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Frederick County �Health Care Coalition �Diabetes Strategy�Development

September 8, 2021

Colleen Swank, LHIC Grant Coordinator

Frederick County Health Department

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Our final strategy

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  • Goal: To increase participation and retention in local evidence- based lifestyle change programs for people with prediabetes or diabetes, especially in underserved groups
    • Assess the prediabetes/diabetes landscape
    • Assess current diabetes prevention and management programs
    • Identify barriers to enrollment & retention
    • Increase number of providers (DPP, DSMT, and DSMP)
    • Develop recruitment & implementation strategies
    • Expand local DPP programming; increase DSMP and DSMT services

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How we got to the strategy

  • LHIC Chronic Health Work Group:
    • Two active Subcommittees: Youth Obesity Prevention & Colorectal Cancer Screening
    • NEW: Diabetes Subcommittee
  • Dec. 2020: Western Regional Diabetes Partnership Catalyst Grant awarded
    • Frederick Diabetes Partnership (FDP)
  • Jan. 2020: FCHCC Board voted to align their local diabetes initiative with the goals of the Regional Diabetes grant
    • FCHCC Board designated the FDP as the Diabetes Subcommittee
  • Shared Goals

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Facilitators & barriers in �strategy development

  • Facilitators:
    • Coordinated leadership of the Diabetes Subcommittee and the Frederick Diabetes Partnership (FDP)
    • LHIC Coordinator
      • Bridge between Coalition Board and FDP activities
      • Pilot DSMP virtual workshops
    • New Diabetes Patient Referral Navigator

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  • Barriers:
    • Too few evidence-based diabetes lifestyle programs and coaches
    • Targeted neighborhoods with known negative SDOH characteristics
    • Sustainability of increased programming

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LHIC engagement & feedback �on the strategy

  • LHIC Engagement:
    • May 2021: Diabetes initiative presented to the community -- Open Coalition Board meeting
    • Broad Community Representation on the Planning Committee
      • Healthcare, Private/Public partners, Community members
    • June 2021: Diabetes Planning Summit
    • Representation of diabetes & lifestyle programming beyond DPP

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  • Feedback:
    • Barriers to participation: Transportation, childcare, language
    • Sustainability: Billing for DPP, DSMT & Umbrella Billing

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What’s next

  • Community Health Worker Education Forum (Sept. 2021)
  • Focus Groups for past DPP participants (Sept. 2021)
  • Community Health Fair with A1C screening (Oct. 2021)
  • New Diabetes Resources & Lifestyle Program Website
  • DPP Coach Recruitment & Training
  • DPP Participant Recruitment
    • Promotional push to include “Know Your Risk” social media campaign (Nov. 2021 – National Diabetes Month)
  • Spring 2022: 5K promotional event