Division of Diabetes TranslationOffice of the Director

Director: Ann Albright, Ph.D., R.D.Deputy Director: Angela Green-Phillips, M.P.A.

Associate Director for Science: Lawrence Barker, Ph.D

Policy and Program Information TeamTeam Lead: Karen Richard-Lee, M.P.A.

Communication & Partnership TeamTeam Lead: Laura Zauderer, M.P.H.

Health Disparities CoordinationCoordinator: Regina Hardy, B.A., M.S.

Primary Prevention Initiative TeamProgram and Policy Coordinator:

Russell Sniegowski, M.P.H.Senior Science Consultant: David F. Williamson, Ph.D.

Administrative ServicesAdministrative Officer: Bonita Foley

Epidemiology and Statistics BranchBranch Chief: Edward Gregg, Ph.D.

Associate Branch Chief: Desmond Williams, M.D., Ph.D.

Native Diabetes Wellness Program (NDWP)

Team Lead: Dawn Satterfield, R.N., Ph.D.

National Diabetes Education Program (NDEP)

Director: Judith McDivitt, Ph.D.Deputy Director:

Betsy Rodriguez, B.S.N., M.S.N.

Evaluation TeamActing Team Lead:

Barbara Park, R.D.H., M.P.H.

State Consultation TeamSenior Team Lead:

Patricia Schumacher, M.S., R.D.Team Lead:

Andy Lanza, M.P.H., M.S.W.Team Lead:

Wayne Millington, M.P.A.

Epidemiology TeamTeam Lead:

Guissepina Imperatore, M.D., Ph.D.

Economics TeamTeam Lead: Ping Zhang, Ph.D.

Surveillance TeamTeam Lead: Linda Geiss, M.A.

Vision Health TeamTeam Lead:

Jinan Saaddine, M.D., M.P.H.

Statistics TeamTeam Lead: Ted Thompson, M.S.

Chronic Kidney Disease TeamTeam Lead:

Desmond Williams, M.D., Ph.D.

CS205388-A

Program Admin Coordination (PAC) Team

Team Lead: Patricia Mitchell, M.P.H.

Program and Evaluation BranchBranch Chief: Barbara Park, R.D.H., M.P.H.

Deputy Branch Chief: Patricia Mitchell, M.P.H.

DDT Strategic Plan GoalsDDT Strategic Plan Goals

Prevent diabetes Prevent complications, disabilities and burden

associated with diabetes Eliminate diabetes-related health disparities Maximize organizational capability to achieve

goals• Build capacity for communication, evaluation,

marketing, policy, and partnerships• Create and implement mgmt plan for leadership

development, workforce development, and diversity

Prevent diabetes Prevent complications, disabilities and burden

associated with diabetes Eliminate diabetes-related health disparities Maximize organizational capability to achieve

goals• Build capacity for communication, evaluation,

marketing, policy, and partnerships• Create and implement mgmt plan for leadership

development, workforce development, and diversity

Division of Diabetes TranslationDivision of Diabetes Translation

Tracking the disease burdenConducting applied translation research to

prioritize effective interventionsEconomic analysesDeveloping and maintaining state-based

diabetes prevention and control programs Implementing National Program Initiatives:

National Diabetes Education Program Native Diabetes Wellness Program

Tracking the disease burdenConducting applied translation research to

prioritize effective interventionsEconomic analysesDeveloping and maintaining state-based

diabetes prevention and control programs Implementing National Program Initiatives:

National Diabetes Education Program Native Diabetes Wellness Program

Diabetes Prevention and Control Programs

Diabetes Prevention and Control Programs

50 States & DC8 Territories17 TribesVulnerable Pops

National Diabetes Education Program*

*NDEP is a joint initiative of CDC and NIH

Using Core Public Health Functionsand the 10 Essential Public Health Services

The Role of DPCP’s

Using Core Public Health Functionsand the 10 Essential Public Health Services

The Role of DPCP’s

Partnership Development

Assessment & Strategic

Planning

Quality Care Improvement

Diabetes Surveillance

Raising the Profile of Diabetes

Workforce Development

Technical Assistance

SurveillanceObservational and

Clinical Epidemiology

Health Services And Policy Research

Economic and Cost-

EffectivenessResearch

• National Surveillance System• Risk Factors• Prevalence / Incidence• Complications• Care and treatment

• Small Area Methods• SEARCH•Modeling / Forecasting • Vision Health Initiative (VHI)•CKD Program

•Cost- effectiveness Studies• DPP-OS• Look AHEAD• ACCORD

• Vision Health Initiative• Chronic Kidney Disease Program

• Lifestyle Interventions• Body Composition• Risk Identification tools•Da Qing Follow-up• NIH Collaborative Trials• SES Disparities• Life stages (youth / aging)•Modeling / Forecasting

• TRIAD Study• NDSS• VH Initiative• CKD Program• Access to care

Vital statistics

HouseholdSurveys

Registries

Hospitals

CDCNational Diabetes Surveillance System

Telephone Surveys

Analytic Applications of U.S. National Diabetes Surveillance System

Analytic Applications of U.S. National Diabetes Surveillance System

Characterizing diabetes epidemic, its risk factors and impact.

Identifying key at-risk populations.

Modeling the disease and cost impact over time and lifetime.

Setting and monitoring national health objectives.

Investigating new threats. National Diabetes Fact Sheet

Characterizing diabetes epidemic, its risk factors and impact.

Identifying key at-risk populations.

Modeling the disease and cost impact over time and lifetime.

Setting and monitoring national health objectives.

Investigating new threats. National Diabetes Fact Sheet

Small Area Estimates

Effectiveness StudiesEffectiveness Studies

NEXT-D (Natural Experiments in Translation for Diabetes)

Da Qing Follow-up Study U.S. Mexico Border Project TRIAD (Translating Research into Action for

Diabetes) Diabetes Prevention Program (DPPOS) Look AHEAD Study ACCORD Study

NEXT-D (Natural Experiments in Translation for Diabetes)

Da Qing Follow-up Study U.S. Mexico Border Project TRIAD (Translating Research into Action for

Diabetes) Diabetes Prevention Program (DPPOS) Look AHEAD Study ACCORD Study

New Research InitiativesNew Research Initiatives

NEXT-D (Natural Experiments in Translation for Diabetes) Vision Health Initiative Translation Research Centers Advances in Surveillance

• Small Area• State-based Incidence

Revised Disease Forecasting• Incidence• Cost• Intervention Effectiveness

National Primary Prevention registry and evaluation

NEXT-D (Natural Experiments in Translation for Diabetes) Vision Health Initiative Translation Research Centers Advances in Surveillance

• Small Area• State-based Incidence

Revised Disease Forecasting• Incidence• Cost• Intervention Effectiveness

National Primary Prevention registry and evaluation

Natural Experiments and Effectiveness Studies of Population-Targeted Policies for Diabetes Prevention and Control

Natural Experiments and Effectiveness Studies of Population-Targeted Policies for Diabetes Prevention and Control

The Diabetes Health Plan: A System-Level Intervention to Prevent and Treat Diabetes• University of California Los Angeles• Principal Investigator: Dr. Carol Mangione

Effectiveness of a National Health Care Community Partnership to Prevent Diabetes• Indiana University• Principal Investigator: Dr. Ron Ackermann

The Impact of Emerging Health Insurance Designs on Diabetes Outcomes and Disparities• Harvard Pilgrim Health Care and Harvard University• Principal Investigator: Dr. Dennis Ross-Degnan

Learnings in Diabetes Prevention from an Integrated Delivery System• Kaiser Foundation Research Institute• Principal Investigator: Dr. Joe Selby

Management and Education for Diabetes in New York City• St. Luke’s-Roosevelt Institute for Health Sciences• Principal Investigator: Dr. Jeanine Albu

The Diabetes Health Plan: A System-Level Intervention to Prevent and Treat Diabetes• University of California Los Angeles• Principal Investigator: Dr. Carol Mangione

Effectiveness of a National Health Care Community Partnership to Prevent Diabetes• Indiana University• Principal Investigator: Dr. Ron Ackermann

The Impact of Emerging Health Insurance Designs on Diabetes Outcomes and Disparities• Harvard Pilgrim Health Care and Harvard University• Principal Investigator: Dr. Dennis Ross-Degnan

Learnings in Diabetes Prevention from an Integrated Delivery System• Kaiser Foundation Research Institute• Principal Investigator: Dr. Joe Selby

Management and Education for Diabetes in New York City• St. Luke’s-Roosevelt Institute for Health Sciences• Principal Investigator: Dr. Jeanine Albu

Policies and Interventions Proposed in Phase I Studies

Policies and Interventions Proposed in Phase I Studies

Employer-based detection, outreach, incentives, and telephone coaching for primary prevention among 3750 high risk adults from 5 employers.

Disease-specific health insurance product; reduced copayments, and incentives among 136,000.

Impact of reduced copayments and incentives among adults with diabetes and pre-diabetes from 15 large employers.

Systematic post-partum screening of women with GDM.

Employer-based detection, outreach, incentives, and telephone coaching for primary prevention among 3750 high risk adults from 5 employers.

Disease-specific health insurance product; reduced copayments, and incentives among 136,000.

Impact of reduced copayments and incentives among adults with diabetes and pre-diabetes from 15 large employers.

Systematic post-partum screening of women with GDM.

Policies and Interventions Proposed in Phase I Studies

Policies and Interventions Proposed in Phase I Studies

Enhanced EMR with decision support for diabetes care, screening, and prevention referral among 4000 adults with DM and pre-DM;

Impact of employer-mandated switch to high deductible and “consumer-driven” health plans among 62,000 diabetic adults age 18-64.

Health plan administered diabetes prevention programs delivered in YMCAs on 7500 high risk adults.

Pre-diabetes screening and referral to multi-tiered interventions.

Enhanced EMR with decision support for diabetes care, screening, and prevention referral among 4000 adults with DM and pre-DM;

Impact of employer-mandated switch to high deductible and “consumer-driven” health plans among 62,000 diabetic adults age 18-64.

Health plan administered diabetes prevention programs delivered in YMCAs on 7500 high risk adults.

Pre-diabetes screening and referral to multi-tiered interventions.

Population targeted policies and interventions from 3 sources: • Health Systems; • Business and community organizations; • Government agencies

Ongoing or imminent interventions with cost of intervention underwritten by other sources.

Aimed at prevention of diabetes and/or its complications.

Population targeted policies and interventions from 3 sources: • Health Systems; • Business and community organizations; • Government agencies

Ongoing or imminent interventions with cost of intervention underwritten by other sources.

Aimed at prevention of diabetes and/or its complications.

Attributes of StudiesAttributes of Studies

Primary Funding MechanismsPrimary Funding Mechanisms

Grants Cooperative Agreements Contracts State DPCPs

Grants Cooperative Agreements Contracts State DPCPs