Sixth National Conference on Quality Health Care for Culturally Diverse Populations: Peer-to-Peer Practice Advancement Sessions Evidence Based Interventions and Sub National Implementations
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B-5 Straight to the people: Community health worker advances in training, practice, and policy

Evidence Based Interventions and Sub National Implementations
Monday, September 22, 2008: 2:00 PM-4:00 PM, Minn Marriott, 8th Floor - Wayzata/Gray's Bay
Diabetes affects a significant portion of the Medicare population. According to the National Institutes of Health, 20.9 percent of all people age 60 years and older have diabetes, almost three times the rate for the United States population. Minorities in particular bear the burden of the disease: African Americans are two times and Hispanics/Latinos 1.9 times more likely to develop diabetes than Whites, and African Americans have higher rates of complications, such as amputations, according to the CDC.
Upon physician or health care provider referral of a diabetic patient to a diabetes self-management education program, patients receive formal group or individual education, typically delivered in traditional clinical settings such as hospitals or outpatient clinics, using a didactic teaching method. However, many people, especially underserved, minority populations, do not receive formal self-management education in these settings. Further, addressing the problem of diabetes in African American and Hispanic communities requires programs that are innovative, culturally and educationally appropriate and presented regularly within the community setting. In addition, daily management requires community support and ongoing educational services to individuals.   Project Objective
The project objective is to implement a culturally relevant and community-based diabetes self-management education program to provide knowledge and skills training, help diabetics identify barriers, and facilitate problem-solving and coping skills to achieve effective self-care behavior, resulting in improved diabetic care in the areas of hemoglobin A1c testing, low-density lipoprotein, and blood pressure.

Presentation Information:

Program: Peer-to-Peer Practice Advancement Sessions
Primary Category: Culturally Competent Care
Subtopics: Assessing learning/performance on cultural competence/disparity reduction, Leadership development/training, Training trainers, Community health education, Patient education, Clinical interactions, Disease specific focus, Disparity reduction, Health literacy, Local/ Community, State, Federal, Partnerships with community organizations, Quality improvement, Data collection (on individuals and communities), Organizational plans, policies, management strategies, Implementing disparity reduction programs, Program/intervention evaluations

Region Addressed by Presentation: National
Organization: Government
Population/Demographic: African American and Latinos
Keywords: Diabetes, Health Disparities, Community , National, Evidence Based
Terris King, MS , Department of Health and Human Services, Centers for Medicare and Medicaid, Baltimore, MD
    Deputy Director, Office of Clinical Standards and Quality
    Centers for Medicare and Medicaid
    Department of Health and Human Services
    7500 Security Blvd MS S3-02-01
    Baltimore MD, USA 21244

    Phone: 410-786-1043
    Fax: 410-786-6857
    Email Address: georgetta.robinson@cms.hhs.gov

    Biographical Sketch:     Terris King currently serves as the Deputy Director of the Office of Clinical Standards and Quality, (OCSQ) at the Centers for Medicare and Medicaid Services. He is responsible for the development of national coverage policies and quality standards for Medicare and Medicaid providers; quality measurement and public reporting iniatives; and manages the Quality Improvement Organization program. He is the CMS executive lead for value based purchasing. This initiative includes designing and developing quality improvement activities for the Physician Office, Hospital, Home Health, Nursing Home and End Stage Renal Disease Arenas. He is also the lead executive responsible for reducing health disparities throughout the country among underserved populations. Prior to assuming his OCSQ role, he served as the Deputy Associate Commissioner of the Office of Quality Assurance and Performance Assessment. He was responsible for assuring the integrity and quality of the administration of Social Security programs. This function included the definition, design, development, maintenance and evaluation of SSA policies, system abuse, elimination of waste and increased efficiencies. Through subordinate supervisors, he directed an organization of approximately 1,300 employees in several major components located at Headquarters and in Quality Assurance and Performance Assessment Field Offices. Terris has worked in a series of progressively more responsible positions throughout his career. He was selected for the Senior Executive Service Candidate Development Program in 1998. During his SES development program, Terris served as the Acting Director of the Governor’s Office of Crime Control and Prevention for the State of Maryland. He was appointed to the SES on January 30, 2000. Terris graduated from Towson University and received his Master’s Degree in Applied Behavior Science (1997) from Johns Hopkins University and completed the Senior Executive Fellows Program in (1999) from Harvard University and is now pursuing his PhD in Leadership and Organizational Development. Terris received the Presidential Meritorious Executive Rank Award in 2007 for sustained superior performance as a Senior Executive. Terris has been married to Catherine for 26 years and has two children: Terris II, age 21, and Miya, age 19.
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