1. Disease Management Diabetes Results: Represents Health Disparities Collaborative for Diabetes Overall CAP Results

2. Enrollment Facility (Table) Facility 24030.2 28335.6 65.7 8410.6 76.3 11013.8 90.1 5.6 90.7 749.3 100.0 796100.0 Cabin Creek Family Care Charleston Family Care Teays Valley New River Health Center North Fayette Family Health Center Riverside Health Center Total Valid FrequencyPercentValid Percent Cumulative Percent

3. Hemoglobin A1c Test Within Past 6 Months HD= Health Disparities Collaborative Data CAP= Overall CAP Program 0 10 20 30 40 50 60 70 80 90 100 ABCD Clinic Percent

4. Average Hb A1c Values 0.0 1.0 2.0 3.0 4.0 5.0 6.0 7.0 8.0 9.0 10.0 ABCD Clinic HD= Health Disparities Collaborative Data CAP= Overall CAP Program

5. Average Hb A1c Values (2 nd reading) 0.0 1.0 2.0 3.0 4.0 5.0 6.0 7.0 8.0 9.0 10.0 ABCD Clinic HD= Health Disparities Collaborative Data CAP= Overall CAP Program

6. Documented Patient Self-Management 0 10 20 30 40 50 60 70 80 90 100 ABCD Clinic Perecent HD= Health Disparities Collaborative Data CAP= Overall CAP Program

7. Aspirin Use 0 10 20 30 40 50 60 70 80 90 100 ABCD Clinic Percent HD= Health Disparities Collaborative Data CAP= Overall CAP Program

8. Microalbuminuria Screening 0 10 20 30 40 50 60 70 80 90 100 ABCD Clinic Percent HD= Health Disparities Collaborative Data CAP= Overall CAP Program

9. Type 1 diabetes accounts for 5-10% of diabetes. Type II for 90-95% During pregnancy, 2-5% of women develop gestational diabetes, which disappears after their babies are born Diabetes is the leading cause of adult blindness. Diabetes is the leading cause of end-stage kidney disease. Diabetes nerve damage affects about 65% of people with diabetes. Diabetes is the leading cause of lower limb amputations. Compared with non- diabetic population, people with diabetes have 15 times the risk. Diabetics are three times more likely than non-diabetics to suffer heart attack or stroke. LATEST DIABETES STATISTICS

10. Hemoglobin A1c The HgA1c is the gold standard for diabetes care. To help prevent diabetes complications, the HgA1c should be maintained at 7% or below according to the Diabetes Control and Complications Trial (DCCT) and United Kingdom Prospective Diabetes Study (UKPDS) findings. According to the United Kingdom Prospective Diabetes Study for every percentage point decrease in HbA1c (e.g. 9 to 8 percent), there was a 35 percent reduction in the risk of micro vascular complications. (ADA, Clinical Practice Recommendations, 2002).

11. NATIONAL SHARED TREATMENT OBJECTIVES Health Disparities Collaborative for Diabetes >90% of diabetics with 2 HbA1c tests within the last year <25% baseline Average HbA1c value 9.0 baseline West Virginia Health People 2010 Objectives - Diabetes Objective 5.6. Increase to 85% the proportions of persons with diabetes who have a glycosylated hemoglobin (HemoglobinA1c) measurement at least once per year. (Baseline: 15.9% in 1988) Data Sources: West Virginia Bureau of Public Health (WVBPH) - Office of Epidemiology and Health Promotion (OEHP), Behavioral Risk Factor Surveillance System (BRFFS) & April 2000, West Virginia Department of Health and Human Resources Bureau for Public Health While the objective is for more than 90% of the nation’s diabetics to have 2 Hemoglobin tests within the last year, currently less than 25% have 2 such tests. While the objective is for the average value to become less than 8, the current average value is greater than 9.

12. Health Disparities Collaborative – Diabetes: http://www.healthdisparities.net/collaboratives_diabetes.htm West Virginia Healthy People 2010 Objectives http://www.wvdhhr.org/bph/hp2010/objective/contents.html Michigan Diabetes Program http://www.osophs.dhhs.gov/ophs/BestPractice/MI.htm American Diabetes Association http://www.diabetes.org/main/application/commercewf National Diabetes Education Program http://ndep.nih.gov/materials/puborder/resource.htm#health http://www.healthdisparities.net/collaboratives_diabetes.htm http://www.wvdhhr.org/bph/hp2010/objective/contents.html http://www.osophs.dhhs.gov/ophs/BestPractice/MI.htm http://www.diabetes.org/main/application/commercewf http://ndep.nih.gov/materials/puborder/resource.htm#health Internet Links for further information

13. The American Association of Clinic Endocrinologists has created Medical Guidelines for the Management of Diabetes Mellitus http://www.aace.com/clin/guidelines/ http://www.aace.com/clin/guidelines/ Preventive-Care Practices Among Persons with Diabetes from Morbidity & Mortality Weekly Report http://www.medscape.com/viewarticle/444031_2 http://www.medscape.com/viewarticle/444031_2 Patient Diabetes Management Schedule http://publichealth.state.ky.us/Programs/Diabetes/Patient%20Diabetes%20 Management-Schedule-patient.pdf http://publichealth.state.ky.us/Programs/Diabetes/Patient%20Diabetes%20 Management-Schedule-patient.pdf Internet Links for further information

14. Professional Diabetes Management Schedule http://publichealth.state.ky.us/Programs/Diabetes/Mgt-schedule- numbers-at-a-glance.PDF http://publichealth.state.ky.us/Programs/Diabetes/Mgt-schedule- numbers-at-a-glance.PDF Diabetes Goal Contract http://www.healthdisparities.net/PatientGoalSetting.pdf http://www.healthdisparities.net/PatientGoalSetting.pdf National Data Facts http://publichealth.state.ky.us/diabetes-national- facts.htmhttp://publichealth.state.ky.us/diabetes-national- facts.htm Internet Links for further information