North Carolina Diabetes Advisory Council Moves to Expand Access to Key Diabetes Services

North Carolina Diabetes Advisory Council Moves to Expand Access to Key Diabetes Services

By Krista White (JD ’16)

North Carolina has the 13th highest diabetes prevalence in the United States, and if current trends continue, diabetes is on track to cost the state $17 billion by 2025. Together with committed advocates from every sector in North Carolina, the Center for Health Law and Policy Innovation (CHLPI) at Harvard Law School hopes to reverse the diabetes epidemic. To that end, CHLPI released a report in May 2014 entitled The Diabetes Epidemic in North Carolina: Policies for Moving Forward. The report was part of the Providing Access to Healthy Solutions (PATHS) project, funded by Bristol Myers Squibb Foundation. The recommendations in the report included increasing access to needed services for people with diabetes, including the Diabetes Prevention Program (DPP) and diabetes self-management education (DSME).

Responding to recommendations from CHLPI and concerns from decision makers throughout the state, the NC Diabetes Advisory Council (DAC) convened on October 3rd, 2014 to form DPP and DSME workgroups. These groups were tasked with drafting and implementing Action Plans to improve access to both the DPP and DSME in the state. I was fortunate to be able to attend the DAC meeting in Raleigh, North Carolina, along with CHLPI clinical instructor Sarah Downer and fellow clinical student Anup Myneni. Hosted at the NC Division of Public Health (DPH), the meeting convened a wide range of stakeholders in the diabetes community. Attendees hailed from all parts of the state, from groups including universities, hospitals, community organizations, health care organizations, and nonprofits.

Workgroups were presented with draft Action Plans developed by the Diabetes Advisory Council and the Community and Clinical Connections for Prevention and Health (CCCPH) branch of DPH. Workgroup members then refined the objectives of each Action Plan and discussed how to move forward in making key changes to the Plans and taking the first steps toward implementation.

For example, the DPP workgroup discussed the four main objectives of the DPP Action Plan. The first objective is to promote awareness of prediabetes among people at high risk for type 2 diabetes. Many North Carolinians do not know they have prediabetes, and knowledge of their condition would alert them to the changes in diet and physical activity necessary to minimize risk of developing diabetes. The second objective is to increase referrals to CDC-recognized lifestyle change programs for the prevention of type 2 diabetes. The workgroup envisions easier and more commonplace referrals to the DPP by healthcare providers. The third objective is to increase and expand reimbursement for CDC-recognized lifestyle change programs for type 2 diabetes prevention. Stakeholders are pushing for the DPP to be covered by the State Health Plan, Medicaid, and private insurance. The fourth and final objective is to expand access to CDC-recognized lifestyle change programs. This could include offering the DPP at worksites, offering employees incentives for participating in the DPP, and embedding DPPs into primary care facilities.

The energy and enthusiasm in the room for progress in meeting these goals was overwhelming. Several of the workgroup members run DPPs at YMCAs across the state, and they were enthusiastic about the prospect of expanding access and reimbursement for the lifestyle change program. The group also expressed a desire to invite other stakeholders into the dialogue, including insurers.

In coming together to develop these Action Plans, the state is sending a clear message to decision-makers both in North Carolina and nationally that expanding access to these key diabetes services is a vital step in addressing the type 2 diabetes epidemic, and that support for investing resources in realizing these Action Plans is strong and widespread. Both workgroups will meet several times over the near year to finalize and implement the Action Plans.

I believe North Carolina is lucky to have such fierce public health advocates among its population – advocates dedicated not just to policy-making, but to action. Public health is a multifaceted endeavor, and stemming the diabetes epidemic will depend on organizations like the NC DAC that work to bring stakeholders together.

The Economic Burden of Diabetes in the U.S.

By Kristie Gurley (JD ’15)

A recent study conducted by the IHS Life Sciences economic consulting group highlighted the staggering economic impact of diabetes in the United States: in 2012, we spent $244 billion to treat the disease. This number is even higher when we account for loss of productivity from those with diabetes, which brings the total up to $322 billion.

Reporting on the study, NPR highlighted the increasing number of people across the nation who have diabetes or will soon develop diabetes: “About 29 million people have been diagnosed with diabetes, according to the Centers for Disease Control and Prevention; 8 million of them haven’t yet been diagnosed. Another 86 million, or 37 percent of adults, have prediabetes.” This is an astonishing number of Americans, and it bears repeating: more than half of all adults in the United States either have diabetes or will soon have diabetes without intervention.

The number of affected individuals appears stark in the context of the individual economic burden of diabetes, which averages at $10,970 per year. Because of incidence disparities, the cost will vary across states:

West Virginia had the highest rate of people diagnosed with diabetes, at 10 percent. Alabama, Arkansas, Delaware, Florida, Kentucky, Louisiana and Mississippi all posted rates over 8 percent. Alaska had the lowest diabetes rates in 2012, at 4.2 percent, followed by Utah, Colorado, Montana and Vermont, all under 5 percent.

We can hope that the report on the economic burden of diabetes spurs intervention at both the state and federal levels. As a student in the Harvard Center for Health Law & Policy Initiative (CHLPI) clinic this semester, I have been working on federal policy interventions in particular. We are currently drafting recommendations for actions the federal government may take to curb the rise of type 2 diabetes in the United States. Our recommendations were echoed by NPR, as we advocate the adoption of cost-saving preventative interventions and treatment methodologies. Our recommendations will also call for federal assistance in life-style interventions, such as improved access to healthy food and delivering medically-tailored meals, as well as increased coverage of services such as the Diabetes Prevention Program under Medicare and Essential Health Benefits.

The IHS Life Sciences report makes the economic case for interventions in the prevalence of type 2 diabetes. We can hope that federal policymakers will act quickly to curb the rise of the disease in the United States, or we will face an increased economic burden in the years to come. As NPR put it, “We better get cracking.”

NJ Diabetes Awareness Day

by Kristie Gurley (JD ’15)

On Thursday, November 13, New Jersey celebrated Diabetes Awareness Day with events at the New Jersey State House. The day began with speakers highlighting the importance of government measures to address the diabetes epidemic in New Jersey. Melita Jordan, Director of Chronic Disease Prevention and Control Services of the New Jersey Department of Health, presented a proclamation from Governor Chris Christie declaring November 2014 as Diabetes Awareness Month. Similarly, Senate President Stephen Sweeney and General Assembly Speaker Vincent Prieto presented a Joint Legislative Resolution recognizing November as National Diabetes Month. These events were followed by a networking and information event, where participating organizations set up tables throughout the State House hallways. The day concluded with a formal presentation of the Joint Legislative Resolution.

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As a continuing student in the Food Law & Policy Clinic, I was excited to see this event in relation to CHLPI’s previous work in New Jersey. In the spring semester, I had travelled down to help launch CHLPI’s Providing Access to Healthy Solutions (PATHS) report, which evaluated the type 2 diabetes landscape in New Jersey and made comprehensive recommendations for policy action. The 200-page report was intended to serve as a resource for diabetes advocates, and we hoped it would be the starting point of additional state action.

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At the Diabetes Awareness Day events, it was clear that the PATHS report had made an impact. The report was favorably remembered by many of the participants, and the recommendations even seemed to form the foundation of Melita Jordan’s remarks on needed policy actions. Allison Condra, the clinical fellow I travelled with who co-authored the New Jersey PATHS report, was sought-after by other attendees who wanted to discuss the report and share their subsequent state and advocacy efforts. As a student in the clinic, I even received several questions not only about the New Jersey report, but also our current efforts for the federal policy recommendations.

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As exciting as the day was, however, I left with some concerns. Following the morning’s speaker event, I had a conversation with a community health worker who told me what it was like on the ground. “All this stuff is well and good,” I remember her telling me, “but it’s not the problem. I’m dealing with people who can’t even pay for their test strips—awareness is not really the problem.” To me, the community health worker was pointing out a fundamental flaw in the Governor’s proclamation and the Senate and General Assembly resolution: awareness can only go so far in curbing the rise of diabetes. Environmental factors—including access to healthy food and ability to pay for needed medical services—seem to have a much more direct impact on the ability to prevent and treat diabetes. We can hope that raising awareness on Diabetes Awareness Day could serve not only to help individual New Jerseyans learn about symptoms of the disease and prevention techniques, but also to convince policy-makers to take action. It is the government action, rather than individual action, that will have the biggest impact on fighting the type 2 diabetes epidemic within the state.

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The views reflected in this blog are those of the individual authors and do not necessarily represent those of the Center for Health Law & Policy Innovation or Harvard Law School. This blog is solely informational in nature, and not intended as a substitute for competent legal advice from a licensed and retained attorney in your state or country.

Greensboro News & Record: Another reason to expand Medicaid in NC: Rising cost of treating diabetes

September 3, 2014

The following editorial appeared in the Greensboro News & Record:

Diabetes is a costly epidemic in North Carolina, and it is rapidly expanding. That’s a disturbing finding headlining a report by Harvard University researchers released earlier this year.

While North Carolina is fortunate to be the focus of a diabetes study by the Center for Health Law and Policy at Harvard Law School, the reason for the attention is ominous: North Carolina has a huge problem.

The rate of diabetes here has doubled over the past 20 years. It is the seventh-leading cause of death in the state – and it’s more deadly than that for African-Americans and American Indians. By 2025, if this trend continues, diabetes will take many more lives and “cost the state’s public and private sectors more than $17 billion per year in medical expenses and lost productivity,” the report says.

Risk factors include being overweight, exercising too little and having high blood pressure and cholesterol levels. Lifestyle choices are important for reducing risk or managing the disease.Unfortunately, the authors say, many North Carolinians lack access to medical care or programs that help them reduce risk or manage disease.

They recommend a number of policies to improve those conditions. One, already rejected by political leaders, is broadening Medicaid eligibility. This report gives another reason to reconsider.

North Carolina already operates some programs targeted at diabetes, but much more should be done, the report says.

The state needs to build a “whole-person model of diabetes care,” requiring lifestyle modification and management services, primary and specialty medical care and access to community resources ranging from healthy food options to financial assistance to opportunities for physical activities.

The YMCA of Greensboro recently announced it will participate in a nationwide diabetes prevention program, offering classes to help people reduce their risk. Community initiatives like this can have a big impact.Statewide, coordinated care models can help – Community Care of North Carolina’s diabetes management program saved the state $1.5 billion in Medicaid expenses from 2007 to 2009, the report says – but too many people don’t fit into them.

The 150-page report is full of detailed analysis and recommendations for battling this disease. In debates about Medicaid costs, the Affordable Care Act and state budget issues, there’s been hardly any mention of diabetes care. So this comes as an important reminder that people’s lives are at risk and that such a serious threat to good health poses a big financial liability.

If policymakers want North Carolina to be an attractive location for businesses, they should pay attention to diseases that rob the workforce of its vitality and cost employers more money in insurance costs, productivity and taxes for public health.

North Carolina’s supposedly healthy business climate depends on the good health of its population.

Link to the article here.

Recent Webinar: Fighting Type 2 Diabetes Through Policy Reform

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WEDNESDAY, JULY 23rd
2:00 – 3:15pm (EST); 11:00-12:15pm (PST)

Webinar: Fighting Type 2 Diabetes Through Policy Reform: New Jersey and North Carolina as Case Studies

VIEW THE WEBINAR
DOWNLOAD THE TRANSCRIPT and PRESENTATION SLIDES

Comprehensive policy reform can help combat the Type 2 Diabetes epidemic through efforts directed at disease prevention and management. As part of the Bristol Myers Squibb Foundation’s Together on Diabetes Initiative, the PATHS (Providing Access to Healthy Solutions) project has researchers and attorneys identifying opportunities for impactful policy change with respect to type 2 diabetes in New Jersey and North Carolina.

Join us for a Web Forum that will showcase the work, lessons, goals, and implications of PATHS’ health-motivated policy work. Presenters from the Center for Health Law & Policy Innovation at Harvard Law School (CHLPI) will share the:

  • Most urgent statewide issues;
  • Process and plan for developing a dynamic advocacy agenda and moving it forward in both locations; and
  • National implications for this state-level work.

During the Web Forum, we will also discuss the translation of on-the-ground disease management experience into policy and legislative action, and will introduce the soon-to-be-live CHLPI website intended to be a home for diabetes policy reform resources.

This Web Forum is for all diabetes providers who know that systemic change is necessary for good health outcomes in their patients and clients, as well as local and state-level policymakers, legislators, and advocates.

Presenters:

  • Alli Condra, Senior Clinical Fellow, Center for Health Law and Policy Innovation
  • Sarah Downer, Clinical Instructor on Law, Center for Health Law and Policy Innovation
  • Francine Grabowski, Lead Diabetes Educator, Camden Citywide Diabetes Collaborative

VIEW THE WEBINAR
DOWNLOAD THE TRANSCRIPT and PRESENTATION SLIDES

CHLPI presents at Diabetes State Briefing in the Massachusetts State House

by Qing Qing Miao, 2014 Summer Intern, Health Law and Policy Clinic

Sarah Downer, Clinical Instructor on Law, speaks about diabetes policy to Massachusetts senators, representatives, and legislative aids.

Sarah Downer, Clinical Instructor on Law, speaks about diabetes policy to Massachusetts senators, representatives, and legislative aids.

The Center for Health Law and Policy Innovation’s work on PATHS – a project targeting diabetes-specific health advocacy – has caught the attention of Massachusetts’s legislators.

Bringing a broad policy focus to the Together on Diabetes initiative funded by Bristol-Myers Squibb Foundation, PATHS collaborates with health care providers, legislators, and other stakeholders to provide policy guidance and technical support for legislative implementation. Its most recent publication is an exhaustive 150-page state report that provides evidence-based policy recommendations for North Carolina. 

Last Wednesday, clinical instructor and one of the authors of the report, Sarah Downer, presented at the Diabetes State Briefing held at the State House. The three-hour event was one of several educational conferences hosted by Women in Government (WIG), a national, non-profit organization of women state legislators that provides networking and leadership opportunities for members to address public policy concerns. WIG handles a spectrum of policy issues including (but not limited to) economic development, education, energy and environment, and health.

Issues of particular concern in Massachusetts include: increasing obesity rates (the largest risk factor for developing type 2 diabetes) within lower-income populations, the diminishing funds for diabetes research and lack of financial incentives for credentialed healthcare providers to serve the populations most hard hit, and the imperative to increase access to certified Diabetes Prevention Programs (DPP), which are targeted at lifestyle changes. Ms. Downer underscored the issue of rising diabetes rates within underserved populations, citing 2012 statistics that show Massachusetts for having the 4th highest childhood obesity rates for children ages 2-4. To address prevention in Massachusetts, presenters emphasized that programs focusing on lifestyle change, like the Diabetes Prevention Program, are crucial to positive health outcomes and decreased future health care costs.

“DPP is specifically for people diagnosed with pre-diabetes,” according to Ms. Downer. “State Medicaid programs should cover participation in this program because it is targeted, a proven and discrete intervention, and cost-effective.” A statistically rigorous study conducted by the Diabetes Prevention Program (DPP) Research Group concluded that the federal government could save $1.3 billion in a 10-year window if Medicare covered the program for prediabetics. Just within 3 years, DPP can reduce the incidence of diabetes within a population by 58%. A cost-benefit analysis further reveals an even greater impetus to implement it: the expense of administering DPP per capita is approximately $450. As the average annual cost of healthcare for someone with diabetes is about $9,000 greater than for someone without a diabetes diagnosis, health care payors will realize a significant financial benefit from investing in this prevention strategy.

For CHLPI and two other attending organizations – Joslin Diabetes Center and the American Diabetes Association – the State Briefing provided a unique opportunity to communicate their concerns to state legislators who have been key supporters of health-related bills, including bills to help patients access diabetes care. One of the attendees, Representative Gloria Fox (D, Seventh Suffolk), had submitted the bill H.1956 “ to establish a statewide program to promote prevention, diagnosis and treatment of Type 2 diabetes,” which is currently pending in Committee.

The other legislators at the conference, Senator Harriette Chandler (D, District of First Worcester), Senator Jennifer Flanagan (D, District of Worcester and Middlesex), and Representative Kimberly Ferguson (R, District of First Worcester) have proposed and helped pass bills related to healthcare financing and improving public health standards.

“Prevention is key,” concluded Senator Chandler as the conference adjourned. Organizing communities into “prevention for health” caucuses, planning infrastructure improvements such as walking paths, and implementing other “feet on the street” programs were but a few of the action items that the senator put forth as recommendations as Massachusetts strides towards diabetes prevention program in its next steps for disease mitigation.

Bridging the Gap between Cultural Communities and Health Providers

Bridging the Gap between Cultural Communities and Health Providers: Peers for Progress Consolidates Research Findings, Discussions, and Directions

On June 17 and 18, doctors, health researchers, and other medical leaders convened at the Omni Hotel in downtown San Francisco with a common goal: presenting and promoting the evidence for the medical, social, and financial contributions of community health workers (CHWs) in diabetes prevention and management. Collectively, the attendees presented research that has been conducted across several countries in addition to the United States: Cameroon, Canada, China, Thailand, and the United Kingdom. The conference provided a productive platform for attendees to exchange ideas, discuss diabetes management methods within different cultural contexts, and identify how to best institutionalize CHWs within the health system without compromising their unique, localized contributions to their communities.

Peers for Progress and The National Council of La Raza (NCLR) jointly coordinated the conference as part of the National Peer Support Collaborative Learning Network. The Center for Health Law and Policy Innovation (CHLPI) contributed to the research by generating two white papers regarding CHWs and other non-licensed providers. The first paper, Affordable Care Act (ACA) Opportunities for Community Health Workers, generally explores the policy and legal framework underlying the ACA, which increases the role of CHWs within the US healthcare system. The second paper, Community Health Worker Credentialing, more specifically discusses different state approaches to recognizing and reimbursing their CHWs through both public and private insurance. While CHLPI has traditionally referred to non-licensed providers as CHWs, Peers for Progress applies the terminology generally as “peer supporters.”

The two-day program was divided into two structures of activity. On the first day, attendees broke into two groups in order to learn more about topics for which they had less prior knowledge. Two CHLPI students, Nina Souliopoulos and Qing Qing Miao, had the privilege to present CHLPI’s papers to conference participants. The day concluded with a dinner and rich panel presentation from CHWs of the Bay Area peer support programs who have applied their personal experiences from managing disease to helping other patients manage their illnesses.

The second day was a marathon event that alternated between presentations by Peers for Progress research grantees and discussions of the research, all of which were divided among three topics: (1) outcomes of applying peer support education and interventions in diabetes self-management; (2) challenges in peer supporters program development; and (3) the technological and cultural methods for diabetes management.

Personal highlights came from the introduction given by Ed Fisher, the Global Director of Peers for Progress. Mr. Fisher set the attitude for the conference, directing our attention to the very basic human function that peer supporters (including CHWs) serve within their respective communities. Patients with diabetes and other chronic illnesses might be able to access medication for disease self-management; however, without the support, guidance, and care of individuals with similar conditions to whom they can relate, patients cannot achieve a level of recovery as they would otherwise. “We like to be with, be around, have contact with, and engage with other people,” Fisher stated in reference to Harlow’s famous Reesus Monkey study that he presented along with his point about the human need for social interaction.

Another presenter was Justin M. Nash, Ph.D. in the Departments of Family Medicine and Psychiatry & Human Behavior at Brown University, who discussed an issue raised in CHLPI’s white paper, Community Health Worker Credentialing. “We need to be sure we don’t lose the uniqueness of the peer supporter and what the peer supporter brings to the community,” he emphasized, driving home the point that policymakers need to be careful to avoid setting standards and competency thresholds that exclude many effective peer supporters.

Lastly, Charlie Alfero, representing the Hidalgo Medical Center, honed in on the systemic dilemma underlying the previous presentations. “From what I have observed, the common theme across all the presentations is that the basic healthcare system – even…the stronger ones…lack adequate support.” Across different continents, the medical infrastructure for diabetes management will continue to operate inefficient and unsustainable models of healthcare until we collectively shift our model of care and support for patients. Community health workers, or peer supporters, seem to be one of the most promising avenues for this shift.

CHLPI N.C. Diabetes Report Garners Attention

The recently-launched 2014 North Carolina State Report: Providing Access to Healthy Solutions (PATHS) – An Analysis of North Carolina’s Opportunities to Enhance Prevention and Management of Type 2 Diabetes, has gained attention both in North Carolina and across the country from healthcare policymakers, advocates, and the press.

Read below for a compilation of news items about the Report and related events.(to be updated in the summer of 2014)

Philanthropy North Carolina, N.C. diabetes ‘epidemic’ costs billions, Harvard finds; broad-based solutions urged

North Carolina Center for Health and Wellness, Developing PATHS with Harvard Law School’s CHLPI

PR NewswireHarvard Law School Releases Report on NC Type 2 Diabetes

WRNC Radio NC Ranked Among Worst For Obesity and Diabetes

CHLPI Launches Report on Diabetes in New Jersey

CHLPI Clinicians and Students Travel to New Jersey to Launch Report on Diabetesby Kristie Gurley, JD’ 15, Harvard Law Schoo

On Thursday, March 27, 2014, the Harvard Law School Center for Health Law and Policy Innovation (CHLPI) hosted the New Jersey Diabetes Leadership Forum in Trenton, New Jersey, at the historic War Memorial. The Forum featured the public release of CHLPI’s 2014 New Jersey State Report: Providing Access to Healthy Solutions (PATHS) – An Analysis of New Jersey’s Opportunities to Enhance Prevention and Management of Type 2 Diabetes, a project funded by the Bristol-Myers Squibb Foundation (BMSF). Legislators, state agency policymakers, and community leaders attended the event to learn about the findings and recommendations in the report and discuss priorities for moving forward. The Forum was successful in bringing together key advocates from both the primary prevention and health care sectors in an effort to address type 2 diabetes across the state.

Harvard Law Professor and Director of CHLPI Robert Greenwald opened the event with an introduction highlighting the importance of the report’s recommendations. “The fun begins after today,” Greenwald noted in encouraging participants to transform the report’s research into reform efforts. Patti Doykos, from the BMSF’s Together on Diabetes™ initiative, reiterated this message in her introduction to the day’s events.

Senator Stephen Sweeney, President of the New Jersey Senate, gave an opening address advocating for action on diabetes policy.  “There are 700,000 people in New Jersey with diabetes. I’m one of them,” Sweeney told the audience. Sweeney shared his personal struggle in discovering he had type 2 diabetes and how the disease has been “very hard” for him to manage. Sweeney advocated for improved diabetes education and thanked Harvard Law School for participating in the development of diabetes solutions for the state of New Jersey. “I’m in your corner,” Sweeney told the audience.

Professor Robert Greenwald, Director of the Harvard Center for Health Law and Policy Innovation, and Senator Stephen Sweeney, President of the New Jersey Senate.

Next, Christene DeWitt-Parker from the New Jersey Department of Education presented the perspective of schools coping with a high rate of diabetes among school-aged children. DeWitt-Parker discussed the importance of both diabetes management and prevention on school grounds. This address was followed by a presentation by report co-authors Amy Katzen and Allison Condra on the report’s findings.  First, Condra discussed recommendations for the prevention of type 2 diabetes, including improvements to both economic and geographic access to healthy foods, healthy foods at schools, and improving the built environment to facilitate physical activity in communities. Second, Katzen discussed proposals for improving the treatment and management of the disease, including access to care and insurance coverage for needed services.

NJ PATHS Report co-authors Allison Condra, Clinical Fellow in the Harvard Food Law and Policy Clinic, and Amy Katzen, Clinical Fellow in the Harvard Health Law and Policy Clinic.

The Forum also featured two panels. The first panel was devoted to discussing the current initiatives and programs that different cities and counties within New Jersey have implemented to promote health and wellness. The panel featured:

Charles Brown, Senior Research Specialist at the Vorhees Transportation Center at Rutgers University Bloustein School of Planning and Public Policy;

Kim Fortunato, Director of Campbell Healthy Communities at Campbell Soup Company;

Elizabeth Reynoso, Food Policy Director for the City of Newark;

Mark Humowiecki, General Counsel and Director of Government Affairs for the Camden Coalition of Healthcare Providers; and,

Dr. Kemi Alli, Chief Medical Officer at the Henry J. Austin Health Center and Secretary of the Executive Committee of the Trenton Health Team.

The second panel addressed ideas for improving the prevention and treatment of diabetes by providing access to key services in New Jersey. This panel included:

Darrin Anderson, State Deputy Director of the New Jersey Partnership for Healthy Kids and Associate Executive Director of the New Jersey YMCA State Alliance;

Bill Lovett, Executive Director of the New Jersey YMCA State Alliance;

Teresita Lawson, Clinical Pharmacist, and Dr. Rina Ramirez, Chief Medical Officer, at the Zufall Health Center; and,

Fran Grabowski, Lead Diabetes Educator for the Camden Citywide Diabetes Collaborative and Program Manager at Cooper Diabetes Center.

Over lunch, Dr. Anthony Cannon discussed the economic impact of type 2 diabetes in New Jersey, calling for action to decrease these personal and societal costs of the disease.

The presentation of the NJ PATHS Report, panels on recommendations, and speaker addresses led to a Roundtable Discussion in which Forum participants could discuss these issues themselves. Approximately sixty individuals from community-based organizations participated in the Roundtable Discussion. Together, these community leaders praised the recommendations in the report and highlighted several broad themes, such as increasing collaboration and communication among activists, expanding the implementation of programs to increase consumption of healthy foods, and improving insurance coverage for prevention and management programs. Conversation about possible collaboration continued over a reception, where participants discussed the report further with the CHLPI authors and with each other.

Overall, the Forum was extremely successful in ensuring that the PATHS report serves its primary purpose—to provide a necessary resource for policymakers and community leaders in continuing their efforts to address type 2 diabetes in New Jersey.  Diabetes advocates will be moving forward with the recommendations they identified as most important, and with the resources and detailed recommendations from the report, they have hope that they will be successful in reducing the type 2 diabetes epidemic in New Jersey.

CHLPI New Jersey Diabetes Report Garners Attention

The recently-launched 2014 New Jersey State Report: Providing Access to Healthy Solutions (PATHS) – An Analysis of New Jersey’s Opportunities to Enhance Prevention and Management of Type 2 Diabetes, has gained attention both in New Jersey and across the country from healthcare policymakers, advocates, and the press.

Read below for a compilation of news items about the Report and related events.

American Pharmacist Association’s Pharmacy TodayHarvard Law School: Include pharmacists on diabetes care teams.

NJ SpotlightReport, Conference Recommend Ways to Reduce Rise of Diabetes in NJ.

Burlington County TimesRaising Awareness of Diabetes in NJ.

The Daily JournalFighting Type 2 Diabetes and Obesity in the Local Area.

PR NewswireNew Jersey Diabetes Leadership Forum Highlights Prevention and Management Solutions for Type 2 Diabetes.

CHLPI Website:  Syringes, Pens, and Pumps: New Jersey Diabetes Educator Demonstrates the Challenges of Managing Insulin Dependence.

CHLPI Website: From Open Streets to Cooking Classes, New Jersey PATHS Speakers Highlight Innovative Healthy Solutions.

CHLPI Website: Statistics Are Not the Whole Story: Dr. Anthony Cannon’s Keynote at New Jersey PATHS Event Makes the Diabetes Epidemic Personal.

CHLPI Website: CHLPI Clinicians and Students Travel to New Jersey to Launch Report on Diabetes.

Harvard Law School Clinical and Pro Bono Programs Website: Clinical Fellows and Students Collaborate on PATHS Report.

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