Louisiana Department of Health & Hospitals | Kathy Kliebert, Secretary

Statewide Initiatives

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Diabetes Education Initiative in New Orleans East


The overarching goal of this project will be to improve overall diabetes care through an integrated person-centered model of health care delivery. We will achieve this goal by addressing the following specific aims:

Aim 1  To employ a fully-integrated behavioral health care model to manage diabetic patients of the NOELA Community Health Center with behavioral health care needs.

Aim 2  To help overweight or obese diabetic patients achieve a 5 to 10%
 reduction in weight by employing an intensive lifestyle modification
 intervention through the Own You Own Health (OYOH) Physical
 Activity and Nutrition Tracking system.

Aim 3  To improve patient self-efficacy with behavior modification through
           motivational interviewing and physician lead counseling sessions.


MQVN Community Development Corporation will collect baseline data on outcome measures related to Obesity, Diabetes and Behavioral Health to determine the patients baseline mental and physical functioning initially and then periodically thereafter.  The specific outcome measures will include the following: weight, Body Mass Index (BMI), and physical activity (type, frequency, and duration) for Obesity, Hemoglobin A1c (HgbA1c) levels, Total Cholesterol, LDL-C Cholesterol levels, and Blood Pressure for Diabetes, and the Patient Health Questionnaire (PHQ) scores, for Behavioral Health.

The diabetes weight management program will:

1.)        Decrease the average overall BMI of diabetic patients participating in
            the program;

2.)        Increase the percentage of diabetic patients with good glycemic
  control as measured by a target HgA1C  ≤ 8 %;

3.)        Decrease the percentage of poorly controlled diabetic patients
            (HgA1C ≥ 9%);

4.)        Increase the percentage of diabetic patients obtaining the target LDL
            of ≤ 100 mg/dL;

5.)        Decrease patient overall PHQ scores over time.

Monitoring Plans:

The project will have three major elements:

1.)        Fully-Integrated Behavioral Health Model of managing diabetic
            patients of center with behavioral health needs

2.)        Assist overweight or obese diabetic patients achieve a 5 to 10%
 reduction in weight by employing an intensive lifestyle modification

3.)       Provide self-management tools and counseling to improve patient
 self-efficacy with behavior modification.