Diabetes is a pressing concern for health systems in Fulton and Dekalb Counties. Ten percent of adults aged 20 or older in DeKalb County and 9.2% in Fulton County have been diagnosed with diabetes. Among Medicare fee-for-service beneficiaries, that rate increases to 25.3% and 22.9%, respectively.
The total cost of treating diabetes in 2013 in Georgia was approximately $5.1 billion. Of that, $3.3 billion was attributed to direct medical costs; the remaining $1.8 billion was attributed to loss of productivity and sick days.
Across the 3 clinics participating in the pilot, there are approximately 3,000 individuals diagnosed as diabetic, with an A1c level > 7. This pilot seeks to increase access to DSME options for over 1,000 patients in participating clinics and medical facilities in Fulton and Dekalb County. All individuals aged 18 or older, regardless of insurance status, who have an A1c level > 7 and are being treated by Grady Health Systems, Well Star, or Mercy Care facilities in Fulton and DeKalb are eligible to participate in this collaborative effort.