New York State Health Foundation

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Improving Diabetes Prevention

Improving Diabetes Prevention

Nearly 1.8 million New Yorkers—almost 10% of the State’s population—have diabetes, a chronic condition that exacts an enormous human and financial toll. In addition, more than 4 million New Yorkers have prediabetes, a condition that puts them at high risk for developing diabetes and its complications.

To reverse the diabetes epidemic in New York State, the Foundation supports the spread of effective community-based prevention programs that reach people where they live, work, and worship. NYSHealth focuses on three strategies to prevent diabetes:

  • Replicating proven and innovative public health approaches to diabetes prevention
  • Informing public policy to advance prevention efforts throughout the State
  • Leveraging private and public resources to build the evidence for effective diabetes prevention programs

Through the end of 2013, the Foundation will also continue to focus on improving the way primary care physicians manage the care of people with diabetes, including through our Meeting the Mark program. 
 

Measuring Our Impact

The indicators below help us to track the Foundation’s and our grantees’ progress in our work to improve the prevention of diabetes.

View Program Impact View Social Impact
Program Impact: Improving Diabetes Prevention
What we are doing How we measure progress Where we started Where we have been Where we are now What this
means

Scale up proven and promising community-based diabetes prevention and management initiatives that can be self-sustaining.

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At least 40 evidence-based diabetes prevention programs will begin replication by the end of 2013.

2012: 14 programs

N/A

N/A

We are on target to reach our goal of 40 evidence-based diabetes programs by the end of 2013.

Build up the evidence for effective prevention programs.

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Leverage at least $2 million to help build up the evidence for diabetes prevention programs by the end of 2013.

2012: $0

N/A

N/A

We are currently supporting several organizations in their efforts to apply for public or private funds related to diabetes prevention and are confident we will reach our target by the end of 2013.

Contribute to improving care for New Yorkers with diabetes.

 

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50% of stakeholders who are familiar with NYSHealth's work on diabetes agree that the Foundation is effective at creating impact on this issue in New York State.

2011: 50% of stakeholders

2011: 50% of stakeholders

2012: 41% of stakeholders

We did not meet our goal for this target in 2012. We must ramp up our efforts to achieve and demonstrate impact on improving caring for New Yorkers with diabetes.

Support programs to improve clinical care for New Yorkers with diabetes.

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Increase the number of New York State’s primary care physicians achieving recognition for good patient outcomes from the NCQA Diabetes Recognition Program or the BTE Diabetes Care Recognition Program from 149 to 3,000 by the end of 2013. These physicians care for 600,000 New Yorkers with diabetes.

2007: 149 physicians recognized

2011: 1,000 physicians recognized

2012: 1,600 physicians recognized

We are on target to reach our goal of 3,000 physicians achieving recognition for good diabetes care by the end of 2013.

Note: These measures give us a clear sense of our progress on the specific strategies that NYSHealth pursues to improve diabetes prevention in New York State. Ultimately, we pursue these strategies because we want to reduce the human and financial toll of diabetes. Although the Foundation’s efforts alone will not necessarily achieve these broader social change outcomes throughout the entire State, we and our partners can make a difference. We also use social impact measures to help us understand and track the context of our work in diabetes and help us to keep the bigger picture in mind when we consider new grant proposals.  We are encouraged to see a significant decrease in the number of emergency department visits and inpatient admissions related to diabetes from 2007 to 2011, despite the increase in the number of New Yorkers who were diagnosed with diabetes.

Social Context: Improving Diabetes Prevention
How we Measure the Social Context for our Work Where New York Started Where New York Has Been Where New York Is Now

Number of emergency department visits with a principal diagnosis of diabetes per 100,000 New Yorkers with diabetes

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2007: 5,517

2010: 5,494

2011: 4,748

Number of inpatient admissions with principal or secondary diagnosis of diabetes per 100,000 New Yorkers with diabetes

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2007: 39,834

2010: 37,774

2011: 31,095

Percentage of New Yorkers with diabetes who have:
HbA1c<=9%,
controlled blood pressure (<140/90),
controlled cholesterol levels (<100mg/dL)

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2007
A1c: 66%
BP: 61%
Chol: 41%

2008
A1c: N/A
BP: N/A
Chol: N/A

2009
A1c: 67%
BP: 65%
Chol: 44%