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

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Orange County Health Department's Grant Proposal ORGANIZATIONAL CAPACITY 1. What is your organization's mission? The Orange County Health Department is a team of 100 multidisciplinary professionals within five divisions that serve approximately 124,000 residents in Orange County. The Health Department's mission statement is: "To enhance the quality of life, promote the health, and preserve the environment for all people in the Orange County Community. The department's 2006-2011 strategic plan recognizes the need for prevention and management of diabetes and chronic disease. Our proposed diabetes self- management education program aligns with the department's mission and strategic plan. The goal is to provide diabetes self-management education and counseling to people with diabetes to promote better management of the disease, increase access through an active treatment and referral network, improve health outcomes, and reduce healthcare costs. 2. What have you achieved in the past three years? Over the past three years, Orange County Health Department has worked toward our mission to "prevent, promote, protect" with the following major achievements related to chronic disease prevention and management: • Accredited by the North Carolina Local Health Department Accreditation Board, June 2008. • Maintained active relationships with over 50 community agencies and organizations. • Formed a Diabetes Task Force in 2006 and developed a Diabetes Resource Guide for Orange County which is available to residents on our website (www.co.orange.nc.us/health). • Since 2005, partnered with Department on Aging to offer a 6-week diabetes class series. Evaluations have shown an increase in participant knowledge, skill for prevention and management, and overall satisfaction with the program. • Doubled the number of Medical Nutrition Therapy (MNT) services provided by the department's Registered Dietitian (RD). Approximately 90% of referrals have been due to obesity and chronic disease and two thirds are at the 0-20% pay level on the sliding fee scale. Client outcomes include improved AlC, weight loss, and greater blood pressure control. Increased referrals are contributable to clinicians recognizing the importance of MNT in chronic disease management. • Became a medical home for underserved populations by expanding preventive clinical services to include Primary Care. Men, women and children enrolled in our prevention programs have been able to receive sick care and ongoing management of chronic diseases. In 2007-08, 398 clients received 730 primary care services. • In the past two years, a Chronic Disease Care Coordination Nurse provided 113 encounters to 16 non-Medicaid Adults in Orange County. Of the eight adults diagnosed with diabetes, six improved their blood sugars or A1C. Three adults were sight-impaired and were taught to monitor their blood glucose using talking monitors. *This service was discontinued due to budget cuts and the need to re-allocate staff to mandated services. • Implemented an Eat Smart-Move More Churches program in which 13 African-American churches, with the support of $500 mini-grants, developed health ministry teams to promote policy and environmental change to improve nutrition and increase physical activity. YOUR PARTICIPANTS 3. What issue are you addressing? How many individuals or groups within your focus area are affected by it? The proposed project will address the issue of diabetes care and self- management. The burden of diabetes in Orange County, as identified in the 2007 Community Health Assessment (CHA) indicates that approximately 5,123 adults have been diagnosed and