North Carolina Diabetes Advisory Council

May 3, 2013

9:30 a.m. – 12:30 p.m.

Members Present: Ronny Bell, John Bowdish,Gayle Harris, Julienne Kirk, Betty Lamb,Sue Liverman, Wanda Nicholson, Janet Nicollerat,Julie Paul, Sharon Pearce, David Rice, Erica Rosenberger, Marti Wolf

Phone:Kathleen Jones-Vessey

Liaisons:Paul Bray,Amy Quesinberry, Elizabeth MacLachlan

Guest:Justin Thomas,

Division of Public Health Staff: Sandy Allen, Sharon Rhyne, Ruth Petersen

Diabetes Staff Present: Christopher Bryant, Lydia Dedner, Joyce Page, April Reese, De Vernon

Topic / Discussion / Action Items
Welcome and introductions / Dr. Bell, DAC Chair, welcomed members and guests. Self-introductions followed for all present.
February 1, 2013 minutes were approved with no changes.
Changes in the Diabetes Prevention and Control Branch (DPCB) / April Reese
  • CDC has a new funding opportunity that combines Diabetes, Heart Disease and Stroke Prevention, Nutrition and Physical Activity and School Health into one funding source instead of individual funding for each program.
  • New grant will start July 1, 2013.
  • Two opportunities for application for the funding, a Basic application and an Enhanced component. Basic is for $625,000. Nationally, $3 million with go to all applicants. The Enhanced component is up to $2.5 million,will go to 25 of the state’s applicants
  • With this new funding will come changes for Diabetes and the Chronic Disease and Injury (CDI) Section
  • NC Diabetes BranchStaff reduction
  • Change in scope from the CDC
  • Very focused in the areas they will be pursuing
  • Diabetes prevention will continue under the new Coordinated grant, including the Diabetes Education Recognition Program (DERP)
  • New Branch will be called Community, Clinical Connection for Prevention and Health Branch (Check with April to ensure that this is accurately named)

Chronic Disease State Plan Update / Jan Nicollerat
  • Coordinated Chronic Disease State Plan Stakeholders meeting was held April 29, 2013
  • Stakeholders from all over the state of North Carolina participated including: Diabetes, Heart Disease and Stroke Prevention, Cancer, Physical Activity and Nutrition, State Center for Health Statistics, Tobacco, Asthma and Injury
  • 90-92 stakeholders were present for the meeting
  • Organized by multiple tables across room
  • All Chronic Diseases were well represented
  • CDC, NC Diabetes & Prevention Branch, UNC Chapel Hill, and NC Community Health Center Assoc., did tremendous ground work over the last year to flush this out to this point (this underlined section doesn’t make sense)
  • CDC, NC Diabetes & Prevention Branch, UNC Chapel Hill, and NC Community Health Center Assoc., were charged with identifying and ranking the burden of diabetes in North Carolina and gathering up the initial data. They have a consolidated work group representing all aspects of chronic disease interests in the state (Heart Disease, Diabetes, Tobacco, Work and Injury, Alcohol, Physical and Nutrition, Health Disparities, Cancer and all of the factors across the continuum)
  • Stakeholders are working with the goals and objectives that are in the CDC’s four domain guidelines
  • Began with 200 identifiedbehaviors or interventions as goals. This was narrowed down to about 75 in the working model
  • In reviewing our current Diabetes State Plan every one of our interventions are covered some place in the Chronic Disease State Plan
  • The goal is to have a final product by the end of August 2013

Current Legislation / David Rice
Current bills related to diabetes are;
  • Senate Bill 366 - Collaboration Among State Diabetes Programs
  • Passed in the Senate and parked in the House
  • House Bill 459 –Passed in the House on May 2, 2013
  • House Bill 850
  • Senate Bill 10
  • House Bill 676
/
  • April would send copies of the adjacent Bills to DAC Members

ADA Recognition / Justin Thomas with the ADA presented John Bowdish with an award from the ADA for his 37 years of advocating on behalf of Diabetes
Diabetes Care for Rural African Americans - Study Outcomes / Paul Bray
Discussed findings documented in his recent publication titled “Diabetes Care for Rural African Americans”(copy attached). All present received a copy of the article. The following were true of all study participants: All were African Americans
  • All had Type II Diabetes.
  • All live in Eastern North Carolina.
  • 727 patients have participated in the study.
  • Patients were tracked over a 3-year period
Study Outcome:
  • 727 randomly selected African American diabetic patients showed a significantly greater reduction in their hemoglobin A1c and blood pressure levels during this study.

Changes in the DAC Bylaws, (attached) Task Forces, Meeting, platforms, Reimbursement / Ronny Bell – Attachment II – DAC Bylaws
Items to Discuss
  • Changes to the DAC order and new structure due to changes at the Federal and State levels.
  • How will the DAC provide human resources support?
  • How will the DAC be financially supported?
  • What changes need to be made to the DAC Bylaws?
  • Funds for to reimburse travel for DAC members for the future.
  • How many meetings does the council want to have a year?
  • Think about the DAC Task Force, staffing andwhat activities will take precedence
  • Do you want to continue meeting face to face?
Option
  • Travel to be strictly on volunteer basis with no reimbursement
  • Continue with the DAC face to face meeting with a webinar set up for those who cannot travel.
  • Change Task Force groups to Adhoc Groups to be used as needed
  • Changes were made to the bylaws during the May 3, 2013 meeting (See attach Bylaws) to be voted on at the October 4, 2013 meeting

Acknowledgements / Ronny Bell and Jan Nicollerat
Recognition was given to the Diabetes Staff
  • De Vernon 1997-2013
  • Joyce Page 1999-2013
  • Chris Bryant 2005-2013
  • Lydia Dedner 2011-2013

Adjournment & Next Meeting /
  • October 4, 2013 9:30 AM-12:30 PM