘permission’isshowingupeachdaytobeused.Dr.BaileyreceivedherB.A.inPsychologyfromClarkUniversity,Worcester,MAin1972andherM.D.fromMeharryMedicalCollege,Nashville,TN,in1976.SheperformedherresidencyinInternalMedicineatGradyMemorial/EmoryUniversity,Atlanta,GA;andlaterobtainedherM.S.H.S.A.fromtheCollegeofSt.Francis,Jolliet,IL,in1993.Dr.Baileyisapublishedauthorandrequestedasaspeakerinternationally,nationally,regionallyandlocallyonmanysubjectspertainingtocommunitypublichealthexcellenceandachievement.

Acacia Bamberg Salatti

Acacia Bamberg Salatti joined the Center for Faith-Based and Neighborhood Partnerships as Deputy Director inSeptember2009.AcaciacomestothispositionfromtheofficeofHouseMajorityWhipJamesE.Clyburn,whereshewasLeadStafferfortheHouseDemocraticFaithWorkingGroup(HDFWG).Inaddition,shehandledthe Congressman’s education, agriculture, and environmental portfolio. Acacia holds a Masters in Divinity and a certificate in Black Church Studies from Candler School of Theology at Emory University. She is also a former Adjunct Professor of Religion at Columbia College, her alma mater.

Ronnie A. Bell, PhD, MS

Ronny A. Bell, PhD, MS, is Professor in the Division of Public Health Sciences, Department of Epidemiology and Prevention, at Wake Forest School of Medicine, with training in nutrition and epidemiology. Dr. Bell’s primary research interests are chronic disease prevalence, risk factors, and prevention, with particular emphasis on ethnic minoritypopulations.Hehasauthoredorco-authoredover160peer-reviewedmanuscriptsand5bookchapters.

Dr. Bell is Co-Director of the Maya Angelou Center for Health Equity at Wake Forest and a charter member and Vice-ChairoftheNorthCarolinaAmericanIndianHealthBoard(NCAIHB).HealsoservesasamemberoftheAmerican Indian Alaska Native Workgroup for the National Diabetes Education Program and the North Carolina Diabetes Advisory Council.

Dr.BellisanenrolledmemberoftheLumbeeIndiantribe.Dr.BellreceivedhisundergraduatedegreeinPublicHealthNutritionfromtheUniversity of North Carolina at Chapel Hill, his doctorate degree in nutrition from the University of North Carolina at Greensboro and his Master’s degree in Epidemiology and post-doctoral training in Gerontology from the Wake Forest School of Medicine.

Workshop Presenters (In Alphabetical Order)

20.


Enrique Caballero, MD

EnriqueCaballero,MD,istheDirectoroftheLatinoDiabetesInitiativeandDirectorofMedicalAffairs,ProfessionalEducation,StaffEndocrinologistandClinicalInvestigatorattheJoslinDiabetesCenter,aswellasan Assistant Professor of Medicine at Harvard Medical School. He is a tutor of the culturally competent care curriculum at Harvard Medical School.

Dr.CaballerograduatedfromtheNationalUniversityofMexicoMedicalSchoolwherehewasawardedwiththe“GabinoBarreda”medalforthehighestlevelofacademicachievementinhisclass.Hethencompleted

hisresidencyinInternalmedicineandfellowshipinEndocrinologyattheNationalInstituteofNutritioninMexico,andwentontocompleteamaster’sdegreeinClinicalEpidemiologyinMexico.Inaddition,hecompletedafellowshipprograminEndocrinologyandMetabolismattheLaheyClinic/DeaconessHospital/JoslinDiabetesCenterinBostonandtheProgramonClinicalEffectivenessat the Harvard School of Public Health.

Dr.CaballerodevelopedtheJoslinLatinoDiabetesInitiativeatJoslinthatwaslaunchedinthesummerof2002.Thisisacomprehensive effort that integrates culturally oriented activities in the areas of research, patient care and education, community outreach and professional education. This initiative has received local, regional, national and international recognition. He is also the2009recipientofthe“AlbertoHoussay”awardbytheNationalMinorityQualityForumandthe2011recipientoftheAmericanAssociationofClinicalEndocrinologists(AACE)awardforhisworkonhealthcaredisparitiesandwithunderservedpopulations.

Jeffrey Caballero, MPH

JeffreyCaballero,MPH,isAAPCHO’sExecutiveDirectorandhasbeenwiththeorganizationsince1993.In this capacity, Mr. Caballero advocates for programs and policies that increase access to high-quality, comprehensive community health care services that are culturally and linguistically appropriate. He has overall authority for all AAPCHO programs, finances, and operations and serves as chief spokesperson for the organization.

Mr. Caballero participates on numerous national committees that address issues affecting Asian Americans, NativeHawaiians,andotherPacificIslanders,suchastuberculosis,hepatitisB,diabetes,andcancer.Hisworkexperienceencompasses a variety of fields, from grassroots organizing, health education, to bone marrow transplant and primary health care. He has played leading roles in the development of several national plans to reduce health disparities, including Eliminating Hepatitis B in Asian Pacific Islander Communities, Utilization of Health Information Technology to Eliminate Health Disparities, and Development of Patient Centered Medical Homes.

Recently,Mr.Caballerowasafeaturedspeakeronthetopicofhealthcarereformatthe2009CaliforniaHepatitisAlliancemeetingandalsospokeattheUSDepartmentofHealthandHumanServicesOfficeofMinorityHealth’s2009WorldHepatitisDayinWashington, DC. In addition to his work for AAPCHO, Mr. Caballero now serves as Vice-Chair of the National Viral Hepatitis Roundtable, Board-Elect of the American Diabetes Association and is a member of the National Diabetes Education Program’s executivecommittee.Hereceivedhisbachelor’sdegreeinBiochemistry/CellBiologyfromtheUniversityofCalifornia,SanDiego,andhisMastersinPublicHealthfromtheUniversityofCalifornia,LosAngeles.

21.

Aida Giachello, PhD

Aida Giachello, PhD, is an educator and a writer and uses research to address social justice issues in the areas ofhealthandhumanservices.ShewasborninSanJuan,PuertoRico.Shehasabachelors’degreeinsocialsciences from the University of Puerto Rico; a masters’ degree in social services administration from the University of Chicago, specializing in community organizing, planning and social policy; and a Ph.D. in medical sociology,alsofromtheUniversityofChicago,specializinginHispanic/Latino/minorityhealth.

In1993,sheestablishedtheMidwestLatinoHealthResearch,TrainingandPolicyCenterattheUniversityofIllinois-Chicago(UIC),wheresheconductedhealthdisparitiesresearchondiabetes,asthma,cancer,injury

prevention,occupationalhealth,maternalandchildhealthwithacross-culturalfocus;trainedLatino/minorityundergraduate,pre-and post-doctorate, junior faculty and junior investigators in research methodologies; and engaged in policy work emerging from the research findings. There she also developed community curricula and toolkits to train professionals and community health workers (healthpromoters)acrosstheUnitedStates,PuertoRico,CentralandSouthAmerica,MexicoandalongtheU.S.-Mexicoborders.BeforeretiringfromtheUICinDecember,2010,sheprovidedleadershiptomultipleresearchprojectsincludingservingasthePrincipalInvestigator(PI)oftheCentersforDiseaseControl(CDC)andPreventionnationalCenterofExcellencefortheEliminationofDisparities(CEED).CEEDbuiltamulti-sectorialpartnershipwithcommunityandprofessionalorganizationsintheareasofhousing,publichealth,education,economicdevelopment,environmentalhealth,andothersectors,toengagethegroupin“systemthinking”abouthowworkingtogetherthecoalitioncandevelopeffectivestrategiestoaddressthesocialdeterminantsofhealth.

In2011,Dr.GiachelloacceptedapositionattheDepartmentofPreventiveMedicinewheresheservesasCo-PI,oftheChicagoFieldCenteroftheHispanicCommunityHealthStudy(HCHS)/StudyofLatinos(SOL)—thelargestcardiovascularepidemiologicalstudyeverofdiverseHispanic/LatinopopulationsintheUSunderthesponsorshipoftheNationalInstitutesofHealth(NIH)-NationalHeart,LungandBloodInstitute(NHLBI)andotherNIHcentersandinstitutes.

In addition to Dr. Giachello’ s research background, she has been trained as a community organizer and perceives herself as an agent of social change advocating on behalf of racial and ethnic minorities, women as a group, the poor and the elderly. She provides consultation on health disparities and on community based participatory action research methodologies to many local, state, regional, national organizations and academic institutions, and she has served on many boards and committees, including working groups at the Institute of Medicine, National Academy of Sciences, Washington DC.

Leonard Jack, Jr., PhD, MSc

LeonardJack,Jr.,PhD,MSc,currentlyservesasDirector,CenterforHealthMinorityHealth&HealthDisparitiesResearchand Education; Endowed Chair of Minority Health; and Professor in the Division of Clinical and Administrative Services intheCollegeofPharmacyatXavierUniversityofLouisiana.HewasrecentlyappointedChairoftheUniversity’snewlyestablishedDepartmentofPublicHealthSciences.PriortohisemploymentatXavierUniversityofLouisiana,Dr.JackheldtheJimFinksEndowedChairofHealthPromotionandwasProfessorofBehavioralandCommunityHealthSciencesattheLouisianaStateUniversityHealthSciencesCenter’sSchoolofPublicHealth.

Dr.JackalsoservedasAssociateDean(theDean)oftheSchoolofHealthSciencesandInterimChair,DepartmentofBehavioralandEnvironmentalSciencesatJacksonStateUniversity.Heworkedfor14yearsattheCentersforDiseaseControlandPreventioninAtlanta,GeorgiawhereheservedasTeamLeaderofAppliedBehavioralResearch,Epidemiology,andEvaluation;andChiefofCommunityIntervention in the Division of Diabetes Translation. His areas of research and public health practice include: psychosocial aspects of disease management, health disparities, men’s health, family, and community-based research.

Dr.Jackhasseveralyearsofteachingexperienceandhasheldnumerousresearch/professionalpositions.Hehasdeliveredover95professionalpresentationsandpublishedover80peerreviewedpublicationsand/orbookchapters.HeservesonseveraleditorialboardsofpeerreviewedjournalsandisEditor-in-ChiefoftheHealthPromotionPracticeJournal.Dr.JackisEditorandcontributingauthorofhisrecentlypublishedbook,“DiabetesinBlackAmerica:PublicHealthandClinicalSolutionstoaNationalCrisis”.HealsoservedasEditoroftheNationalCommissionfor Health Education Credentialing seven chapter study guide, The Health Education Specialists: A Companion Guide for Professional Excellence,6thEdition.Dr.JackistherecipientoftheSocietyforPublicHealthEducation’s2011DistinguishFellowAward,thesociety’shighestaward given in recognition of an individual’s national contributions to the profession of public health and public health education.


22.

George L. King, MD

GeorgeL.King,MD,istheSeniorVicePresident,ChiefScientificOfficer,andHeadoftheSectiononVascularCellBiologyatJoslinDiabetesCenter,aswellasaProfessorofMedicineatHarvardMedicalSchool.Hereceivedhismedical degree from Duke University School of Medicine. After his residency at the University of Washington Affiliated Hospitals in Seattle, he completed training as both a Research and a Clinical Associate at the National InstitutesofHealth.HecametoJoslinandHarvardMedicalSchoolin1981.

Dr.King’sworkfocusesonfindingthecausesofdiabeticcomplications,exploringinsulinactionsonbloodvessels,discovering factors and new treatments for diabetic complications, and understanding the reasons for the high rate

ofdiabetesinAsianAmericans.Dr.KinghasreceivednumerousawardsincludingtheDonaldSilverExcellenceinResearchAwardfromtheJuvenileDiabetesFoundation,theCoganAwardfromtheAssociationforResearchinVisionandOphthalmology,theStadieMemorialAwardandLectureshipfromthePhiladelphiaAffiliateoftheAmericanDiabetesAssociation,theAlconAwardforVisionResearch,theAnnualAwardforExcellenceinResearchfromtheJapanSocietyofDiabeticComplicationsandtheHaroldAmosDiversityAwardfromHarvard Medical School.

In addition, Dr. King has been active in ADA for over 30 years. His memberships include Scientific Review Committees, Editorial Boards and AssociateEditorofDiabetes,NewEnglandADAChapter,AsianPacificAmericanDiabetesActionCouncil(APADAC)AdvocacyCommittee,Chairof Council on Complications Section, Program Committee of the annual meeting and chairing many ADA meetings and symposiums annually.

Dr. King was bestowed Honorary Professor and Director of the Institute of Endocrinology and Diabetology at Fu Dan University, Shanghai, China;HonoraryProfessorshipofGuangxiMedicalUniversity,Nanning,Chinain2007;andanHonoraryProfessorshipatSouthernMedicalUniversity,Guangzhou,Guangdongprovince,Chinain2007.In2005,Dr.Kingreceivedthe32ndAnnualPersonoftheYearAwardfromtheChineseHospitalofSanFranciscoBoardofTrusteesandMedicalStaff.In2007,Dr.Kingwasappointeda3-yeartermtotheMassachusettsSenateasaMemberofthePermanentCommissionontheStatusofCitizensofAsianDecent.In2011,Dr.Kingwasappointedastheco-chair for the Asian American, Native Hawaiian and Pacific Islanders Diabetes Coalition which was co-sponsored by ADA.

Guadelupe Pacheco, MSW

Guadelupe Pacheco, MSW, serves as a Senior Health Advisor to the Deputy Assistant Secretary for Minority Health, U.S. Department of Health and Human Services. Mr. Pacheco has occupied mid-level and senior level management positions in non-profit, State, and Federal government agencies.

In his current capacity as Senior Health Advisor to the Director for Minority Health, Mr. Pacheco assists in developing policies and initiatives to mitigate health disparities that affect racial and ethnic minority communities. He serves a project officer for agency contracts, grants, and other procurement instruments. Moreover, he concurrently staff’stheOMH’sCenterforLinguisticandCulturalCompetenceinHealthCareandtheCenterforEmergency

Preparedness in Underserved Communities portfolios. Under the cultural competency portfolio, Mr. Pacheco served as the project officer forthedevelopmentoftheNationalStandardsforCulturallyandLinguisticallyAppropriateServices(CLAS)inHealthCare.Hecurrentlymanages the www.thinkculturalhealth.gov website portal for cultural competency e-learning programs for physicians, nurses, and disaster preparedness and crisis response personnel. Additionally, Mr. Pacheco serves on departmental committees that focus on health literacy, vaccineandflucampaigns,limitedEnglishProficiency;community-healthworkers(promotoresdesalud),workforcedevelopment,healthinformation technologies, disaster preparedness, and border health policy issues. Moreover, Mr. Pacheco facilitates partnerships with national Hispanic organizations and coordinates department-wide program activities that enhance service delivery of Hispanic Americans.

Mr.PachecoisamemberoftheNationalLatinoDiabetesActionCouncil;anExpertAdvisortotheCertificationCommissionforHealthcareInterpreters;andpreviouslyservedasaTechnicalAdvisorymembertoTheJointCommissiononAccreditationofHealthcareOrganizations’Hospitals,Language,andCultureStudy;anExpertAdvisortoTheJointCommissionforthedevelopmentofculturallycompetentpatient-centeredhospitalstandards;andanExpertPanelist’sofCLAS/HealthDisparitiesoftheNationalCommitteeforQualityAssurance.

Mr. Pacheco received his B.A. and M.S.W. from California State University of Fresno and has completed course towards an MPA from University of Southern California.


23.

Brian D. Smedley, PhDBrianD.SmedleyisVicePresidentandDirectoroftheHealthPolicyInstituteoftheJointCenterforPoliticalandEconomic Studies in Washington, DC. In this position, Dr. Smedley oversees all of the operations of the Institute, which was started in 2002 with funding from the W.K. Kellogg Foundation. The Institute has a dual focus: to exploredisparitiesinhealthandtogeneratepolicyrecommendationsonlongstandinghealthequityconcerns.

Formerly, Smedley was Research Director and co-founder of a communications, research and policy organization,TheOpportunityAgenda(www.opportunityagenda.org),whereheledtheorganization’seffortto

centerequityinstateandnationalhealthreformdiscussionsandtobuildthenationalwilltoexpandopportunityforall.Tothatend,Smedleyisaco-editor,alongwithAlanJenkins,ofabook,AllThingsBeingEqual:InstigatingOpportunityinanInequitableTime.Prior to helping launch The Opportunity Agenda, Smedley was a Senior Program Officer in the Division of Health Sciences Policy of theInstituteofMedicine(IOM),whereheservedasStudyDirectorfortheIOMreports,IntheNation’sCompellingInterest:EnsuringDiversity in the Health Care Workforce and Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care, among other reports on diversity in the health professions and minority health research policy.

Smedley came to the IOM from the American Psychological Association, where he worked on a wide range of social, health, and education policy topics in his capacity as Director for Public Interest Policy. Prior to working at the APA, Smedley served asaCongressionalScienceFellowintheofficeofRep.RobertC.Scott(D-VA),sponsoredbytheAmericanAssociationfortheAdvancementofScience.Amonghisawardsanddistinctions,in2004SmedleywashonoredbytheRainbow/PUSHcoalitionasa“HealthTrailblazer”awardwinner;in2002hewasawardedtheCongressionalBlackCaucus“HealthcareHero”award;andinAugust,2002, was awarded the Early Career Award for Distinguished Contributions to Psychology in the Public Interest by the APA. Smedley holdsanundergraduatedegreefromHarvardUniversityandaPh.D.inpsychologyfromUCLA.

Donald Warne, MD DonaldWarne,MD,MPH,comesfromalonglineoftraditionalLakotahealers.HehasdefinitelyliveduptohisIndian name, Pejuta Wicasa, which means Medicine Man. In addition to a solid background in Traditional Healing, Dr. Warne holds an MD from Stanford University and a Master of Public Health from Harvard University. He is also a Diplomat of both the American Board of Family Practice and the American Board of Medical Acupuncture.

A true entrepreneur with a strong intellectual curiosity, Dr. Warne devotes most of his free time to a diverse range of professional interests. He is particularly interested in finding ways to integrate traditional Indian medicine with modernscientificmedicineandalternativemedicine.Since1998,Dr.Warnehasworkedasafamilyphysicianin

theAmericanIndiancommunity.AsaStaffClinicianwiththeNationalInstitutesofHealthinPhoenixfrom2000to2003,heconducteddiabetes research and developed diabetes education and prevention programs for Native American tribes.

Dr. Warne is currently the Director of the Master of Public Health Program at North Dakota State University. He is also the Senior Policy AdvisortotheGreatPlainsTribalChairmen’sHealthBoard.HehasservedaonthefacultyofArizonaStateUniversityCollegeofLaw,wherehetaughtAmericanIndianHealthLawandPolicy.

Recognized internationally as one of the most popular speakers on Native American health issues, Dr. Warne strongly believes that the health of the community determines the health of the individual. With that belief in mind, he started AIHMP to provide a comprehensive approach to improving healthcare in Indian Country.

Augustus A. White, III, MD, PhD(ViewBioonpage15)


NOTES

25.

Moderator Carla Boutin-Foster, MD

Dr. Carla Boutin-Foster is an Associate Professor of Medicine who graduated from Downstate Medical College and completed her residency training in Internal Medicine at the New York Presbyterian Hospital. After completing residency, Dr. Boutin-Foster earned a Masters Degree in Clinical Epidemiology and Health Services research at the Weill Graduate School of Medical Sciences of Cornell University. She is currently on the faculty in the Division of General Internal Medicine.

Her research activities focus on identifying the psychological and social determinants of health outcomes in patients with cardiovascular disease and on the social epidemiology ofhealthdisparitiesincardiovasculardisease.SheistheNanetteLaitmanClinicalScholar

in Public Health and Community Health. She was the recipient of the Harold Amos Medical Faculty Development AwardfromtheRobertWoodJohnsonFoundationtostudytheroleofsocialsupportinoutcomesofpatientswithcoronaryarterydisease.Currently,shehasaKO1fromtheNHLBItoevaluatetheimpactofdepressivesymptoms,socialsupport,andstressonhealthbehaviormodificationinLatinopatientswithcoronaryarterydisease.Sheisalsoco-investigatoronanNHLBIprogramprojecttotesttheimpactofaculturally-tailorededucationalprogramon medication adherence in African-Americans with hypertension. She has published several papers describing her work in peer-reviewed journals. Her teaching activities include teaching cultural competence to the first year medicalstudentsaspartofMedicine,PatientsandSociety(MPSI)andteachingfellowsintheClinicalEpidemiologyFellowship at the Graduate School. Her clinical work focuses on being the faculty advisor to the Weill Cornell Community Clinic, a student run clinic that provides care to the uninsured. In this capacity, Dr. Boutin-Foster supervises students as they care for patients, she partners with community agencies that can help support the clinical activities of the WCCC, and she assists the students in the administrative aspects of the Clinic.

In addition to research, teaching and clinic duties, she is the Associate Director of the Center for Multicultural and Minority Health and plays an active role in recruiting diverse residents. The goal of the Center is to collaborate efforts in medical education, minority faculty development, community outreach, and research that will enhance the quality of health care of the underserved. Dr. Boutin-Foster is active in many committees at Weill Medical College including the Medical School Admissions Committee, the Residency Selection Committee in the Department of Internal Medicine, the Admissions Task Force, the Community Service Committee, and the Diversity Committee. Dr. Boutin-Foster has also been involved in numerous community-based participatory research initiatives and has collaborated with several community organizations and agencies in developing initiatives that focus on health disparities and improving health care outcomes for the underserved. Dr. Carla Boutin-Foster is an Associate Professor of Medicine who graduated from Downstate Medical College and completed her residency training in Internal Medicine at the New York Presbyterian Hospital. After completing residency, Dr. Boutin-Foster earned a Masters Degree in Clinical Epidemiology and Health Services research at the Weill Graduate School of Medical Sciences of Cornell University. She is currently on the faculty in the Division of General Internal Medicine.

Panelists (see panelists bios beginning on page 25) • DavidMannandTamelaMann,Award-WinningActingDuoofhitseries“MeettheBrowns”andAmerican Diabetes Association Spokespersons • Anthony Cannon, MD, FACE, Private Practice • LoisWessel,RN,FNP,AssociateDirectorandProjectManager,AssociationofCliniciansfortheUnderserved • EnriqueCaballero,MD,DirectoroftheJoslinLatinoDiabetesInitiative,HarvardMedicalSchool(Seebioonpg20) • JaneKadohiro,DrPH,APRN,CDE,FAADE,Coordinator,ADARecognitionandDiabetesNurseEducator • Ray Samoa, MD, Assistant Professor, City of Hope Medical Center

PANEL MODERATORS and PANELISTSPanel 1: Diabetes Care in High Risk Populations – Cultural Competency

26.

Jeff Johnson

JeffJohnsonisanaward-winningjournalist,socialactivistandpoliticalcommentator,andauthor. From his celebrated conversations with marquee world figures in the political, businessandentertainmentarenastohisgrass-rootstrenchworktoinspirethenextgenerationofleaders;investigativejournalist,politicalcorrespondent,andactivist,JeffJohnsoncontinuestobeatrailblazingsocialentrepreneurandauthenticvoiceforchange.

Currently,JeffisaMSNBCcontributorandtheexecutiveeditorofPolitic365.com.HeisalsotheweeklycommentatoronthenationallysyndicatedTomJoynerMorningShowtacklingissuesonpolitics,entertainmentandsocialpolicyissues.JohnsonisalsocurrentlytheChairmanandCEOoftheJeffJohnsonInstituteforUrbanDevelopment,asolutionsbased

institution currently leading a 5 year project to recruit and develop 80,000 black male teachers.

FormallyJeffspentsevenyearsprovidingcommentaryandnewscontentforBlackEntertainmentTelevision,earningareputationasthe“consciencevoice”ofthenetworksforhispositiveforceamongyouthandyoungadults.

Johnsonhasspentthelastdecademergingtheworldsofpoliticsandpopularculture,includinghisworkasSeniorAdvisor for Media and Youth Outreach for People for the American Way, National Director of the Youth & College division of the NAACP, and an appointment by Russell Simmons as the Vice President of the Hip Hop Summit Action Network(HSAN).

TheonlyAmericanreportertoreceiveanexclusivepost-inaugurationinterviewwithEllenJohnson-Sirleaf,Africa’sfirstelectedfemaleheadofstateandLiberia’sfirstelectedfemalepresident,JohnsonisalsooneofonlytwonewscorrespondentstoreceiveanexclusiveinterviewwithSudanesepresidentOmarAl-Bashir,whohasnotgrantedinterviews with American media outlets for thirteen years.

Johnsonwona2008NABJSalutetoExcellenceAwardforBET’s“Life&DeathinDarfur,JeffJohnsonReports”series. A source of information quoted in, Newsweek, Upscale, Ebony and The Boston Globe. He regularly contributes commentary and analysis about issues related to race, politics, popular culture and socio-economics for multiple news broadcasts and publications.

JohnsonservesontheboardsoftheNationalUrbanFellows,HBCUHallofFameFoundation,andthehistoricLincolnTheatre in Columbus, OH. He consistently challenges communities to weigh innovative solutions to resolve historic and systemic social imbalances and inequalities. He resides in Baltimore, MD and is the proud father of Madison, Myles, and Malcolm.

TolearnmoreaboutJeffJohnson,pleasevisitwww.jeffsnation.com

Panelists (see panelists full bios beginning on page 25) • LeonardJack,Jr.,PhD,MSc,CHES,Director,CenterforMinorityHealth&HealthDisparitiesResearchand Education,XavierUniversity(seebioonpage21) • Elena Bastida, PhD, Professor and Chair, Department of Health Promotion and Disease Prevention, Robert Stempel College of Public Health & Social Work, Florida International University • Nia Aitaoto, MPH, MS, PhD candidate and Fellow, University of Iowa College of Public Health • Angela Brega, PhD, Associate Professor, Centers for American Indian and Alaska Native Health, Colorado School of Public Health

Panel 2:DiabetesCareinHighRiskPopulations–HealthLiteracy

27.

Brian D. Smedley, PhD (ViewBioonpage23)

BrianD.SmedleyisVicePresidentandDirectoroftheHealthPolicyInstituteoftheJointCenter for Political and Economic Studies in Washington, DC. In this position, Dr. Smedley oversees all of the operations of the Institute, which was started in 2002 with funding from theW.K.KelloggFoundation.TheInstitutehasadualfocus:toexploredisparitiesinhealthand to generate policy recommendations on longstanding health equity concerns.

Formerly, Smedley was Research Director and co-founder of a communications, research andpolicyorganization,TheOpportunityAgenda(www.opportunityagenda.org),whereheled the organization’s effort to center equity in state and national health reform discussions andtobuildthenationalwilltoexpandopportunityforall.Tothatend,Smedleyisaco-editor,

alongwithAlanJenkins,ofabook,AllThingsBeingEqual:InstigatingOpportunityinanInequitableTime.Priortohelping launch The Opportunity Agenda, Smedley was a Senior Program Officer in the Division of Health Sciences PolicyoftheInstituteofMedicine(IOM),whereheservedasStudyDirectorfortheIOMreports,IntheNation’sCompelling Interest: Ensuring Diversity in the Health Care Workforce and Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care, among other reports on diversity in the health professions and minority health research policy.

Smedley came to the IOM from the American Psychological Association, where he worked on a wide range of social, health, and education policy topics in his capacity as Director for Public Interest Policy. Prior to working at the APA, SmedleyservedasaCongressionalScienceFellowintheofficeofRep.RobertC.Scott(D-VA),sponsoredbytheAmericanAssociationfortheAdvancementofScience.Amonghisawardsanddistinctions,in2004SmedleywashonoredbytheRainbow/PUSHcoalitionasa“HealthTrailblazer”awardwinner;in2002hewasawardedtheCongressionalBlackCaucus“HealthcareHero”award;andinAugust,2002,wasawardedtheEarlyCareerAwardfor Distinguished Contributions to Psychology in the Public Interest by the APA. Smedley holds an undergraduate degreefromHarvardUniversityandaPh.D.inpsychologyfromUCLA.

Panelists (see panelists full bios beginning on page 25) •Aida Giachello, Professor, Department of Preventive Medicine, Northwestern Univ. Feinberg School of Medicine(seebioonpage21) • Ronny Bell, PhD, MS, Professor, Epidemiology and Prevention, Wake Forest School of Medicine (seebioonpage19) • SophieKwon,SpecialAssistantonHealthPolicyandCommunityEngagement,HHS,OMH(seebioonpage31) • AcaciaBambergSalatti(seebioonpage19)

Panel 3: Diabetes Care in High Risk Populations – Health Equity

28.

David Mann

Ingeniouslyfunnyandextraordinarilytalentedareunderstatementswhenitcomestothemultifacetedactorand2011NAACPAwardwinnerforOutstandingActorInAComedySeries(MeetTheBrowns,“Mr.Brown”),DavidMann.Anativeofthe“Biblebelt”stateofTexas,Davidmasterfully showcases his God given talents in today’s most dynamic and distinguished genre. Accentuating his already natural gift of making people laugh as a youth, David set his sights on acting.Asafree-spiritedadolescent,theself-possessed15year-olddiscoveredawaytoemployhisunsuspecting antics by involving himself in various high school activities including contemporary drama where he permeated the stage world by becoming a budding thespian. Finding his natural element, David was commonly cast as the production’s funnyman where his infectious comedic flair was visibly realized and fittingly unleashed. From high school to local community theater, David’s accomplished performances quickly gained notable recognition advancing his diversified

image into public notice.

In short order, David joined forces with one of America’s funniest actors and critically acclaimed playwright, Tyler Perry. The illustrious actor had written, directed, and produced numerous plays including the stage play hit I Can Do Bad All By Myself whereDavidremarkablyimmortalizedtheintrusivelynosey,wisecracking,ashy-kneed,andoutrageouslyfunnyneighbor,“Mr.Brown.”Aswasapropos,David’sbravoperformanceledthewayfor“Mr.Brown”tobecomeaprincipalcharacterinmanyof Perry’s other hilarious stage and film comedies, including the play and motion picture, Tyler Perry’s Meet The Browns, inwhichDavidreprisedtheroleof“Mr.Brown”formassaudiences.DavidMann’smusicalandtheatricaltalentsbrilliantlyepitomize ingenuity at its best. When David is not shooting Tyler Perry’s Meet The Browns, he brings his live comedy show to venues around the country playing to sold-out crowds and is a spokesperson for the American Diabetes Association. Along withhiswife,Tamela,Davidistheco-hostoftheexcitingnewTVshow,HangingWithTheManns,whichfollowsthedynamiccouple as they cook-up delicious recipes in the kitchen and go on hilariously funny and wild adventures together. When David is not on tour, he enjoys the restful company of his wife and their fun-loving children and grand children.

Tamela Mann

An acclaimed actress, NAACP Image Award nominee and Dove Award-winning vocalist as well as wife and mother, Mann’s talent has helped anchor one of the industry’s most successful film, TV and theatrical franchises, while her amazing vocal gift is at the top of her impressive resume. Tamela seems to effortlessly juggle a variety of notable projects while still finding time to aid such worthyorganizationsastheAmericanDiabetesAssn.2012lookstobeamemorableyearforMannasshewasseenwithJordanSparksandWhitneyHoustoninthefilm“Sparkle”.Shejustreleasedhernewalbum,“BestDays”thatincludesthehitsingle“TakeMeToTheKing”.

FaithhasalwaysbeenthefoundationofTamela’slife.“ItwasallaboutfaithandallaboutGodinmymom’shouse,”SherecallsofgrowingupinFortWorth,Texasastheyoungestof14kids.“Wecouldn’tlistentolikeR&Borblues.Mymomwouldsay,‘Youcan’tlistentothosebluesinmy

house.’ She was really strict, but we listened to a lot of gospel music---The Clark Sisters, Andrae’ Crouch, Walter Hawkins, The WilliamsBrothersandInezAndrews.”Tamelaknewatanearlyagethatshewascalledtomusicministry.Asshegrewinherministry,GodcontinuedtoopendoorsforTamelatoserveHiminthearts.Shelandedaroleintheplay“HeSay...SheSay...ButWhatDoesGodSay?”Herstageskillswerenoticedbyactor/writer/producerTylerPerrywhochosehertoappearinhisplay,“ICanDoBadAllByMyself.”FromthereheractingcareerescalatedasshedevelopedtheroleofCoraSimmonsinPerry’splaysandsuchfilmsas“DiaryofaMadBlackWoman,”“MadeaGoestoJail”and2011’s“Madea’sBigHappyFamily.”TheMadeafilmshavebecomeoneofHollywood’smostsuccessfulfilmfranchisesandtheMann’sportrayalof‘CoraSimmons’has become a cornerstone of the series.

Tamelahasalsotaken‘Cora’intoAmerica’slivingroomsviathetelevisionscreen,co-starringwithherhusbandDavidinthe#1TBSseries,“MeettheBrowns.”Yetevenasshe’sbecomeincreasinglysuccessfulasanactress,Tamela’spassionformusichasneverdiminished.She’srecordedfourhighlyacclaimedalbums,including“TheMasterPlan,”whichwonthe2011DoveAward for Traditional Gospel Album of the Year and was nominated for an NAACP Image award.

Panelists

29.

Anthony Cannon, MD

AnthonyJ.Cannon,MD,FACE,isaclinicalendocrinologistinprivatepracticeinHamilton,NewJersey.DrCannonreceivedhismedicaldegreefromCornellUniversityMedicalCollegein New York, New York. He completed an internship in internal medicine at Hartford Hospital in Connecticut, a residency in internal medicine at Baystate Medical Center in Springfield, Massachusetts, and a fellowship in endocrinology at Temple University Hospital in Philadelphia, Pennsylvania. He is board certified in internal medicine and endocrinology. Dr Cannon is a fellow oftheAmericanCollegeofEndocrinology.HeisPresidentoftheThyroidClubofSouthJerseyandformerPresidentoftheSouthJerseyMedicalAssociation.Inaddition,heisPresidentoftheAmericanDiabetesAssociation(ADA)PhiladelphiaandSouthJerseyCommunityLeadershipBoard and a member of the ADA African American Initiative Subcommittee. He is also a member of the National Medical Association and the American Association of Clinical Endocrinologists.

Jane Kadohiro, DrPH, APRN, CDE, FAADE

JaneKadohiro,DrPH,APRN,CDE,FAADE,since1991,primaryareasofteachinghaveincludedpopulation health, community health nursing, rural health teams, health care management, oral communications and therapeutic interviewing. She has served on and currently chair the curriculum and evaluation committee of the undergraduate nursing program. Her University committees have included the Honors Council and the Writing-focus Board. Having lived with type1diabetes,diabeteseducation,diabetescare,andpopulationbasedapproachestodiabetesprevention and control have remained her areas of scholarly work and focused research, with a particular interest in children, teens, and the transition into young adulthood. I frequently involve students in a number of diabetes activities in the community.

HavingbeenafoundingmemberofanumberofdiabetesorganizationsinHawaii,Dr.Kadohirohasworkedextensivelywith many organizations at the national and international level. These include American Diabetes Association, the Diabetes ControlProgramoftheStateDepartmentofHealth,theCDC,theNIH/NationalHighBloodPressureEducationProgram,theAsianandPacificCommunityHealthOrganization,theInternationalDiabetesFederation,etc.From1997to2005,Iservedonthe board of directors of the American Association of Diabetes Educators and as the national president from 2002-2003.

A former public health nurse, she has served in a number of capacities at the Hawaii State Department of Health, including HomeHealthAdministrator,ChiefofChronicDiseaseBranch,andherappointmentbyGovernorLindaLingleasDeputyDirectorofHealthfromDecember2002untilAugust2004.Inadditiontodiabetescareandeducation,herareasofprofessional nursing practice include systems development and strategic planning, advocacy, and public policy.

Lois Wessel, RN, FNP

LoisWessel,RN,FNP,isaCertifiedFamilyNursePractitionerandtheAssociateDirectorforProgramsattheAssociationofCliniciansfortheUnderserved(ACU).ShepracticesclinicallyatMobileMedicalCare,Inc.andCelebremosLaVidaatGeorgetownUniversity.Loisisbilingual,English-Spanish, and has worked as a medical and legal interpreter in the United States and in LatinAmerica.Shehasworkedtraininghealthcareprovidersinissuesrelatedtotheunderserved,including use of medical interpreters. Presently, she is a clinical instructor at the School of Nursing andHealthStudiesatGeorgetownUniversity.LoisisarecipientofanAmericanAcademyofNursePractitioners Foundation grant to improve access to low literacy health education materials for immigrant patients.

Panelists

30.

Elena Bastida, PhD

ElenaBastida,PhD,holdsadoctoratedegreefromtheUniversityofKansas,Lawrence.Amedicalsociologist, she was further trained in population health and health intervention research through pre-doctoral and post-doctoral fellowships from the National Institutes of Health. A focus on health disparities has been a constant research interest throughout her 30-year career. From this broad perspective, she has conducted research on aging, population health, religion and more recently behavioral interventions. She currently serves as Co-principal Investigator in a large SouthwesternstudyonreligionandhealthamongolderMexicanAmericans,supportedbytheNational Institute on Aging. She is also the Principal Investigator of a NCMHD funded behavioral interventionthataddressesoverweight/obesityanddiabetesamongadultsMexicanAmericansresidingalongtheTexasMexicoborder.

Dr. Bastida’s current publications have focused on findings from her religion and health study, co-authored with Dr. Neal Krause from the University of Michigan and have mainly emphasized the protective and moderating influence of religion on health,particularlyasacopingmechanismforolderMexicanAmericans.Dr.Bastida’songoingbehavioralinterventionbuildson a community based participatory research approach which requires the continuous support and guidance of an advisory council. Resulting from this effort, Dr. Bastida has recently published on the ethics of community based research. Prior tohercurrentinterestsonbehavioralinterventionsandreligion,Dr.Bastidawastheprincipalinvestigatorofa12-yearNIHfundedprospectivestudythatexaminedsocialdeterminantsofhealthamongamiddleageandagingMexicanAmericanborder population.

She served and continues to serve the NIH as a member of four study sections, chair of review panels and in various advisoryroles.Sheiswidelypublishedinpeerreviewedacademicjournals,e.g.TheAmericanJournalofPublicHealth,TheGerontologist,TheScientificReviewofReligion,HealthEconomics,JournalofGerontologyandcurrentlyservesherprofession as member of several national advisory committees and as the recently elected President of Research Committee 41onPopulationfortheInternationalSociologicalAssociation.

Raynald A. Samoa, MD

Raynald A. Samoa, MD, recently joined City of Hope as assistant clinical professor in the Department of Clinical Diabetes, Endocrinology & Metabolism. He moved to City of Hope from ChildrensHospitalLosAngeles,wherehewasafellowinpediatricendocrinology,diabetesandmetabolism.HealsotrainedattheUniversityofSouthernCalifornia-LosAngelesCounty(USC-LAC)MedicalCenter,wherehecompletedanadultendocrinologyfellowship.Heservedaschiefresident at the USC’s Women and Children’s Hospital.

Dr.Samoatreatspatientswithtype1andtype2diabetes,aswellasthyroidconditionssuchasthyroid cancer, hypothyroidism, hyperthyroidism and goiters. He also sees patients with pituitary conditions, adrenal insufficiency, growth hormone disorders, obesity and osteoporosis. He pursues

a variety of clinical research topics in endocrinology, from improving thyroid cancer treatment to studying the effects of hormones on obesity. He is particularly interested in appetite and what stimulates it. He is working on several obesity-intervention projects in Pacific Islander communities locally and abroad.

He earned his Bachelor of Arts degree in biology and anthropology from Western Washington University, in Bellingham, Wash., and his medical degree from the University of Washington. Samoa is a member of the American Association of Clinical Endocrinologists, the Endocrine Society and the Endocrine Fellows Foundation.

Panelists

31.

Panelists

Nia Aitaoto, MPH, MS Nia Aitaoto is a PhD candidate and fellow at the University of Iowa College of Public Health. She hasover14yearsofexperienceinthehealthandeducationfieldfocusingoncancerawareness,diabetes awareness and prevention, cultural competency training and tobacco related initiatives. SheiscurrentlytheprincipalinvestigatoroftheFaithInActionResearchAlliance(FARA),aNIHfunded(R21)researchprojectthatutilizesconstructssuchasculture,religionandfamilytodesigndiabetes prevention and control interventions. Ms. Aitaoto is also the advisor of two regional coalitions,thePacificChronicDiseaseCoalition(PCDC)andthePacificPartnershipforTobacco-freeIslands(PPTFI).Shespecializesinprovidingtechnicalassistance,dataassessmentandsupporttocommunity groups in Hawaii, American Samoa, Commonwealth of the Northern Mariana Islands, Federated States of Micronesia, Guam, Republic of Belau and the Republic of the Marshall Islands.

Angela Brega, PhD Angela Brega, PhD, is an Assistant Professor with the Centers for American Indian and Alaska Native Health(CAIANH)intheColoradoSchoolofPublicHealth.Dr.Bregaisasocialpsychologistwithextensivetrainingandexpertiseinmeasurement,healthoutcomes,andhealthpsychology.Muchof her work has focused on evaluating patient outcomes as a means of assessing quality of care. Along these lines, she has received funding from the Centers for Medicare & Medicaid Services and the New York State Department of Health to develop and test innovative approaches for evaluating the quality of services received by Medicare and Medicaid beneficiaries. Since joining CAIANH inSeptember2008,Dr.Bregahasprovidedmeasurement-relatedexpertiseonthreeprojectsdesigned to improve health outcomes among American Indian and Alaska Native populations.

AsProgramEvaluatorfortheCenterofExcellenceforEliminatingDisparities,Dr.Bregaisdeveloping the approach for evaluating the effectiveness of provider- and patient-level interventions intended to reduce cardiovascular disease risk among urban Indian populations. In addition to assessing clinical outcomes, the impact of the project on knowledge, attitudes, and health behavior will be assessed. Dr. Brega also serves as co-investigator for the Center forNativeOralHealthResearch(CNOHR),forwhichshehasplayedaleadingroleindevelopingtheapproachtomeasuringkeyoralhealthconstructs(e.g.,knowledge,attitudes,behavior)thatwillbeimplementedacrossthreehealthdisparitiescenters funded by the National Center for Dental and Craniofacial Research.

FortheSpecialDiabetesProgramforIndiansHealthyHeartProject,shehasconductedextensivepsychometricanalysestoevaluate the performance characteristics of measures of health literacy and disease knowledge. Dr. Brega also has a strong background in research addressing neuropsychological and psychosocial factors that influence health outcomes. Much of her workinthisareahasaddressedtheimplicationsoflimitationsinhealthliteracyanddeficitsinexecutivecognitivefunctioningfor health behavior and clinical outcomes.

Sophie Kwon Sophie Kwon serves as a Special Advisor on Health Policy and Community Engagement to the Deputy DirectorforMinorityHealth(OMH)withafocusonminority-orientedresearchastheyrelateto racial and ethnic minority communities, including issues such as hepatitis B, diabetes, behavior health, language access, cultural competency and other insular health issues that impact Asian Americans,NativeHawaiiansandPacificIslanders(AANHPI).PriortojoiningOMH,Ms.KwonwastheAssociate Director at the Asian Pacific Fund in San Francisco, a community foundation established to improve the health and well-being of all Asian Americans in the Bay Area. She comes with key fundraisinganddonordevelopmentexperienceandhasexecutedcommunicationstrategieswithcorporatepartnersandindividualdonors.Uponearningabachelor’sdegreeinLegalStudiesattheUniversity of California Berkeley, Ms. Kwon began her post-college career at Oracle Corporation and specializedinidentifyingnewmarketswithhigh-growthcustomersegments.Later,shepursuedthe

field of finance at Indymac Bank where she developed a background in managing product launches and program development, promotions, pricing, risk mitigation and forecasting.

32.

Abstract Title:Effect of Group Visits vs. Usual Care to Initiate Insulin (pg. 49)

Presenter: Charlotte Kuo, NP, Nurse Practitioner, San Francisco General Hospital

Charlotte Kuo, MSN, APRN-BC

Charlotte Kuo has been at the San Francisco General Hospital Diabetes Center for High-Risk Populations, an academic teaching hospital serving a multiethnic urban Safety Net system, since 2008. She provides intensive management and diabetes self-management supportforadultswithtype1andtype2diabetes.Shealsofacilitatesgroupmedicalvisits,participates in provider trainings, consults on patients in the jail system and precepts nurse practitioner students. In order to overcome provider and patient barriers to initiating insulin, sheledateamefforttodevelopalow-literacy/low-numeracyflipchartteachingtoolcalled“StartingInsulin.”TheEnglishversionhasbeenadaptedforSpanishspeakersandaversion

for Chinese speaking patients will be forthcoming. She received her MSN from University of California, San Francisco and is a board certified Advanced Practice Registered Nurse and nurse practitioner in California. She has also worked inaprivateendocrinologypracticesince2004.

Abstract Title: Sex, Support and the Pursuit of Happiness: Increasing Confidence among Women with Diabetes (pg. 62)

Presenter: Andi Weiss, MPH, Senior Behaviorist, MicroMass Communications, Inc.

Andi K. Weiss, MPH

Andi K. Weiss, MPH, is a senior behaviorist in the strategic services department of MicroMass Communications, a leader in applying behavioral science to healthcare marketing. With her background in behavioral science and focus on improving patient outcomes, Andi specializes in developing practical ways of motivating people to make healthy, sustainable lifestylechanges.Since2009,AndihashelpedthenonprofitorganizationDiabetesSistersin its quest to improve the lives of women with diabetes across the globe, and serves on the DiabetesSisters advisory council. Andi has a Master of Public Health from the University of North Carolina at Chapel Hill and a Bachelor of Arts from the University of Pennsylvania.

PROMISING PRACTICE PRESENTATIONSPromising Practice Oral Presentations

33.

Introduction

The2012Forum’sfocuswillcollaboratewithpartnerstoaddressthedisparityofculturalcompetency,healthequityand health literacy in health care, specifically in populations at highest risk for diabetes.

Akeyfeatureofthe2012forum,entitledOvercomingDisparities:DiabetesCareinHighRiskPopulations,wasthepresentation of promising practices that can be applied to community efforts aimed at improving diabetes care diabetes care in high risk populations by addressing cultural competency, health literacy and health equity. It is our pleasure to offer abstracts of the two oral presentations as well as all submitted practices that met our selection criteria. We hope these abstracts help to inform your efforts in your communities.

Note: Abstracts include poster number. The legend below identifies what area the abstract category:

C = Cultural CompetencyL = LiteracyE = Equity

Compilation of Abstracts

2012 Disparities Partnership Forum Abstract Submissions Poster Number

Abstract Title

104-E Active Steps for Diabetes: A interprofessional community-Academic Partnership Addressing Health Disparities in People with Diabetes and Mobility Limitations

104-C Addressing health Disparities through Community Interventions: The Chicago PCCC Initiative

105-L Addressing Health Literacy in Primary Prevention of Diabetes Among Hispanic/Latinos and African American Communities

114-E Addressing Psychosocial Issues for American Indian and Alaska Native People

111-E An Innovative Analysis of a Citywide Approach to Diabetes Self-Mgmt Education in Camden NJ

110-L Assessing Health Literacy Among Insulin-Taking African Americans: A Need for Tailored Intervention

103-C Awakening the Spirit in San Diego

101-E Bringing Diabetes to the Patients – meeting the Health Equity Challenge in Rural Centeral California

105-E Building Capacity of CHWs to Address Diabetic Eye Disease

106-L Collaborating with Literacy Advocacy Groups to Overcome Low Literacy in an Urban DSME Program

109-E Combining Faith, Food and Fitness to Improve Health and Prevent Diabetes: The Results of the Healthy Bodies, Healthy Souls Study

105-C Cultural Competence: Faith Wellness Collaborative to Address Type 2 Diabetes in African American Community

101-C Diabetes Care Among Uninsured Chinese American Immigrants in Montgomery County, Maryland

110-E Diabetes Education in The Community/Medical Home through Pharmiscist Led Interventions

104-L Diabetes Self-Mgmt in Low Income, Low Literacy Population Using Nurse-Augmented Automated Telephone Program

106-E Enhanced Diabetes Education for a High Risk Population: Teaching Pharmacy Students to Serve as Health Navigators

102-C Ensuring Cultural Competency in Diabetes Care Among Persons with Mental and Substance Use Disorders

102-E Evaluation of Multicomponenet Interventions to Enhance Outcomes and Reduce Disparities Among Diverse Patient Populations

103-E Feeding America: Addressing Food Insecurity and Diabets through Food Bank – Health Care Partnerships

107-E Implementation of a Collaborative Care Model Utilizing Pharmacist-Delivered Medication Therapy Mgmt in an Underserved Area

112-E Improving Diabetes Outcomes for High-Utilizing Patients through Care Transition Teams in Camden NJ

109-L Interdisciplinar diabets Education and Mgmt Model in a US-Mexico Border Community Health Center: An American Pharmacists Association Foundation Project IMPACT Diabetes Initiative

108-E Multidisciplinary Approach to Diabetes in a Patient Centered Medical Home

103-L On the Road to Living Well with Diabetes – A Partnership Between the University of Hawai’i at Manoa Diabetes Detection and Prevention Project and the Hamakua Health Center

107-L Patient Centered Model to Decrease Disparities in Diabetes Care at a Community Health Center

108-L Promoting Self-Care and a Healthy Lifestyle among Elderly Hispanics with Type 2 Diabetes

102-L The IMPACT of the Clinical Pharmacist on the Health and Safety of High-Risk Patients with Diabetes

101-L Type 2 Diabetes Self-Management: Influences on Nutritional Practices and Physical Activity Among spanish-speaking, limited english-proficient Hispanics

113-E Utilizing a Small Changes Community-Based Weight Loss Approach for Rural African American Women with Type 2 Diabetes: Design and Rationale

35.

Active Steps for Diabetes: An Inter-Professional Community/Academic Partnership Addressing Health Disparities in People with Diabetes and Mobility Limitations

Summary: Difficulty with mobility tasks, such as walking and climbing stairs, is a strong predictor of worsening of diabetes, co-morbid health conditions, falls, physical disability, and mortality. Current evidence suggests that mobility impairments may be prevented by habitual engagement in diabetes self-management behaviors, including exercise.Thehighprevalenceofdiabetesandmobilityimpairmentsamongblackscomparedtowhitesandamongpeoplewithlowincomecomparedtohighincomecontributestothecomplexityofpromotingexerciseandmanaging diabetes in these populations. In consideration of this we developed and implemented Active Steps for Diabetes(ASD),acommunity-baseddiabetesself-managementeducation(DSME)andsupportprogramforpeoplewith diabetes and mobility limitations. ASD was developed through partnerships between a university school of health sciences, metropolitan public health department, and community health center. The health center, where ASD isheld,servesaraciallydiverse(butprimarilyblack)lowincomepopulationwithahighprevalenceofdiabetes.

Goal(s):ThegoalsoftheASDpartnershipprogramareto:(a)increasephysicalactivity,reducehyperglycemia,and,inturn,positivelyimpactmobilityandhealthamongminorityandlowincomeparticipantsand(b)preparestudentsin physical therapy and nursing in the use of a community-based approach to managing patients with diabetes and additionalcomplexmedicalconditionsandsocioeconomicconstraints.

Target Population:Lowincomeminorityadultswithdiabetesandmobilitylimitations

Outcome Measures: A1C,SummaryofDiabetesSelf-CareActivitiesMeasure,PhysicalActivity(withpedometerassessmentofsteps/day),ModifiedPhysicalPerformanceTest,Six-MinuteWalkTest.

Evaluation Results:Resultsareprovidedfortwoprogramoutcomemeasures:A1CandtheModifiedPhysicalPerformanceTest(mPPT).A1Clevelssignificantlydecr easedby0.54(1.2%)and.59(1.0%)forparticipantswhodidanddidnotuseawalkingaid,respectively.WhilethesemeanchangesinA1Cwerestatisticallysignificant,theywerelessthantheminimalclinicallyimportantdifference(MCID)whichisestimatedtobe0.7to1.0%.Importantly,however,ASDwaseffectiveinachievingaclinicallysignificantmeandecreaseinA1Camongparticipantswiththepoorestglycemiccontrol(baselineA1C>8.0%).FortypercentofparticipantshadanA1C>8.0%atbaseline.ThoseinpoorestglucosecontroldecreasedtheirA1Cbyanaverageof.86(1.4%).Thegroupofparticipantsthatusedawalking aid had a lower mean mPPT baseline score than the group that did not use a walking aid. The mean score for the walking aid group was indicative of moderate mobility impairment and the mean score for the group that did not use a walking aid group was indicative mild impairment. Both groups had significant improvements in mPPT. There was a significant interaction between group and time with respect to change in mPPT, with greater increases experiencedbythegroupthatusedawalkingaid.

Author(s): GinaPariser,PT,PhD,Assoc.Professor,BellarmineUniversity(Presenter) Kathy Hager, DNP, APRN, FNP-BC, CDE, Asst Professor, Bellarmine University Patricia Gillette, PT, PhD, GCS, Professor, Bellarmine University KarenGolemboski,PhD,MLS(ASCP),Professor,BellarmineUniversity KimJacksonRN,BSN,CDE,DiabetesNurseEduc,LouisvilleMetro,DeptofPubHealth JacquelynBaker,MSRN,DirectorofNursing,ParkDuValleCommunityHealthCenter

EmailAddressofPresenter:[email protected] PhoneNumberofPresenter:502.742.1593

36.

Addressing Health Disparities through Community Interventions:The Chicago PCCC Initiative

Summary:ThePatient-CenteredCareCollaborative(PCCC)toimproveminorityhealthisaninnovativeinitiativeofthe USDHHS-Office of Minority health in partnership with Westat, Inc., and professionals, community organizations and academic institutions in Chicago and Houston. The initiative calls for building partnerships in diverse sectors anddeveloping,implementingandevaluatingpromising/bestpracticestoreduceobesity,hypertensionandtype2 diabetes disparities. The Chicago initiative integrates community health workers in clinical settings as health educators, working in collaboration with other providers. Community health workers receive training on the delivery ofaneducationalcurriculumandimplementthe10-weekinterventionforAfricanAmericanandHispanic/Latinopatients with diabetes, hypertension and overweight or obesity.

Goal(s):ThePatient-CenteredCareCollaborative(PCCC)toimproveminorityhealthisaninnovativeinitiativeofthe USDHHS-Office of Minority health in partnership with Westat, Inc., and professionals, community organizations and academic institutions in Chicago and Houston. The initiative calls for building partnerships in diverse sectors anddeveloping,implementingandevaluatingpromising/bestpracticestoreduceobesity,hypertensionandtype2 diabetes disparities. The Chicago initiative integrates community health workers in clinical settings as health educators, working in collaboration with other providers. Community health workers receive training on the delivery ofaneducationalcurriculumandimplementthe10-weekinterventionforAfricanAmericanandHispanic/Latinopatients with diabetes, hypertension and overweight or obesity. To establish partnerships at the community and organizational levels; to integrate community health workers as members of the health care team in clinical settings; toimplementthecommunityinterventiontitledHealthEmpowermentLifestyleProgram(HELP).

Target Population(s): AfricanAmericanandHispanic/Latinopatients18-65yearsold,whohavetype2diabetes,hypertension and overweight or obesity.

Outcome Measures/Evaluation Results: The responses from patients, administrators and CHWs to the strategies implemented will be evaluated using focus groups.

Author(s): AmparoCastillo,MD,MS,TrainingDirector MidwestLatinoHealthResearchTrainingandPolicyCenter [email protected] 312.413.9490

37.

Addressing Health Literacy in Primary Prevention of Diabetes among Hispanic/Latinos and African American Communities

Summary:DiabetesriskamongAfricanAmericans(AAs)istwotimesmorelikelytodevelopdiabetesthannon-Hispanicwhites.H/Laretwiceaslikelyasnon-Hispanicwhitestohavediabetes;andH/Laretwiceaslikelytohavediabetesthenarenon-Hispanicwhites.DiabetesistwiceascommonamongMexicanAmericansandPuertoRicanAmericans as among non-Hispanic whites. Minorities have more diabetes and poorer access to health care than non-Hispanic whites; part of the access problem to health care is high health literacy and lack of cultural appropriateness of resources. Reaching minorities in the community is one way to address access; so is providing information in appropriatelanguageandformats.AAandH/Lexperienceahigherburdenofillnessandmortalityduetodiabetesthan non-Hispanic whites. Diabetes education relies heavily on written materials, yet the educational materials are often written at too high of a level for persons of low health literacy to understand. In response to this reality, the NationalDiabetesEducationProgram(NDEP)developedtheRoadtoHealthToolkit(RTH).

Goal(s): Increase the capacity of Community Health Workers to address the primary prevention of type 2 diabetes in Hispanic/LatinoandAfricanAmericancommunities.

Target Population:Hispanics/LatinosandAAatriskfordiabetes,CommunityHealthWorkerswhoworkwiththem.

Outcome Measures:1)Participants–H/LandAAatriskfordiabetesincreaseawarenessoflifestylechangestopreventordelaytype2diabetes,2)Increaseknowledgeofdiabetesanddiabetespreventionstrategies3)Increaseintenttoadoptdiabetespreventionstrategies4)usetoolsinthetoolkittotrackprogressinlifestylechangestopreventordelaytype2diabetes,5)CHWsincreasetheircapacitytoimplementtheRTHToolkitinthecommunitiesthey serve.

Evaluation Results:Focusgroups,consistingofCHWsfromurbanandruralAAandH/Lcommunitiesandpriorto the development of the RTH, indicated that there is a need for: diabetes testing, management, and prevention strategies; techniques to address barriers, opportunities, and perceptions; and a focus on primary prevention. Additionally,focusgroupparticipantsexpressedaneedforportablelow-techtoolstheycouldbringintocommunities.Theflipchartformatwasappreciatedbyfocusgroupparticipantsandtheywantedextrapagestoallow for customization. Focus groups also indicated a need to both talk about diabetes facts and to focus on how to change behavior while providing culturally appropriate messages about food and physical activity. Focus group participantsexpressedapreferenceformaterialsthattookafamilyapproachbyusingmultigenerationalmaterialsand materials that deal with real-life issues, such as: the fast food environment; low literacy; and environmental barriers to change. Findings from recent focus groups indicated that the RTH is useful to both seasoned and new users,easytouse,flexibleandusefulforlowliteracyaudiences.

Author(s): BetsyRodriguez,RN,BSN,MSN,CDE Deputy Director CDC-National Diabetes Education Program [email protected] 770.488.5480

38.

Addressing Psychosocial Issues for American Indian and Alaska Native People

Summary: Diabetes and depression are two common and costly, yet preventable and treatable, illnesses. Depression, by itself, may increase a person’s risk of developing diabetes. In addition, evidence suggests that people with diabetes are also susceptible to developing depression, particularly if their diabetes complications worsen. Many individuals with diabetes are unaware of the relationship between diabetes and depression and what to do if they havebothconditions.ThisworkshopwillexaminetherelationshipbetweendiabetesanddepressionandshowcasetheNationalDiabetesEducationProgram’srecentlydevelopedandreleasedtoolkitcalledLivingaBalancedLifewith Diabetes. This toolkit provides healthcare providers with a variety of culturally-appropriate resources to aid theminservingtheneedsofAmericanIndiansandAlaskaNatives(AIAN)affectedbybothdiabetesanddepression.

Goal(s):1)Increaseawarenessoftheassociationbetweendiabetesanddepression;2)InformstakeholdersoftheavailabilityoftheLivingaBalancedLifewithDiabetesToolkittoaidhealthcareprovidersinaddressingdiabetesandpsychosocial issues with AIANs.

Target Population: Healthcare providers serving American Indian and Alaska Native Peoples with diabetes

Outcome Measures: Health care Providers are satisfied with the toolkit and are using it to address psychosocial issues with their AIAN patients.

Evaluation Results:Aninitialevaluationwasconductedwith28participantsfromtheDiabetesPrevention/HealthyHeartInitiative.Theyweresurveyedabouttheirinitialreactiontothetoolkit.92%foundtheinformationcomprehensive, with a nice presentation. The participants reported that the tools would help AIAN patients accept their diabetes and increase awareness of diabetes and depression. Eight percent wanted to toolkit to include information about pre-diabetes. A more formal evaluation of the toolkit is planned, pending government approval and clearances.

Author(s): GaryFerguson,ND,DirectorofWellnessandPrevention Alaska Native Tribal Health Consortium [email protected] 907.729.3614

39.

An Innovative Analysis of a Citywide Approach to Diabetes Self-Management Education in Camden NJ

Summary: This project aims to leverage citywide patient tracking data collection to identify disparities of DSME care in our patient population and use a multifaceted approach to support primary care practice to pt centered care by unique collaboration of shared staffing between CCDC and the practice, consulting endocrinologist, assigned practicebasedCDE,immediateaccesstoindividualizedinsulininstruction,quarterlygroupvisits(SMART)betweenprovider, endocrinologist, CDE and graduates of DSME, monthly CDE strategy meetings, training and supporting medicalstaffforasynchronizedMAinstructed,practicebasedDSME(TeachableMoments).

Goal(s): The primary goal of the Camden Citywide Diabetes Collaborative DSME program is to improve clinical outcomes and develop innovative strategies to reinforce DSME within the practices.

Target Populations: Our target population for diabetes self-management education is Camden residents who receive theirhealthcareatoneofour12participatingprimarycarepracticesites.Outofthese12practices,4activelyrefertheirpatientswithadiagnosisofdiabetes.Anaverageof23.5%ofeachpractices’patientshasdiabetes.ThegeneralpopulationofCamdenCity,NewJerseyis48%AfricanAmericanand47%Hispanicresidents.36.1%offamilieslivebelowthefederalpovertylevel,62%residentsovertheageof25haveaHSequivalencydegree,and40%ofhouseholdsreportingthattheyusealanguageotherthanEnglishathome(1).TheCamdencityhasdistinctneighborhoodcommunities.ThenorthandeastcommunitiesprimarilyspeakSpanish(Mexican,PuertoRicanandDominican)thesouthcommunitiesspeakEnglish

Outcome Measures:Outcomemeasuresincludeclinical(HbA1c)andattendancedata(#classesattended,locationofDSMEclass,instructor)collectedintheCamdenCitywideDiabetesCollaborativePatientTrackingDatabaseoverasixmonthperiod.

Evaluation Results:Baselineandfollow-upclinicaldataarereportedforasampleof21patientswhohaveattendedatleast1ormoreclassesduringasix-monthperiod(November2011–April2012),withadecreaseofmeanHbA1cvaluesfrom9.9to8.3.ApatientisconsideredaDSMEgraduateiftheyhaveattendedatleast4classes.Ofthissample,15graduatedtheprogram,andofthe15,66%ofpatientshadadecreaseintheirA1clevels.AnanalysisofattendanceacrossEnglishandSpanishDSMEclassesoverasix-monthperiodindicatedsimilarratesbetweenthetwo groups. Across both groups there were lower attendance rates in the early months and highest attendance and completion(attendanceof4classes)duringNovemberandDecemberindicatingaseasonalvariation.GraduationPercentage:(#ptsattended4classes/#ptsattended1stclass) November November December January February March AprilEnglish 75 40 27 23 67 20Spanish 0 100 50 0 67 82

Author(s): FrancineGrabowski(Presenter),StevenKaufman,NadiaAli,AndrewKatz Camden Coalition of Healthcare Providers

Emailaddressofpresenter:[email protected] Phonenumberofpresenter:856.669.8701

40.

Assessing Health Literacy among Insulin-Taking African Americans:A Need for Tailored Intervention

Summary:Largenumbersofinsulin-usingpatientswithtype2diabetesarenotachievingrecommendedA1Clevels.Onereasonidentifiedforthesepooroutcomesisinsufficientinsulinuserelatedtothecomplexityofintensifyinginsulin regimens for patients, i.e. inadequate functional health literacy and numeracy. The result is that insulin-taking patients may not receive adequate doses or dose adjustments as frequently as needed to achieve recommended A1Clevels.

Goal(s):(a)Todeterminethelevelsoffunctionalhealthliteracyamonginsulin-takingpatientsfromalarge,urbanmedicalpracticeinmetroDetroit.(b)Todetermineifthereareassociationsbetweenlevelsofhealthliteracyandlevels of glycemic control among insulin using patients from a large, urban medical practice in metro Detroit.

Target Population: Insulin-taking African American patients from a private, endocrinology practice in metro Detroit

Outcome Measures: glycemic control.

Evaluation Results:70AfricanAmericanpatients,whouseinsulin(meanage58.7±13.5years,59.1%female,94.3%insured,90.8%withtype2diabetes,and15.1%usinganinsulinpump)fromonelarge,urbanmedicalpracticeinmetro-Detroit,participatedinanone-timeassessmentoftheirhealthliteracy(HL)levels,usingtheNewestVitalSign(NVS).ScoresontheNVSrangefrom0-6.NVSscoresof0-1indicatehighlikelihoodoflimitedHL.Scoresof2-3indicatethepossibilityoflimitedHL,andscoresof4-6indicateadequateHL.

Theprimaryoutcomefortheseanalyseswasglycemiccontrol.AverageA1cwas8.5±1.9%.Glycemiccontrolwaspoorerthanthenationalaverage(A1c>7%:77.1%,A1c>8%:52.9%,andA1c>9%:25.7%).NVSscoresrevealedthat47.1%ofpatientshadadequateHL,31.4%hadpossiblelimitedHL,and21.4%hadahighlikelihoodoflimitedHL.WhentherelationshipbetweenglycemiccontrolandNVSscoreswasexamined,66.7%ofpatientswithanA1c>8%hadahighlikelihoodoflimitedHL.Afteradjustingforageandgender,patientswithanA1c>8%were2.6x(95%CI:1.1,6.0)morelikelytohaveahighlikelihoodoflimitedHLthanthosepatientswithanA1c<8%..

Author(s): GretchenPiatt,MPH,PhD,AssistantProfessor University of Michigan [email protected] 734.764.2287

41.

Awakening the Spirit in San Diego

Summary: American Diabetes Association’s Awakening the Spirit program is the diabetes awareness and prevention program for the Native American community.

Goal(s): The goal is to develop and disseminate critical messages of diabetes education and prevention to the Native American communities in the Southern California area.

Target Population: Native Americans in the Southern California area.

Outcome Measures: In the beginning stages of Awakening the Spirit implementation, a questionnaire has been developed. This questionnaire will allow us to show measurable outcomes however not at this time being that it is coming near the completion phase. With this questionnaire, we will be begin by collecting anecdotal information be-ing that Awakening the Spirit is in its’ infancy stage. In working with a professional program evaluator, this question-naire will enable us to get a better understanding of Native Americans in the Southern California and Awakening the Spirit’s Diabetes awareness and prevention program, which enable us to obtain measurable outcomes.

Steps of Implementation:1.LocateanindividualwhichhasservicedasubstantialamountoftimeintheNativeAmerican community to serve as the Native American Outreach Manager; 2. This individual should be able to attend all Native American events, conferences, etc. in the area to begin to establish a relationship with tribal entities, orga-nizations and community members; 3. Pinpoint tribal entities and organizations that predominately offer services to the Native American communities in the Southern California area and begin to create official partnership with these tribalentitiesandorganizations;4.Solidifyandcultivatethesepartnerships.

Author(s): KellyConcho-Hayes,BS,M.Ed. Native American Outreach Manager American Diabetes Association [email protected] 619.234.9897

42.

Bringing Diabetes Care to the Patients:Meeting the Health Equity Challenge in Rural Central California

Summary: This employer-sponsored program improves healthcare access for an under-served rural population with diabetes, empowering participants through education, community advocacy, and one-on-one relationships with their healthcare providers.

Goal(s): To empower program participants with knowledge about diabetes and its treatments in order to help them self-manage their condition; to dispel any misconceptions about diabetes and its treatments; to improve health out-comes for patients with diabetes.

Target Population: Patients with diabetes residing in a rural community in California, predominantly Spanish-speaking

Outcome Measures:HemoglobinA1C.

Evaluation Results: Due to the data submission and analytics timeline from this project’s sponsor, clinical data re-latedtohemoglobinA1CwillbeavailableafterAugust1.ThedatawillincludeaveragechangesinA1Cfrombaseline,along with average follow-up time.

Steps of Implementation: As part of its employee wellness initiatives, Paramount Farms International partnered with theCaliforniaHealthCollaborative(CHC)toinitiateplansforaprogramtohelpitsemployeesandtheirdependentswith diabetes to effectively manage their disease. Participants were recruited at community and onsite health fairs sponsored by Paramount Farms, where potential participants completed consent forms and knowledge assessments, andwerescreenedforhemoglobinA1Clevels.Allprogramparticipantswereprovidedwitheducationalmaterialsondiabetes and information on the program. A physical assessment and baseline labs were collected for all enrollees. Initial visits with the pharmacist were scheduled, which required detailed follow-up with participants and coordina-tion around their work shifts. Biweekly group classes were then coordinated around participants’ work schedules. Incentives for participation were implemented. Follow-up labs were scheduled every 3 months as well as follow-up visits with the pharmacist.

Author(s): DanielleColayco,PharmD,MS,Director,HealthOutcomes&ValueStrategy Komoto Healthcare [email protected] 626.429.6793

43.

Building Capacity of Community Health Workers to Address Diabetic Eye Disease

Summary:TheDiabetesandHealthyEyesToolkitwaslaunchedinNovember2010bytheNationalEyeHealthEducationProgram(NEHEP)oftheNationalEyeInstitute(NEI).ThepurposeoftheToolkitistohelpcommunityhealthworkers(CHWs)educatetheircommunitiesaboutdiabeticeyedisease(DED)andmaintaininghealthyvision.To build local capacity in disseminating and promoting eye health messages, NEHEP developed a workshop that trainsCHWstousetheToolkitintheirowncommunities.AsofJune2012,120CHWshavebeentrainedinEnglishandSpanishinCalifornia,Maryland,Oregon,Texas,andWashington.Theresultsoftheseworkshopshavebeenmeasured through pre and post-tests and evaluation forms, which show increased levels of knowledge, high levels of satisfaction with the training and Toolkit, and applicability of the content to local communities.

Goals: The goal of the Toolkit is to help people with diabetes maintain healthy vision by promoting annual comprehensivedilatedeyeexaminations,whichdetectsdiabeticeyediseaseinitsearlystages,beforevisionlossoccurs.

Target population: Community health workers and health educators who work with people with diabetes, particularlyHispanics/Latinos,AfricanAmericans,andolderadults.

Outcome measures:AsofMay2012,atotalof1,606Toolkitshadbeendisseminated(891inEnglishand715inSpanish)andthefileshadbeendownloadedmorethan87,700times.FromOctober2011toJune2012,NEHEPfacilitatedsixworkshopsandtrained120CHWsinCalifornia,Maryland,Oregon,Texas,andWashingtonondiabeticeye disease and how to use the Toolkit to raise awareness about the relationship between diabetes and eye health.

Evaluation Results: Evaluation results are available for training workshops conducted with CHWs. NEHEP provides two means to gauge the impact of the workshops: a pre- and post-test and an evaluation form. The average number ofcorrectresponsesonthepre-testwas7.79outof10(n=75).Theaveragenumberofcorrectresponsesonthepost-testwas8.83outof10(n=69),whichisanincreaseof13.35percent.NEHEPalsoprovidesCHWswithformstoevaluatethetraining.ParticipantsuseaLikertscaletoratethetrainingsfrom1(stronglydisagree)to5(stronglyagree).Thehighertheratingassignedbyparticipants,themoresatisfiedtheyarewitheachcategory.Thetrainingmaterials,includingtheToolkit,receivedanaverageratingof4.89outof5.0(n=79).Theinstructorsreceivedanaverageratingof4.90(n=79).Additionally,theapplicabilityofknowledgeandskillswasratedas4.86outof5.0(n=82);andoverallcoursesatisfactionreceiveda4.78outof5.0(n=96).

Author(s): NeyalAmmary-Risch,MPH,MCHES Director, National Eye Health Education Program National Eye Institute, National Institutes of Health [email protected] 301.496.5248

44.

Collaborating with Literacy Advocacy Groups to Overcome Low Literacy inAn Urban DSME Program

Summary: The Buckeye Closing the Gap Diabetes Self-Management and Education Program in Partnership with the SaintLuke’sFoundationprovidesdiabeteseducationthatresultsinathereductioninbloodsugarlevelsforpatientsfrom a low-income urban African American community. We accomplish this by providing intensive education specific to the learning need of the participant in an environment that accommodates a lower literacy level through apartnershipwithProjectLearn,anon-profitprogramthatfocusesonliteracyinthecommunity.Thereadinglevelof our participants is assessed privately before they proceed through the program with a simple a tool created by the Diabetes Program Steering Committee with questions supported by health literacy research. Education materials areevaluatedandupdatedfrequentlytoaddressfeedbackfromparticipantsandcurrentresearch.TheaverageA1Cwhichmeasuressuccessfuldiabetesmanagementdropstobelow7ug/Dlwhichisthecriteriaforadequatecontrol.

Goals: Impact the quality of health in the target community through accessible education regarding diabetes and healthy lifestyles.

Target Population: Our target population is patients of the MetroHealth Buckeye Health Center and members of the surroundingneighborhood.Thispopulationhaslowergraduationratesfromhighschool(71%)andloweraverageincomecomparedwiththeregion.ItislocatedinthecityofCleveland,inwhichanestimated69%ofresidentsreadata4thto6thgradelevel.

Outcome Measures: Patient satisfaction, progress towards behavior goals, clinical outcomes, and knowledge change are the outcomes we use to measure the success of our participants who complete the program. Patients meet behaviorgoals50-60%ofthetimeandshowaconsistentimprovementsinknowledgeandskillsrelatedtodiabetesself-management.TheaverageA1cdrops1.1pointsfrombaselineto12monthsfollowup.

Steps of Implementation: Assessment tools and patient education materials are developed and submitted to Project Learnforreview.(ProjectLearnisaliteracypromotionprogramtoincludeeducationandadviceonmakinglowliteracyhealtheducationmaterials.)Assessmentquestionswithhighratesofinaccurateanswersrevisedaspartofannual review to be easier to understand and tested with participants. Pictures included where possible to reinforce meaningoftext.

Author(s): CheriL.Collier,MS,RD,LD,MPA Assistant Director of Clinical Nutrition MetroHealth Medical Center [email protected] 216.778.5203

45.

Combining Faith, Food and Fitness to Improve Health and Prevent Diabetes:The Results of the Healthy Bodies, Healthy Souls Study

Summary: Church-based health promotion programs have great potential to prevent Type- 2 Diabetes among AfricanAmericans(AA).Thisabstractreportstheresultsofafaith-basedhealthinterventionanddiabetespreventionprogram,HealthyBodies,HealthySouls(HBHS).TheHBHSprogramwasaresearchstudyimplementedinchurchesinBaltimoreCity.Inthisprogramninechurcheswererandomizedtooneofthreegroups–group1(interventiongroup)whichreceivedboththeHBHSinterventionandProjectPOWER(PP),aworkshop-baseddiabetesinterventionprogramdevelopedbytheAmericanDiabetesAssociation(ADA),group2whichreceivedPPonly,andgroup3whichreceivedadelayedPPintervention(comparisongroup).Interventionmaterials(i.e.posters,educationaldisplays,flyers,handouts)andactivities(i.e.tastetests,interactivesessions)weretailoredforeachchurch’s needs based on participatory formative research. Data was collected from churchgoers before and after implementing the program activities. Results showed that the HBHS program was able to promote healthier lifestyles among AA churchgoers.

Goal(s): The goal of this project was to develop, implement, and evaluate the impact of a novel faith-based diabetes prevention and health promotion program in urban African American Churches in Baltimore City.

Target Population:UrbanAfricanAmericanChurchgoersaged18to75. Outcome Measures: Church members were interviewed before and after program implementation to collect informationabouteachparticipant.DatacollectioninstrumentsincludedanAdultImpactQuestionnaire(AIQ),aPhysicalActivityQuestionnaire(PAQ),andaFoodFrequencyQuestionnaire(FFQ).TheAIQquestionsweredesigned to assess food purchasing and preparation patterns, chronic disease history, food security, and objective health measures including weight, height, systolic and diastolic blood pressure, and waist circumference. The PAQ used the long form of the International Physical Activity Questionnaire, which has been validated in different settings (21).TheFFQwasasemi-quantitativeinstrumentthataskedchurchgoerstoreporttheiraveragefoodintakeoverthe past 30 days. This instrument was modified based on our formative work to include culturally appropriate foods commonlyconsumedbythispopulation(14).

Evaluation Results: Impact of the HBHS program was assessed by surveying 288 AA church members at baseline andto197post-intervention(retentionrate=68%).HBHSinterventionchurchmemberssignificantlydecreasedsystolicanddiastolicbloodpressure(p=0.02and0.01,respectively),showedgreaterimprovementinfood-relatedself-efficacy(p=0.04),hadatrendtoincreasedpurchaseofhealthyfoodsinregressionanalyses(p=0.06),anddecreasedtheirpurchasingofunhealthy(p=0.02)whencomparedtocomparisonchurches.

Author(s): ElizabethAndersonSteeves,MS,RD PhD Student John Hopkins Bloomberg School of Public Health [email protected] 937.901.7137

46.

Diabetes Care among Uninsured Chinese American Immigrants inMontgomery County, Maryland

Summary: IncreasesinprevalenceofdiabetesintheU.S.areapparentineveryage,sex,race,andsocioeconomicgroup but are greatest in ethnic minorities. Research on diabetes care for Chinese Americans, especially among uninsured immigrants is surprisingly limited. The few studies found that cultural differences such as communication barrier with health care providers, considerable use of herbal medications, and poor diabetes self-management skills are important contributors to disparities. We sought to better understand the diabetes care among this ethnic populationcaredforatPanAsianVolunteerHealthClinic(PAVHC),whichisstaffedbybilingualvolunteerworkersand physicians in Montgomery County, Maryland.

Goal(s): Obtain data of this disparity population and to look at the improvement of measurable diabetic care outcomes after overcoming some disparities.

Target Population(s): Uninsured Chinese American Immigrants.

Outcome Measures:Severalcriteriaofgooddiabetescarehavebeenevaluated,includingHbA1c,LDL,bloodpressure control, nephropathy, retinal and foot care.

Evaluation Results:OurpreliminarydatashowedthatdiabeticpatientshavingatleastoneHbA1ctestincreasedfrom26%inQ12010to76%inQ22011.Moreover,goodcontrolofHbA1c(≤7))increasedfrom17%to52%atthesameperiod.DiabeticpatientswithatleastoneLDLtestincreasedfrom26%inQ12010to83%inQ22011,andgoodcontrolofLDL(≤100)increasedfrom26%to52%.Adequatecontrolofhypertension(BP≤130/80)indiabeticpatientsshowedaconsistencybetween35%inQ12010and31%inQ22011.Microalbumintestindicatedthatnephropathyrateswerebetween4%and28%.Minimalnumberofdiabeticpatientsreceivedretinalandfootexams.

Author(s): MarkLi,MD,President,TheAssociationofChineseAmericanPhysiciansMid-AtlanticChapter [email protected] 301.649.5151 Mo Ping Cho, MD, Medical Director, Pan Asian Voluntary Health Clinic [email protected] 301.948.1314 JayHe,MD,ClinicalEndocrinologist [email protected] 301.251.0876

Ziqiang Zhu, MD, Pan Asian Volunteer Health Clinic [email protected] 240.599.6858

47.

Diabetes Education in the Community/Medical Home throughPharmacist-Led Interventions

Summary: Price Chopper Pharmacy and a local insurer are working together to provide free diabetes education to patients with diabetes in underserved communities.

Goal(s): To engage underserved patients with diabetes and help them achieve optimal patient-centered care. To assessthefollowingclinicaloutcomes:bloodpressure,hemoglobinA1c(HbA1c),cholesterol,footexam,referralforeyeexams,influenza/pneumococcalimmunizations,smokingstatus,bodymassindex(BMI),ACE/ARBtherapyforpatientswithcoronaryarterydisease(CAD)anddiabetes,aspirintherapyforpatientswithCAD/Diabetes,hypertension therapy when indicated for blood pressure control, cholesterol lowering therapy when indicated.

Target population: Patients located in the New York cities of Albany, Schenectady, and Troy that belong to specific physicianpracticeswiththeCapitalDistrictPhysicians’HealthPlaninsurance(CDPHP).SchenectadyCountyislocated in Upstate New York just outside the state capital and 3 hours Northwest of New York City. The capital region generally refers to four counties, one of which is Schenectady. This region is a vast community where people commute,live,andworkthroughouteachofthefourcounties.Currentlythereare71primarycarephysicians,1endocrinologist, and 2 certified diabetes educators in Schenectady County. The U.S. Department of Health and Human Services Health Resources and Services Administration identifies Albany and Schenectady counties as places where there is a primary care physician shortage. They further state that Schenectady county has a population that has a low income and a high number of homebound residents. The citizens of New York State are at a disadvantage compared to other states as their access to advanced care or collaborative drug therapy management with pharmacists is limited by a narrow scope of practice. These types of models that bring the pharmacist, patient, and provider closer together is novel and innovative within New York State.

Outcomes: Due to the data submission and analytics timeline from this project’s sponsor, average clinical data relatedtoHbA1c,bloodpressure,bodymassindex,andcholesterolwillbeavailableafterAugust1,2012.Thisdatawill include average change since patients’ baseline measure was taken and the average days between baseline and most recent measure for each of the clinical indicators.

Evaluation Results:Preliminarydatahasbeencompletedforthefirstfewmonthsoftheproject.Withina74dayperiod,thehemoglobinA1Cvalueshavedecreased0.7%frombaseline.WeexpectadditionaldatabyOctoberthatwe anticipate will strengthen this trend. In addition, baseline values for cholesterol and blood pressure were collected on all patients and they are currently being seen for their final project visits.

Author(s): AlishaRoberts,PharmD,RPh Clinical Pharmacist Price Chopper Pharmacy [email protected] 518.379.2167

48.

Diabetes Self-Management in Low-Income, Low Health Literacy Populations Using Nursing-Augmented Automated Telephone Program

Summary: Weimplementeda27weekautomatedtelephoneself-management(ATSM)interventioncalledSMARTSteps to provide between-visit, home-based medical support for low-income patients with poorly controlled diabetes.ThisATSMwasdevelopedandtestedinacomparablepopulationatourinstitution(1)andwasshowntoimprove patients’ perception of their own care and communication with providers. SMARTSteps was designed to assesstheefficacyofATSMina“real-world”setting,utilizingexistingclinicstaffandfocusingonthemostdifficultpatients.

Goal(s): SMARTSteps aims to use the technology of ATSM to better engage patients with poorly controlled diabetes in their own self-care. SMARTSteps is designed to provide self-management support in between medical visits and in the setting of the patient’s home by asking questions that detect diabetes-related adverse events, re-engage patients who have been lost to follow-up in medical care, and deliver culturally relevant education on health and nutrition. More specifically the automated questions inquire about non-compliance with diabetes, blood pressure and cholesterol medications, assist in scheduling appointments with various providers and alert providers to dangerous glucose levels. Nurse callbacks in response to triggers allow patients to receive certain aspects of medical care remotely and immediately. The hope is that by re-engaging the patient in self-care, we can improve the percentage of patients who improve metabolic control and reach other disease management goals such as blood pressurecontrolandLDLcholesterollowering.

Target Population(s):Low-income,low-healthliteracyEnglishorSpanishspeakingpatientswithpoorlycontrolleddiabetes(HbA1c9%orgreater).

Outcome Measures:1.FeasibilityandacceptabilityofATSMinareal-world,primarycaresetting,usingexistingclinicalstaff;2.Extentofpatientengagementintelephonecalls;3.Numberandtypeoftriggersrequiringcallbacks;4.EffectivenessofATSMinimprovingglycemiccontrol,LDLcholesterollevel,bloodpressure,useofemergencyorurgent care services.

Evaluation Results:Todate,wehavecompleted6weeksoftelephonecalls,38of50patientscompletedatleastonecallandeachpatienttriggeredatleast1callback.Therewereatotalof128triggersresultingin76totalcallbacks.The most common trigger was hypoglycemia. The most common actions take in response to calls included medication review and referral to diabetes services.

Author(s): SarahKim,MD Assistant Clinical Professor University of California, San Francisco [email protected] 415.206.4969

49.

Effect of Group Visits vs. Usual Care to Initiate Insulin(Oral Presentation)

Summary: This quality improvement project conducted in the San Francisco Safety Net compares the effect of group visitsvs.usualcare(1:1visit)forpatientswithpoorlycontrolledtype2diabetes(T2DM)whoarecandidatesfor,butwhodelaystartinginsulintherapy.Onemajorreasonispsychologicalinsulinresistance(PIR)amongbothpatientsandproviders(1,2).PIRcontributestodelaysininitiatinginsulinwhichmayperpetuatepoorglycemiccontrolandincreasetheriskformicrovascularcomplications(3-6).Forthisproject,wehaveheldmonthly2-hour“insulinintroduction”groups.Thesegroups,facilitatedbyadvancepracticenurses,beganinNovember2008(English)andMarch2009(Spanish)andaddressPIRfactorssuchasfearofneedles,fearofhypoglycemiaandself-blame,encouraging participants to share their own questions and worries about insulin. Often, a fellow patient who is alreadyusinginsulinattendstoprovidepeersupport.Thefacilitatorexplainstherationaleforinsulin,glycemicgoals,importanceofpreventingdiabetescomplications,aswellastheuseofdiet,exerciseandmedicationstocontrolblood glucose. All participants have an opportunity to perform a mock injection and practice using an insulin vial and syringe(orbeevaluatedforaninsulinpenifnotabletousevial/syringe)anddiscusshypoglycemicprecautions.Atthe end of the session, facilitators arrange for follow-up either with the primary care provider, a diabetes specialist, thefacilitatorbyphone,oratan“insulintitration”group.

Goal(s):ThegoalsforthisQIprojectare:1)EvaluatetheeffectivenessofgroupvisitsinreducingPIRinEnglishandSpanishspeakingpatients;2)EvaluatetheeffectivenessofthisinterventioninloweringHbA1c;3)Assesstheeffectof ethnicity and language in shaping patients’ perspective and acceptance of insulin therapy.

Target Population: Participants included individuals receiving primary care at San Francisco General Hospital (SFGH)orinoneof22affiliatedcommunityclinicswithT2DMuncontrolledbyoralagentsandwhoaretentativeaboutstartinginsulindespiteaphysician’srecommendationtodoso.Approximately25-30%ofpatientsinSFGH’slargest primary care clinic have diabetes, two-thirds of whom are ethnic minorities, and half of whom lack adequate functional health literacy.

Outcome Measures:Ouroutcomesmeasuresinclude:1)Thenumberofpatientsreferredtoagroupandattendedagroupvs.didnotattend;2)Thenumberpatientswhosuccessfullyperformedamockinjectionwithinthegroupasawayofovercomingneedlephobia;3)Thenumberofpatientswhostartedinsulinafterattendingthegroupvs.thenumberinthosewhodidnotattend;4)HbA1cofpatientswhostartedinsulinafteragrouporinusualcarevs.patients who did not start insulin a group or in usual care.

Evaluation Results:Inthefirst2.5yearsoftheprogram,122patientswerereferredtothegroupsand97attended.11attendeesareexcludedfromtheanalysis:7alreadyoninsulin,2whohadHbA1clevelsatgoalwithoutinsulin,and2whowerelosttofollow-up.86patientsattendedatleastoneofthegroupswhile36patientsdidnotattendandcontinuedinusualcare.Ofthe86whoattendedoneofthegroups,70(81%)successfullyperformedamockinjectionwhereas8(9%)refused.In8patientsthechartnotedidnotspecifywhethertheydidamockinjectionornot.ThemostsignificantHbA1creductionswerenotedinthosewhoattendedtheinsulinstartgroupindependentofinsulin initiation.

Author(s): CharlotteKuo,MSN,APRN-BC,NursePractitioner San Francisco General Hospital [email protected] 415.206.3086

50.

Enhanced Diabetes Education for a High Risk Population:Teaching Pharmacy Students to Serve as Health Navigators

Summary: This project creates an enhanced diabetes education program which targets high-risk, low income patientsinNewBrunswick,NJ.Wetrainpharmacystudentstobepatientnavigatorsforourtargetpopulation,whichserves the dual purpose of coaching patients achieve better self-management of their diabetes and also providing new pharmacists with the tools they need to become part of the primary care team for diabetes treatment. Using survey data collected from patients and pharmacy students before, during, and after their participation in the program, we evaluate the role of personal health beliefs in achieving treatment goals for our target population and assesstheextenttowhichincorporatingthesebeliefsintotheirdiabetestreatmentplanmightyieldmeasurableresults in patients’ perceptions of diabetes, their adherence to prescribed treatment plans, and success in reducing their blood glucose levels.

Goal(s): The goals of this project are to improve self-management of diabetes among high-risk patients and to enable one type of clinicians -- newly trained pharmacists -- to respond to these patients’ needs in a culturally competent way.

Target Population:Ourtargetpopulationislow-incomepatientsoftheEricB.ChandlerHealthCenter(aFederallyQualifiedHealthCenterlocatedinNewBrunswick,NJ)withuncontrolledType2diabetes.Wedefine“uncontrolledType2diabetes”inthisstudyashavingabloodglucoselevelof8.0orhigher.Approximately40percentofthispatient population is Hispanic and 30 percent are African American.

Outcome Measures:Therearetwosetsofoutcomesmeasures(preliminaryresultsaregivenintheEvaluationsectionbelow).1)Tomeasurechangestothepatients’self-reportedhealthbeliefsandbehaviorsoverthecourseoftheirparticipation,weconduct2surveys,3shortqualitativeinterviewsand1longerqualitativeinterview.Theinitialsurveymeasures demographic background, medical history, diabetes treatment history, and health beliefs. The measures focus on beliefs about the cause, timing, curability and consequences of diabetes, because these can affect self-management and adherence. The qualitative interviews follow each patient navigator meeting. They measure changes in the participants’ diabetes beliefs as well as the progress made with the diabetes self-management goalsthey’vedevelopedwiththeassistanceofthepatientnavigator.2)Weanalyzechangestoparticipants’bloodglucoselevels.3)Weconductapre-rotationandpost-rotationsurveyofthepharmacystudents,whichserveasevaluation measures for the pharmacy student training portion of the program.cy of training.

Evaluation Results:Thepatientnavigatorvisitisseenashelpfulbythepatients.43percentsaidthattheirthoughts changed about the best way to treat diabetes since seeing the patient navigator, and 33 percent said that their thoughts changed about how much control they have over their diabetes. Health beliefs appear to play a significant role in diabetes treatment adherence. Greater use of a monitor to keep track of blood glucose levels was significantlyassociatedwithseveraltypesofhealthbeliefsrelatedtotheCSM.PatientsloweredtheirHbA1creadingsameanof1.4,inarangefrom.1to5.7after2to3patientnavigatorvisits.

Author(s): MarshaRosenthal,MPA,PhD Assistant Research Professor Institute for Health, Health Care Policy and Aging Research, Rutgers University [email protected] 848.93.4664

51.

Ensuring Cultural Competency in Diabetes Care among Persons withMental and Substance Use Disorders

Summary: Individuals with mental and substance use disorders are at a higher risk than the general population for developing chronic health problems, including diabetes, high blood pressure and cholesterol, cardiovascular disease,andmetabolicsyndrome,andtheydiedecadesearlierthanthegeneralpopulation.Anestimated44millionAmericansexperiencementalandsubstanceusedisordersinanygivenyear,includingAfricanAmericans,Hispanic/Latinos,AmericanIndian/AlaskanNatives,AsianAmericans,NativeHawaiiansPacificIslanders,women,older adults, and low income and uninsured persons. Only one third receive treatment because many people feel shame and don’t seek the help they need for fear of facing stigma. The Substance Abuse and Mental Health Services Administration(SAMHSA)createdtheWellnessInitiativetoincreasecommunityrecognition,acknowledgement,andaction regarding the challenges many Americans with mental and substance use disorders face in receiving culturally competent health care, including diabetes care.

Goal(s): Many primary care providers want to ensure proper care for persons with mental and substance use disorders, but are unaware of how to do so in a culturally competent way. Attendees will be able to demonstrate that many people seeking diabetes care likely have a mental or substance use disorder and are a high-risk population, explainwhymanyofthispopulationdonotreceiveculturallycompetentservicesfromtheirdiabeteshealthcareprofessional, and to describe various multicultural and culturally competent approaches they can take when providing care to a person who may have a mental or substance use disorder.

Target Population: The target population includes racial and ethnic minorities and in particular Hispanic adults at riskfordiabetesandrelatedchronichealthconditions(hypertensionandheartdisease).Individualswithmentalandsubstance use

Outcome Measures: The Initiative also hosts an annual National Wellness Week, aimed at educating and promoting wellness practices among many audiences, including the target populations. Hundreds of individuals and community organizations participate in wellness activities across the country, and often host more wellness events year-round.

Author(s): WilmaTownsend,MSW Acting Associate Director, Center for Mental Health Services Substance Abuse and Mental Health Services Administration [email protected] 240.276.1948

52.

Evaluation of Multi-Component Interventions to Enhance Outcomes andReduce Disparities among Diverse Patient Populations

Summary: The Alliance to Reduce Disparities in Diabetes is a consortium of five grantees, a National Program Office, andanexternalevaluator.ItfocusesonreducingdisparitiesindiabetescareandenhancingoutcomesthroughclinicalandcommunityinterventionsguidedbyChronicCareModelprinciples.GranteesbasedinChicago,IL;Camden,NJ;WindRiverIndianReservation,WY;Dallas,TX;andMemphis,TN,haveenrolledamulti-racialpatientgroup and implemented multi-level multi-component interventions to enhance patient skills, clinician cultural competencies, and health care systems changes to address disparities and enhance care. This presentation reports on the process and outcome evaluation done across the grantee sites to date.

Goals: The consortium’s goal is to reduce disparities and enhance diabetes care for underserved, multi-ethnic, and lowincomepopulationsthatexperienceadisproportionateburdenofpoorhealthduetodiabetes.

Target Population: The Alliance interventions are focused on underserved, multi-ethnic, and low income populations. Granteeshaveenrolledapatientgroupthatis36%AfricanAmerican,8%NativeAmerican,40%Latino,7%White,1%AsianPacificIslander,1%Other,and7%unknownstatus.

Outcome Measures:Eachgranteehasprovidedclinical(HbA1c,bloodpressure)andpatient-reportedoutcomes(diabetescompetence,qualityoflife,resourcesandsupportsforself-management,anddiabetesself-carebehaviorsforprogramparticipants)totheAllianceexternalevaluator.

Evaluation Results:Baselineandfollow-upclinicaldataarereportedformorethan1000patients,withadecreaseofmeanHbA1cvaluesfrom8.4to7.8percentandadecreaseinbloodpressurefrom132/80to129/78,bothsignificantatp<.001levels.AnalysisshowedthatpatientswhoparticipatedinmorethanhalftheprogramshadgreaterchangesinbothHbA1candsystolicbloodpressureovertime,controllingforageandgender.Analysesofthepatient-reported survey measures also show significant improvements in perceived diabetes competence, resources and supports for self management, and self-care behaviors.

Author(s): DouglasKamerow,MD,MPH Chief Scientist RTI International [email protected] 202.728.1959

53.

Faith Wellness Collaborative to Address Type 2 Diabetes in anAfrican American Community

Summary: This is a collaboration between an inter-denominational organization of Black churches’ health ministries, the Capital Region American Diabetes Association, a Community Health Center for the medically underserved and Social Work university researchers to develop a culturally competent type 2I diabetes self-management education programs and on-going diabetes education programs.

Goal(s): To reduce the disparities of diabetes and it’s complications in an African American community by implementing culturally competent type 2 diabetes self-management workshops for this community.

Target Population: African Americans with Type 2 Diabetes.

Outcome Measures: SummaryofDiabetesSelfCareActivities(SDSCA)andDiabetesEmpowermentScale(DES)instruments by pre-post and three month follow-up, as well as a focus group will be reported

Steps of Implementation: Developed collaborations with Black Clergy Organization, Regional ADA, University Social Work Researchers, and Community Health Center developed community wide self- management type 2 diabetes self-managementworkshopTwentysevenworkshopsusingProjectPowerwithexperientialworkshopsonhealthyeatingandexercisingwereofferedtoAfricanAmericans.

Author(s): SandraAustin,Ed.D.,MSW Associate Professor Morgan State University, School of Social Work [email protected] 443.885.4603

54.

Feeding America: Addressing Food Insecurity and Diabetes throughFood Bank-Health Care Partnerships

Summary: Feeding America, the nation’s largest domestic hunger-relief organization launched a three-year pilot projectatthreememberfoodbanksinTexas,OhioandCaliforniainSeptember2011toaddressthechallengesthatmany emergency food clients face in their effort to manage diabetes while struggling to meet their basic food needs. Through the establishment of community partnerships between food banks and local health centers, these programsofferdiabetesscreening,carecoordination,nutritionanddiseaseeducation,andhealthyfoodsboxes.Feeding America, in partnership with University of California San Francisco’s Center for Vulnerable Populations will evaluate how well the project improves diagnosis of diabetes, adherence to diabetes treatment, increases self-care skills, maintains or increases mental wellness, lowers risk or presence of depressive symptoms, and improves specific physicaloutcomesrelatedtotype2diabetessuchasHa1c.Inaddition,thisevaluationseekstounderstandhowfoodinsecurity status impacts type 2 diabetes management.

Goal(s):1)Increasedaccesstohealthyfood;2)Increasedknowledgeandunderstandingofdiabetesandtheelementsofahealthylifestyle;3)Changedattitudesandbeliefsaboutthedisease;4)Improvedskillstomanagediabetes;5)Increasedfrequencyofdesiredbehaviors;and6)Improvedglycemiccontrol.Additionally,theprojectseeks to gain insight into the characteristics of food bank partnerships that allow these organizations to be successful in reaching clients with diabetes, such that similar programs can be replicated within the Feeding America network of 200 food banks around the nation.

Target population:Low-income,foodinsecure,adultclientswithknownorundiagnoseddiabetesinSonomaCounty,CA; Corpus Christi, TX; and Columbus, OH. The three models target different geographic populations. The project in Sonoma County will reach a rural population that often lacks access to food, medical care, and other services because of the remote nature of the community. The Corpus Christi Food Bank program is targeted toward a suburban community and the Mid-Ohio Food Bank Program addresses a partnership serving clients in the urban community of Columbus.

Outcome Measures: The primary evaluation consists of a pre-post study design at each of the sites. Each study site iscollectingcommonsurveydata,whichwillbepooledforanalysis,allowingustomaximizestatisticalpowertodetect clinically significant changes in relevant outcomes. The survey measures are administered orally in English or Spanish.

Evaluation Results:Astheprogramimplementationanddatacollectionbeganinearly2012,thisprojectdoesnotyethave evaluation results. However, some preliminary client data as well as program data from the RE-AIM framework evaluation will be available to share in a presentation at the ADA Disparities Forum.

Author(s): KimberlyPrendergast,RD,MPP Consulting Project Manager Feeding America [email protected] 617.470.1632

55.

Implementation of a Collaborative Care Model Utilizing Pharmacist-Delivered Medication Therapy Management (MTM) in an Underserved Area

Summary: ProjectIMPACT:DiabetesisanationalinitiativeoftheAmericanPharmacistsAssociation(APhA)Foundation to improve diabetes care for high risk patients through implementation of a community-based model of collaborative care in underserved communities. The specific objectives of this multi-site study are to implement pharmacy-based medication therapy management services, to improve key indicators of diabetes care, to establish local peer-to-peer network mentoring, and to create a sustainable platform for permanent change. The University of MississippisiteistheDiabetesCareGroupinJackson,Mississippi,whereapharmacistisintegratedintotheclinic’shealth care team with the specific role of medication management. Patients are scheduled for one-on-one visits where a comprehensive medication review is completed, an individualized self management plan is developed, and disease education is provided.

Goals: To improve the health for patients with diabetes by working with other health care professionals to help patientsreachtheirgoalHbA1c,systolicanddiastolicbloodpressure,BMI,andcholesterollevels,recommendroutinescreenings and measures that should be part of the routine care for patients with diabetes, and to provide diabetes education and support to patients focusing on diet and lifestyle changes.

Target Population:ResidentsoftheHindscounty(Jackson,MS)andsurroundingcountiessuchasRankinandMadison county

Outcome Measures:ClinicaloutcomemeasuresincludeHbA1c,systolicanddiastolicbloodpressure,bodymassindex(BMI),andcholesterol(LDL,HDL,TG).Allbaselinedatawillbecomparedtointerimdata.

Evaluation Results:InterimdatafromSeptember2011toJuly2012revealsthefollowingchangesinclinicalmeasuresfrombaseline:HbA1c(-1.00%n=65),BMI(0.02n=67),systolicbloodpressure(-24.04n=67),diastolicbloodpressure(-1.51n=67),LDL(-13.23n=15),HDL(-2.15n=15),TG(28.22n=15)

Author(s): CourtneyDavis,PharmD,ClinicalAssistantProfessor(Presenter) MarshallJ.Bouldin,MD LaurenS.Bloodworth,PharmD,BCPS LeighAnnRoss,PharmD,BCPS,FCCP,FASHP University of Mississippi School of Pharmacy

Emailaddressofpresenter:[email protected] Phonenumberofpresenter:601.984.2485

56.

Improving Diabetes Outcomes for High-Utilizing Patients throughCare Transition Teams in Camden, NJ

Summary:TheCamdenCoalitionofHealthcareProviders(CCHP)isannine-yearoldstrategicinitiativewithamission to improve the quality, capacity, and accessibility of the healthcare system for vulnerable populations in Camden,NJ.In2007,theCoalitionbeganimplementationofacitywideCareManagementProjecttointerveneand direct appropriate outreach attention to Camden’s most frequent utilizers of the city’s EDs and hospitals. The CareTransitionsProgramwasborneoutofthiscitywideinitiativeinNovember2011andisa30-90dayinterventiontargetinghighcost,medicallycomplexpatients.Thesepatientslackconsistentprimarycare,oftensufferfromchronic co-morbidities, including diabetes. We currently have two Care Transition teams, one which primarily functions as a bridge to stabilize patients across multiple primary care practice sites, and a deeper intervention thatisembeddingthesestaffin1-2primarycareoffices,alsoknownastheIntegratedDiabetesCareprogram,whichlaunchedinMarch2012.ThisisareportontheprocessandcurrentoutcomesoftheCareTransitionoutreachteams(consistingofaRegisteredNurse,LicensedProfessionalNurse,andhealthcoaches)andtheirimpactonthehealthcare delivery in Camden.

Goals: CCHP works to the improve diabetes outcomes through care coordination and practice transformation forpatientswithhighemergencyroom(ER)andhospitaluse,ultimatelyresultinginthereductionofhealthcarecostswiththesespecificgoals:(1)IdentifypatientssuitableforenrollmentthroughtheCamdenHealthInformationExchange(HIE),(2)UseofaCareTransitionsoutreachteamforhomeassessmentandeffectivetransitionfromhospitalizationtoPCMH,(3)Improveclinicaloutcomesrelatedtodiabetes,processmeasuressuchasattendancetotheDiabetesSelf-ManagementEducation(DSME)classesandimprovedadherencetoprimarycarevisits,and(3)Decreased rates of ER and hospital use.

Target Population:TheCoalition’sinterventionsarecenteredontheCamdenresidents:apopulationwith36%belowthefederalpovertylevelandcomprisesof48%Blacksand47%Hispanics.Inparticular,theinterestisamongthehighemergencydepartmentandhospitalutilizerswithatleasttwohospitaladmissionswithin6monthsandmultiplechronic diseases.

Outcome Measures:Datacollectedinclude:1)Percentofpatientswithgoalclinicaloutcomes:HbA1c,lipidsandbloodpressure,2)NumberofpatientsattendingDSME,and3)Reductioninthenumberofpreventablehospitalizations..

Evaluation Results:Inasix-yearperiod(2002-2008),atotalof7,041patientswithdiabetesutilizedareaERandhospitalsforatotalof62,560visits.amongseveralpatients,therewasadramaticdeclineofERandhospitalutilization from pre-enrollment to post-enrollment, some without any utilization. Preliminary analysis shows that of the25patientsenrolledintheCareTransitionsprogram,approximately25%havediabetesasacomorbidity.Forn=21patients,therewasa57%decreaseinbothERandhospitalutilizationpost-enrollment.ForERutilizations,therewasanaverageof$925permonthofchargesbeforeenrollmentand$0permonthafterenrollmentwhileforin-patient admissions, there was an average of $22,225 per month of charges before enrollment and $0 per month after enrollment in the program.

Author(s): StevenKaufman(Presenter),NadiaAli,VictoriaDiFiglio,JasonTuri,MaechielLluz Camden Coalition of Healthcare Providers Emailaddressofpresenter:[email protected] Phonenumberofpresenter:856.365.9510

57.

Interdisciplinary Diabetes Education and Management Model in US-Mexico Border Community Health Center: An American Pharmacists Association Foundation Project IMPACT Diabetes Initiative

Summary: This is an interdisciplinary model utilizing clinical pharmacists for diabetes management and education. IthasbeenimplementedinafederallyqualifiedcommunityhealthcenterwhichservicesmainlyMexican-AmericanSpanish-speakingpatientsinaUS-Mexicobordercommunity.TheprojecthasbeensupportedbyandfundedthroughtheAmericanPharmacistsAssociation(APhA)Foundation’sProjectIMPACTDiabetes,anationalinitiativetoimprove diabetes through pharmacist management of the disease.

Goals:1.Toexpandtheclinicalpharmacist’sroleindiabetesmanagementatourclinic2.Toimproveourdiabeteseducation and management resources to be offered as a streamlined program, 3. To document patient outcomes for trendingandprogramevaluation,4.Toimplementbillingforclinicalpharmacyandpatienteducationservices.5.Toshow improvement in patient outcomes related to diabetes.

Target Population: 80 patients with uncontrolled diabetes; predominantly Spanish-speaking Hispanic patients of CentrodeSaludFamiliarLaFe,aUS-MexicobordercommunityhealthcenterinElPaso,TX.Manypatientshavelowincomes, low literacy and low health literacy levels.

Outcome Measures:MeasurestrackedincludehemoglobinA1c,bloodpressure,lipidpanel,bodymassindex(BMI),influenzaimmunizationstatus,footexam,eyeexam,anddentalexam.Themainfocusofourproject,however,willbechangeinA1casamarkerfordiabetesimprovement.

Evaluation Results:AverageclinicaldatarelatedtoA1c,bloodpressure,bodymassindex,andcholesterolwillbereportedoutafterAugust1.Thisdatawillincludeaveragechangesincepatients’baselinemeasurewastakenandthe average days between baseline and most recent measure for each of the clinical indicators.

Author(s): KatyMorton,PharmD(Presenter) Clinical Pharmacist Centro de Salud Familiar La Fe [email protected] 505.227.1517

JeriSias,PharmD,MPH ClinicalAssociateProfessor/CommunityPharmacyResidencyPostGradYear1Director UTEP/UTAustinCooperativePharmacyProgram [email protected] 915.747.8599

58.

Multi-Disciplinary Approach to Diabetes in a Patient Centered Medical Home

Summary: ThediabetesclinicwithinTheOhioStateUniversityGeneralInternalMedicine(OSUGIM)clinicswasestablished in 2008 to provide multidisciplinary care to a diverse patient population regardless of age, race, or insurance status. The diabetes clinic at OSUGIM is one of 25 sites nationally to be awarded the American Pharmacists Association Foundation Project IMPACT: Diabetes grant. The clinic is staffed weekly by pharmacists with a rotation of attending physicians, medical residents, a nurse practitioner, a social worker trained in medication assistance, and a medical assistant to comprise the health care team. The structure of the diabetes clinic at OSUGIM allows patients access to medications, transportation to clinic, and interpretive services for patients who do not speak English as a primary language. Additionally, individualized patient education and motivational interviewing is a priority in clinic to empower patients with the skills necessary for self management of diabetes and behavioral change.

Goal(s): To1)improvecareofallpatientswithuncontrolleddiabetesinapatient-centeredmedicalhome,2)developasustainablemultidisciplinarymodelofcareforpatientswithdiabetes,3)educateinternalmedicineresidents,pharmacy practice residents, and student pharmacists about management of diabetes.

Target Population:ThemajorityofpatientsliveinFranklinCounty,Ohio(anurbansettinginthegreaterColumbus,Ohiowith15-20%ofpatientslivinginruralareas(upto100milesaway)surroundingthegreaterColumbusarea.CPEopenedintheColumbusNearEastcommunityinJuly2011.TheColumbusNearEastcommunityis83%AfricanAmericanand37%ofindividualslivingbelowthenationalpovertylevel.Patientswithuncontrolleddiabeteswhoseeaprimarycarephysician(PCP)inanOSUGIMclinicarereferredtothediabetesclinicwhendeemednecessarybytheir PCP.

Outcome Measures: Multiple outcomes are currently assessed to ensure patients in the OSUGIM diabetes clinic are receiving top quality care and to identify areas for quality improvement. Changes in laboratory measures including hemoglobinA1c(HbA1c),bodymassindex(BMI),bloodpressure(BP),low-densitylipoprotein(LDL),high-densitylipoprotein(HDL),andtriglycerides(TG)aremonitored.Useofrecommendedmedicationsincludingangiotensinconverting enzyme inhibitors, statins, and antiplatelet medications is assessed. Additionally, completion of preventativehealthmeasuresincludingsmokingstatus,eyeexams,footexams,andvaccinationstatusaretracked.

Evaluation Results:BetweenAugust2011andJune2012,theOSUGIMdiabetesclinicserved167patientsforameanof196days.Themeanpatientagewas55years(SD12.5),55%werefemale,50%wereAfricanAmerican,and45%wereCaucasian.Additionally,9.8%ofpatientsservedbytheOSUGIMdiabetesclinicwereselfpay,28.7%hadMedicareinsurance,26.8%hadMedicaidinsurance,and36.7%hadaprivatethirdpartygroup.DataforimprovementinlaboratorymeasuresincludingchangesinHbA1c,BP,LDL,HDL,TGandBMIarecurrentlyavailable.Follow-updataforimprovementinHbA1cwasavailablefor92patients.ThemeanHbA1cimprovedfrom9.96%atenrollmentto8.64%atfollow-up(p<0.001).MeanBP,LDL,HDL,andTGwereallbelowgoalatenrollmentandcontinuedtobebelowgoalatfollow-up.MeanBMIdidnotchangebetweenenrollment(35.20kg/m2)andfollow-up(35.82kg/m2).

Author(s): StuartJ.Beatty,PharmD,AssistantProfessorofClinicalPharmacy Ohio State University [email protected] 614.688.8466

59.

On the Road to Living Well with Diabetes – A Partnership Between the University of Hawai’i at Manoa Diabetes Detection and Prevention Project and the Hamakua Health Center

Summary:TheDiabetesDetectionandPreventionProjectoftheUniversityofHawai‘iatManoaCooperativeExtensionServicefoundavaluablepartnerintheHamakuaHealthCenterontheislandofHawai‘itoreachresidentsthroughtheOnTheRoadToLivingWellWithDiabetesprogram.Participantsreceivedfreemedicalscreeningandeducation about diabetes through the project and at the health center which lead to improved diabetes health.

Goal(s): To help those with diabetes, as well as those at risk for diabetes, to learn more about diabetes through free medical screening and educational sessions. Through early detection, regular monitoring, and healthful choices and behaviors, diabetes and diabetes-related complications can be prevented or delayed. Establish a collaborative partnershipbetweentheUniversityofHawai‘iatManoa,CooperativeExtensionService,DiabetesDetectionandPreventionProject(“DiabetesProject”,diabeteseducationresearchproject)andtheHamakuaHealthCenter(“HHC”,patienteducation).

Target Population: This project targeted the adult residents living in the Hamakua district on the island of Hawai’i who were diagnosed with diabetes or at risk for diabetes, and who were patients or potential patients of the Hamakua Health Center. A Federally Qualified Health Center, Hamakua Health Center serves a high need patient population,with10%ofpatientsbeinguninsured.TheHamakuadistrictischaracterizedasrural,economicallystruggling,ethnicallydiverse,andunder-servedinmanyhealthprofessions,whereresidentsexperiencevarioushealth disparities found among at-risk populations. Currently, the Health Center serves a population of 25,000 residents,hasapatientbaseofapproximately8,000peoplewith30,000patientencountersannually.

Outcome Measures: Participants completed survey questionnaires at the start of the program and three months later.TheywerealsoinitiallyscreenedforA1c,bloodpressure,LDLcholesterol,andmicroalbumin,inaddition,screenedforA1catthethree-monthfollowup.

Evaluation Results:Sixty-five(65)participantswereenrolledinthisprograminsevengroupsoverthecourseoftwoyears(2002-03).Fifty-seven(57)participantscompletedthepost-programsurvey,withforty-five(45)screenedforA1catathree-monthfollow-up.TheaverageA1cuponenrollingintheprojectwas7.8%,withthelowestmeasuring5.0%andthehighestgreaterthan14%.TheaverageA1cafterthreemonthswas7.2%,withthelowestat4.9%andthehighestat11.7%.Participantsreportedincreasedfamiliarityofthefiveclinicaltestsfordiabeteshealth,improvedself-care behavior, and awareness of their own clinical status. The project also helped the HHC patient educator understandtheimportanceofaddressing“numbers”withpatientsatinitialmeetingsandhowbeingontargetwouldkeepthemina“safeplace.”EmpoweringpatientshasbeenthemostvaluableoutcomeoftheOnTheRoadprogram.When patients are informed, providers pay more attention to them.

Author(s): JuliaM.K.Zee ExtensionEducator University of Hawai’i at Manoa, Cooperative Extension Service [email protected] 808.969.8212

60.

Patient Centered Model to Decrease Disparities in Diabetes Care at aCommunity Health Center

Summary: DiabetesServicesispartofacitywideinitiative“StrengthinNumbers”toimplementStandardsofCareandmeetBenchmarkMetrics(Annex1).TheDiabetesRegistryisanimportanttooltoimprovedeliveryofcare.TheHealthCenterisateachingclinicforresidents.Diabeteseducatorsworkcloselywithresidents/preceptorstodelivercare.Eachresidenthasapanelofpatientswithdiabetes.DiabetesbenchmarkmetricsforA1candLDLformpartoftheirannualperformancereview.ThisContinuousQualityImprovementproject(CQI)allowsforinformedandtimelyimprovement of diabetes care.

Goal(s): To improve outcomes in our patients with diabetes

Target Population(s): Multicultural adults with diabetes in the San Francisco area.

Outcome Measures:A1candLDLmetrics.

Evaluation Results: See chart below

Author(s): KatiKonersman,RD,CDE St. Mary’s Medical Center [email protected] 415.750.4896

61.

Promoting Self-Care and a Healthy Lifestyle amongElderly Hispanics with Type 2 Diabetes

Goal(s): 1.Improveunderstandingofdiabetes2.Promotebetterself-managementbehaviorsamongelderlyHispanics diagnosed with diabetes using linguistically and culturally appropriate materials and messages 3. Test theeffectivenessofthepromotoresdesaludandpopulareducationtechniquesindiabetesintervention4.TesttheeffectivenessofthepartnershipbetweenNCLRandHumanainmeetingtheneedsofHispanicpatientswithdiabetes.

Target Population:Latinoadults(65+)diagnosedwithtype2diabetes

Outcome Measures:Participantswereassignedtooneoftwocohorts(controlandintervention).Allprogramparticipants underwent a pre- and post-charla test where promotores collected data. The intervention group was followed-up for three-month by a promotor. Charlas evaluation surveys were administered by promotores and contained basic demographic questions and measures of health knowledge, behaviors, intent to change, and providersatisfaction.Participantsself-reportedtheirbiometricdata(A1C,bloodpressure,andBMI)priortothestartof the charla and at three-month.

Evaluation Results: The overall results of the evaluation showed that participants in the intervention group reported statisticallysignificantchangesfollowingtheirparticipationintermsof:1.Assumingagreatersenseofresponsibilityfortheirhealth(t(49)=3.266,p=.002);2.Higherknowledgelevelsregardingtheuseoftheirmedication(t47)=2.78,p=0.27);3.Increasesinperceivedabilitytomaintainchangesintheirlifestyle(t(45)=2.558,p=0.14);4.Increasesinperceivedabilityofeating4to5mealsaday(t(48)=3.721,p=,001);5.Increasesinperceivedabilitytoeatinahealthywayiftheyhadtosharetheirfoodwithpeoplewerenon-diabetic(t(49)=4.059,p=.001);and6.Increasesin perceived ability to control their diabetes so that it did not interfere with their lives after their participation in the charla(t(49)=3.242,p=.002).Theanalysisoftheinterventiongroup(Cohort1)biometricsmeasuresshowthattherewasastatisticallysignificantdecreaseinweightt(45)=2.232,p=.031.

Author(s): AlejandraGepp,MA,Ed.HR Associate Director National Council of La Raza’s Institute for Hispanic Health [email protected] 202.776.1778

62.

Sex, Support and the Pursuit of Happiness:Increasing Confidence among Women with Diabetes

(Oral Presentation)

Summary: Women living with diabetes are uniquely impacted by the disease, which influences their body image, sexualsatisfaction,confidence,lifestylemanagement,andoverallhappiness.MicroMassCommunicationsconductedasurveyof828womenlivingwithtype1andtype2diabetestobetterunderstandhowdiabetesaffectswomen’slives.Thisresearchwasconductedinanefforttoinformthedevelopmentandexpansionofprogramsspecificallydesigned for women living with the disease, such as those offered by DiabetesSisters. DiabetesSisters is an international organization whose mission is to improve the health and quality of life of women with diabetes and to advocate on their behalf. Through a partnership with the organization, MicroMass has had the opportunity to learn firsthand how well women can live with diabetes. Findings from the MicroMass survey have been used to inform and further develop DiabetesSisters’ program offerings to ensure that topics of greatest need and interest are addressed. DiabetesSisters’ Weekend for Women is one such program that has benefited from the insights garnered by the MicroMass study. This presentation will discuss findings from the survey and their application to the Weekend for Women Conference. The impact of the conference on women’s lives also will be presented.

Goal(s): The Weekend for Women Conference is designed to address the unique challenges that women with diabetes face. The goal of the conference is to help women with diabetes live more healthy and fulfilling lives. Using findings from the MicroMass study, DiabetesSisters tailored its conference offerings to help improve the confidence, happiness, and overall lives of attendees.

Target Population: Women with diabetes.

Outcome Measures: Outcome measures include the following: value of the support received at the conference, likelihood to recommend it to others, increased confidence to self-manage various aspects of the disease, increased social support and reduced isolation, increased dedication to taking better care of self, ability to cope with diabetes challenges in a healthy manner, commitment to follow through with identified goals, and overall satisfaction with the conference and usefulness of its program offerings.

Evaluation Results: Three years of conference data have been collected. Results indicate that women who attended theconferenceexperienceincreasedmotivationtoimprovehowtheycopewiththeirdiabetes,higherawarenessofresources available to them, increased empowerment to self-manage diabetes, decreased isolation, and increased support. In addition, participants recognized the value of the support other women with diabetes can provide, felt a great commitment to the goals they identified for themselves, would recommend the conference to others, learned relevant information and strategies to manage, cope with, and advocate for diabetes, and are confident that they can make diabetes management a priority.

Author(s): AndiWeiss,MPH,SeniorBehaviorist MicroMass Communications, Inc. Email:[email protected] Phone:919.448.7051

BrandyBarnes,MSW,Founder/CEO DiabetesSisters Email:[email protected] Phone:919.621.2125

63.

The IMPACT of the Clinical Pharmacist on the Health and Safety ofHigh-Risk Patients with Diabetes

Sum ry:IntegratedClinicalPharmacyServices(CPS)withinaprimarycaresettinghelpidentifyandaddressbarriersto care, enhance patient self-management and improve health outcomes for high-risk patients with diabetes. High-risk diabetic patients have co-morbidities including other chronic illnesses, multiple medications, homelessness, lack of medical insurance, limited financial resources, language and cultural differences, and low health literacy. At Zufall HealthCenter(ZHC),CPSisprovidedbyabilingual,biculturalpharmacistwhoispartofamultidisciplinaryteam.In the first 8 months of Project IMPACT-Diabetes, which is funded by the APhA Foundation, many participants have experiencedimprovementsinhealthoutcomes,haveincreasedtheiraccessandadherencetomedications,haveimprovedunderstandingoftheirconditionsandhowtoself-manage,andareexperiencinglessadverseevents.

Goal(s): The goal of the program is to improve the health outcomes and safety of high-risk patients with diabetes by providing directed patient-centered care by a clinical pharmacist within the primary care setting.

Target Population:HighriskpatientswithdiabetesinthetargetpopulationhaveHbA1clevelsabove7%,aretakinganaverageofsixmedications,haveanaverageoffourchronicconditions,havesignificantsocio-economicbarrierssuch as homelessness or are residents of public housing, are recent immigrants, are isolated, lack health insurance, and have low literacy.

Outcome Measures: Due to the data submission and analytics timeline from this project’s sponsor, average clinical datarelatedtoA1C,bloodpressure,bodymassindex,andcholesterolwillbeavailableafterAugust1.Thisdatawillinclude average change since patients’ baseline measure was taken and the average days between baseline and most recent measure for each of the clinical indicators.

Evaluation Results: After eight months, we are seeing improvements in health outcomes and a decrease in ADEs and pADEs. Tools for self-management assessment, such as the Patient Knowledge Assessment Tool from APHA foundation resources website, indicate that patients are increasing their ability to understand their condition, medications and other factors, and are taking steps to improve their health by changing habits, lifestyle and medicationcompliance.Patientsandtheirfamiliesalsoreportimprovedwell-beingandenhancedself-esteem/empowerment as they gain self-management skills through the program.

Author(s): RinaRamirez,MD,FACP Chief Medical Officer Zufall Health Center [email protected] 973.328.9100

64.

Type 2 Diabetes Self-Management: Influences on Nutritional Practices and Physical Activity among Spanish-speaking, Limited English-Proficient Hispanics

Summary:Thispresentationdescribestheresultsfromamixedmethods,descriptivestudythatexaminedtheculturalinfluencesonthetype2diabetesself-managementpracticesamongSpanish-speaking,Limited-English-ProficientHispanics.Physiologicdatawerecollected.InstrumentsincludedtheShortAssessmentofHealthLiteracyforSpanish-speakingAdults(SAHLSA),Eating,ExerciseandDiabetesself-efficacymeasuresandtheHealthPromotingLifestylesProfile(Spanishlanguageversions).

Goal(s): These results inform health care providers about the cultural influences that may be present among Hispanic persons with limited English proficiency and challenge providers to utilize these findings into their clinical practice to enhance their provision of individualized, culturally competent care to this patient population.

Target Population: Health care providers that work directly with Spanish-speaking, limited-English-proficient Hispanics diagnosed with type 2 diabetes.

Outcome Measures:PhysiologicmeasuresandInstrumentsincludedtheShortAssessmentofHealthLiteracyforSpanish-speakingAdults(SAHLSA),Eating,ExerciseandDiabetesself-efficacymeasuresandtheHealthPromotingLifestylesProfile(Spanishlanguageversions)..

Author(s): CherylA.Smith-Miller,PhD,M.Ed. Clinical Nurse Education Specialist University of North Carolina Hospitals [email protected] 919.966.4370

65.

Utilizing a Small Changes Community-based Weight Loss Approach for Rural African American Women with Type 2 Diabetes: Design and Rationale

Summary: While rural African American women have higher rates of diabetes, their enrollment in diabetes managementprogramsoftenresultsinsmallerimprovementsinglycemiccontroland/orlowercompletionratescompared to other ethnic groups. Therefore, alternative approaches are needed to promote sustained glycemic control in this population. The EMPOWER! Program is a unique alternative program that focuses on the slow and steady accumulation of client-selected, manageable, self-selected disease management goals. This project aims to evaluate the effectiveness of a yearlong, phone-based, peer-led Small Changes intervention for African American womenwithdiabetescomparedtoaneducationalmail-basedapproach.Thispresentationisdesignedtoexplainthedesign and rationale of our study.

Goal(s): The purpose of this study is to create and evaluate an innovative, culturally- and psychosocially-tailored, community-based, peer-led intervention for rural African American women with Type 2 Diabetes. The program is designed to determine whether an innovative Small Changes approach may address some of the barriers to diabetes managementthatruralAfricanAmericanwomenface.WepredictthatthiswillinturnleadtochangesinHbA1C,weight, diet, step count, and psychosocial factors. Further, this program is intended to be sustainable and delivered by lay community members.

Target Population:AfricanAmericanwomenbetweentheagesof19and75residinginimpoverishedruralregionsofeasternNorthCarolinawithType2DiabetesandanHbA1cover7.0.

Outcome Measures:BiologicaloutcomemeasuresincludechangesinHbA1C,weight,bloodpressure,diet,andstepcount. Psychosocial outcome measures include satisfaction with life, medication adherence, self-efficacy, diabetes-related distress, and diabetes empowerment. Sustainability outcome measures include cost, time with participants, trainingneeds,andamountofcommunityresourcesexpended.Bothquantitativeandqualitativedatawillbecollectedviainterviews,focusgroups,andvalidatedquestionnairesoverthecourseofthe12-monthprogram.

Evaluation Results: Recruitment and data collection is currently ongoing. Based on preliminary analysis of baseline datathusfar,56%ofparticipantsreportedlydependonfoodassistanceprograms,58%reportedanincomebelow$20,000andonly21%reportemployment.Participantsareoverallobese(BMIM=37.14,SD=6.86)withanelevatedHbA1c(M=8.98,SD=1.52).ThisdatawillbeupdatedafterthelastrecruitmentinAugust2012.

Author(s): EmilyDiNatale,MA Project Research Coordinator, Psychology Department East Carolina University [email protected] [email protected] 252.737.4632

66.

u Diabetes Outcomes in a Free Medical Clinic Population Summary: TheDiabetesManagementProgram(DMP)atValleyHealthandtheFreeMedicalClinic(FMC) oftheNorthernShenandoahValleyhaveworkedinpartnershipsince1995.TheFMCisthePrimaryCare Provider and refers patients with diabetes to the DMP for education and follow-up. Once patients have been referred by the FMC Nurse Practitioner, the DMP staff provide vital education, services and resources tothesepatients.Manyofthesepatientshavecomplexneeds.Patientsbenefitfromcomprehensive education and services while in the program. The community benefits range from improved health and preventing complications of diabetes to appropriate resource allocation. The DMP of Valley Health is accredited by the American Diabetes Association.

Valley Health System [email protected]

u Diabetic Grass Roots at Puerto Rican Family Institute, Inc. Effective Impact: Su Voz es Nuestra Voz Summary: Impact of a community outreach program that embraces the essence of cultural competence in the delivery of the information in partnership with the American Diabetes Association, while taking elements from the Por Tu Familia signature event.

Puerto Rican Family Institute, Inc. [email protected]

u DREAM Project: A Randomized Control-Intervention Utilizing CHWs to Improve Diabetes Management and Control in the Bangladeshi Community of New York City Summary: High rates of diabetes among Bangladeshi immigrants in the US and UK have been documented. However, few culturally and linguistically tailored health interventions have been implemented in this community. Findings are being presented from a CHW intervention designed to improve diabetes management and control among Bangladeshis in New York City. Participants were recruited from clinic- based settings and randomized to either treatment or control group. Treatment participants received 5 groupeducationalclassesand2one-on-onevisitsfromaCHWoverasix-monthperiod.Allclasseswere taughtinBengaliandallhandouts/supportingeducationalmaterialsweretranslatedtobeculturallyand linguistically specific. In the control group, no significant changes were seen for weight reduction, BMI, clinical outcomes, stress, physical activity or nutritional behaviors between baseline and follow-up. Significant improvements were demonstrated in the treatment group in several areas relevant to diabetes control. Findings suggest CHW intervention in this community can be effective.

NYU Center for the Study of Asian American Health [email protected]

Additional Abstract Submissions (Not presented as posters)

67.

u Results of a pilot study to promote diabetes prevention among New York City Korean Americans Using a Community Health Worker Model Summary: Studies have demonstrated that Asian Americans have high rates of impaired glucose metabolism, an indication of pre-diabetes, compared to non-Hispanic Whites. Despite these disparities, there has been little research on Asian subgroups and few community-based, culturally tailored diabetes prevention interventions developed for Korean Americans. Findings are being presented fromProjectRICE(ReachingImmigrantsthroughCommunityEmpowerment),acommunityhealth worker(CHW)pilotprogramdesignedtopreventdiabetesandpromotehealthylivingintheNewYork City(NYC)Koreancommunity.In2011-2012,48NYCKoreanswererandomizedintotreatmentand controlgroupsaspartofa6-monthpilotdiabetespreventionintervention.Thetreatmentgroup received6educationalworkshopsledbytrainedCHWsondiabetespreventionandrelatedtopics, and10follow-upphonecallswereconducted.Baselineandfollow-upsurveyswereadministeredto captureknowledge,healthbehaviors,reinforcingcharacteristics(self-efficacy,cuestoaction,social andspousalsupport),andclinicaloutcomes.AllsessionsweretaughtinKoreanandallhandouts supporting educational materials were translated to be culturally and linguistically specific. Preliminary findings suggest that a CHW intervention in these communities can be effective.

NYU Prevention Research Center [email protected]

u SHE: Sisters Healthy & Empowered Activities for Transformative Positive Change

With a special emphasis on women and girls of African descent, a historically at-risk and traditionally underserved population, Sisterhood Agenda creates and centralizes culturally relevant, gender specific resources to address health, cultural, social, and economic needs through a variety of innovative approaches, publications, programs and services. Sisterhood Agenda serves over 5 million constituents each year and has over 3,000 Global Partners in 32 countries. Sisterhood Agenda’s socialimpactisexpandedthroughpartnershipswithagencies,individualsandbusinessesthroughout the United States, Canada, Europe, India, the Caribbean, United Kingdom, and Africa. With several successfuldemonstrationprojectsandfederallyfundedprograms(includingNationalWomen’sHealth Weekprojectimplementationduringthelasttwoyears),SisterhoodAgendahasasuccessful17-year history of enlightening and empowering the most at-risk women and girls with sisterhood, self knowledge, self-development, and self-esteem.

Sisterhood Agenda [email protected]

Additional Abstract Submissions cont’d(Not presented as posters)

Innovating for a Better World.

At Medtronic, we are committed as

global citizens to alleviate the burden

of chronic, noncommunicable disease

worldwide.

We partner with leading experts and

organizations to enable patients to

take action for their health, and to

equip and train frontline healthcare

workers who help them along their

healthcare journey.

Learn more at Medtronic.com/NCD

Innovating for life.Copyright 2011 Medtronic, Inc. All Rights Reserved.

SHARE. ACT. LEARN. GIVE.Stopdiabetes.com

www.diabetes.org

1-800-DIABETES (342-2383)

Date post:	06-Feb-2018
Category:	Documents
Upload:	nguyennhi
View:	214 times
Download:	1 times

The Omni Shoreham Hotel, Washington,...

Documents