Diabetes Program

The goal of the Neighborhood Diabetes Program is to help members with diabetes achieve and maintain good health outcomes by confident management of their diabetes.  We work with members and their doctors

• To improve outcomes for Neighborhood members with diabetes by encouraging adherence to guidelines for adult diabetes care
• To identify and assist newly diagnosed diabetics
• To encourage improved patient self-management resulting in a decreased incidence of acute diabetic crises and long-term diabetes co-morbidities.

The program is designed for adult (18 and over) members with Type I or Type II diabetes, as defined by the following claims-based criteria for a given 24 month period:

• Picked up insulin or oral hypoglycemics/antihyperglycemics (except glucophage/metformin) during the period and/or
• Had two outpatient visits or one ER or inpatient visit with a diagnosis of diabetes during the period.

What Providers Receive

• An Neighborhood Care Manager is available to support the primary clinician's work to provide proactive, evidence-based diabetes care.  To refer a patient for care management, call Deborah During, RN at 401-459-6178.
• Guidelines for Diabetes Care
• Diabetes knowledge test - evaluate how much your patients know about diabetes and nutrition
• Diabetes outpatient educators and registered dietitians
• Neighborhood Diabetes specialists
• BMI calculator

Results

• 86% of members with diabetes have at least an annual Hb A1c test, an important indicator of diabetes control
• 82% of members with diabetes have their lipid levels checked annually
• An increasing percentage of members with diabetes have good control of HbA1c levels and lipid levels.

Contact Nancy Harrison, Manager-Clinical Programs at1-401-459-6127, for more information about the Neighborhood Diabetes Program