1. Chronic Disease Management PRC Results

2. Chronic Disease Management
Diabetes
Respiratory Disease
Cancer
Heart Disease & Stroke
PRC Assessment Findings
Chronic Disease Management

3. Prevalence of Diabetes
% Diabetes/High Blood Sugar
% Borderline/Pre-Diabetes
Sources: ● PRC Community Health Surveys, Professional Research Consultants, Inc. [Item 207]
● PRC National Health Survey, Professional Research Consultants, Inc.
● Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia. United States Department of Health and Human Services, Centers for Disease Control
and Prevention (CDC): 2012 Florida data.
Notes: ● Asked of all respondents.
● Local and national data exclude gestation diabetes (occurring only during pregnancy).

4. Prevalence of Diabetes (Lee County, 2014)
Of those who are not diabetic, 60.9% have had their blood sugar level tested in the past 3 years (better than US, 49.2%).
% Diabetes/High Blood Sugar
Sources: ● 2014 PRC Community Health Survey, Professional Research Consultants, Inc. [Item 207]
Notes: ● Asked of all respondents.
● Hispanics can be of any race. Other race categories are non-Hispanic categorizations (e.g., “White” reflects non-Hispanic White respondents).
● Income categories reflect respondent's household income as a ratio to the federal poverty level (FPL) for their household size. “Low Income” includes households
with incomes up to 200% of the federal poverty level; “Mid/High Income” includes households with incomes at 200% or more of the federal poverty level.
● Excludes gestation diabetes (occurring only during pregnancy).

5. Childhood Asthma (Among Parents of Children Age 0-17)
Adult Asthma
Childhood Asthma (Among Parents of Children Age 0-17)
Lee County At-Risk
Statistically higher among:
Low-income residents (<200% FPL) = 11.2%
Favorably low in Market Area 4
statistically similar to FL/US; no significant trend
statistically similar to US; no significant trend
% [Adult] Currently Has Asthma
10.2% of county residents have COPD, just above statewide prevalence, similar to US.
Sources: ● PRC Community Health Surveys, Professional Research Consultants, Inc. [Item 161]
● PRC National Health Survey, Professional Research Consultants, Inc.
● Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia. United States Department
of Health and Human Services, Centers for Disease Control and Prevention (CDC): 2012 Florida data.
Notes: ● Asked of all respondents.
● Includes those who have ever been diagnosed with asthma, and who report that they still have asthma.

6. Prevalence of Heart Disease
Stroke
Lee County At-Risk
Statistically higher among:
Residents age 65+ = 21.5%
Market 4 residents = 14.8%
% Heart Disease (Heart Attack, Angina, Coronary Disease)
Sources: ● PRC Community Health Surveys, Professional Research Consultants, Inc. [Item 151]
● PRC National Health Survey, Professional Research Consultants, Inc.
Notes: ● Asked of all respondents.
● Includes diagnoses of heart attack, angina or coronary heart disease.

7. Prevalence of Skin Cancer
Prevalence of Cancer (Other Than Skin Cancer)
Lee County At-Risk
Statistically higher in:
Market 4 = 20.1%
% Skin Cancer
Sources: ● PRC Community Health Surveys, Professional Research Consultants, Inc. [Item 40]
● Behavioral Risk Factor Surveillance System Survey Data. Atlanta, Georgia. United States Department of Health and Human Services, Centers for Disease Control
and Prevention (CDC): 2012 Florida data.
● PRC National Health Survey, Professional Research Consultants, Inc.
Notes: ● Asked of all respondents.

8. Chronic Disease Update
Chris Nesheim
Champion

9. Chronic Disease
With community partners, develop community/neighborhood clinics for chronic disease prevention, education, management, such as sickle cell, diabetes, obesity, hypertension and asthma. Target populations with greatest need (e.g., African Americans for diabetes).

10. Chronic Disease - Scorecard

11. Chronic Disease
“It’s All About You” – Chronic Disease Self-Management Program
Lee Health Solutions Diabetes Education Program
Obesity Clinic at Lee Community Healthcare
Lee Community Healthcare
SKY Family YMCA Diabetes Collaboration
Living With Diabetes (21st Century Collaborative)
Family Health Centers of Southwest Florida

12. Accomplishments “It’s All About You”
52 Leaders Trained, 127 participants completed
Outcomes: Decreased ED Visits by 20% / Inpatient by 67%
Diabetes Education Program (Lee Health Solutions – LMHS)
132 Community Care Program participants in last year
Initial Hemoglobin A1C: 7.5 / 3 month: 6.6
Obesity Clinic: 98 patients in last year (Lee Health Solutions/Lee Community Healthcare)
Over past year - 98 patients lost a total of 734 pounds
4 Additional Community Partners: Barkley Place, Interfaith Charities of South Lee, McGregor Clinic, and South Trails Fire District
20 workshops completed as of 5/21/14 with 127 participants completing at least 4 of the 6 weekly sessions.
3 Currently in Progress: Gulf Coast Village, Park Royal Hospital, and Barkley Place

13. Accomplishments Lee Community Healthcare
Same day appointments/improved pt. experience/implementing registries
SKY Family YMCA Diabetes Collaboration
Received Community Transformation Grant (National REACH Coalition & CDC)
Works with the Latino/Hispanic Communities (Bonita Springs / Estero)
Successfully Conducted the CDC’s Diabetes Prevention Program
Family Health Centers of Southwest Florida
Several new programs added (Shape It Up, Smoking Cessation)
Provided baby showers for low income moms to be
Hosted “Diabetes Revolution” event in November
Partnership with YMCA - Pre-Diabetes Education

14. Opportunities for Improvement
It’s All About You
Need increase in programs available in Spanish
Need all trained Leaders to facilitate workshops
Diabetes Education Program
Need to implement alternate forms of communication with patients
Lee Community Healthcare:
Need asthma & obesity registries / NCQA Level 3 Recognition
SKY Family YMCA Diabetes Collaboration
Need to increase participation in classes
Family Health Centers of Southwest Florida
Need to increase participation programs offered

15. Next Steps Diabetes Education Program It’s All About You
Train leaders for Spanish program and launch program (Tomando Control de su Salud)
Diabetes Education Program
Provide educational seminar in the fall / create and distribute educational newsletters
Lee Community Healthcare
Implementation of asthma & obesity registries
Continuous monitoring of diabetes registry
Receive NCQA Level 3 Recognition
SKY Family YMCA Diabetes Collaboration
Continue to add additional community partners
Family Health Centers of Southwest Florida
Continue to increase existing programs and add additional programs when necessary
Collaboration of Lee County Agencies for CDC Grant

16. 21st Century Collaboration
COMMUNITY HEALTH SERVICES COMMITTEE
Living with Diabetes
Health Forum
Saturday, May 31, 2014

17. 21st Century Collaboration’s Bodacious Goals
Increase Health Literacy
Decrease Teen Pregnancy
The Community Health Services Committee seeks to promote improved health, education, disease prevention and increased access to healthcare for families in the zip codes 33916, 33905, and
The Community Health Services Committee

18. Lee Memorial Health System
“Living with Diabetes” Participating Health and Community Organizations
Lee Memorial Health System
Harry Chapin Food Bank
Snead Eye Center
Family Health Centers
Nova Nordisk
Mt. Hermon Ministries

19. Event Focus
EDUCATION
SCREENING
HEALTHY FOOD DISTRIBUTION

20. Nutrition and Diabetes Exercise and Diabetes
Diabetes Education
Topics Covered
Nutrition and Diabetes
Exercise and Diabetes

21. Screening High Blood Sugar 3% High Blood Sugar 14%
Total Screened: 200: African-American, Caucasian, Hispanic
FEMALE SCREENING
MALE SCREENING
High Blood Sugar 3%
High Blood Pressure 10%
No Disease 90%
7% Weight-loss Recommended 13%
High Blood Sugar 14%
High Blood Pressure 10%
No Disease 83%
7% Weight-loss Recommended 28%

22. Extreme Poor Eye Health-2 Recommended for Follow-up Appointment-24
Eye Health Screening
Total Screened: 24
Poor Eye Health- 24
Extreme Poor Eye Health-2
Recommended for Follow-up Appointment-24

23. Diabetes Health Forum Screening
Data Comparison & 2014
Diabetes Health Forum Screening

24. Chronic Disease
We are on track to meet the 2017 goals for chronic disease management in Asthma and Diabetes.
Yes No

25. Discussion