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

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Orange County Health Department's Grant Proposal 4. Describe the participants who will be included in your program. How many are financially needy? Are the participants different in any way from the full population you describe in question three? Our DSME program will be available to county adults who have been diagnosed with diabetes. Our marketing plan is focused on targeted outreach to those who have historically lacked access to such services including minority populations, the under/uninsured, those living in rural areas, and those lacking transportation to classes offered outside the county. The actual participant profile is unknown at this time but will focus on the underserved noted above. Our goal is to enro1160 residents in the first year of the grant, with up to 50% being uninsured. In our second year when we are ADA certified, we seek to enroll 80 participants with up to 50% being uninsured. (Current health departments in the NCDERP have reported enrolling 80 participants in the first year.) In addition to our primary participants, our program will also include education, training and outreach to community medical providers. The marketing plan includes training and education on the standards of medical care for diabetes including recommendations, referral systems, and multidisciplinary disease management. YOUR IMPACT 5. What impact are you committed to achieving? How many of the participants will achieve that impact? At least 50% of participants will have an improved Al C three months after completing the program compared to baseline as evidenced by the data tracking system (Tiara Software). At least 50% of participants will have an annual foot exam as evidenced by the data tracking system. In order to improve A1C levels, participants must make changes in self-management behaviors including: healthful eating, being active, self-monitoring, taking medication, problem solving, reducing risks, and healthful coping. These are American Association of Diabetes Educators (AADE) standards of outcomes for DSME and a focus of our program. In addition to individual behavior change, we are committed to achieving an improved systems- level change in the following ways: Providing at least two community medical provider trainings within the grant time period on the standards of medical care for diabetes including definitions, recommendations, referral systems, and multidisciplinary disease management for our medical providers; and becoming an ADA recognized DSME program under the umbrella of the NCDEIZP. 6. How many of the participants would be likely to achieve the anticipated impact if your program did not exist? No state or local data are available to estimate the number individuals likely to achieve the anticipated impact. See county data presented in question three regarding current behaviors and health status of people with diabetes in diabetes in Orange County. YOUR PROGRAM 7. Describe the work for which you seek funds. What approach will you use to achieve the anticipated impact? We are seeking grant funds to support our efforts to provide diabetes self- management education and counseling to people with diabetes to promote better management of 3