1. Vision. The Forum strives to prepare the health system in the United States to provide optimal health care for a diverse society.

2. To inform about the Forum’s unique capacity to define chronic disease at the zip code level To support the Diabetes Care Project in South Texas Our Conversation Today

3. A DC-based, healthcare organization dedicated to the elimination of health disparities. The Forum has developed a comprehensive database comprised of over 800 million patient records to define disease prevalence, costs, and outcomes at the zip code level. Our database is used to inform, support, and catalyze advocacy, educational, marketing, and public relations activities National Minority Quality Forum About the

4. National Minority Quality Forum Disease Based Indexes We consolidate these data by zip code into user-friendly, web-based disease indexes. Users can: Map any chronic disease by prevalence, cost, outcomes, co morbidities, socioeconomic status, Rx drug use, etc. for any state, MSA, congressional and state legislative districts Define where the unmet needs exist by identifying undiagnosed and uncontrolled populations Forecast trends

5. National Minority Quality Forum Key Findings

6. National Minority Quality Forum Health Care Market Has Structure There are geographical bound health care market places in the United States that exhibit stable consumption patterns from one year to the next. Geography Matters

7. National Minority Quality Forum Stable Consumption Patterns These consumption patterns are the product of consistencies in the incidence and prevalence of diseases, underlying consistencies in patient response to those diseases, practices variation, and uniformity in the ways in which the health care financing and delivery system responds to patient needs. Forces that Shape Markets

8. National Minority Quality Forum Consumption Patterns Can be Shaped This stability is knowable, predictable and algorithms can be built that can anticipate consumption patterns. Critical Intelligence

9. National Minority Quality Forum Health Care in the 21 st Century An understanding of these consumption patterns can improve management of health care resources. The Value Proposition

10. Diabetes Consumption Patterns

13. class06Bene DiabetesPercent by ClassTotal ExpendituresPecent TotalHospital CostPercent ClassPercent Total Crisis Consumer 2205%$28,586,63131%$17,011,32344%60% Heavy Consumers 1,01524%$43,941,80848%$18,356,62648%42% Moderate Consumers 1,07926%$14,331,65716%$3,067,7978%21% Light Consumers 1,00324%$3,684,6194%$111,4100%3% Low Consumers 83720%$679,2111%$8890% 4,154$91,223,926$38,548,04442% Medicare Diabetes, McAllen, Texas 2006

14. Beneficiaries migrating to: Crisis ConsumersLow consumers YearsBeneficiaries migrating from:No.% % 2000–2001Crisis consumers20,196193,4650 Heavy consumers41,5813963,8814 Moderate consumers20,93020151,45311 Light consumers15,15414369,03426 Low consumers8,5128848,99859 Total106,3731,436,831 2001–2002Crisis consumers21,492193,4790 Heavy consumers43,0873966,5424 Moderate consumers22,20520158,86610 Light consumers15,58214398,91126 Low consumers8,6518922,05859 Total111,0171,549,856 2002–2003Crisis consumers23,444203,8080 Heavy consumers46,7993970,5304 Moderate consumers23,63420169,92910 Light consumers16,09914438,76626 Low consumers9,20981,021,45060 Total119,1851,704,483 2003–2004Crisis consumers25,552204,0020 Heavy consumers49,7513975,1334 Moderate consumers24,67720178,86710 Light consumers16,37813469,41425 Low consumers9,62081,119,36961 Total125,9781,846,785 2004–2005Crisis consumers27,695214,1200 Heavy consumers51,5763979,7694 Moderate consumers25,42519191,44610 Light consumers16,68513504,36725 Low consumers9,93881,200,73161 Total131,3191,980,433 2005–2006Crisis consumer29,493213,7930 Heavy consumers55,1064072,8644 Moderate consumers26,43319175,5069 Light consumers17,08712459,05624 Low consumers10,26471,185,19262 Total138,3831,896,411

15. Contribution of each year 2000 cluster to the overall cost of inpatient care

16. National Minority Quality Forum Support marketing activities

17. National Minority Quality Forum Support advocacy efforts www.padcoalition.com

18. National Minority Quality Forum Support publication strategies

19. National Minority Quality Forum Support policy www.ipabactioncenter.org

20. National Minority Quality Forum Support public relations

21. National Minority Quality Forum Support clinical research

23. National Minority Quality Forum Diabetes in South Texas, Prevalence Source:

24. National Minority Quality Forum Defining uncontrolled diabetes by the numbers (National, South Texas) National 8.95% 11.4% 54.6% 23.1% South Texas 10.88% 25.3% 59.7% 25.1% Prevalence Uninsured Diabetics Hospitalized Diabetes Control

25. National Minority Quality Forum South Texas Diabetes Reporter www.diabetescareproject.com

26. National Minority Quality Forum National Minority Health Month: A Pacing Event