| Organization (Diabetic Study Population)1 |
Program Description (Annual $/diabetic)2 |
Impact Measures
(Savings Estimates)3 |
| Coalition Programs |
| Pittsburgh Regional Health Initiative |
Multiple diabetes related projects including a specially adapted process improvement model. |
HA1c and other standard measures have not yet been released. |
| Diabetes Coalition of Northeast Ohio (150+) |
Health promotion, patient education, decision support tools, and Bridges To Excellence participation. |
Educational material and Care Flow Sheets distributed, patients trained/educated, BTE incentive payments. |
| Midwest Business Group on Health (1,163) |
Improved the quality of diabetes care delivery through wider use of Chronic Care Model and other evidence based medicine improvements. ($327) |
Glucose, lipids, HbA1c. ($715) |
| Piedmont Health Coalition Diabetes Maintenance Program (116) |
Worksite education/intervention with diabetes supplies. Expansion of existing diabetes management program within regional medical center. ($260) |
Glucose, BP, lipids, frequency of testing, foot checks, smoking, exercise ($312 net) |
| St. Louis Diabetes Coalition (18) |
Multiple diabetes projects but primary patient service focus is on employer-sponsored education program. ($170) |
HA1c, weight, BP, self care and satisfaction measures. |
| Employers' Coalition on Health (Rockford, IL) (900) |
Reduced the cost of diabetes care, developed physician flow sheets and profiles. Funded through capitation rate. Five years of experience. ($40) |
Glucose, BP, lipids, testing (frequency and knowledge). |
| Savannah Business Group on Health (840) |
Contracted Disease Mgmt with physician profiles. Stratified target population by risk to tailor interventions. ($170) |
Glucose, BP, lipids, testing, misc. risk factors |
| Arkansas Fitness Challenge (2,362) |
Voluntary 'challenge' format with another major employer. Expanded to include several employers in multiple states. Very well developed 'start up kit'. ($15) |
Glucose, Lipids, BP, Weight (all self reported based on pre/post HRA). |
| Single Employer Programs |
| Chrysler Worksite Diabetes Intervention Program (126) |
Onsite certified diabetes educators (CDEs) provide individualized coaching sessions focused on reducing A1C, lipid levels, and body mass index; focused diabetes education & self-management skill development; formulating individual's long-term goals for self-management of diabetes |
A1c, BMI, BP, Lipids. Self-reported absenteeism and presenteeism. Annualized savings projected to be near $50K. |
| International Truck and Engine (22) |
Education, coaching, supplies, testing. Small sample and short study period (6 months) but positive results. |
Glucose, BP, testing (frequency and knowledge). |
| Provider Organized Programs |
| Vermont Diabetes Information System (7,297) |
Used labs to build registry and recruit both patients and providers. Low cost implementation of major elements of the CCM in a rural environment. Very high participation rate. ($48) |
A1c, Creatinine, M:C Ratio, Lipids. Significantly improved compliance and lab measures. |
