Document 7249772
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Division of Diabetes Translation
Office of the Director
Policy and Program Information Team
Communication & Partnership Team
Director: Ann Albright, Ph.D., R.D.
Deputy Director: Angela Green-Phillips, M.P.A.
Associate Director for Science: Lawrence Barker, Ph.D
Team Lead: Karen Richard-Lee, M.P.A.
Team Lead: Laura Zauderer, M.P.H.
Primary Prevention Initiative Team
Health Disparities Coordination
Program and Policy Coordinator:
Russell Sniegowski, M.P.H.
Senior Science Consultant: David F. Williamson, Ph.D.
Coordinator: Regina Hardy, B.A., M.S.
Administrative Services
Administrative Officer: Bonita Foley
Epidemiology and Statistics Branch
Program and Evaluation Branch
Branch Chief: Edward Gregg, Ph.D.
Associate Branch Chief:
Desmond Williams, M.D., Ph.D.
Branch Chief: Barbara Park, R.D.H., M.P.H.
Deputy Branch Chief: Patricia Mitchell, M.P.H.
Program Admin Coordination (PAC)
Team
Team Lead: Patricia Mitchell, M.P.H.
Epidemiology Team
Economics Team
Team Lead:
Guissepina Imperatore, M.D., Ph.D.
Team Lead: Ping Zhang, Ph.D.
Surveillance Team
Team Lead: Linda Geiss, M.A.
Vision Health Team
Native Diabetes Wellness
Program (NDWP)
National Diabetes Education
Program (NDEP)
Team Lead:
Dawn Satterfield, R.N., Ph.D.
Director: Judith McDivitt, Ph.D.
Deputy Director:
Betsy Rodriguez, B.S.N., M.S.N.
Evaluation Team
State Consultation Team
Acting Team Lead:
Barbara Park, R.D.H., M.P.H.
Senior Team Lead:
Patricia Schumacher, M.S., R.D.
Team Lead:
Andy Lanza, M.P.H., M.S.W.
Team Lead:
Wayne Millington, M.P.A.
Team Lead:
Jinan Saaddine, M.D., M.P.H.
Statistics Team
Chronic Kidney Disease Team
Team Lead: Ted Thompson, M.S.
Team Lead:
Desmond Williams, M.D., Ph.D.
CS205388-A
DDT Strategic Plan Goals
Prevent diabetes
Prevent complications, disabilities and burden
associated with diabetes
Eliminate diabetes-related health disparities
Maximize organizational capability to achieve
goals
• Build capacity for communication, evaluation,
•
marketing, policy, and partnerships
Create and implement mgmt plan for leadership
development, workforce development, and diversity
Division of Diabetes Translation
Tracking the disease burden
Conducting applied translation research to
prioritize effective interventions
Economic analyses
Developing and maintaining state-based
diabetes prevention and control programs
Implementing National Program Initiatives:
National Diabetes Education Program
Native Diabetes Wellness Program
Diabetes Prevention and Control
Programs
50 States & DC
8 Territories
17 Tribes
Vulnerable Pops
National Diabetes Education Program*
*NDEP is a joint initiative of CDC and NIH
Using Core Public Health Functions
and the 10 Essential Public Health Services
The Role of DPCP’s
Diabetes
Surveillance
Workforce
Development
Assessment
& Strategic
Planning
Quality Care
Improvement
Technical
Assistance
Partnership
Development
Raising the Profile of Diabetes
Surveillance
• National Surveillance System
• Risk Factors
• Prevalence / Incidence
• Complications
• Care and treatment
• Small Area Methods
• SEARCH
•Modeling / Forecasting
• Vision Health Initiative (VHI)
•CKD Program
Observational and
Clinical
Epidemiology
• Lifestyle Interventions
• Body Composition
• Risk Identification tools
•Da Qing Follow-up
• NIH Collaborative Trials
• SES Disparities
• Life stages (youth / aging)
•Modeling / Forecasting
Health Services
And Policy
Research
• TRIAD Study
•
•
•
•
NDSS
VH Initiative
CKD Program
Access to care
Economic and
CostEffectiveness
Research
•Cost- effectiveness Studies
• DPP-OS
• Look AHEAD
• ACCORD
• Vision Health Initiative
• Chronic Kidney Disease Program
Household
Surveys
Hospitals
CDC
Vital statistics
National Diabetes Surveillance System
Telephone
Surveys
Registries
Analytic Applications of U.S. National
Diabetes Surveillance System
Characterizing diabetes
epidemic, its risk factors and
impact.
Identifying key at-risk
populations.
Modeling the disease and cost
impact over time and lifetime.
Setting and monitoring national
health objectives.
Investigating new threats.
National Diabetes Fact Sheet
Small Area Estimates
Effectiveness Studies
NEXT-D (Natural Experiments in Translation
for Diabetes)
Da Qing Follow-up Study
U.S. Mexico Border Project
TRIAD (Translating Research into Action for
Diabetes)
Diabetes Prevention Program (DPPOS)
Look AHEAD Study
ACCORD Study
New Research Initiatives
NEXT-D (Natural Experiments in Translation for Diabetes)
Vision Health Initiative Translation Research Centers
Advances in Surveillance
• Small Area
• State-based Incidence
Revised Disease Forecasting
• Incidence
• Cost
• Intervention Effectiveness
National Primary Prevention registry and evaluation
Natural Experiments and Effectiveness Studies of Population-Targeted
Policies for Diabetes Prevention and Control
The Diabetes Health Plan: A System-Level Intervention to Prevent and Treat Diabetes
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•
University of California Los Angeles
Principal Investigator: Dr. Carol Mangione
Effectiveness of a National Health Care Community Partnership to Prevent Diabetes
• Indiana University
• Principal Investigator: Dr. Ron Ackermann
The Impact of Emerging Health Insurance Designs on Diabetes Outcomes and Disparities
• Harvard Pilgrim Health Care and Harvard University
• Principal Investigator: Dr. Dennis Ross-Degnan
Learnings in Diabetes Prevention from an Integrated Delivery System
• Kaiser Foundation Research Institute
• Principal Investigator: Dr. Joe Selby
Management and Education for Diabetes in New York City
• St. Luke’s-Roosevelt Institute for Health Sciences
• Principal Investigator: Dr. Jeanine Albu
Policies and Interventions Proposed in
Phase I Studies
Employer-based detection, outreach, incentives, and telephone
coaching for primary prevention among 3750 high risk adults from 5
employers.
Disease-specific health insurance product; reduced copayments, and
incentives among 136,000.
Impact of reduced copayments and incentives among adults with
diabetes and pre-diabetes from 15 large employers.
Systematic post-partum screening of women with GDM.
Policies and Interventions Proposed in
Phase I Studies
Enhanced EMR with decision support for diabetes care, screening, and
prevention referral among 4000 adults with DM and pre-DM;
Impact of employer-mandated switch to high deductible and “consumerdriven” health plans among 62,000 diabetic adults age 18-64.
Health plan administered diabetes prevention programs delivered in YMCAs
on 7500 high risk adults.
Pre-diabetes screening and referral to multi-tiered interventions.
Attributes of Studies
Population targeted policies and interventions from 3 sources:
• Health Systems;
• Business and community organizations;
• Government agencies
Ongoing or imminent interventions with cost of intervention underwritten by
other sources.
Aimed at prevention of diabetes and/or its complications.
Primary Funding Mechanisms
Grants
Cooperative Agreements
Contracts
State DPCPs