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NDHI NAT IONAL DIALOGUE FOR Healthcare Innovation Journey for Control Organization Overview • Merck & Co., Inc. is a premier, research-intensive biopharmaceutical company operating in more than 140 countries • Merck’s mission is to discover, develop, and provide innovative products and services that save and improve lives around the world Background Diabetes affects 30 million people in the US and accounts for $1 of every $3 spent on healthcare. A retrospective study examining the medical records of over 33,000 patients has demonstrated a 39% cost savings per year to patients who received educational visits about diabetes, compared to patients with no such visits. In addition, recent studies indicate that diabetes self-management education (DSME), both in group and individual settings, reduces average A1C levels by 1.1 to 1.3%. However, less than 7% of people with diabetes get self-management education in the first year after diagnosis. To address this unmet need, Merck, the American Diabetes Association (ADA), and Healthy Interactions created the Journey for Control (JFC) US Conversation Map ® Program. JFC is an educational engagement program that connects people with diabetes and diabetes educators and provides personalized support to help improve type 2 diabetes self-management. A key component of the program is the US Conversation Map Program, which engages people with diabetes using the interactive Conversation Map methodology in a group or one-on-one setting. Program Details JFC was launched in 2007 as an important part of Merck’s commitment to advancing diabetes education with the ADA. The Conversation Map Program uses visually engaging themes, Socratic dialogue, and facilitated discussions to engage adult learners. Through JFC, Merck strives to: • Improve health and well-being for people with type 2 diabetes • Build long-term, credible, and sustainable access to education for people with diabetes • Empower diabetes educators with interactive educational tools • Encourage people with diabetes to form a social network to share ideas and receive support Value Delivered Since its conception, the program has: • Trained over 30,000 healthcare professionals on facilitating Conversation Map sessions • Made all educational materials available in both English and Spanish • Been validated by the ADA and has met ADA’s DSME curriculum standards An Initiative of the 25 | Journey for Control
NDHI NAT IONAL DIALOGUE FOR Healthcare Innovation • Increased awareness and knowledge of people with diabetes. According to a survey of >20,000 people with diabetes: –– >95% were willing to make life changes based on what they learned –– 94% felt the sessions helped them learn how to better manage their diabetes –– 90% said they would attend another session Partner organizations have also confirmed the value of this program: • The ADA’s Educational Program Directors have stated that the JFC Conversation Map Program is a widely used teaching tool for diabetes educators • The San Joaquin Health System has confirmed that using the Conversation Map Program in group visits contributed to better clinical outcomes and patient satisfaction, and can improve care for the underserved, underinsured, or uninsured working community Path Forward • The JFC program has recently deployed several innovative delivery channels for the Conversation Map Program • JFC is migrating to a responsive-design website to provide a better user experience for its digital resources • In the long term, Merck is looking into the possibility of providing the program in a virtual educational setting Journey for Control | 26
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