VIable

NDHI
NAT IONAL DIALOGUE FOR
Healthcare Innovation
• Philadelphia Freedom School Innovation project
(April 2013 to October 2013)
• Institute for Positive Living Diabetes Empowerment
project (October 2013 to October 2014)
• Philadelphia ADA Crozer-Keystone Community
Outreach project (August 2013 to August 2014)
• South Carolina Rural Diabetes Screening project
(January 2014 to December 2014)
• Healthy Eatonville project (August 2014 to present)
Value Delivered
Due to varied structure of the pilot studies, there
was substantial variability in terms of screening rate,
screening yield, and referral rate. This variability
makes it challenging to compare results of individual
pilot studies. However, the results of the Link to Care
program revealed a high prevalence of abnormal
readings (in terms of blood glucose, blood pressure,
and weight/BMI) in the communities studied. Overall:
• ~13% of the 9,325 individuals reached by the pilot
projects were screened
• ~62% of screened individuals were referred for
care or education based on the outcome of the
screening test
• ~40% of tests conducted showed abnormal results
The Link to Care program added value by:
• Demonstrating the need for community-based
screening, indicated by the high number of abnormal
readings of the populations involved
• Engaging populations at high-risk for chronic disease
in early detection and follow-up programs to reduce
long-term morbidity and cost
• Highlighting the importance of CHWs, who delivered
the most successful outcomes regarding screening
rate and referral methods, clearly serving as a crucial
link between communities and healthcare systems
Path Forward
In the short-term, Sanofi:
• Has presented a poster at the ADA clinical meeting
in May 2017 entitled: “Link to Care: Preliminary
Results and Lessons Learned from a Diabetes
Screening Community Partnership Program”
• Is collaborating with Florida Hospital Foundation
to complete the Healthy Eatonville Place program
(August 2017) and working with the Medical University
of South Carolina Foundation to finalize
data analysis in the rural Bamburg County, SC pilot.
• Will be publishing a full manuscript to inform stakeholders
and decision makers on the impact and
need of community-based screening in high-risk
populations
• Is working to develop sustainable ways for CHWs
to engage communities to drive improved health,
especially for those with chronic disease
In the long term, Sanofi looks forward to improving
screening in high-risk communities by impacting policy
change in the following areas:
• Widespread adoption of CHWs as part of the healthcare
team, through sustainable funding mechanisms
and reimbursement policies
• National recognition, through organizations such
as USPSTF, that high-risk communities cannot be
combined with the population at large for recommendations
for prevention services
• Serving as a learning lab to develop validated
programs and methods for community-based
screening in high-risk populations
Link to Care: A Diabetes Screening Community Partnership Program
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