Every Diabetic Counts : The First Year’s Experience

1. Every Diabetic Counts:The First Year’s Experience Thomas Pianta, MPT Project Director Delmarva Foundation for Medical Care Delmarva Foundation of the District of Columbia

2. Where We Started • Completed beneficiary targets • MD 1,750 • DC 1,500 • Participating provider targets • MD 150 • DC 125

3. Where We Are Now • Number of Participating Providers Actual Target % MD 141 150 94% DC 118 125 95%

4. Where We Are Now • Completed Beneficiaries Q5TD actual Q5 target Q6 targetMD 440 352 440 DC 411 300 375

5. What Has Worked to Get Us Here • Beneficiary Completion • Specific role definition and place in the team structure • Each individual Job Description has a specific task to do…BUT All members of the team are responsible for the outcomes of the project (data entry, etc.) • Central management of the data review process • Central management of the site recruitment strategy • With CHW management of direct onsite recruitment

6. What Has Worked to Get Us Here • Partnering with Ancillary Organizations • Leverage existing community programs • Program-specific marketing materials • Beneficiary referral cards • Posters, flyers, brochures • Targeting senior housing • Deploying CHWs to class sites ahead of the class time to recruit within the building • Calling pre-registered participants 24 hours before class • Graduation certificates

7. What Has Worked to Get Us HereBeneficiary Completion cont’d • Limiting attendance at health fairs, community events, etc., to those with pre-registered/expected seniors • Partnering with congregate meal sessions

8. What Did Not WorkBeneficiary Completion • Providing classes at religious organization sites • Seniors did not have a way to get back to the facility for multiple classes • Providing classes at PP’s offices worked only in a limited capacity

9. What Has Worked to Get Us Here • PP Recruitment • Active participation of the Medical Director • Highly specified listings of qualifying providers • Phone contacts • Fax blasts • Repetitive outreach • Simplified MOA • Ongoing feedback to PPs on beneficiaries who have completed the training • Ongoing relationship building

10. What Did Not WorkPP Recruitment • Offers of assistance in PQRI • Initial MOA was too complex • Very few beneficiaries actually referred by PPs to EDC • Issue of RIRs • Providing clinical data is not something PPs feel they agreed to • Uneasy about sharing data

11. Other Strategies We Employed • The use of Google™ mapping to locate class sites near PPs and the target population • ESRD sub-project using computer-assisted educational technology

12. Barriers to Success • 7.1 was not branded as Every Diabetic Counts at the start of the program. This required a change in message/branding mid-stream. • The initial tight deadline for beneficiary recruitment was challenging and simultaneous to the PP recruitment period • Transportation for seniors • Seniors and site administrators expect nourishments for class participants

13. Barriers to Success • The majority of seniors expect some kind of incentive/reward for participating • Summer sites are hard to find as many sites also provide summer services for children

14. Future Plans • Targets double in February 2010 • ESRD project will be in place by then • Increase recruitment efforts prior to the onset of Winter • Relative Improvement Rates • Utilize QICs and other staff in PP’s offices to assist in improving the RIRs

15. Delmarva Foundation and Delmarva Foundation of the District of Columbia Questions? Tom Pianta 410-872-9636 piantat@dfmc.org10-872-9636 piantat@dfmc.org