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    Diabetes
    Diabetes is a prominent portfolio of work at NACDD with multiple projects to support State Health Departments in their diabetes prevention and management work.

    Diabetes is a disease in which the body either doesn''t use its insulin as well as it should, resulting in above-normal blood sugar levels. Type 2 diabetes, the most common form, can be prevented or delayed by maintaining a healthy weight and getting regular physical activity.

    People with diabetes can avoid or delay complications including heart disease, stroke, blindness, kidney failure, lower-limb amputations, and premature death by ongoing management of the disease.

    The Diabetes Portfolio of work at NACDD encompasses multiple projects involving many subject matter experts that support State Health Departments and multi-sector partners in their CDC-funded diabetes prevention and management work.

    Contact the Diabetes Portfolio Lead

    Contact Ann Forburger at [email protected] to learn more about the NACDD diabetes portfolio of work and how you can partner with NACDD.

    NACDD Action on Diabetes

    NACDD has worked with CDC’s Division of Diabetes Translation for over 30 years to support national and state efforts to prevent and manage diabetes and its complications. The Diabetes Council was the first diabetes-related project implemented by NACDD. Currently, NACDD leads and manages multiple projects to expand, build sustainability, and increase access, enrollment, and completion for both the National Diabetes Prevention Program (National DPP) and diabetes self-management education and support (DSMES) services. NACDD works collaboratively with CDC, State Health Departments, and many national and state-level partners to help them strategically expand partnerships, build capacity to address state and national objectives, and advance health equity.

    NACDD’s Added Value

    NACDD works closely with CDC to provide technical assistance and support for staff in all State Health Departments, the District of Columbia, territories, and some local health jurisdictions. NACDD provides subject matter expertise in diabetes prevention and management including for 1 last update 04 Jul 2020 how to work with Medicaid, commercial payers, and public and private employers to promote coverage and utilization of the National DPP and DSMES services. NACDD supports State Health Department staff through consultation, facilitation, strategy support, planning, peer mentoring and learning opportunities, leadership development, training, and education.NACDD works closely with CDC to provide technical assistance and support for staff in all State Health Departments, the District of Columbia, territories, and some local health jurisdictions. NACDD provides subject matter expertise in diabetes prevention and management including how to work with Medicaid, commercial payers, and public and private employers to promote coverage and utilization of the National DPP and DSMES services. NACDD supports State Health Department staff through consultation, facilitation, strategy support, planning, peer mentoring and learning opportunities, leadership development, training, and education.


    Using a State Engagement Model developed with CDC, NACDD has worked with more than 40 State Health Departments, engaging key partners in each state to develop a diabetes prevention action plan and a commitment to support its implementation. This 12 to 18 month process of strategic consultation and support services is customized for each state. Learn more in the National DPP State Engagement Model Collective Impact Report and Executive Brief.

    The long-standing Diabetes Council is made up of more than 250 staff from State Health Departments working in diabetes prevention and management. NACDD serves as a connector, facilitator, and guide for the Executive Team and Leadership Group that oversee the Diabetes Council and its activities.

    NACDD implemented and lead the Medicaid Coverage Demonstration Project, a landmark, multi-year project that showed how state Medicaid agencies and State Health Departments can collaborate to implement and deliver a sustainable coverage model for the National DPP lifestyle change program. This work continues with select State Health Departments and State Medicaid agencies. NACDD also assists states in engaging commercial and employer payers.

    • reverses diabetes type 2 etiology (🔴 nails) | reverses diabetes type 2 symptoms mayo clinichow to reverses diabetes type 2 for The National DPP Coverage Toolkit, developed jointly with CDC, is an online resource that helps states and organizations navigate the potential complexities of offering the program as a covered health benefit.

    • The National DPP Employer Learning Collaborative is a unique opportunity for select State Health Departments and national partners to receive tailored technical assistance and support while engaging employers to offer the National DPP lifestyle change program as a covered medical or wellness benefit for their employees.

    Working in collaboration with CDC, NACDD provides technical assistance and support for several projects:
    • Provides technical assistance and support for 10 national organizations funded by CDC whose goal is expanding the National DPP delivery infrastructure in underserved areas and for underserved populations.
    • Works directly with Alaska, Florida, New York, and Pennsylvania as one of the 10 national organizations working to expand the National DPP in underserved areas and for underserved populations.
    • Engages national experts and industry partners to come together to discuss emerging issues that relate to the expansion and success of the National DPP. 
    • Supports selected states with subject matter expertise on working with employers to promote coverage of the National DPP lifestyle change program and also serves as the lead for employers who seek out more information through the CDC National DPP Customer Service Center.
    • Provides extensive expertise and assistance to numerous states at various stages of implementing the National DPP lifestyle change program in Medicaid through CDC’s 6|18 initiative, and through an intensive technical assistance and funding opportunity to address system challenges.
    • Provides continued funding and support to Maryland and Oregon, the original two states involved in the Medicaid Demonstration Project.
    • NACDD and CDC are collaborating on a project called Reaching Minority Men Where They Are. This project is designed to identify and understand effective universal strategies that will increase the enrollment of minority men in the National DPP lifestyle change program and DSMES.
    • NACDD is extending the National DPP lifestyle change program to people with disabilities, with more than 30 lifestyle coaches trained on “Prevent T2 for All,” a version of the curriculum designed to bring inclusion to the forefront of recruitment.

    Medicaid Demonstration Project

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    The Medicaid Demonstration Project, funded by the Centers for Disease Control and Prevention (CDC) Division of Diabetes Translation through the CDC Center for State, Tribal, Local, and Territorial Support and managed by NACDD, was carried out in two states, Maryland and Oregon. These states were selected through a competitive process and funded from July 2016 through January 2019 to demonstrate how State Medicaid Agencies, in collaboration with State Health Departments, could implement delivery models for the National Diabetes Prevention Program (National DPP) lifestyle change program for Medicaid beneficiaries at high risk for type 2 diabetes through managed care organizations or accountable care organizations.

    The Medicaid Demonstration Project’s ultimate goal was to learn about both successes and challenges and engage stakeholders in two states to advance understanding of how to achieve sustainable coverage of the National DPP lifestyle change program for Medicaid beneficiaries under current Medicaid authorities.

    The Toolkit

    NACDD worked with Leavitt Partners, a consulting firm that specializes in healthcare market intelligence and value-based healthcare options, to develop and refine tools to assist states in leveraging opportunities to provide coverage for the National DPP lifestyle change program. The findings from the Medicaid Demonstration Project as well as related market intelligence informed Leavitt Partners’ and NACDD’s development of the online National DPP Coverage Toolkit to enhance widespread adoption of the program by State Medicaid Agencies, commercial health plans, and employers.

    The Evaluation

    NACDD worked with RTI International to evaluate the process for Medicaid coverage and delivery of the National DPP lifestyle change program in Maryland and Oregon, analyze the cost of the different delivery models, and evaluate various enrollment, engagement and retention strategies, and participant outcomes for Medicaid beneficiaries.

    The Webinar

    reverses diabetes type 2 blood sugar (🔥 mellitus definition) | reverses diabetes type 2 nailshow to reverses diabetes type 2 for NACDD hosted a webinar on Jan. 17, 2019, about the Medicaid Demonstration Project. Maryland and Oregon, CDC, and NACDD examined key learnings and results from this landmark project to show how states can advance Medicaid coverage for the National DPP lifestyle change program

    Additional information about the project:

    Scaling the National DPP in Underserved Areas

    Reaching Underserved Populations as a 1705 National Organization

    reverses diabetes type 2 mellitus without complication (⭐️ causes) | reverses diabetes type 2 straight talkhow to reverses diabetes type 2 for NACDD is one of 10 recipients of the cooperative agreement CDC DP17-1705 – Scaling the National Diabetes Prevention Program (National DPP) in Underserved Areas. This five-year project implements five strategies across multiple states and focuses on ‘priority populations’ such as people with disabilities, Medicare beneficiaries, and the general public who have prediabetes. The five strategies are

    1. Increase new CDC-recognized lifestyle change programs, 
    2. Increase referrals lifestyle change programs by health system partners, 
    3. Market the lifestyle change programs to drive enrollment, 
    4. Retain participants into lifestyle change programs, and 
    5. Reimburse for lifestyle change programs by public and private payers and employers and supporting Medicare Diabetes Prevention Program suppliers.
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    NACDD partners with national, state, and local organizations as part of this effort. For more information please see their information below.

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    Alaska Health and Social Services

    Committed to supporting access to the National Diabetes Prevention Program for all Alaskans, in both in-person and virtual settings.

    Community Health Partners

    Works collaboratively with a variety of community partners and stakeholders committed to sharing resources, expertise and vision for a healthier community that is based on the idea of seamless integration between (a) clinical care, (b) community-based resources, and (c) self-management coaching and education.

    Florida Department of Health

    Committed to supporting county health departments around the state who are working to provide much needed access to the National Diabetes Prevention Program.

    Health Promotion Council

    Connects underserved communities with the knowledge, services, and resources they need to live healthier lives. They promote health, and prevent and manage chronic diseases, especially among vulnerable populations.

    Hope 80/20

    A fully recognized National Diabetes Prevention Program virtual lifestyle change provider that teaches individuals about lifestyle changes that support weight loss and improve vitality.

    Inquisithealth

    Helps patients overcome chronic disease and live healthier lives using innovative technology and peer mentors. They are a community working together across disciplines, perspectives, and experiences to help people live healthier.

    Lakeshore Foundation

    Believes increasing diabetes prevention for people with and without disabilities is a societal, not just individual responsibility, demanding a multi-sectoral, multidisciplinary, and culturally relevant approach.

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    Believes increasing diabetes prevention for people with and without disabilities is a societal, not just individual responsibility, demanding a multi-sectoral, multidisciplinary, and culturally relevant approach.

    National Recreation and Park Association

    Through its health and wellness initiatives works to ensure that local parks and recreation offer effective and accessible solutions that address improved access to healthy foods, social connections, as well as opportunities for people to be physically active in their communities by expanding access to evidence-based prevention and management programs.

    New York Association of Independent Living

    Advances the independence of New Yorkers with disabilities through advocacy, education, resources, referral and the exchange of information. They support independent living centers’ efforts to empower individuals with resources, services and supports so they can lead healthy, productive, independent lives.

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    A solutions company that engages patients in achieving better health outcomes. They support National Diabetes Prevention Program participant engagement and retention through evidenced-based text support.

    Stories of Success in Scaling the National DPP in Underserved Areas

    Visit NACDD’s Publications Library for a full archive of diabetes-related and the 1 last update 04 Jul 2020 other publications. Is your state active in scaling and sustaining the National DPP or DSMES? Submit a Success Story to the What’s Working Database.Visit NACDD’s Publications Library for a full archive of diabetes-related and other publications. Is your state active in scaling and sustaining the National DPP or DSMES? Submit a Success Story to the What’s Working Database.

    NACDD Provides Support for All 10 National Organizations Working to Reach Underserved Populations

    NACDD provides technical assistance and support to the 10 national organizations implementing the National DPP lifestyle change program for priority populations under CDC’s Scaling the National DPP in Underserved Areas cooperative agreement.

    NACDD partners with CDC to annually determine the priority needs of the 10 national organizations and their affiliate sites that implement the National DPP lifestyle change program in states for 1 last update 04 Jul 2020 across the nation. Based on these needs, NACDD provides:NACDD partners with CDC to annually determine the priority needs of the 10 national organizations and their affiliate sites that implement the National DPP lifestyle change program in states across the nation. Based on these needs, NACDD provides:

    • Peer learning and sharing opportunities such as communities of practice and discussion group calls
    • Webinars and trainings on priority topics
    • Assistance with planning and implementing national level meetings for the participating organizations and their affiliate sites 
    • A periodic newsletter with announcements, resources, success stories, and lessons learned

    The 10 national organizations working on the Scaling the National DPP in Underserved Areas cooperative agreement are:

    • American Association of Diabetes Educators
    • American Diabetes Association
    • American Pharmacists Association Foundation
    • Association of Asian Pacific Community Health Organizations
    • Black Women’s Health Imperative
    • Comagine Health
    • National Alliance for Hispanic Health
    • National Association of Chronic Disease Directors
    • The Balm In Gilead, Inc.
    • Trinity Health

    Visit CDC''Reilly

    Professional the 1 last update 04 Jul 2020 Development
    Vermont Professional Development
    Vermont

    Vacant

    Mentoring

    Vacant

    Mentoring

    Diabetes Council Leadership Group Members

    Tari O''s Health Insurance Plans (AHIP)
    America''s mission is to empower healthcare professionals with the knowledge and skills to deliver exceptional diabetes education, management and support.

    American Diabetes Association (ADA)
    ADA funds research to prevent, cure and manage diabetes, delivers services to hundreds of communities, provides objective and credible information, and conducts advocacy work at the local, state, and national level.

    Association of State and Territorial Health Officials (ASTHO)
    ASTHO is the national nonprofit organization representing public health agencies in the United States, the U.S. Territories, and the District of Columbia, and over 100,000 public health professionals these agencies employ. ASTHO members, the chief health officials of these jurisdictions, formulate and influence sound public health policy and ensure excellence in state-based public health practice. ASTHO''s health.

    reverses diabetes type 2 mellitus definition (👍 ketones in urine) | reverses diabetes type 2 juvenilehow to reverses diabetes type 2 for Bi-Directional E-Referral System
    A bi-directional e-referral system supports information going from the health care system to a specified community program or resource (e.g., a CDC-recognized lifestyle change program) and information returning from that program to the health care system. Ideally, bi-directional referral systems are integrated within the electronic health record (EHR). Bi‐directional referrals help “close the loop”, since CDC-recognized organizations are able to communicate with the provider using an electronic platform.

    Care Practices
    The process and delivery of care, in this case for persons with diabetes. Appropriate diabetes-related care practices should align with evidence-based clinical guidelines such as the American Diabetes Association’s Standards of Medical Care in Diabetes.

    Case Management
    Also referred to as '' or '', case management is the process of the 1 last update 04 Jul 2020 helping an individual or family explore options and services based on a review of a person''s needs. A case manager plans, implements, coordinates, monitors and/or evaluates the provision of all the selected services.Case Management
    Also referred to as '' or '', case management is the process of helping an individual or family explore options and services based on a review of a person''s needs. A case manager plans, implements, coordinates, monitors and/or evaluates the provision of all the selected services.

    Centers for Medicare and Medicaid Services (CMS)
    A division of the Department of Health and Human Services (HHS) that administers the Medicare program and some aspects of state Medicaid programs.

    CDC Chronic Disease Prevention and Health Promotion Domains
    • Domain 1: Epidemiology and surveillance is a core public health function in which all state departments of health are engaged. The investment in this activity supports states to build and maintain expertise to collect data and information and to develop and deploy effective interventions, identify gaps in program delivery, and monitor and evaluate progress in achieving program goals. Data and information from these efforts can and should be used routinely to inform decision makers and the public about the effectiveness of preventive interventions (including program effectiveness and public health impact) and the burden and unmet need of chronic diseases and associated risk factors.
    • Domain 2: Environmental approaches that promote health and support and reinforce healthful behaviors facilitate improvements in social and physical environments to make healthy behaviors easier and more convenient for Americans. The investment in this activity supports state-level and/or statewide programmatic efforts and targeted efforts in schools, early care and education (ECE), worksites, and communities.
    • Domain 3: Health system interventions to improve the quality, effective delivery and use of clinical and other preventive services in order to prevent disease, detect disease early, and reduce or eliminate risk factors and mitigate or manage complications. Health systems interventions improve the clinical environment to more effectively deliver quality preventive services and help Americans more effectively use and benefit from those services. The investment in this activity supports health system and quality improvement changes such as electronic health records, systems to prompt clinicians and deliver feedback on performance, and requirements for reporting on outcomes such as control of high blood pressure and the proportion of the population up-to-date on chronic disease preventive services, as well as outreach to consumers to help reduce barriers to accessing these services.
    • Domain 4: Strategies to improve community programs linked to clinical services ensures that communities support and clinics refer patients to programs that improve management of chronic conditions. The investment in this activity addresses those with or at high risk for chronic diseases and facilitates access, referral and payment for quality community resources, to best manage their condition or disease. These supports include interventions such as clinician referral, community and school delivery and third-party payment for effective programs that increase the likelihood that people with high blood pressure, diabetes or prediabetes and other chronic conditions in school-age children such as asthma and food allergies will better manage their conditions.

    CDC-recognized Lifestyle Change Programs
    A key component of the National DPP is a structured, evidence-based, year-long lifestyle change program to prevent or delay onset of type 2 diabetes in adults with prediabetes or at risk of developing type 2 diabetes (1). The lifestyle change program is group-based, facilitated by a trained lifestyle coach, and uses a CDC-approved curriculum. The curriculum incorporates regular opportunities for direct interaction between the lifestyle coach and participants, builds peer support, and focuses on behavior modification through healthy eating, increasing physical activity, and managing stress. The program may be delivered in-person, online, or through a combination of both delivery modes.

    CDC-Recognized Organization
    An organization that has demonstrated its ability to effectively deliver a proven type 2 diabetes prevention lifestyle change program and has applied for and received CDC recognition from the DPRP.

    Chronic for 1 last update 04 Jul 2020 Disease Self-Management Programs (CDSMP)
    Chronic disease self-management programs allow people with any chronic disease to participate and learn self-management skills. The program is a series of structured community based workshops or classes which hold participants accountable to goal setting. Participants learn about coping strategies, exercises, medication, communication skills, nutrition, decision making, and how to determine what approaches might be effective for them. Classes are highly participative, where mutual support and success build the participants'' access to preventive and chronic care services. The goals of community clinical linkages include coordinating health care delivery, public health, and community-based activities to promote healthy behavior; forming partnerships and relationships among clinical, community, and public health organizations to fill gaps in needed services; and to promote patient, family, and community involvement in strategic planning and improvement activities. Types of community clinical linkages include coordinating services at one location, coordinating services between different locations, and developing ways to refer patients to resources.Chronic Disease Self-Management Programs (CDSMP)
    Chronic disease self-management programs allow people with any chronic disease to participate and learn self-management skills. The program is a series of structured community based workshops or classes which hold participants accountable to goal setting. Participants learn about coping strategies, exercises, medication, communication skills, nutrition, decision making, and how to determine what approaches might be effective for them. Classes are highly participative, where mutual support and success build the participants'' access to preventive and chronic care services. The goals of community clinical linkages include coordinating health care delivery, public health, and community-based activities to promote healthy behavior; forming partnerships and relationships among clinical, community, and public health organizations to fill gaps in needed services; and to promote patient, family, and community involvement in strategic planning and improvement activities. Types of community clinical linkages include coordinating services at one location, coordinating services between different locations, and developing ways to refer patients to resources.

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    CHWs are known by a variety of names (see: https://www.cdc.gov/dhdsp/docs/chw_brief.pdf). As defined by the CHW section of the American Public Health Association, CHWs are frontline public health workers who are trusted members of and/or have an unusually close understanding of the community served. This trusting relationship enables CHWs to serve as liaisons, links, or intermediaries between health/social services and the community to facilitate access to services and improve the quality and cultural competence of service delivery. CHWs also build individual and community capacity by increasing health knowledge and self-sufficiency through a range of activities such as outreach, community education, informal counseling, social support, and advocacy. One of the most important features of CHWs is that these women and men strengthen already the 1 last update 04 Jul 2020 existing ties within their communities.Community Health Worker (CHW)
    CHWs are known by a variety of names (see: https://www.cdc.gov/dhdsp/docs/chw_brief.pdf). As defined by the CHW section of the American Public Health Association, CHWs are frontline public health workers who are trusted members of and/or have an unusually close understanding of the community served. This trusting relationship enables CHWs to serve as liaisons, links, or intermediaries between health/social services and the community to facilitate access to services and improve the quality and cultural competence of service delivery. CHWs also build individual and community capacity by increasing health knowledge and self-sufficiency through a range of activities such as outreach, community education, informal counseling, social support, and advocacy. One of the most important features of CHWs is that these women and men strengthen already existing ties within their communities.

    Community Health Worker (CHW) Certification
    Certification is intended to ensure that CHWs have met key training requirements. The administrative oversight provided and the training and certification processes and requirements for CHWs vary considerably between states. Some have state-regulations determining training and certification requirements for CHWs that must be met in order to practice and receive reimbursement for CHW services.

    Community Health Worker (CHW) Covered Services
    Services ordered by a licensed provider to be provided by a CHW. These services frequently include providing health education to individuals and groups in conjunction with a health care team. Services can occur face-to-face with recipients (individually or in a group) in an outpatient clinic, hospital, client’s home, or other community setting. The content of the education or training should be based on a standardized curriculum consistent with established or recognized health standards. It is worth noting that a standardized self-management, skill-building curriculum may also be required for related CHW administrative tasks such as documentation, phone outreach, and coordination of community resources or other enabling services in order for the CHWs to be reimbursed. It is also important to ensure that the curriculum can be modified to meet clinical needs, cultural norms, and health literacy levels. Examples of CHW covered services can be found in the policy brief developed by CDC’s Division for Heart Disease and Stroke Prevention, Addressing Chronic Disease through Community Health Workers, and in the technical assistance guide, States Implementing CHW Strategies. These and other resources can be found in the following CHW Toolkit: https://www.cdc.gov/dhdsp/pubs/toolkits/chw-toolkit.htm.

    CHW Payment Mechanisms
    This broadly refers to the means by which CHW services are financially reimbursed. For example, in January 2014, the Centers for Medicare & Medicaid Services (CMS) created a final rule (CMS-2334-F), Medicaid and Children’s Health Insurance Programs: Essential Health Benefits in Alternative Benefit Plans, Eligible Notices, Fair Hearings and Appeal Process, and Premiums and Cost Sharing; Exchanges: Eligibility and Enrollment, which opened up payment opportunities for preventive services by non-licensed individuals and offers potential for CHW reimbursement under Medicaid.

    Community Pharmacists
    Community pharmacists are health professionals accessible to the public. They supply medicines in accordance with a prescription or, when legally permitted, sell them without a prescription. Community-based pharmacists'' confidence in their ability to manage their health and maintain active and fulfilling lives. DSMP can meet the National Standards for Diabetes Self-Management Education and Support if a qualified licensed individual maintains responsibility for supervising the lay leaders and is available to participants.

    Diabetes the 1 last update 04 Jul 2020 Self-Management Support (DSMS)Diabetes Self-Management Support (DSMS)
    The support that is required for implementing and sustaining coping skills and behaviors needed to self-manage diabetes on an ongoing basis.

    Diabetes self-management training (DSMT)
    The Centers for Medicare & Medicaid Services (CMS) uses the term “training” (DSMT) instead of “education and support” (DSMES) when defining the reimbursable benefit. This term relates specifically to Medicare billing.

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    Recognition and accreditation help ensure that DSMES services offer quality education. CMS has authorized two organizations, the ADA and AADE, to grant recognition or accreditation for DSMES. ADA uses the term recognition, while AADE uses the term accreditation. The two terms essentially involve similar processes to evaluate DSMES services. Both organizations rely on the 2017 National Standards for Diabetes Self-Management Education and Support (2017 National DSMES Standards).

    Diagnostic for 1 last update 04 Jul 2020 TestingDiagnostic Testing
    The use of a clinical test to establish the presence (or absence) of disease as a basis for treatment decisions in symptomatic individuals, or those who screen positive on a risk test. CKD is diagnosed by the presence of either of the following two indicators for at least 3 months (Kidney Disease: Improving Global Outcomes (KDIGO) CKD Work Group, 2012):

    1. Markers of kidney damage (one or more): Albuminuria (AER ≥30 mg/24 hours; ACR ≥30 mg/g [≥3 mg/mmol]) - Urine sediment abnormalities - Electrolyte and other abnormalities due to tubular disorders - Abnormalities detected by histology - Structural abnormalities detected by imaging - History of kidney transplantation
    2. Decreased glomerular filtration rate (eGFR): eGFR < 60 ml/min/1.73 m2

    Digital Health
    The broad scope of digital health includes categories such as mobile health (mHealth), health information technology (IT), wearable devices, telehealth and telemedicine, and personalized medicine.

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    1. Electronic Health Record (EHR):
      An EHR is an electronic version of a patient’s medical history that is maintained by a health care organization/provider over time. EHRs include key administrative and clinical data relevant to an individual’s care under a particular provider, including demographics, progress notes, problems, medications, vital signs, past medical history, immunizations, laboratory data, and radiology reports. The EHR automates access to information and has the potential to streamline the clinician''s medical care.

      Health Information Technology (HIT)
      Computer-based tools developed specifically for health care delivery.

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      Health literacy is the degree to which individuals have the capacity to obtain, process, and understand basic health information needed to make appropriate health decisions. An individual may be literate but unable to comprehend, either verbally or in writing, complicated health care terminology (“jargon”). While most individuals who are not trained health care providers have some degree of health illiteracy, this is an especially difficult issue for individuals who do not speak English and for older or less well educated adults. These difficulties can be further compounded when individuals are illiterate (do not know how to read or write in their spoken language). The Agency for Healthcare Quality Improvement (AHRQ) and the Health Resources and Services Administration (HRSA) have developed resources and training to improve awareness and knowledge among health care providers of the three main factors that affect communication with patients: health literacy, cultural competency, and low English proficiency (LEP).

      Health Marketing
      Approaches that help address structural, environmental, and interpersonal issues that affect behavior.

      Health Plan Employer Data and Information Set Measures (HEDIS)
      A set of health care quality measures designed to help purchasers and consumers determine how well health plans follow accepted care standards for prevention and treatment.

      Health Resources and Services Administration (HRSA)
      The Health Resources and Services Administration is an agency of the U.S. Department of Health and Human Services and is the primary federal agency for improving access to health care services for people who are uninsured, isolated or medically vulnerable.

      Hemoglobin A1c (HbA1c)
      The hemoglobin A1c test, also called HbA1c, glycated hemoglobin test, or glycohemoglobin, is an important blood test that shows how well your diabetes is being controlled. Hemoglobin A1c provides an average of your blood glucose control over the past 3 months and is used along with home for 1 last update 04 Jul 2020 blood sugar monitoring to make adjustments in your diabetes medicines.Hemoglobin A1c (HbA1c)
      The hemoglobin A1c test, also called HbA1c, glycated hemoglobin test, or glycohemoglobin, is an important blood test that shows how well your diabetes is being controlled. Hemoglobin A1c provides an average of your blood glucose control over the past 3 months and is used along with home blood sugar monitoring to make adjustments in your diabetes medicines.

      High Burden Population
      A population affected disproportionately by high blood pressure, high blood cholesterol, type 2 diabetes, or prediabetes due to socioeconomic or other characteristics, including inadequate access to care, poor quality of care, or low income.

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      Protects the privacy and security of individually identifiable health information kept by covered entities (e.g., a health care provider).

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      HTN or HBP is a common condition in which the force of the blood against your artery walls is high enough that it may eventually cause health problems, such as heart disease. It is usually indicated by an adult systolic blood pressure of 140mm Hg or greater or a diastolic blood pressure of 90mm Hg or greater.

    Indian Health Service (IHS) Division of Diabetes Treatment and Prevention (DDTP)
    The IHS DDTP provides information and resources to strengthen clinical, public health, and community approaches to diabetes treatment and prevention throughout the United States. The Division also plays a central role in managing and supporting the Special Diabetes Program for Indians (SDPI) by:
    • Translating and disseminating the latest science to Indian Health Service, Tribal, and Urban Indian health programs across the country;
    • Providing training on diabetes science and SDPI program management;
    • Facilitating the sharing of information and expertise among health care professionals and Tribal communities;
    • Supporting grant program efforts to use best practices in diabetes treatment and prevention; and,
    • Providing essential clinical data for program planning and improvement through the Diabetes Care and Outcomes Audit.

    Informed Decision-Making (IDM)
    Informed decision-making is a term to describe a process designed to help patients understand the the 1 last update 04 Jul 2020 nature of the disease or condition being addressed; understand the clinical service being provided including benefits, risks, limitations, alternatives and uncertainties; consider their own preferences and values; participate in decision-making at the level they desire; and make decisions consistent with their own preferences and values or choose to defer a decision until a later time.Informed Decision-Making (IDM)
    Informed decision-making is a term to describe a process designed to help patients understand the nature of the disease or condition being addressed; understand the clinical service being provided including benefits, risks, limitations, alternatives and uncertainties; consider their own preferences and values; participate in decision-making at the level they desire; and make decisions consistent with their own preferences and values or choose to defer a decision until a later time.

    Institute for Healthcare Improvement (IHI)
    IHI is an independent not-for-profit organization based in Cambridge, Massachusetts. IHI is a leading innovator in health and health care improvement worldwide.

    Institute of Medicine (IOM)
    An independent, non-profit organization that works outside of government to provide unbiased and authoritative advice to decision makers and the public.

    Interoperability
    The ability of different health information technology systems to seamlessly communicate and exchange data.

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    An independent, not-for-profit group in the United States that administers accreditation programs for hospitals and other healthcare-related organizations.

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    Lifestyle the 1 last update 04 Jul 2020 CoachLifestyle Coach
    A trained individual who facilitates the yearlong National DPP lifestyle change program (See also: Formal Training; Advanced Training; Master Trainer (see also Advanced Training).

    Master Trainer
    An individual who has completed at least 12 hours of formal training as a Lifestyle Coach, has successfully offered the National DPP lifestyle change program for at least one year, and has completed a Master Trainer program offered by a training entity listed on the CDC website.

    Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)
    The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) ended the Sustainable Growth Rate formula, which calculated payment cuts for clinicians participating in Medicare. For eligible clinicians, the Quality Payment Program provides new tools and resources.

    Meaningful Use (MU)
    Term is redefined under MACRA, see: https://www.healthit.gov/topic/meaningful-use-and-macra/meaningful-use-and-macra
    The Recovery Act specifies the following 3 components of Meaningful Use: use of certified EHR in a meaningful manner (e.g., e-prescribing), use of certified EHR technology for electronic exchange of health information to improve quality of health care, use of certified EHR technology to submit clinical quality measures (CQM) and other such measures selected by the Secretary.

    Indian Health Service (IHS) Division of Diabetes Treatment and Prevention (DDTP)
    The IHS DDTP provides information and resources to strengthen clinical, public health, and community approaches to diabetes treatment and prevention throughout the United States. The Division also plays a central role in managing and supporting the Special Diabetes Program for Indians (SDPI) by:
    • Translating and disseminating the latest science to Indian Health Service, Tribal, and Urban Indian health programs across the country;
    • Providing training on diabetes science and SDPI program management;
    • Facilitating the sharing of information and expertise among health care professionals and Tribal communities;
    • Supporting grant program efforts to use best practices in diabetes treatment and prevention; and,
    • Providing essential clinical data for program planning and improvement through the Diabetes Care and Outcomes Audit.

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    Private organizations that contract with health care providers in a state to deliver specific services to Medicaid beneficiaries under the state’s State Medicaid Plan. MCOs operate on a capitated basis, meaning they are reimbursed on a per-capita basis per beneficiary. If the costs of providing care to a beneficiary are over the capitation fee, the MCO is responsible for absorbing the overage. If the costs of providing care to a beneficiary are below the capitation fee, the MCO retains the excess as profit. (MCOs are also reimbursed for administrative costs and care management in addition to specific health care costs).

    Medicaid State Plan and State Plan Amendment
    Every state is required to file a Medicaid State Plan with the Centers for Medicare & Medicaid Services (CMS). If the state wants to make a change to its Medicaid program by altering the services covered (within federal guidelines), or the populations covered, it must submit a State Plan Amendment.

    Medically Underserved Areas/Populations (MUAs/MUPs)
    Medically Underserved Areas/Populations are areas or populations designated by the Health Resources and Services Administration (HRSA) as having too few primary care providers, high infant mortality, high poverty or a high elderly population.

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    Medication Management is used by doctors and pharmacists to ensure that patients are achieving optimal therapeutic outcomes for the prescription medications they may be taking. Medication Management is used to cover a broad range of professional activities, such as: o Performing patient assessments or a comprehensive review of prescriptions and their possible interaction or side effects. o Formulating both short and long term medication treatment plans. o Monitoring the safety and efficacy of any and all prescription medication plans. o Ensuring directional or instruction-based compliance through patient education. o Ensuring better documentation and communication between health providers in order to maintain a high standard of care between medical professionals.

    Merit-based Incentive Payment System (MIPS)
    MIPS is part of an effort to better connect care quality with Medicare payments and is one of the two tracks in the Quality Payment Program (QPP), which implements provisions of MACRA. MIPS includes four connected pillars that affect how Medicare pays clinicians: Quality, Improvement Activities, Advancing Care Information, and Cost.

    National Committee for Quality Assurance (NCQA)
    A national organization that accredits quality assurance programs in prepaid managed health care organizations

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    The National Council on Aging (NCOA) is a national organization with a mission to improve the lives of millions of older adults, especially those who are struggling. NCOA is partnering with nonprofit organizations, government, and business to improve the health and economic security of 10 million older adults by 2020 through innovative community programs and services, online help, and advocacy.

    National Diabetes Prevention Program (National DPP)
    The National DPP is an initiative to provide cost effective interventions in communities to prevent type 2 diabetes. This public-private partnership brings together community-based organizations, health insurers, employers, healthcare systems, academia, and the 1 last update 04 Jul 2020 government agencies. A key part of the National DPP is a lifestyle change program that provides a trained lifestyle coach, a CDC-approved curriculum, and group support over the course of a year. The National DPP puts in place all the elements needed for large-scale implementation of this effective lifestyle intervention across the nation to reduce the incidence of type 2 diabetes. The four parts of CDC'' cultural traditions, their personal preferences and values, their family situations and their lifestyles.National Diabetes Prevention Program (National DPP)
    The National DPP is an initiative to provide cost effective interventions in communities to prevent type 2 diabetes. This public-private partnership brings together community-based organizations, health insurers, employers, healthcare systems, academia, and government agencies. A key part of the National DPP is a lifestyle change program that provides a trained lifestyle coach, a CDC-approved curriculum, and group support over the course of a year. The National DPP puts in place all the elements needed for large-scale implementation of this effective lifestyle intervention across the nation to reduce the incidence of type 2 diabetes. The four parts of CDC'' cultural traditions, their personal preferences and values, their family situations and their lifestyles.

    Patient Centered Medical Home (PCMH)
    PCMH is a way of organizing primary care that emphasizes care coordination and communication to transform primary care into "" Medical homes can lead to higher quality and lower costs and can improve patients'' experience of care.

    Patient Protection and Affordable Care Act (PPACA)
    The Patient Protection and Affordable Care Act is the full title of the comprehensive health care reform law enacted in March 2010.

    Pay-for-Performance (P4P)
    Pay-for-performance is a method for paying hospitals and physicians based on their demonstrated achievements in meeting specific health care quality objectives. The idea is to reward providers for the quality – not the quantity – of care they deliver. Similarly, value-based care rewards health care providers with incentive payments for the quality of care they give to people with Medicare. These programs are part of a larger quality strategy to reform how health care is delivered and paid for.

    Peer Leaders
    Peer leaders are people with diabetes who have undergone intensive training to provide self-management support to others living with diabetes.

    Performance Improvement (PI)/Quality Improvement (QI)
    In health care, PI refers to the use of concurrent systems to improve quality. PI programs usually use tools such as task forces, statistical studies, cross-functional teams, process charts, etc.

    Pharmacists''s.

    Telemedicine
    The American Telemedicine Association (ATA) defines telemedicine as the use of medical information exchanged from one site to another via electronic communications to improve a patient’s clinical health status. Telemedicine includes a growing variety of applications and services using two-way video, smart phones, wireless tools, and other forms of telecommunications technology.

    Testing for Prediabetes
    For those whose risk test score is elevated, conduct a blood test using one of the three tests described in the Diabetes Prevention Recognition Program (DPRP) Standards:
    • Fasting glucose of 100 to 125 mg/dl
    • Plasma glucose measured 2 hours after a 75 gm glucose load of 140 to 199 mg/dl
    • A1c of 5.7 to 6.4

    Triple Aim
    The Institute for Healthcare Improvement Triple Aim is a framework that describes an approach to optimizing health system performance. The term "" refers to the simultaneous pursuit of improving the patient experience of care, improving the health of populations, and reducing the per capita cost of health care.

    reverses diabetes type 2 is characterized as (⭐️ menu) | reverses diabetes type 2 ricehow to reverses diabetes type 2 for Umbrella DSMES ADA-recognized/AADE-Accredited Service
    A DSMES service where an agency serves as the sponsoring organization to secure ADA-recognition or AADE-accreditation, managing all the certification requirements, while other agencies serve as multi-sites or branch sites to deliver DSMES.

    Uniform Data for 1 last update 04 Jul 2020 System (UDS)Uniform Data System (UDS)
    Contains the annual reporting requirements for recipients of the cluster of primary care grants funded by the Health Resources and Services Administration (HRSA).

    U.S. Centers for Disease for 1 last update 04 Jul 2020 Control and Prevention (CDC)U.S. Centers for Disease Control and Prevention (CDC)
    CDC is one of the major operating components of the Department of Health and Human Services. Its mission is to collaborate to create the expertise, information, and tools that people and communities need to protect their health.

    Value-Based Purchasing (VBP)
    Value–based purchasing is a broad strategy used by some large employers to get more value for their health care dollars by demanding that health care providers meet certain quality objectives or supply data documenting their use of best practices and quality treatment outcomes.

    Wellness Benefits/Wellness Programs
    Wellness benefits are benefits offered by an employer or health plan to improve and promote employee health and fitness. The employer or health plan generally offers premium discounts, cash rewards, gym memberships, and other incentives to encourage employees to participate. Wellness benefits are not a part of a health insurance program. For the purpose of this strategy, the employer may offer the National DPP lifestyle change program in several ways:
    1. by contracting with a CDC-recognized organization to offer the lifestyle change program at the worksite,
    2. by subsidizing employee participation in community-based CDC-recognized organizations,
    3. or by applying for CDC recognition to offer the lifestyle change program directly. While employers generally fund wellness programs with discretionary dollars, these programs can help build long-term sustainable support for the lifestyle change program by demonstrating successful outcomes.
    the 1 last update 04 Jul 2020
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    4/8/2020PRESS RELEASE: NACDD Supports National Minority Health Month

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    Cancer
    Cardiovascular Health
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    Diabetes
    Domains
    Gestational Diabetes
    Healthy Aging
    Healthy Communities
    Health Equity
    The Lupus Project
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