1. Diabetes Tele-Education Programs Virginia Center for Diabetes Professional Education University of Virginia Health System 2008 - 2013 J. Terry Saunders, Ph.D. Joyce Green Pastors, M.S., R.D., C.D.E.

2. Virginia - Percentage of Adults (aged 18 years or older) with Diagnosed Diabetes, 1994 – 2010

3. Estimated Diabetes Prevalence in Virginia, 2010

4. 2009 Age-Adjusted Estimates of the Percentage of Adults † with Diagnosed Diabetes in Virginia

5. Virginia - Percentage of Adults(aged 18 years or older) with Diabetes Ever Attending a Diabetes Self-Management Class, 2000 – 2010

7. Rationale for Diabetes Tele-Education Epidemic of diabetes statewide It is estimated that only 60% of those who have diabetes in Virginia have had ANY education (BRFSS data) Shortage of diabetes educators and ADA recognized education programs in rural and underserved areas of the state Lack of adequate reimbursement for diabetes patient education Difficulty and expense of providing face-to-face professional education Efficiency of using existing telemedicine equipment for education

8. Diabetes Tele-education Partners, 2012 University of Virginia Diabetes Education and Management Program University of Virginia Office of Telemedicine Virginia Department of Health, Office of Minority Health and Health Equity Virginia Information Technology Agency (VITA) Harry L. Coomes Recreation Center, Abingdon, VA

9. Comparison of Participation by Type of Site, 2008-2012 Total Number of Sites: 43

10. Number of Program Participants, 2008-2012 Total Number of Participants = 1610

11. Review of Accomplishments for 2012

12. Nottoway Cumber- land Amelia Appomattox Charlotte Charles City New Kent Henrico King And Queen James City York Surry Gloucester (7) Prince George Essex Hanover Richmond & Tappahannock Free Clinic (36) King George Northumberland (8) Buckingham Blue Ridge Medical Center (65) Rockbridge Powhatan Goochland Rockingham Greene Rappa- hannock Page Culpeper Henry/Martinsville (20) Albemarle Hampton Mathews Virginia Beach Suffolk Louisa Fairfax Prince William Fauquier Loudoun Warren Alleghany Bedford Roanoke Clarke Greensville Mecklenburg Franklin Patrick Montgomery Bland Wise (32) Lee (4) Frederick Shenandoah MadisonStafford Highland Augusta Orange Spotsylvania Bath Community Hospital (1) Caroline Fluvanna Amherst Botetourt Craig Chesterfield Northampton Buchanan Giles Campbell Dickenson Dinwiddie Pulaski Russell Pittsylvania Floyd Lunenburg Sussex Wythe Brunswick Carroll Grayson Sites Participating in 2012 Health Districts and Number of Patients Per Site Lancaster King William Onley (140) Petersburg (7) Southampton Prince Edward (33) Halifax Health Wagon (4) Washington Tri-Area CHC (55) Smyth Scott Tazewell Highland Medical Center (1) Chesapeake Middlesex Northumberland Westmoreland Nottoway Public Library (40) LenowiscoMount RogersWest PiedmontPiedmontCrater Eastern Shore Three Rivers Thomas Jefferson Central Shenandoah

13. Total Number of Participants by Site

14. Number of Participants Attending Each Broadcast

15. Summary Attendance Statistics for 2012 444 program participants 238 individual participants – Average age: 66.7 y.o. – 169 females, 69 males 1.87 average classes per participant 117 participants (49.2%) took one class 62 participants (26.1%) took 2 classes 36 participants (15.1%) took 3 classes 19 participants (8.0%) took 4 classes 4 participants (1.7%) took 5 classes 21 participants were awarded certificates for attending all 4 classes

16. Participant Reports of Type of Diabetes

17. Participant Ratings of Usefulness of Classes

18. 2013 Schedule of Classes * * All classes scheduled from 1-3 pm

19. Plans for 2013 Improvement in group facilitation at participating sites; provided regional facilitator trainings for sites in January Addition of libraries and use of health information specialists; provided training to librarians in Southside Virginia in February Use of recorded sessions in addition to live, interactive sessions to offer flexibility in timing and to reach more people Additional evaluation data - intent to change behavior; pilot data for behavior change outcomes