New York State Health Foundation

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Improving Diabetes Prevention and Management

Improving Diabetes Prevention and Management

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.

Through the end of 2013, the Foundation focused on improving the way primary care physicians manage the care of people with diabetes. NYSHealth 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. These clinicians care for more than 600,000 New Yorkers with diabetes.

The Foundation also focused on supporting the spread of effective community-based diabetes prevention programs that reach people where they live, work, and worship. NYSHealth worked with 200 faith congregations to implement self-management and prevention programs and supported the spread of evidence-based National Diabetes Prevention Program (NDPP) to 70 sites across New York State, helping participants develop lifestyle skills and behaviors that can reduce their risk of developing diabetes by 50%.

• NYSHealth’s Building Healthy Communities priority area represents an evolution of this earlier diabetes prevention work. In that area, the Foundation continues a focus on increasing demand and attracting sustainable financing for lifestyle behavior programs like the NDPP.

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

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

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

2012: 17 programs

2013: 39 programs

2014: 70 programs

We exceeded our target of supporting the replication of 65 evidence-based diabetes prevention programs.

Build up the evidence for effective prevention programs.

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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

2013: $2.7 million

2014: $3.5 million 

We are just short of our goal for 2014, but we are on target to leverage at least another $500,000 in early 2015 to build the evidence about effective prevention programs.

Contribute to improving diabetes prevention for New Yorkers.

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50% of stakeholders who are familiar with NYSHealth's work on diabetes prevention give us the highest ratings on creating impact on this issue in New York State.

2014: 42% of stakeholders

N/A 

N/A

Our work in diabetes prevention is relatively new, and we are ramping up our efforts to create impact in this area.

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 recogintion for good patient outcomes from the NCQA Diabetes Recognition Program or the Bridges to Excellence 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

2014: 3,151 physicians and other front-line clinicians recognized

We have exceeded our goal of 3,000 primary care providers achieving recognition for excellent diabetes care. 

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

2012: 73,195

Number of inpatient admissions with principal or secondary diagnosis of diabetes 

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2007: 482,578

2010: 506,961

2012: 506,637

Percentage of New Yorkers with diabetes who have
controlled HbA1c, blood pressure, and cholesterol levels

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

2011
A1c: 58%
BP: 66%
Chol: 47%

2013
A1c: 57%
BP: 69%
Chol: 43%