Vision Care in Diabetes Prevention and Control Programs

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(No Transcript)
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Vision Health and State Diabetes Prevention and
Control Programs ? Are DPCPs Making A
Difference?

• Magon M. Saunders, MS, RD, LD

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Disclaimer

• The findings and conclusions in this report are
  those of the authors and do not necessarily
  represent the official position of  the Centers
  for Disease Control and Prevention.

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Objectives

• Describe state diabetes prevention and control
  programs (DPCPs) efforts to increase the rates
  of dilated eye exams and to improve vision health
  across the states
• Discuss the policy and advocacy implications of
  these efforts and what other DPCPs could benefit
  from getting involved in vision health programs
  and services

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Background

• 12,000-24,000 people lose their eyesight from
  diabetes each year
• The rate of dilated eye exams among people with
  diabetes in the U.S. varies from state to state
  (50-60 BRFSS NHIS,2002)
• CDC funds 59 DPCPs to implement diabetes
  prevention and control activities at the systems
  level
• Many DPCPs use a variety of strategies to address
  vision/eye health in their respective states

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24 million with Diabetes
57 millionwith Prediabetes
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Diabetes
The leading cause of new cases of end stage renal
disease
A 2- to 4-fold increase in cardio-vascular
mortality
The leading cause of new cases of blindness in
working-aged adults
The leading cause of nontraumatic lower extremity
amputations
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CDCs National Diabetes Program Objectives

• Increase the proportion of persons with diabetes
  who receive
• Annual foot exams
• Annual dilated eye exams
• Annual flu vaccination
• At least one A1C test per year

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National Diabetes Framework

• 4 Goals
• Prevent diabetes
• Prevent complications, disabilities, and the
  burden associated with diabetes
• Eliminate diabetes-related health disparities
• Maximize the organizational capacity to achieve
  the NDF Goals

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Key Initiatives Supporting the National Diabetes
Framework

• Surveillance
• Collaborate with State DPCPs
• National Diabetes Education Program (NDEP)
• Native Diabetes Wellness Program (NDWP)
• Vision Health Initiative

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What is MIS?

• The Division of Diabetes Management Information
  System (DDT MIS) is a Web based system designed
  to facilitate the collection and sharing of
  programmatic information between state-based
  diabetes prevention and control programs and the
  CDC staff through a common Internet interface.

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The MIS Up Close

• DDT MIS generates reports, supports queries,
  standardizes reporting practices, consolidates
  program information, and fosters continuity and
  consistency throughout the diabetes community.
• MIS consists of four modules
• The Cooperative Agreement (CA) module
• The Evaluation Tool Kit (ETK)
• The Diabetes Indicators and Data sources Internet
  Tool (DIDIT),
• Reporting Module which allows the generation of a
  myriad of descriptive reports using the
  information entered by DPCPs in the Cooperative
  Agreements Module.

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The Evolution of State DPCPs
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Essential Functions of the State DPCPs
Diabetes Surveillance
Workforce Development
Assessment Strategic Planning
Quality Care Improvement
Partnership Development
Technical Assistance
Raising the Profile of Diabetes
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What DPCPs Are Doing To Address Vision Care

• Health Systems Diabetes Collaborative, Education
  Programs, etc.
• Health Communications Raising awareness of
  diabetes risk factors and preventive care
  practices in high risk populations
• Community/Policy/Environmental Change Developing
  community coalitions, mobilizing partners to
  advocate for policy change, etc.
• Screenings and Vision Outreach Work in diabetes
  retinopathy, providing dilated eye exams, etc.

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Vision Health Activities among State DPCPs
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DPCP Vision Initiatives 2003-2008
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DPCP Vision Initiatives 2003-2008Contd
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Vision Health Project Examples

• Education - Public and health care providers
  including media campaigns
• Design vision awareness poster
• Distribute education materials on eye care in
  various languages
• Surveillance - develop strategy for collecting
  baseline vision data and running the vision module

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Are DPCPs making a difference in Vision Health?

• On average, the dilated eye exam rate had
  improved from 58 in 1995 to 64 in 2006 (BRFSS).
• Increase in partnerships around vision health
  HMOs, Lions Club, NEI, etc.
• Capacity building at the state and national level
  to address vision needs.
• Expansion of services and programs at the systems
  level

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Age-Adjusted Annual Dilated Eye Exam Rate per 100
Adults with Diabetes, U.S.,1994-2005
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Next Step

• Policy Implications
• -More funding is needed to expand vision
  services
• -Increase education for decision makers
• -Increase grassroots policy efforts
• -Focus on prevention efforts
• Take home message
• -All DPCPs can get involved at some level
• You choose where
• Reach out to partners and select interventions
  based on the FOA
• Take it to the next level

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Yes We Can

• Margaret Meads Quote
• No doubt one group of committed people can
  change the world .. Indeed, it is the only thing
  that ever has.
• Become a Change Agent today.. Join the ranks of
  the Committed.

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Prolonging life span after the onset of diabetes
- a scientific and moral victory
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QUESTIONS /ANSWERS

• Ready, Set, Go.

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Contact Information

• Magon Saunders, MS, RD, LD
• Program Consultant
• 770-488-5214
• MSaunders_at_cdc.gov

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THANK YOU