Posts Tagged ‘Diabetes Management’

Infographic: The Data Behind Diabetes

July 22nd, 2016 by Melanie Matthews

The number of people living with diabetes has quadrupled since 1980, growing to more than 400 million. And with this rise in disease, sales of diabetes-related products have also climbed. In fact, in 2015, American consumers spent $592 million on such products, according to the World Health Organization.

Managing diabetes requires a proper balance of professional medical management, blood sugar control, and maintaining a healthy diet. So there is great value in understanding the diabetic patient and consumer journey through each step of the management process, all the way from the doctor’s office to the grocery aisles. And today, thanks to the power of data insights, healthcare providers and physicians, product manufacturers, and retailers can better tailor their offerings and experiences to aid diabetic patients and consumers in their path to healthy living.

A new infographic by Nielsen reflects key insights around the diabetic consumer.

Remote Monitoring of High-Risk Patients: Telehealth Protocols for Chronic Care ManagementReal-time remote management of high-risk populations curbed hospitalizations, hospital readmissions and ER visits for more than 80 percent of respondents and boosted self-management levels for nearly all remotely monitored patients, according to 2014 market data from the Healthcare Intelligence Network (HIN).

Remote Monitoring of High-Risk Patients: Telehealth Protocols for Chronic Care Management profiles a successful eight-year initiative by New York City Health and Hospitals Corporation’s (NYCHHC) House Calls Telehealth Program that significantly lowered patients’ A1C blood glucose levels.

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Yale Online Forum Helps Teens with Diabetes “Not Look Like a Jerk”

August 14th, 2014 by Cheryl Miller

Being a teenager is hard enough; when it’s complicated by a chronic disease like type 1 diabetes, it’s even harder.

Enter telehealth, in the form of a monitored discussion board for teens with the disease.

Margaret Grey, DrPH, RN, FAAN, Dean and Annie Goodrich Professor at the Yale School of Nursing, has spent the majority of her career helping patients and families manage chronic conditions, and helping kids — teenagers in particular — manage their diabetes through their teen years so they can reduce their risk of long-term complications.

“I’ve been studying these kids for 30 years,” says the pediatric nurse practitioner, who, prior to assuming the deanship in 2005, served as associate dean for scholarly affairs and was the founding director of the school’s doctoral program and the NIH-funded Center for Self and Family Management and a related pre- and post-doctoral training program. “Kids have black and white thinking — and have to manage how to ‘not look like a jerk’ by being given the skills to manage their disease, to think about it in a different way.”

Grey and other researchers conducted several clinical trials: an advanced diabetic education project and a life skills program, which showed that teens with diabetes’ overall health and quality of life were better after going through both programs. Results showed that intensive therapy and better metabolic control reduced the incidence and progression of microvascular and neuropathic complications from diabetes from 27 percent to 76 percent.

But how to maintain those results? According to researchers, “Metabolic control tends to deteriorate as a combined result of insulin resistance that accompanies the hormonal changes of adolescence and lower adherence to the treatment regimen often associated with the desire for autonomy.”

“So we took those interventions and developed an online program kids could do at their leisure,” Grey says. It incorporated a monitored discussion board that allowed kids to communicate with others like them. Teens with diabetes overcome their fear of being stigmatized by logging onto the Web site,­ called TeenCope, ­with other teens with diabetes and engaging in self-management exercises. The online program simulates situations teenagers with diabetes might encounter by using graphic novel animations that illustrate coping skills lessons from the animated characters. “As kids transition to adolescence, they require more effort and thought,” Grey says.

Peer support is an important component of maintaining a healthy lifestyle, as adolescents face pressures such as not wanting to reveal medical equipment in a social setting, or reveal their medical conditions in a social situation.

In addition, the program will also integrate an online educational program aimed at problem-solving for teens with diabetes. Adolescence is a time when patients neglect self-monitoring, dietary recommendations, and pharmacologic treatments — not because of a lack of knowledge, but due to the decision-making difficulties characteristic of this life stage. Studies show that poor metabolic control in the teen years correlates to reduced self-management in adulthood, making adolescence a key period for developing healthy behaviors. And once teenagers can get a handle on their diabetes, they improve not only their own health, but their families’ quality of life.

“This is a way to give them the skills to think about their condition in a different way,” Grey says.

Healthcare Business Week in Review: Healthcare Costs; Health Insurance Marketplaces, Diabetes Management

November 22nd, 2013 by Cheryl Miller

The United States spends more money on healthcare than other developed countries, and yet their outcomes are worse, according to a new study from Johns Hopkins.

But political infighting is preventing the country from achieving ways to deliver care more effectively and efficiently.

The study, published in JAMA, attempts to dispel several common misconceptions informing the current healthcare debate. Among them: that the aging of the population and the large numbers of tests and treatments being prescribed have been primarily responsible for escalating healthcare costs. Researchers assert that the prices of drugs, medical devices and hospital costs have driven up the costs of healthcare in this country over the last decade, and that it’s not the elderly that are ratcheting up healthcare costs, but those under 65 with chronic conditions.

What is needed to fix the system? An investment in primary care doctors, and a unified government, among other things.

Policymakers can start coming together on the latest news from the White House: insurers can extend current insurance plans that would otherwise be canceled into 2014, and Americans whose plans have been canceled can choose to re-enroll in the same kind of plan.

In the past few weeks, some Americans have been notified by their health insurance companies that plans they bought on the old individual insurance market were being cancelled, often because these plans no longer met the ACA’s requirement to cover basic benefits like prescription drugs or doctors’ visits. These people now have an additional year of coverage.

Some news that no one can debate: 106,185 Americans selected health plans in the first reporting period of open enrollment (October 1st through November 2nd) ; 975,407 customers made it through the process but have not yet selected a plan; and an additional 396,261 customers were determined eligible for Medicaid or the Children’s Health Insurance Program (CHIP). These results, from an issue brief from HHS, show that the level of interest is strong, and that enrollment should grow substantially throughout the next five months.

In other news: diabetic patients treated in the ED who were enrolled in a program sending daily automatic text messages improved their level of control over their diabetes and their medication adherence, according to a study from the Keck School of Medicine at the University of Southern California in Los Angeles.

The text messaging program, called TExT-MED, is low cost and widely available for those patients who have no other source of medical care.

Don’t forget to participate in our fourth comprehensive Reducing Hospital Readmissions Benchmark Survey. While great strides have been made in the reduction of 30-day all-cause hospital readmissions, CMS still docked reimbursement for more than 2,200 hospitals in 2013 for exceeding 30-day readmission rates for heart failure, pneumonia and myocardial infarction. In 2015, CMS penalties will extend to acute COPD and elective hip and knee replacements. Describe how your organization is working to reduce hospital readmissions by January 3, 2014 and receive an e-summary of the results once they are compiled.

Healthcare Business Week in Review: Childhood Obesity, Dual Eligibles, ACOs, Patient Activation Measures

November 1st, 2013 by Cheryl Miller

Last year at this time we watched with disbelief as Hurricane Sandy pummeled our East coastline. Schools closed, power shut down, and Halloween was officially postponed until early November when it was considered safe for children to trick or treat.

Our own town is still recovering from the storm; scarred, vacant houses share the same block as rehabbed homes on stilt-like platforms; trailers double for once elegant restaurants and broken docks and abandoned boats patiently ride the crests of ocean waves.

It was a rocky year for healthcare as well, from an early surge in Medicare ACOs, to the embattled introduction of ACA-mandated health insurance exchanges during a government shutdown.

But many things remained the same; childhood obesity rates continued to climb , as did public health efforts to control it, including counseling and nutritional guidance, according to a new trends report from NCQA. Poverty continued to plague many Americans, particularly dual eligibles, but companies like Wellcare did their best to help them by closing social gaps with health-oriented community connections looking to “give back,” as its vice president of advocacy and community-based programs executive director Pamme Taylor demonstrates in this week’s featured book excerpt.

Organizations like HealthEast and Mercy utilized clinical analytics technologies from Optum to better understand and manage treatment for patients with chronic conditions, and advance performance for its newly formed accountable care organization (ACO).

And doctors’ policies toward accepting new Medicaid patients in the wake of expanded coverage will most likely stay the same, according to a study from Virginia Commonwealth University, Richmond. The decade-plus study found that physicians might be more likely to stop accepting those patients who remain uninsured, however, as our story details.

And lastly, self-management continues to result in better patient outcomes, according to researchers from the Boston Medical Center. Patient activation, or having the knowledge, skills, and confidence needed to manage one’s health, leads to better health following hospital discharge, and lower readmission rates. Screening for patient activation could not only help hospitals identify patients at risk for readmission, but also inform the development of tailored, cost-effective intervention plans.

How did your healthcare organization fare in 2013? And what plans do you have the future? Tell us by completing our ninth annual survey on Healthcare Trends for 2014 and you’ll receive a free executive summary of the results. One respondent will win a training DVD of the “2014 Healthcare Trends and Forecasts” webinar recorded on October 30, 2013.

Healthcare Business Week in Review: PHRs, Diabetes, Health Insurance, Hospital Rankings

October 25th, 2013 by Cheryl Miller

Parents of young children who managed their family’s healthcare by using integrated personal health records (PHRs) were more likely to get their children the nationally recommended number of preventive care visits, according to a Kaiser Permanente study. PHRs allow patients to view parts of their medical record, including immunizations and after-visit instructions, and to manage appointments, refill prescriptions, check lab results, and securely communicate with their healthcare providers. The online tool is particularly valuable for busy parents who might forget when to bring their children in for well-child visits or immunizations, especially when they are healthy.

Diabetics can be better managed by healthcare providers who use EHRs to manage them, says Kathy Brieger, RD, CDE, chief operations officer pf Hudson River Healthcare. The reporting system provides data on patients, letting providers know who may have missed appointments for hemoglobin A1C or who could benefit from self management programs or care coordination. More in our featured book excerpt this week.

Online management plays heavily into a survey of small business owners looking at insurance options for their employees. According to researchers from the Commonwealth Fund, more than half of survey respondents who currently provide their employees with health benefits are willing to offer a choice of health plans while paying a fixed cost, as long as the employee pays extra for a more expensive plan. When asked what would make health insurance management easier, more than half said being able to compare plans, costs, benefits, physicians in the network, and other features online would be welcome.

Self management is the key to a new initiative aimed at helping hospitals across the state understand their practice patterns compared with their peers, better manage costs and improve outcomes for patients. The Michigan Value Collaborative (MVC), launched by BCBS of Michigan, Blue Care Network, and the University of Michigan Health System, will provide hospitals with timely feedback about utilization and payment, comparing hospitals on cost and variation based on claims data from Blue Cross Blue Shield of Michigan. Participating hospitals will not only receive information about their comparative costs during hospital admissions and their comparison to the statewide average, but also for care delivered before and after hospitalization.

And lastly, our new online survey for you to manage: please tell us how you have weathered the storms of 2013 – from an early surge in Medicare accountable care collaborations to the recent rocky introduction of ACA-mandated health insurance exchanges during a government shutdown – and are preparing for 2014 by completing HIN’s ninth annual survey on Healthcare Trends by November 18th. You’ll receive a free executive summary of the compiled results, and your responses will be kept strictly confidential. One respondent will win a training DVD of the “2014 Healthcare Trends and Forecasts” webinar recorded on October 30, 2013.

Healthcare Business Week in Review: Yoga for Caregivers, Diabetes Management, Healthcare Coverage

August 2nd, 2013 by Cheryl Miller

Offering yoga and meditation classes to caregivers of seriously ill patients just prior to starting clinical meetings on palliative care issues is one detail that sets Mount Sinai Hospital’s palliative care program apart from others. Together with Denver Hospice and Optio Health Services in Colorado, and UnityPoint Health Palliative Care Program in Iowa and Illinois, these three palliative care programs received the 2013 Circle of Life Award®, along with five others that were awarded Citations of Honor from the American Hospital Association (AHA).

Other programs involve a community-wide program to embrace the growing Hispanic community, and regular outpatient and home visits to ensure proper care transitions, and help avoid unnecessary emergency room visits and readmission to the hospital. All of the programs set out to reexamine the roles palliative care plays in healthcare by creating and championing end-of-life care for patients and caregivers throughout the healthcare system.

Providers need to reexamine certain diabetes monitoring practices that solely target acute individuals, and instead take a population health management approach to improving diabetes care, according to a Phytel study published in the American Journal of Managed Care.

Researchers found that despite national attention, uncontrolled diabetes was growing, and those patients at real risk were those that waited to seek care until their condition was exacerbated to an acute phase. A broader population-based approach was required to catch at-risk patients. Researchers recommend that provider organizations take two important steps to improve their ability to help their patients better manage their diabetes, including reaching out to their entire population between office visits so patients waiting too long to get retested are motivated to have the testing done earlier.

Economists need to reexamine their data linking the employment rate with healthcare coverage. Despite economic reports showing that the recession is over, the percentage of workers with health benefits still remains low, according to a new report by the nonpartisan Employee Benefit Research Institute (EBRI).

Links between the employment rate and health insurance coverage have been documented over the years. Since most workers in the United States get their health coverage through their jobs, a rise or drop in the unemployment rate usually means a corresponding rise or drop in the uninsured rate as well, the report states.

But these facts aren’t holding up against trends that show that nearly half of the population does not have coverage.

We’d like you to examine and respond to our current e-survey on the population health management of dual eligibles. These nine million Americans eligible for both Medicare and Medicaid present unique challenges. Public and private payors are now tailoring care coordination strategies for Medicare-Medicaid beneficiaries that are both geared to their medical, social and functional needs and cost-efficient. Describe your organization’s approach to care coordination of dual eligibles by August 6, 2013 and you will receive a free summary of survey results once it is compiled.

Infographic: The Impact of Diabetes

December 18th, 2012 by Melanie Matthews

According to the American Diabetes Association (ADA), nearly 12 percent of the Hispanic population has diabetes and even more importantly, are at a 66 percent increased risk of developing the disease when compared to other ethnicities. In addition, a new APMA survey found that 90 percent of U.S. Hispanics with diabetes or at risk for diabetes have not visited a podiatrist.

Diabetes complications in the feet can be very dangerous. Diabetes is the leading cause of non-traumatic lower-limb amputation. These complications and amputations can be prevented with proper foot care. Learn more in this infographic.

Diabetes by the Numbers

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Infographic: Understanding the Diabetic Patient’s Experience

October 30th, 2012 by Melanie Matthews

Some 65 percent of surveyed diabetic patients report that the services they receive should be greatly improved, according to a new infographic by DHP Research.

Learn the high priority areas for these patients and key perceptions and contextual considerations in improving diabetes care.

Interpreting the Diabetes Patient Profile

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