Division of Diabetes Translation Office of the Director Director: Ann Albright, Ph.D., R.D. Deputy...
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Transcript of Division of Diabetes Translation Office of the Director Director: Ann Albright, Ph.D., R.D. Deputy...
Division of Diabetes TranslationOffice of the Director
Director: Ann Albright, Ph.D., R.D.Deputy Director: Angela Green-Phillips, M.P.A.
Associate Director for Science: Lawrence Barker, Ph.D
Policy and Program Information TeamTeam Lead: Karen Richard-Lee, M.P.A.
Communication & Partnership TeamTeam Lead: Laura Zauderer, M.P.H.
Health Disparities CoordinationCoordinator: Regina Hardy, B.A., M.S.
Primary Prevention Initiative TeamProgram and Policy Coordinator:
Russell Sniegowski, M.P.H.Senior Science Consultant: David F. Williamson, Ph.D.
Administrative ServicesAdministrative Officer: Bonita Foley
Epidemiology and Statistics BranchBranch Chief: Edward Gregg, Ph.D.
Associate Branch Chief: Desmond Williams, M.D., Ph.D.
Native Diabetes Wellness Program (NDWP)
Team Lead: Dawn Satterfield, R.N., Ph.D.
National Diabetes Education Program (NDEP)
Director: Judith McDivitt, Ph.D.Deputy Director:
Betsy Rodriguez, B.S.N., M.S.N.
Evaluation TeamActing Team Lead:
Barbara Park, R.D.H., M.P.H.
State Consultation TeamSenior Team Lead:
Patricia Schumacher, M.S., R.D.Team Lead:
Andy Lanza, M.P.H., M.S.W.Team Lead:
Wayne Millington, M.P.A.
Epidemiology TeamTeam Lead:
Guissepina Imperatore, M.D., Ph.D.
Economics TeamTeam Lead: Ping Zhang, Ph.D.
Surveillance TeamTeam Lead: Linda Geiss, M.A.
Vision Health TeamTeam Lead:
Jinan Saaddine, M.D., M.P.H.
Statistics TeamTeam Lead: Ted Thompson, M.S.
Chronic Kidney Disease TeamTeam Lead:
Desmond Williams, M.D., Ph.D.
CS205388-A
Program Admin Coordination (PAC) Team
Team Lead: Patricia Mitchell, M.P.H.
Program and Evaluation BranchBranch Chief: Barbara Park, R.D.H., M.P.H.
Deputy Branch Chief: Patricia Mitchell, M.P.H.
DDT Strategic Plan GoalsDDT Strategic Plan Goals
Prevent diabetes Prevent complications, disabilities and burden
associated with diabetes Eliminate diabetes-related health disparities Maximize organizational capability to achieve
goals• Build capacity for communication, evaluation,
marketing, policy, and partnerships• Create and implement mgmt plan for leadership
development, workforce development, and diversity
Prevent diabetes Prevent complications, disabilities and burden
associated with diabetes Eliminate diabetes-related health disparities Maximize organizational capability to achieve
goals• Build capacity for communication, evaluation,
marketing, policy, and partnerships• Create and implement mgmt plan for leadership
development, workforce development, and diversity
Division of Diabetes TranslationDivision of Diabetes Translation
Tracking the disease burdenConducting applied translation research to
prioritize effective interventionsEconomic analysesDeveloping and maintaining state-based
diabetes prevention and control programs Implementing National Program Initiatives:
National Diabetes Education Program Native Diabetes Wellness Program
Tracking the disease burdenConducting applied translation research to
prioritize effective interventionsEconomic analysesDeveloping and maintaining state-based
diabetes prevention and control programs Implementing National Program Initiatives:
National Diabetes Education Program Native Diabetes Wellness Program
Diabetes Prevention and Control Programs
Diabetes Prevention and Control Programs
50 States & DC8 Territories17 TribesVulnerable Pops
National Diabetes Education Program*
*NDEP is a joint initiative of CDC and NIH
Using Core Public Health Functionsand the 10 Essential Public Health Services
The Role of DPCP’s
Using Core Public Health Functionsand the 10 Essential Public Health Services
The Role of DPCP’s
Partnership Development
Assessment & Strategic
Planning
Quality Care Improvement
Diabetes Surveillance
Raising the Profile of Diabetes
Workforce Development
Technical Assistance
SurveillanceObservational and
Clinical Epidemiology
Health Services And Policy Research
Economic and Cost-
EffectivenessResearch
• National Surveillance System• Risk Factors• Prevalence / Incidence• Complications• Care and treatment
• Small Area Methods• SEARCH•Modeling / Forecasting • Vision Health Initiative (VHI)•CKD Program
•Cost- effectiveness Studies• DPP-OS• Look AHEAD• ACCORD
• Vision Health Initiative• Chronic Kidney Disease Program
• Lifestyle Interventions• Body Composition• Risk Identification tools•Da Qing Follow-up• NIH Collaborative Trials• SES Disparities• Life stages (youth / aging)•Modeling / Forecasting
• TRIAD Study• NDSS• VH Initiative• CKD Program• Access to care
Vital statistics
HouseholdSurveys
Registries
Hospitals
CDCNational Diabetes Surveillance System
Telephone Surveys
Analytic Applications of U.S. National Diabetes Surveillance System
Analytic Applications of U.S. National Diabetes Surveillance System
Characterizing diabetes epidemic, its risk factors and impact.
Identifying key at-risk populations.
Modeling the disease and cost impact over time and lifetime.
Setting and monitoring national health objectives.
Investigating new threats. National Diabetes Fact Sheet
Characterizing diabetes epidemic, its risk factors and impact.
Identifying key at-risk populations.
Modeling the disease and cost impact over time and lifetime.
Setting and monitoring national health objectives.
Investigating new threats. National Diabetes Fact Sheet
Small Area Estimates
Effectiveness StudiesEffectiveness Studies
NEXT-D (Natural Experiments in Translation for Diabetes)
Da Qing Follow-up Study U.S. Mexico Border Project TRIAD (Translating Research into Action for
Diabetes) Diabetes Prevention Program (DPPOS) Look AHEAD Study ACCORD Study
NEXT-D (Natural Experiments in Translation for Diabetes)
Da Qing Follow-up Study U.S. Mexico Border Project TRIAD (Translating Research into Action for
Diabetes) Diabetes Prevention Program (DPPOS) Look AHEAD Study ACCORD Study
New Research InitiativesNew Research Initiatives
NEXT-D (Natural Experiments in Translation for Diabetes) Vision Health Initiative Translation Research Centers Advances in Surveillance
• Small Area• State-based Incidence
Revised Disease Forecasting• Incidence• Cost• Intervention Effectiveness
National Primary Prevention registry and evaluation
NEXT-D (Natural Experiments in Translation for Diabetes) Vision Health Initiative Translation Research Centers Advances in Surveillance
• Small Area• State-based Incidence
Revised Disease Forecasting• Incidence• Cost• Intervention Effectiveness
National Primary Prevention registry and evaluation
Natural Experiments and Effectiveness Studies of Population-Targeted Policies for Diabetes Prevention and Control
Natural Experiments and Effectiveness Studies of Population-Targeted Policies for Diabetes Prevention and Control
The Diabetes Health Plan: A System-Level Intervention to Prevent and Treat Diabetes• University of California Los Angeles• Principal Investigator: Dr. Carol Mangione
Effectiveness of a National Health Care Community Partnership to Prevent Diabetes• Indiana University• Principal Investigator: Dr. Ron Ackermann
The Impact of Emerging Health Insurance Designs on Diabetes Outcomes and Disparities• Harvard Pilgrim Health Care and Harvard University• Principal Investigator: Dr. Dennis Ross-Degnan
Learnings in Diabetes Prevention from an Integrated Delivery System• Kaiser Foundation Research Institute• Principal Investigator: Dr. Joe Selby
Management and Education for Diabetes in New York City• St. Luke’s-Roosevelt Institute for Health Sciences• Principal Investigator: Dr. Jeanine Albu
The Diabetes Health Plan: A System-Level Intervention to Prevent and Treat Diabetes• University of California Los Angeles• Principal Investigator: Dr. Carol Mangione
Effectiveness of a National Health Care Community Partnership to Prevent Diabetes• Indiana University• Principal Investigator: Dr. Ron Ackermann
The Impact of Emerging Health Insurance Designs on Diabetes Outcomes and Disparities• Harvard Pilgrim Health Care and Harvard University• Principal Investigator: Dr. Dennis Ross-Degnan
Learnings in Diabetes Prevention from an Integrated Delivery System• Kaiser Foundation Research Institute• Principal Investigator: Dr. Joe Selby
Management and Education for Diabetes in New York City• St. Luke’s-Roosevelt Institute for Health Sciences• Principal Investigator: Dr. Jeanine Albu
Policies and Interventions Proposed in Phase I Studies
Policies and Interventions Proposed in Phase I Studies
Employer-based detection, outreach, incentives, and telephone coaching for primary prevention among 3750 high risk adults from 5 employers.
Disease-specific health insurance product; reduced copayments, and incentives among 136,000.
Impact of reduced copayments and incentives among adults with diabetes and pre-diabetes from 15 large employers.
Systematic post-partum screening of women with GDM.
Employer-based detection, outreach, incentives, and telephone coaching for primary prevention among 3750 high risk adults from 5 employers.
Disease-specific health insurance product; reduced copayments, and incentives among 136,000.
Impact of reduced copayments and incentives among adults with diabetes and pre-diabetes from 15 large employers.
Systematic post-partum screening of women with GDM.
Policies and Interventions Proposed in Phase I Studies
Policies and Interventions Proposed in Phase I Studies
Enhanced EMR with decision support for diabetes care, screening, and prevention referral among 4000 adults with DM and pre-DM;
Impact of employer-mandated switch to high deductible and “consumer-driven” health plans among 62,000 diabetic adults age 18-64.
Health plan administered diabetes prevention programs delivered in YMCAs on 7500 high risk adults.
Pre-diabetes screening and referral to multi-tiered interventions.
Enhanced EMR with decision support for diabetes care, screening, and prevention referral among 4000 adults with DM and pre-DM;
Impact of employer-mandated switch to high deductible and “consumer-driven” health plans among 62,000 diabetic adults age 18-64.
Health plan administered diabetes prevention programs delivered in YMCAs on 7500 high risk adults.
Pre-diabetes screening and referral to multi-tiered interventions.
Population targeted policies and interventions from 3 sources: • Health Systems; • Business and community organizations; • Government agencies
Ongoing or imminent interventions with cost of intervention underwritten by other sources.
Aimed at prevention of diabetes and/or its complications.
Population targeted policies and interventions from 3 sources: • Health Systems; • Business and community organizations; • Government agencies
Ongoing or imminent interventions with cost of intervention underwritten by other sources.
Aimed at prevention of diabetes and/or its complications.
Attributes of StudiesAttributes of Studies
Primary Funding MechanismsPrimary Funding Mechanisms
Grants Cooperative Agreements Contracts State DPCPs
Grants Cooperative Agreements Contracts State DPCPs