Improving Hypertension _ Diabetes Control and Prevention
An e-NEWSLETTER from Quality Insights                                                                            September 15, 2017

In This Issue

flooding emergencyWith the devastation brought on by Hurricane Harvey and Irma fresh in our minds, now would be a good time for you to educate your patients on how they can be prepared for an emergency. 

D iabetes is already a 24/7 responsibility and an emergency scenario makes diabetes management and care that much more difficult. Whether it's a natural disaster or a national security risk, the American Diabetes Association (ADA) has some tips for how people with diabetes and their caregivers can be prepared in case of an emergency. Encourage patients to visit the Tips for Emergency Preparedness page on the ADA website to access this vital information. Quality Insights also suggests posting a link to this page on your practice's website and patient portal.

Another way to provide emergency preparedness education to your patients with diabetes is to download, print and distribute this one-page Emergency Plan.
test offers quick and easy way to evaluate prediabetes risk 

prediabetes risk test testThe numbers don't lie. According to the ADA, one in three American adults has prediabetes. With a little exercise and a change in diet, prediabetes can often be reversed. Let's face it, there are millions of reasons why people don't find the time to make healthy lifestyle choices. Kids, jobs, cat videos on the Internet - we're busy. But whatever the reason, prediabetes is real. The first step important step that people can do to determine their prediabetes risk level is to take a  quick test online, Do You Have Prediabetes .

Quality Insights also encourages practices to distribute the test to patients or make them available in the waiting room areas. The hard copy tests are available for download in English and Spanish .
online map shows prediabetes estimates by county and shares information about local diabetes prevention programs 

map PADOHmapThe Pennsylvania Department of Health has developed an interactive map that shows estimates of the percentage of adults with prediabetes in each county within the state of Pennsylvania. 

The map also allows users to click on each individual county to view a list of the Diabetes Prevention Program (DPP) sites that are available  in that county. There is contact information listed for each local DPP site, so please pass this on to your patients with prediabetes and encourage them to take advantage of the free, valuable support and resources  offered at these sites.
study assesses pcp's knowledge of risk factors that should prompt prediabetes screening 

African American Doctor with Patient studyA recent Diabetes in Control article,  Prediabetes Risk Unrecognized by Most PCPs, takes a look at a  study that was conducted to assess primary care providers' (PCPs) (1) kn owledge of risk factors that should prompt prediabetes screening, laboratory criteria for diagnosing prediabetes and guidelines for management of prediabetes; (2) m anagement practices around prediabetes; and (3) a ttitudes and beliefs about prediabetes.

According to the article, researchers surveyed 140 PCPs associated with Johns Hopkins in Baltimore and found the ADA guidelines were helpful for 42 percent of respondents, while 30 percent were unfamiliar with these guidelines.

Eva Tseng, MD, an assistant professor at the Johns Hopkins University School of Medicine in Baltimore, Maryland, was cited in the article for saying in a press release, "Researchers say few primary care practitioners know when to screen their patients for prediabetes... we think the findings are a wake-up call for all primary care providers to better recognize the risk factors for prediabetes, which is a major public health issue."

Some key take-aways from the article:
  • Only 6 percent of PCP's were able to identify 11 prediabetes risk factors that would prompt them to screen patients under the ADA guidelines.
  • Addressing gaps in knowledge and the underutilization of behavioral weight loss programs in prediabetes are two essential areas where PCPs could take a lead in curbing the diabetes epidemic.
  • Any patient with just one of the risk factors for prediabetes should be followed up with and an A1c test should be done.

education icon QPPresourcesThe Centers for Medicare & medicaid Services (CMS) recently posted the following new and updated resources on the Quality Payment Program website :
Additional resources are available in the Resource Library section of the QPP website .
contact information

For more details about the Improving Hypertension and Diabetes Care & Prevention project, please contact Rhonda Dodson.
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Funding provided by the Pennsylvania Department of Health through the State Public Health Actions to Prevent and Control 
Diabetes,  Heart Disease, Obesity and Associated Risk Factors and Promote School Health federal grant from the Centers for 
Disease Control  and Prevention. Publication number: PADOH-HD-091517