This webpage is dedicated to Michigan HealthLink Community Innovation Projects
Pre-Diabetes Community Innovation Project
This project leveraged key clinical indicators supplied through health information exchange (HIE) data to bolster the identification of our pre-diabetes patient population. Early identification of this patient population sought to increase practice awareness and patient engagement to curb disease progression. The project involved expanding and mapping clinical data elements available through health information exchange with participating practice workflow, patient targeting, care interventions, strengthening community partnerships and population-health metrics.
This project guided by the entire Michigan HealthLink community. Supported by GMP Network, Livingston Physician Organization (LPO), Olympia Medical, and Oakland Southfield Physicians (OSP).
Resources by Category:
Patient/Care Manager
- Prediabetes risk test (source)
- Harvard Healthy Eating Plate – interactive online
- Healthy Habits to Prevent Diabetes – developed by Joslin Diabetes Center
- What does Prediabetes mean to your Kidneys? - shared by National Kidney Foundation
- On Your Way to Preventing Type 2 Diabetes - shared by Centers for Disease Control and Prevention (CDC)
- Custom Plan Your Plate - shared by OSP RDN/CDCES
Medical Practice
- Prediabetes and Type 2 Diabetes Clinician Summary USPSTF (source)
- AMA Optimize your EHR to Prevent Type 2 Diabetes
- AMA Codes When Screening for Prediabetes and Diabetes
- Talking with your Patients about Diabetes Prevention and Prediabetes – developed by Joslin Diabetes
MDHHS Pre-diabetes and Diabetes Prevention Program (DPP)
- Health care provider resources (pre-diabetes identification tools, referral templates, codes for screening, etc.)
- General eligibility criteria for participating in DPP:
- Program Eligibility | National Diabetes Prevention Program | CDC (eligibility criteria for Medicare beneficiaries available)
- List of Diabetes Prevention Programs to refer to:
- Diabetes Prevention Recognition Program Registry | CDC (Select Michigan for a list of all Michigan organizations, suggest making connection with 1-2 of the organizations listed on CDC registry located in your area/region)
- www.mihealthyprograms.org (visit site to find classes/programs in Michigan)
- Trinity Health Diabetes Prevention Program (Livonia)
Michigan Collaborative for Type 2 Diabetes
- Resources library with browse and bookmark feature
- Lower carbohydrate dietary resources and patient-centered videos
- Medication quick reference by insurance plan (weight-loss section)
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