1	Taking on Diabetes in New Mexico: The Promise of a Broad-Based Coalition Bruce A. Mann, MD FACP Chair, Steering Committee, NMHCTD
2	1999: Diabetes at the dawn of a new century….
3	Prevalence of Diabetes and Impaired Fasting Glucose US, 1988-1994
4	Scary Numbers Incidence of diabetes doubled in a decade Children with type 2 diabetes: from rarity to 10-15% Person without diabetes: $2,500 yearly health care costs Person with diabetes: $15,000
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6	A Doctor’s View of Guidelines
7	Finding Practical Resources
8	At the dawn of the new century… Increasing adult diabetes Increasing childhood diabetes Increasing complexity to treating diabetes Too many “guidelines” Too few practical resources
9	Lucky Break American Diabetes Association (ADA) America’s Health Insurance Plans (AHIP) Takes on Diabetes Several sites around the Nation
10	Opportunity
11	Focus
12	1999 – A unique coalition
13	Mission To serve as a public-private coalition : coordinating and integrating the activities of public and private diabetes organizations; maintaining a statewide diabetes practice guideline;
14	Mission serving as a statewide developer, clearinghouse, and fulfillment center for current, practical resources providing measurement of the status of New Mexico diabetes care and outcomes.
15	Public Private Partnership Albuquerque Indian Health Service New Mexico Department of Health New Mexico Diabetes Advisory Council New Mexico Human Services Department, Medical Assistance Division New Mexico Medical Review Association University of New Mexico Health Sciences Center American Diabetes Association New Mexico and El Paso Area American Heart Association—New Mexico Blue Cross and Blue Shield of New Mexico Hidalgo Medical Services—La Vida Diabetes Program Lovelace Clinic Foundation Lovelace Health Plan Lovelace Sandia Health Systems Molina Healthcare of New Mexico New Mexico Academy of Family Physicians New Mexico Chapter American College of Physicians New Mexico Hispanic Medical Association New Mexico Hospitals and Health Systems Association New Mexico Medical Society New Mexico Optometric Association New Mexico Primary Care Association New Mexico Public Health Association Presbyterian Health Care Services Presbyterian Insurance Company Zia New Mexico Association of Diabetes Educators (ZADE)
16	Single state guideline
17	Practical Resources
18	Value Independent Survey 90% use NMHCTOD material 80% said reduces hassle because “one guideline” 75% use it with their patients
19	Effectiveness Is diabetes care in New Mexico getting better? Because of pooled data, very good data Use nationally accept method for measuring diabetes care – HEDIS®
20	Effectiveness: AIC Testing
21	Effectiveness: Poor Control (lower is better)
22	Effectiveness: Lipid testing
23	Why successful Scope Size Commitment Strong coordinator Collaboration with public and private sector In-kind support
24	Financial Support Aventis Blue Cross Blue Shield New Mexico and HMO New Mexico Cimarron Health Plan GlaxoSmithKline Lovelace Sandia Health Plan Merck New Mexico Department of Health – Diabetes Prevention and Control Program Novo Nordisk New Mexico Public Health Association Presbyterian Health Plan
25	Looking to the Future
26	First: all at table (almost)
27	The Future: A true system
28	More linkages
29	Ultimate Goal
30	For More Info www.NMTOD.com www.Diabetes.org