Transcript Document 7249772

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,
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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
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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
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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
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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