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Talking with Payers, Providers and Patients About Diabetes:
An AAPPO Toolkit for PPOs
Tab 2: Diabetes Resource Links
This tab includes a selection of web based resources that can be used for additional background and materials to enrich a PPO-supported diabetes initiative. All of the web sites present an expert perspective and reflect best practices in quality diabetes prevention and care. Most of the web sites offer free or public domain materials; a few charge a fee for bulk purchase of materials. PPOs are encouraged to use these public resources to augment diabetes programs. PPOs can also create a diabetes information page on their own web sites linked directly to these rich resources available on the web. This is a low cost way to guide patients, providers, and payers to information that supports better diabetes care.
Resources for Payers
The Centers for Disease Control (CDC)'s Healthier Worksite Initiative is a campaign to improve health in the workforce. The program goal is to reduce health care costs and increase productivity and wellbeing. The CDC provides toolkits for employers to design and implement a health promotion program for specific needs of their workplace. Toolkits include materials on general health, nutritious eating, physical activity, preventive health screenings, and promotion of healthy choices. The CDC provides step-by-step resources for initiatives such as StairWELL, through which companies evaluate employee use of stairs, then improve staircase conditions and encourage use. Other CDC web sites offer up to date statistics and other diabetes information.
National Diabetes Education Program
The National Diabetes Education Program is a federally funded partnership of government health organizations and over 200 local organizations across the country working to prevent, control, and educate about diabetes. The Program's website provides information on major diabetes awareness campaigns for general, high-risk, and minority audiences and offers guides and copyright-free materials for organizations wishing to create their own campaigns. Online purchase of tip sheets, brochures, and toolkits is available for patients, health care professionals, school personnel, and businesses. Easy-to-read resources are offered in fifteen Asian/Pacific Island languages and Spanish.
Diabetes At Work
http://www.diabetesatwork.org
This site, a collaboration of national diabetes organizations, offers resources to professionals to devise, enact, and evaluate programs for diabetes awareness and disease management in the workplace. The website provides a calculator for assessing the cost and impact of diabetes in a workplace. Diabetes At Work provides resources for development of diabetes prevention programs, improvement of health care and creation of diabetes management plans. Tools for health promotion include a source book for disease prevention, a purchaser's guide to services, a workshop planning guide, and Spanish-language materials for diabetes care.
National Business Coalition on Health (cost calculators)http://www.nbch.org/CHVC/calculator/index.cfm
The National Business Coalition on Health is a national non-profit organization representing local health benefit purchasing coalitions. NBCH offers employers two online calculators to assess the impact of diabetes care plans for their business. With information provided by the employer or from national statistics, the Diabetes Outcomes AnalyzerTM offers employers an assessment of the potential impact of benefit design changes for diabetic employees. The Agency for Healthcare Research and Quality offers a tool for calculating costs of diabetes in the workforce and potential savings available through improved diabetes management. Both calculators are evidence-based and individualized for the company.
National Business Group on Health
Center for Studying Health Systems Change
The Center for Studying Health System Change (HSC) is a nonpartisan policy research organization. HSC designs and conducts studies focused on the U.S. health care system to inform the thinking and decisions of policy makers in government and private industry. HSC produces data bulletins and issues briefs of relating to health systems reform and benefit design. A recent publication, “Issue Brief: Benefit Design Innovations: Implications for Consumer-Directed Health Care” http://www.hschange.com/CONTENT/913/913.pdf includes valuable insights on value based insurance design.
Center for Value Based Insurance Design
The Center for Value Based Insurance Design is an academic center that evaluates health care financing approaches and promotes value based insurance benefit designs. The Center conducts research on value based insurance design and offers links to research by its own faculty as well as related studies. The Center offers articles on cost sharing, lowering costs, and improving benefits. Research focuses on new approaches to patient contribution and effectiveness in health care. Presentations from Center leadership are posted, as are dates for future events.
Center for Value Based Health Management
The Center for Value Based Health Management helps employers and providers in evaluating health care costs and addressing solutions. Through "FIT Design" the Center advocates for fact-based, integrated, and targeted health care to increase the value of patients' benefit designs. The book Total Value, Total Return gives an understanding of value based health management and is available through a podcast on the website or by order from a sponsoring organization. Further resources include podcasts, case studies, and assessments for providers.
Michigan Diabetes Research and Training Center
The Michigan Diabetes Research and Training Center works in partnership with the National Institutes of Health to research diabetes and promote awareness of the disease. The Center offers a comprehensive list of patient care handouts, tip sheets and documents on specific complications and medications. For providers and patients, the Center offers surveys and scales for assessing diabetes history, attitude, and knowledge. Information pages on the research cores of the Center include material on health systems, biology, chemistry, measurement devices and patient care. The Center seeks to stimulate new research and offers several research grants which are announced on the site.
American Diabetes Association
DiabetesPro, the American Diabetes Association (ADA)'s web host for professionals, connects physicians to resources for reference, research, teaching, and clinical care. The ADA offers journals, books, and articles on clinical research through the continuing education library and online bookstore. Information on professional meetings and interest groups facilitates networking with other professionals in diabetes care. DiabetesPro provides a resource bank for clinical trials, practice recommendations, and patient outreach. Members have access to webcasts, articles on clinical research, and the ADA's Multimedia Bank of presentations for research and teaching.
American College of Physicians – Diabetes Portal
The American College of Physicians (ACP) Diabetes Portal offers resources on diabetes for both patients and health care providers. Providers can view the ACP Diabetes Care Guide: A Team-based Practice Manual and Self-Assessment Program or order a print version of the guide. Other resources include articles and books on clinical practice, quality improvement, and topics such as diabetes prevention, complications, and sustainable living. The American College of Physicians offers PIER, the Physicians Information and Education Resource for clinical guidance, and interactive resource tools for health care teams and patients. Patient resources include materials on living with diabetes, information on problems associated with the disease, and interactive tools to help patients manage their diabetes.
American Association of Clinical Endocrinologists
The American Association of Clinical Endocrinologists (AACE)'s Roadmap for the Prevention and Treatment of Type 2 Diabetes is a program to help health care providers and patients meet their goals for hemoglobin A1c glycemic control, as determined by the American College of Endocrinology (ACE). Three sections of the road map provide directions for clinicians treating patients beginning treatment, patients in treatment but not at their A1C goal, and prevention of diabetes in pre-diabetic patients. Published in Endocrine Practice, the ACE/AACE roadmap was developed in spring 2007 and is available on the AACE website in both slide and PDF formats.
Resources for Consumers
American Diabetes Association
The American Diabetes Association (ADA) partners with local organizations in all fifty states to promote diabetes education and improve the lives of diabetes patients. Parents, educators, and patients can find up-to date information on diabetes, diabetes-related diseases, health care, and research. The ADA's website provides tools for living with diabetes, such as recipes, weight loss and nutrition information, as well as information on local events. The online shop offers books on lifestyle, nutrition, and diabetes management. Individuals can discover more through message boards, live question-and-answer sessions with ADA representatives, and Spanish-language resources.
American Association of Diabetes Educators
The American Association of Diabetes Educators (AADE) provides resources to diabetes care teams, and emphasizes the crucial role of diabetes educators in a diabetic patient's support network. Diabetes Educators work with patients to develop the AADE7(TM), seven self-care behaviors which increase patients' competency in self-management and improve quality of life. The AADE website provides a research library and programs database to patients and health care providers, and connects individuals to information about health care policy and AADE advocacy. The site offers a "Finder" application for listed local diabetes educators in the US. AADE produces an online publication, “Side by Side: A Partner Approach to Diabetes Self Care” is AADE's awareness campaign to promote the team care model of support for patients with diabetes. Important resources include the downloadable Self-Care Guidebook and Self-Care Worksheet. The "Find an Educator" and "Upcoming Events" page help connect patients to local partners.
This federal clearinghouse is a service of the National Institutes of Health. It offers links to information for professionals, patients, and employers. It connects users to information on diabetes, resources for managing the disease, and other data and information. Materials are available in Spanish and other languages, and include such easy-to-read brochures as "What You Need to Know" and "4 Steps for Controlling Your Diabetes". Statistics, tip sheets, starter information kits, and reports of research are also available. Outside resources include MEDLINE, an online database of medical journals, the National Institute of Diabetes and Digestive and Kidney Diseases image library and reference collection, and a national directory of diabetes organizations.
National Diabetes Education Program (publications for patients)
The National Diabetes Education Program (NDEP) offers patient-oriented publications in sixteen languages. Brochures are easy-to-read and include topics such as "4 Steps to Control Your Diabetes for Life" and "Take Care of Your Heart. Manage Your Diabetes." Tip sheets, prevention brochures and toolkits for diabetes management are offered for targeted at-risk audiences. All materials are available for free or low-price download, online viewing, or order directly from the NDEP Web site.
Partnership for Clear Health Communication
The Partnership for Clear Heath Communication (PCHC) offers information to promote patients’ health literacy- "the ability to read, understand, and follow health information." The Partnership offers free downloadable brochures on health literacy for patients, providers, and organizations. A cultural considerations primer and materials on Medicare are also available. The "Ask Me 3" fact sheet, presentation and poster educate patients on the three most important questions they should ask health care providers. Most materials are available in English and Spanish and some are available in French, Russian, Chinese and Arabic.
About the Toolkit Sponsors
The American Association of Preferred Provider Organizations (AAPPO)
The American Association of PPOs (AAPPO) is a partnership of preferred provider organizations (PPOs). It advocates the benefits of PPOs for health care. AAPPO offers research and information on the PPO industry, including an annual Study of Consumer Directed Health Plans, available on the website. The AAPPO Academy offers professionals continuing education online courses on the PPO industry, insurance claims, and health care management. The AAPPO ACT on Diabetes campaign offers resources to promote taking action, championing care, and taking charge of diabetes. A free media toolkit for PPOs is available for download and information on studies and other programs are provided.
DMAA: The Care Continuum Alliance
http://www.dmaa.org and http://www.dmaa.org/pdf/DMAA-NAM_Employer_Toolkit.pdf
The DMAA site houses information in disease management strategies as well as resources on implementation and evaluation of disease management programs. DMAA offers numerous research and policy documents on disease management and industry best practices. In 2007 DMAA in collaboration with the National Association of Manufacturers, released a toolkit, “Wellness, Disease and Care Management: Background for Developing a Business Strategy.” The toolkit provides information for employers on the continuum of health care strategies that could be adopted to promote wellness, control chronic disease, and manage acute illness.
Healthways offers individualized healthy living enhancement programs for lifestyle and disease support. The Health and Care Support programs evaluate individuals through the “myhealthIQ” (TM) program, creates a support plan and assesses its effectiveness. Healthways works in collaboration with partner organizations to increase patient motivation for health, control of care, and access to tools for healthy living. The Center for Health Research virtual library and Outcomes Summit provide information on the Healthways program and outcomes.
CVS/Caremark
The CVS/Caremark consumer website provides medical information, health advice, articles on healthy living and information on pharmaceuticals. The website offers tools for diabetic patients and their support networks. The Diabetes Center offers interactive resources such as quizzes, "Ask the Expert" pages, daily food and insulin diaries, and a pocket checklist for diabetes care. Materials are available for newly diagnosed patients and children with diabetes along with links to the American Diabetes Association tip sheets.
sanofi-aventis
Sanofi-aventis is one of the world’s largest pharmaceutical companies. Backed by a world-class research and development organization, sanofi-aventis is developing leading positions in seven major therapeutic areas: cardiovascular disease, thrombosis, oncology, diabetes, central nervous system, internal medicine, and vaccines. Sanofi-aventis has a website providing information andresources for patients with diabetes, www.goinsulin.com.
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