Diabetes Grantees

Unhealthy employees are a major cost to employers. Employers can benefit from investing in the prevention and treatment and are often times the most equipped to control and prevent diabetes. The CUNY Campaign Against Diabetes seeks to reduce the incidence of uncontrolled diabetes in CUNY students, faculty, staff, and their family members through the implementation of a work-based diabetes prevention, management and wellness initiative.

There are 23,858 diabetic patients in this high-need, rural area. This project will establish a diabetes registry across the Glens Falls Hospital network, re-design office visits to include integrated services, increase collaboration with community resources, and improve diabetes self-management among diabetic patients.

Gold Choice is a partially capitated Medicaid Managed Care Program utilizing the Physician Case Management Model for ensuring access to primary care and specialty medical services. Approximately 450 Gold Choice members who receive care through 60 Erie County primary care sites are currently diagnosed with diabetes. Under this grant Gold Choice will improve diabetes management for these patients by using a “virtual” case management approach.

Diabetics with serious mental illness are 2.7 times more likely to die from diabetes-related complications. This project will provide training to 140–200 case managers and social workers to coordinate care for patients with diabetes and serious mental illness.

Diabetes disproportionately affects minorities living in Queens and Brooklyn, as evidenced by high prevalence, and hospitalization and mortality rates. The mortality rates in the neighborhoods served by Jamaica and Flushing clinics are as high as 40.9 per 100,000, compared to 23.3 in New York City and 20.5 in the State.

Buffalo’s East Side is predominantly African American (87%) and poor (37%) with diabetes prevalence three times the national rate. Jericho Road Ministries is a faith-based nonprofit that seeks to create the Diabetic Center of Community Excellence to provide culturally appropriate support for diabetic self-management by using certified diabetes educator-trainees and establishing a diabetes health ministry outreach resource center.

Current estimates from the Seneca Nation Health Department, a nonprofit public health organization that maintains a Federal contract with the Indian Health Service, show that 15% of its patient population has been diagnosed with diabetes. Over the past decade, the Seneca Nation Health Department has maintained the Indian Health Service Diabetes Core Program, and for the past three years, it has implemented the Indian Health Service Special Diabetes Prevention Initiative.

Diabetes is a significant disease among the elderly who often report a lower quality of life and greater complications as a result of co-morbidities. This project addresses the chronic care needs of elderly, retired, low-wage workers, and utilizes patient care assistants to improve diabetes management.

South Asians have the highest rate of Type 2 diabetes among ethnic groups in New York City. Beth Israel Division of Endocrinology receives 10,000 diabetes-related visits annually, many of whom are South Asian. This project trains primary care physicians on the implementation of the ADA standards of care for South Asian patients and provides diabetes management, using a culturally competent curriculum and certified diabetes educator for South Asian patients.

One in six Asian Americans in New York City has diabetes, and an additional 3,300 Chinese patients in New York City are at risk for diabetes. This project furthers the Center’s effort to implement the chronic care model by establishing a diabetes registry and piloting a culturally appropriate diabetes self-management program.