Illinois Diabetes Action Plan: What s In It for You? AADE IL Coordinating Body 4th Annual Symposium Making Noise About Diabetes Bloomington, IL November 3, 2017 Agenda The Burden of Diabetes IL Diabetes Action Plan Introduction IL Diabetes Action Plan Strategy Overview and Gallery Walk Data Management Tools Next Steps Upcoming Events Adults in Illinois and the United States have seen a steady increase in the population reporting diabetes between 2012 2016. 1 Percent of adult population 1 America s Health Rankings. United Health Foundation. 2016 Annual Report. Illinois. https://www.americashealthrankings.org/explore/2016 annual report/measure/diabetes/state/il 1
Half of adults in Illinois report being screened for pre diabetes and less than 1 in 10 reported having pre diabetes. Percent of adult population Data not available in 2015 Data not available in 2015 Illinois BRFSS Data, 2016 (http://www.idph.state.il.us/brfss/). Accessed 09/15/2017. 2018 2020 Diabetes State Plan Development Timeline Identified stakeholders & disseminated survey Workgroup Meetings Initial framework for Diabetes Action Plan presented across workgroups All Stakeholders meeting to develop strategies Dec Jan Feb March April May June July Convened stakeholder meeting & identified workgroup team leads Share final drafts of Diabetes Action Plan Partners 2
Partners Our Stakeholder Engagement Approach Diverse Partners and Stakeholders Data / Health IT Finance / Reimbursement 3 Work Groups Community Clinical Linkages IL Diabetes Action Plan 3
IDPH will oversee plan implementation by providing technical assistance, leadership, and expertise and by working with stakeholders throughout the state to: Share data, resources, best practices, and lessons learned Evaluate progress, adjust accordingly Continue to seek funding opportunities Encourage stakeholder participation and collaboration Provide guidance and support for pilot projects Goal 1: Increase Knowledge, Education and Awareness Improve point of care service and follow up through distribution and sharing of best practice guidelines on workflow / patient screening, testing, referral and reimbursement models. Develop and pilot a process to assess SDOH and readiness / barriers to change for people with diabetes / prediabetes that would benefit from access to community resources. 4
Goal 2: Establish Mechanisms for Referral, Recruitment and Retention Develop a multi component communication strategy across various groups to increase awareness of the burden of diabetes and prediabetes on vulnerable and underserved populations. Goal 3: Test Innovative Care Delivery and Reimbursement Models Increase access to community based prevention and treatment programs through traditional and non traditional delivery models. Goal 4: Enhance Care Coordination and Quality Improve care coordination through the development of data sharing or proactive agreements, diabetes program/resource database, and public private partnerships. Educate health systems and providers on the importance of developing and/or implementing policies, processes and tools that support alignment with diabetes standards of care and improved quality. 5
Goal 5: Drive Policy and Funding Efforts Strengthen funding opportunities: Drive policy to fund and sustain diabetes efforts by advocating for reimbursement by all payers and promoting employer and insurer based incentives to participate in diabetes prevention and self management programs. Gallery Walk Session Orient yourself to the goals/strategies just discussed (5 minutes) Select 1 2 specific goals or strategies that could be applied within your organization Directly (your organization is already supporting or is looking to support in the next 12 months) Indirectly (your organization works with a partner (or partners to support this work) Place sticky note next to goals/strategies Groups will be formed by goal/strategies Gallery Walk Session Within your group discuss the following: How does your organization support (or plan to support) the goal or strategy? What partners are critical to the success of implementing the goal or strategy? What successes and barriers have you already encountered? Be prepared to summarize the discussion with the larger group 6
Data Management Tools: Workshop Wizard Features Workshop enter information for workshops and trainings Referrals track every contact with individual referrals and generate reports to providers Reports create reports for grants, health systems, participants, referrals Custom Data customize the data you need Certificates track leader and trainer certificates and update information Integration upload data for workshops and CDC reports Data Management Tools: Workshop Wizard Data Management Tools: Highlights Meets HIPPA Standards high level security certificate, housed on HIPPA compliant data server Manages Information manages partner organizations, implementation sites, delivery personal, workshop schedules and participant data and offers downloadable forms Generates Reports offers printable real time reports for their workshop activity Marketing Benefits partners have access to a searchable find aworkshop function physician referral registration system Meets CDC/ACL Requirements system specifically designed to meet CDC DPRP and ACL data collection requirements 7
Next Steps Maintain partnerships Sustain open communication Gain buy in from multiple sectors Present plan to all stakeholders Stakeholder meeting in January or February 2018 Source: Thomas Frieden. Six Components Necessary for Effective Public Health Program Implementation. Am J Public Health. 2014; 104: 17 22. Upcoming Events November 8 Diabetes Event at the State Capitol Springfield November 14 Diabetes Awareness Day Chicago November & December November 28 29 December 5 6 DSMP Trainings Mary Ann Hodorowicz Building a Successful Diabetes Education Program Contact information: Paula.Jimenez@Illinois.gov 217 785 5243 Janae.Price@Illinois.gov 217 525 2394 Cara.Barnett@Illinois.gov 217 785 1060 8
Question and Answer Panel Diagnosis of Diabetes in Illinois 2004 versus 2013 2004 2013 Data / Health IT Workgroup Co chairs: Sameena Aghi & Veronica Halloway 9
Data / Health IT Goals & Objectives GOAL #1 Objective #1a Objective #1b Objective #1c Improve diabetes care coordination by sharing data across integrated care teams and community partners. By December 31, 2018, engage at least 5 multi sector partners to establish a standardized framework for data sharing that meets industry standards and legal requirements. By December 31, 2019, implement a pilot project of the data sharing framework among at least 2 partners. By December 31, 2020, disseminate results of pilot project across sectors using various sector appropriate modalities (business case, toolkit, white paper). Data / Health IT Goals & Objectives GOAL #2 Objective #2a Use data systems to provide surveillance around the burden of diabetes among low income, disadvantaged, and vulnerable populations. By December 31, 2018, establish a diabetes snapshot of high risk populations using standardized methods across multiple data sources. Objective #2b Objective #2c By December 31, 2019, generate recommendations from the diabetes snapshot for use in policy, program planning, and evaluation. By December 31, 2020, create and disseminate a statewide summary report that highlights changes/trends comparing the burden of diabetes over time. Data / Health IT Goals & Objectives GOAL #3 Use data to identify barriers to recruitment and retention to diabetes self management and prevention programs. Objective #3a Objective #3b Objective #3c By December 2018, identify existing data sources (EHRs, etc.) and tools on individual level social determinants of health (SDOH) that impact program referral, engagement, retention, and completion. By December 2019, identify evidence based tools and processes that categorize health risk, readiness, and barriers to change and implement in at least 3 community and/or clinical settings. By December 2020, develop recommendations for use of data sources, process and tools that support identification of SDOH and health risk/readiness status among patients with diabetes or at risk for diabetes. 10
Data / Health IT Goals & Objectives GOAL #4 Objective #4a Objective #4b Objective #4c Enhance collaboration across various organizational settings to support a shared approach to diabetes quality standards and reporting. By December 31, 2018, identify diabetes quality standards and the tools and processes used to report those standards across at least 5 multi sector organizations. By December 31, 2019, develop and communicate a set of recommendations around diabetes quality standards, tools and processes to a shared quality network to foster cross sector collaboration. By December 31, 2020, assess the feasibility of a statewide diabetes quality collaborative that would increase transparency and encourage data sharing Finance Reimbursement Workgroup Co chairs: Elissa Bassler and Kathy Levin GOAL #1 Objective #1a Finance Reimbursement Promote implementation of employer and insurerbased incentives to encourage participation in diabetes self management and prevention programs. By December 2018, develop and disseminate business cases to employers and insurers on the benefits of incentivizing evidence based diabetes self management and prevention programs. Objective #1b Objective #1c By December 2019, a minimum of 5 employers or insurers will pilot an evidence based diabetes selfmanagement or diabetes prevention incentive program for their members. By December 2020, implement an incentive pilot program that measures participation and completion of diabetes self management and prevention programs for Medicaid recipients (all programs). 11
Finance Reimbursement GOAL #2 Objective #2a Objective #2b Advocate for reimbursement by all payers for diabetes self management and prevention programs. By December 31, 2018, create and disseminate to payers a business case, tools, evidence and resources for reimbursement of diabetes self management and prevention programs. By December 31, 2020, all Illinois Medicaid programs (including managed care) and at least 5 private insurers will have initiated reimbursement mechanisms for diabetes self management and prevention programs. Finance Reimbursement GOAL #3 Objective #3a Objective #3b Objective #3c Advocate for funding for clinical and community based diabetes and chronic disease related prevention, screening, and treatment programs and infrastructure. By December 2019, annually assess public and private funding opportunities available to clinical and community providers that focus on reducing the burden of diabetes. By December 2019, educate policymakers on effective evidence based approaches to reduce the burden of diabetes in Illinois and the need to provide sustainable funding for those efforts. By December 2020, identify and share funding sources for evidence based approaches to reduce the burden of diabetes, including youth programs that educate youth on skills to ensure a healthy lifestyle and reduce the incidence of disease. Community Clinical Linkages Workgroup Co chairs: Starlin Haydon Greatting and Becky Antonacci 12
Community Clinical Linkages GOAL #1 Objective #1a Objective #1b Expand referral systems and processes through multisector partnerships, integrated risk identification tools, and full circle referral tracking to improve diabetes point of care service and follow up. By 2019, create a standardized and interconnected referral system framework and pilot within at least one region. By 2020, develop recommended systems, processes and tools for innovative referral delivery mechanisms (e.g. user friendly patient navigation elements) to support a comprehensive approach. GOAL #2 Community Clinical Linkages Objective #2a Implement non traditional and alternative delivery models to reach people with diabetes or at risk for diabetes (e.g. telehealth, technology, home visits, community health workers). By 2018, identify promising practices and evidence based models of enhanced follow up that show improved reach, participation, outcomes, and reduction in health disparities and access to care including location. Objective #2b Objective #2c By 2018, develop a pilot program framework that will test various delivery models for program delivery. By 2020, identify and share evidence based approaches for the delivery of diabetes prevention among youth and adolescents in non traditional settings and/or alternative delivery models. GOAL #3 Community Clinical Linkages Promote and disseminate diabetes information to increase awareness and improve quality of care. Objective #3a Objective #3b By 2018, plan and implement a statewide public awareness campaign around diabetes, diabetes risk factors, and diabetes prevention using a targeted approach (demographic, geographic regions, resource specific, etc.). By 2019, improve diabetes quality of care by utilizing and promoting ADA standards of care to clinical providers and health care teams. 13