Agenda - 08-18-2009 - 4f - Laserfiche WebLink

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ORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: August 18, 2009 Action Agenda Item No. .~- SUBJECT: Diabetes Self-Management Program Grant Funds DEPARTMENT: Health PUBLIC HEARING: (Y/N) No ATTACHMENT(S): Grant Award Letter Grant Application Budget INFORMATION CONTACT: Rosemary Summers, 245-2411 PURPOSE: To accept grant funds from Kate B. Reynolds Foundation to implement the Diabetes Self-Management Program in the Health Department for Orange County residents. BACKGROUND: The Health Department applied to the Kate B. Reynolds Foundation in the Spring of 2009 for a grant to defray costs for a diabetes self-management program that is a part of the Health Department strategic plan. A special NC Program allows local health departments that meet certain qualifications to bill Medicaid and private insurance for diabetes education services. This grant provides a bridge for services to be started while qualifications are obtained. The goal of the program is to achieve better management of diabetes, increase access through an active treatment and referral network, improve health outcomes, and reduce healthcare costs. The burden of diabetes in Orange County, as identified in the 2007 Community Health Assessment, indicates that approximately 5,123 adults have been diagnosed and are living with diabetes. While the overall Orange County mortality rate for diabetes is well below the state average, the minority death rate is much higher at 44.7 deaths per 100,000 people. In addition to the burden of disease, many residents are not receiving or accessing adequate preventive care for their illness. The 2006 Orange County Behavioral Risk Factor Surveillance Survey estimated that only 55% of those diagnosed with diabetes had taken a course on diabetes management. This equates to 2,305 County residents who have been diagnosed but not received education on how to manage the disease. Currently, UNC Healthcare and Duke University Medical Center provide American Diabetes Association-recognized Diabetes Self Management Education (DSME) programs in Durham County. There are no known DSME programs in Orange County, The program consists of four elements: (1) Diabetes self-management education (DSME), (2) Medical provider education, (3) Improved DSME Marketing and Referral Plan, and (4) Medical Nutrition Therapy and follow-up services.