1. Mississippi Mobilization Against Diabetes Diabetes Prevention and Control Program

2. Is diabetes a problem in Mississippi? In Mississippi, for every 1,000 persons, there are 95 cases of Diabetes Nearly 285,000 persons in Mississippi have diabetes with approximately one- third being undiagnosed. Diabetes contributes to at least 1,800 deaths annually.

3. By conclusion of this Symposium, nearly 1,280 persons will have developed diabetes.

4. In accordance with the Mission of the MDH, the DPCP is responsible for promoting and protecting the health of all Mississippians affected by diabetes. DPCP Advised by MMAD

5. DPCP Healthcare Clinicians Diabetes Foundations Patient Advocacy Groups Patients Health Educators Social Workers Policy Makers Academic Institutions Community Faith Based Groups

6. What is the Diabetes Program? Funded through CDC to conduct programs which will: Increase foot examinations Increase eye examinations Increase HgA1c testing Increase flu vaccinations Reduce Health Disparities Establish Wellness Programs Evaluate the Statewide Diabetes Public Health System

7. Programs LEAP – Lower Extremity Amputation Prevention PAAC Program Continuing Education Community Mobilization Quality Improvement Initiatives Mississippi Mobilization Against Diabetes State Plan for Diabetes Prevention and Control

8. Continuing Education Annual Diabetes Educational Seminar Co-sponsored by the Diabetes Foundation of MS Provides information to healthcare providers on current diabetes related care practices. Annual Diabetes Symposium and Workshop Co-sponsored by Information and Quality Healthcare Educates healthcare professionals about the ways to increase and improve quality of life outcomes for people with diabetes.

10. Lower Extremity Amputation Prevention Workshops Provides foot examination training to identify patients at risk for developing foot problems. Participants acquire assessment skills pertaining to the diabetic foot and skill to use monofilaments for determining a patient’s risk for developing foot ulcers.

11. Community Based Initiatives Mini-Grants to conduct diabetes prevention and control activities Diabetes Support Group Cooking Classes Health Fairs Educational Seminars Health Screenings

12. Support of the Diabetes Collaborative Doctor and Patient Working Together for Improved Outcomes

13. Partnership with African American Churches Making a PAAC to identify, prevent, and treat chronic illness in African American communities. Making a PAAC to identify, prevent, and treat chronic illness in African American communities.

14. PAAC Goal Establish churches as health resource centers in order to broaden the knowledge and understanding of health education and provide information on lifestyle choices and social issues that affect long-term health.

15. FY 2007 Activities March 30, 2006 – March 29, 2007 Diabetes Public Health System Infrastructure and Improvement Disease Management Education and Application Health Promotion and Education 44% of Budget - Community Programs and Services

16. Diabetes Public Health System Infrastructure and Improvement SDPHS Performance Improvement Plan Establish Regional Diabetes Coalitions Essential Public Health Services Training Diabetes Today Training Publish Diabetes Report Card

17. Disease Management Education and Application Diabetes Education and Training Programs Diabetes Symposium and Workshop Diabetes Education Seminar Chronic Disease and Injury Prevention Conference Community Health Center Disease Management Collaborative Lower Extremity Amputation Prevention Program Disease Management Intervention Program Partnership with Community Health Centers and the University of MS Medical Center Metabolic Clinic

18. Health Promotion and Education Diabetes Prevention Pilot Partnership with Cardiovascular Health Program Community/Faith Based Health Promotion Programs Mini grant program Health Education Training Chronic Disease Conference – provide tools to conduct health promotion programs

19. What is MMAD? Statewide Diabetes Public Health System An association of individuals who care about improving the health of those affected by diabetes. Healthcare Professionals Lay Persons Patients Educators Administrators Program Managers Community Members

20. Transportation Leisure Employment Recreation Public policy Religious Affiliation Community Support Insurance Media Primary health care Tertiary health care

21. What is MMAD? In 2002, a group of professionals interested in diabetes were convened to develop the State Plan for Diabetes Prevention and Control in Mississippi. In 2003, the original group and new members convened to design a process to assess the strengths and weaknesses of Mississippi’s system of diabetes care and prevention. Partnered with Emory University, Rollins School of Public Health In 2005, the entire group reconvened to review assessment results and to develop a performance improvement plan for the state.

22. What is MMAD’s purpose? To improve the statewide system of care for persons with diabetes Healthcare Access Continuing Education Healthcare Policy Standards of Care Quality of Care Healthcare Disparities

24. What has MMAD Accomplished? Statewide Diabetes Public Health Performance Assessment (Ten Essential Public Health Services) Areas of Strength Mobilizing Community Partners Linking to Community Services Educating/Informing Areas that Need Improvement Monitoring the burden of diabetes Ensuring Competent Workforce Evaluation

25. Next Steps MMAD to be recognized by the state as the official body that: Addresses issues which affect people with or at risk for developing diabetes Advises on policy issues related to diabetes Maintains a quality system of education for all persons with diabetes and the healthcare professionals who care for them

26. Next Steps Continued MMAD Formal Structure Expand/Sustain membership to include all stakeholders Review Current State Plan (2004- 2008) Complete report of progress to date Re-set goals/objectives

27. Regions 1.North Mississippi 2.Delta Region 3.Choctaw/Native American Region 4.Central Mississippi 5.Southwest Mississippi 6.South Mississippi 1 2 3 4 5 6

28. Mississippi State Plan for Diabetes Prevention and Control Interim Progress Report

29. Broaden public knowledge and understanding that diabetes is a common, serious, and costly disease; diabetes is treatable; and Type 2 diabetes can be delayed and sometimes prevented. ObjectiveAchieved By, 2008 provide information to 90 percent of state legislators and policy makers on the number of Mississippians afflicted with Diabetes and the impact of this disease on the state’s citizens No. Plan to develop Diabetes Report Card by March 30, 2007. By 2008, provide information to 70 percent of Mississippi communities concerning risk factors, prevention, and treatment of diabetes and the complications of uncontrolled and undiagnosed diabetes. In progress. Need information from partners on their work in this area.

30. Increase patients’ knowledge and under- standing of self-management behaviors to decrease chronic complications of diabetes. ObjectiveAchieved By 2008, provide access to education on effective diabetes self-management behaviors and practices to 70% of patients diagnosed with diabetes. In progress. Need information from partners on their work in this area. By 2008, increase foot examinations for persons with diagnosed diabetes by 50% to decrease or prevent amputations. In progress (LEAP). Need information from partners on their work in this area.

31. Improve the standards of care in Mississippi to prevent diabetes complications and reduce hospitalizations. ObjectiveAchieved By 2008, 25% of health care providers will have increased knowledge and understanding of current and effective diabetes management practices. In progress. Need information from partners on their work in this area.

32. Improve the ability of diabetes services for special populations, such as minority, elderly, and rural by creating Diabetes Resource Centers in areas where these populations are concentrated. ObjectiveAchieved By 2008, provide access to health care providers for 70% of patients with diabetes. Not Complete. Need mechanism for tracking this information. Need information from partners.

33. Diabetes Resources Educational Literature (601-576- 7781) 50 Ways to Prevent Diabetes 4 Steps to Control Your Diabetes For Life Diabetes Health Guide

34. Diabetes Resources Continued www.diabetes.org www.ndep.nih.gov www.msdiabetes.org www.diabetesatwork.org www.cdc.gov/diabetes www.HealthyMS.com

35. How can you get involved? Become a member of the Mississippi Mobilization Against Diabetes Start a Diabetes Coalition in Your Community Attend Diabetes Related Conferences and Meetings

36. Contact Cassandra Dove, Director 601-576-7784 Cassandra.dove@msdh.state.ms.us Bettye Daniel, Evaluation Lead, LEAP Coordinator, PAAC Coordinator 601-576-7737 Bettye.daniel@msdh.state.ms.us