Chevy Chase, MD— The Diabetes Working Group (DWG), a coalition of diabetes-related organizations including The Endocrine Society, recently conducted the largest survey of its kind of providers of diabetes care. Today, the group released a white paper (http://www.endo-society.org/upload/20120123-DWG-White-Paper.pdf) with recommendations to break down barriers providers cite in delivering care to diabetic patients.
The analysis found that the three most frequent barriers to care raised by providers were: time with patients, inadequate reimbursement and patient adherence. In response, the DWG recommended three major issues that need to be addressed to deal with these barriers: payment reform, care management and workforce supply.
Specific recommendations from the DWG’s analysis include:
Payment Reform Recommendations
• Appropriately reimburse providers for meeting standards of care in treating their patients by paying adequately for all services delivered.
• Test and implement payment models that reward providers for supplying optimal care to patients with diabetes.
Care Management Recommendations
• Increase use of shared decision-making opportunities with patients in the office setting to maximize patient engagement in self-management of diabetes.
• Leverage existing HIT tools fully to assist patients in diabetes self-management and track performance.
• Create strong provider teams and share roles and expectations with patients.
Workforce Supply Recommendations
• Work to make diabetes care an attractive choice for new medical professionals through educational loan forgiveness.
• Promote the importance of providing optimal diabetes care as an essential aspect of the healthcare system.
Robert Vigersky, MD, Society past-president, represented the Society in the coalition and helped direct its activities as coalition co-chair. Karen Fitzner, PhD, also served as co-chair of the coalition and represented the American Association of Diabetes Educators.
DWG was formed in 2009 to focus on provider and delivery system barriers to diabetes treatment, addressing a gap in the current research on improving diabetes care. DWG is comprised of The Endocrine Society, the American Academy of Pediatrics; American Association of Clinical Endocrinologists; American Association of Diabetes Educators; American Diabetes Association; diaTribe; Juvenile Diabetes Research Foundation; and Pediatric Endocrine Society.