NCMS Morning Rounds 1-15-20

Halfway through another week! Enjoy your

NCMS Morning Rounds.

Jan. 15, 2020

Diabetes Prevention Champions Prepare to Spread the Word

Three physician champions will be working in the coming months to spread the word about a diabetes prevention initiative with the help of the NCMS, the AMA and other stakeholder groups in North Carolina.

Brian Klausner, MD, a Raleigh internist, Karen Smith, MD, FAAFP, a Raeford family physician and Jeffrey Viar, DO, a family physician in Columbus, NC, which is southeast of Asheville, all came to the NCMS Center for Leadership in Medicine in Raleigh yesterday morning for training on how best to present the case for diabetes prevention to their colleagues. Representatives from the AMA and the NCMS gave the physician champions background on the studies and rationale for addressing prediabetes along with the resources available to physicians and their patients diagnosed with prediabetes.

The Center for Disease Control and Prevention (CDC) estimates that 84 million American adults have prediabetes. Preventing the onset of diabetes is an investment in an individual’s health, and would offset the tremendous medication and treatment costs for those who develop diabetes. The American Diabetes Association calculates that in 2017 those diagnosed with type 2 diabetes cost an estimated $237 billion in direct medical costs.

In the coming months these physician champions will engage colleagues and ask them to take action to identify those patients with pre-diabetes and connect them with treatment, in particular a National Diabetes Prevention Program (DPP). The lifestyle change curriculum in these programs is approved by the CDC, which also provides quality assurance. In North Carolina, DPPs are offered at many YMCAs and other community based organizations.

The NCMS Foundation’s Our Community Health Initiative (OCHI) is one option that allows physicians or other members of their health care team to refer a patient with pre-diabetes to a DPP through their EHR and then receive progress reports back from the patient’s DPP health coach on their progress through the program. Learn more about all the DPP referral options and the DPP initiative in North Carolina.

The AMA also offers a wealth of free information and resources for you and your patients on diabetes prevention on their website.

Watch your NCMS Morning Rounds for more information about this initiative and when a physician champion may be making a presentation in your area.

What Does ‘Whole Person Care’ Look Like in NC?

In an attempt to gain clarity around what whole-person care looks like across the state, the Foundation for Health Leadership and Innovation’s Center of Excellence for Integrated Care, in partnership with UNC-Chapel Hill School of Nursing, is conducting a short survey for primary care providers and behavioral/mental health professionals working in primary care.

The information gathered will offer insights into how to implement integrated care – primary care and behavioral health clinicians working together with patients and families — in North Carolina.

The survey should take less than 10 minutes. Take the survey.

Opportunity to Learn More About Telehealth

The Mid-Atlantic Telehealth Resource Center (MATRC) is a federally funded program to advance telehealth and provide better access to health care. The group encourages you to learn more about their work and to attend their 2020 MATRC Summit, April 5-7 in Charlotte, where attendees will address “Disruptive Technologies and Innovations: Shaping the Future of Health Care.”

The MATRC community brings together telehealth professionals from the Mid-Atlantic region, including DC, DE, KY, MD, south/central NJ, NC, PA, VA and WV. Summit participants are diverse and include all health care and telehealth stakeholders including medical directors, trauma and telemental health specialists as well as health care IT engineers and technical teams.

Learn more about MATRC and their Summit.

In the News

The Long History of Discrimination in Pain Medicine, The Atlantic, 2-28-17.

Learning Opportunity

The first in a new monthly speaker series called “The Point of Care” and sponsored by Duke-Margolis and Blue Cross NC, will be held on Jan. 22 from 8:45 to 10:15 a.m. This month’s subject is “Moving the Needle for the Public’s Health: Innovative Approaches to Improving Health and Advancing Equity.” You can join the discussion in person at the Duke-Margolis Center for Health Policy in Durham or through a webcast. Learn more and register.


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