Project IMPACT: Diabetes
The Need
In the U.S. population there are 23.6 million people with diabetes
and another 57 million with pre-diabetes. Of the 17.9 million diagnosed
with diabetes, 3 million people are not treated and another 9 million
people are treated but not successfully according to the U.S. Centers
for Disease Control (CDC).
Background
The Asheville Project® began in 1996 as an effort by the City of
Asheville, North Carolina, a self-insured employer, to provide education
and personal oversight for employees with chronic health problems such
as diabetes. Through the Asheville
Project, employees with diabetes received intensive education at a
local diabetes education center and were then teamed with
community-based pharmacists who worked with them and the rest of the
health care team to make sure they were using their medications
correctly and sticking with their lifestyle changes. Participants soon
began experiencing improved A1C levels, lower total health care costs,
fewer sick days, and increased satisfaction with their
pharmacist’s services. While these types of collaborative care
services have also been successfully replicated with other self-insured
employers through the APhA Foundation’s Patient
Self-Management Program for Diabetes and Diabetes
Ten City Challenge, this evidence-based practice has not yet
specifically targeted disparity populations nor been adapted or
incorporated into other care services such as that of 340B settings like
Federally Qualified Health Centers and safety net hospitals.
» The
Asheville Project: Long-Term Clinical and Economic Outcomes of a
Community Pharmacy Diabetes Care Program - March/April 2003
» Patient
Self Management Program for Diabetes: First-Year Clinical, Humanistic,
and Economic Outcomes - March/April 2005
» Diabetes
Ten City Challenge: Final economic and clinical results -
May/June 2009
The Project
Project IMPACT:
Diabetes, IMProving America’s Communities Together is a national initiative that aims to improve care
for patients with diabetes through community-based interdisciplinary
teams that include pharmacists. This project intends to scale previous
successes such as The
Asheville Project, Patient Self Management Program for
Diabetes, and
the Diabetes Ten City
Challenge in 25
communities across the United States. Project IMPACT: Diabetes will utilize the APhA Foundation’s structure
and process modeling that has consistently produced positive clinical,
humanistic and economic outcomes in an effort to reach communities that
are disproportionately affected by diabetes. Selected communities will
have the opportunity to leverage unique stakeholders, existing programs,
creative ideas, and other resources to effectively adapt and implement
similar models of care that will achieve comparable results. The APhA
Foundation will provide communities with tools, resources, guidance and
support to facilitate local success.
Objectives
The key objectives of Project IMPACT: Diabetes are to:
» Expand proven community-based models of
care to patients who need it the most in communities across the U.S.
» Improve key indicators of diabetes care
in selected communities
» Strengthen
local models of care by establishing community peer-to-peer networking
and mentoring relationships
» Establish
a sustainable platform for permanent change by embedding the following
guiding principles:
- Identification and support of
disproportionate share populations
-
Implementation of collaborative care programs engaging pharmacists
- Establishment of continuous quality
improvement processes
- Utilization of
patient self-management credentialing
-
Collection and regular reporting of minimum data sets
Target Population
Project IMPACT: Diabetes focuses on improving the care
of patients who are disproportionately affected by diabetes
including:
» Geographic areas with a high incidence
of diabetes
» Patients with
sub-optimal hemoglobin A1C and other outcomes
» Patients with limited access to quality
diabetes care
» Communities with
socioeconomic challenges and other factors that impact patient access to
care.
National Project Partners Advisory Committee
American Pharmacists Association, Center for Health Value Innovation,
Giant Food Stores, HHS Office of Women’s Health, National Diabetes
Education Program, U.S. Health Resource Services Administration -
Pharmacy Services Support Center, Walgreens
Additional Background and Selected Communities
» Pharmacy
Today - California Health Collaborative, Paramount Farms, and Komoto
Pharmacy - March 2012
» Project
IMPACT: Diabetes Overview and Selected Communities
- February 2, 2012
» "Like" the Project IMPACT
Diabetes page on Facebook
For more information, please contact info@aphafoundation.org.
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