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; and 
  • Leveraging private and public resources to build the evidence for effective diabetes prevention programs.

Through the end of 2013, the Foundation also continued to focus on improving the way primary care physicians manage the care of people with diabetes. NYSHealth also surpassed its five-year goal of helping 3,000 primary care providers attain diabetes recognition, which is an indicator that clinicians are delivering the best care and achieving good outcomes for patients.

Measuring Our Impact

The program indicators below help us to track the Foundation’s and our grantees’ progress in our work to improve the prevention of diabetes. The social indicators help us to understand and track the context of our work, and help us keep the bigger picture in mind when we consider new grant proposals.

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

Develop community-based diabetes prevention and management initiatives that can be self-sustaining over the long run and encourage people at high risk for diabetes to change their behaviors. 

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At least 65 evidence-based diabetes prevention programs will begin replication by the end of 2014.

2010: 0 programs

2012: 14 programs

2013: 40 programs

We met our target of replicating at least 40 evidence-based diabetes prevention programs in 2013 and increased our target to 65 programs by the end of 2014. 

Develop community-based diabetes prevention and management initiatives that can be self-sustaining over the long run and encourage people at high risk for diabetes to change their behaviors. 

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Leverage at least $4 million to help build up the evidence for diabetes prevention programs by the end of 2014.

2012: $0

N/A

2013: $2.7 million 

We helped one grantee leverage a $2.7 million NIH grant in 2013 to study the effects of population-level obesity prevention policies in New York City and increased our target to $4 million by the end of 2014.

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 give us the highest ratings on creating impact on this issue in New York State.

2011: 50% of stakeholders

N/A 

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

2012: 1,600 physicians recognized

2013: 3,005 physicians and other front-line clinicians recognized

We exceeded our goal of 3,000 primary care providers achieving recognition for excellent diabetes care by the end of 2013. The number of providers achieving recognition continues to grow; as of February 2014, 3,148 providers have achieved recognition.

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.

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 

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2007: 66,831

2010: 73,741

2011: 71,679

Number of inpatient admissions with principal or secondary diagnosis of diabetes 

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2007: 482,578

2010: 506,961

2011: 495,810

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%

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

2011
A1c: 67%
BP: 66%
Chol: 47%