Expanding the Chronic Care Model for Patients with Diabetes in Central New York

Improving Diabetes Prevention and Management

Grantee Name

Family Health Network ofCentral New York, Inc.

Funding Area

Improving Diabetes Prevention and Management

Publication Date

May 2013

Grant Amount

$250,912

Grant Date:

January 1, 2008 – March 31, 2010

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According to the Family Health Network of Central New York (FHN), a multisite, federally qualified health center in Cortland County, more people with diabetes in Cortland County die of complications related to diabetes than in other parts of the State.

This region of the State also has the third-lowest reported daily self-monitoring of blood glucose and the fifth-lowest reported daily foot self-check among members of the New York Diabetes Coalition. In January 2008, NYHealth awarded FHN a grant to expand its existing diabetes program that was launched in 2006 to include more care teams and locations in Cortland County. NYHealth funded this project through its 2007 Setting the Standard: Advancing Best Practices in Diabetes Management request for proposals.

Outcomes and Lessons Learned

Focused on improving CCM measures, such as self-management support, community linkages, and clinical information systems;
Supported the staff, training, implementation, and evaluation activities necessary to expand the CCM to its remaining three medical sites;
Expanded its use of the patient diabetes registry;
All seven of FHN’s primary care providers achieved National Committee for Quality Assurance diabetes recognition; and
Piloted the use of point-of-care testing, which made it easier to render services in a concentrated fashion.

Read the report associated with this grant, “Setting the Standard: A Foundation Initiative to Advance Best Practices in Diabetes Management.”

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Expanding the Chronic Care Model for Patients with Diabetes in Central New York

Grantee Name

Funding Area

Publication Date

Grant Amount

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According to the Family Health Network of Central New York (FHN), a multisite, federally qualified health center in Cortland County, more people with diabetes in Cortland County die of complications related to diabetes than in other parts of the State.

Outcomes and Lessons Learned

Related Links

National Committee for Quality Assurance (NCQA)

Evaluating the Impact of Setting the Standard Diabetes Grantees