Vision. The Forum strives to prepare the health system in the United States to provide optimal health care for a diverse society.

To inform about the Forum’s unique capacity to define chronic disease at the zip code level

To support the Diabetes Care Project in South Texas

Our Conversation Today

A DC-based, healthcare organization dedicated to the elimination of health disparities.

The Forum has developed a comprehensive database comprised of over 800 million patient records to define disease prevalence, costs, and outcomes at the zip code level.

Our database is used to inform, support, and catalyze advocacy, educational, marketing, and public relations activities

National Minority Quality Forum

About the

National Minority Quality ForumDisease Based Indexes

We consolidate these data by zip code into user-friendly, web-based disease indexes.

Users can:

Map any chronic disease by prevalence, cost, outcomes, co morbidities, socioeconomic status, Rx drug use, etc. for any state, MSA, congressional and state legislative districts

Define where the unmet needs exist by identifying undiagnosed and uncontrolled populations

Forecast trends

National Minority Quality ForumKey Findings

National Minority Quality ForumHealth Care Market Has Structure

There are geographical bound health care market places in the United States that exhibit stable consumption patterns from one year to the next.

Geography Matters

National Minority Quality ForumStable Consumption Patterns

These consumption patterns are the product of consistencies in the incidence and prevalence of diseases, underlying consistencies in patient response to those diseases, practices variation, and uniformity in the ways in which the health care financing and delivery system responds to patient needs.

Forces that Shape Markets

National Minority Quality ForumConsumption Patterns Can be Shaped

This stability is knowable, predictable and algorithms can be built that can anticipate consumption patterns.

Critical Intelligence

National Minority Quality ForumHealth Care in the 21st Century

An understanding of these consumption patterns can improve management of health care resources.

The Value Proposition

Diabetes ConsumptionPatterns

2000 N Sum Expenditures Cut points % Total ExpCrisis Consumers 296,183 28,122,520,573.00$ 62,125.24$ 17%Heavy Consumers 2,665,631 78,835,828,659.00$ 16,084.40$ 47%Moderate Consumers 4,442,720 38,181,611,139.00$ 4,325.00$ 23%Light Consumers 7,404,534 16,318,057,913.00$ 1,051.88$ 10%Low Consumers 14,809,057 5,032,388,348.60$ < $1051.88 3%

Total 29,618,125 166,490,406,632.60$

2001 N Sum Expenditures Cut points % Total ExpCrisis Consumers 305,582 31,111,779,355.00$ 66,651.90$ 17%Heavy Consumers 2,750,231 87,944,774,107.00$ 17,592.16$ 47%Moderate Consumers 4,583,726 43,611,835,265.00$ 4,861.86$ 23%Light Consumers 7,639,566 19,247,269,011.00$ 1,221.09$ 10%Low Consumers 15,279,015 6,105,470,647.00$ < $1221.09 3%

Total 30,558,120 188,021,128,385.00$

2002 N Sum Expenditures Cut points % Total ExpCrisis Consumers 315,892 33,758,166,906.00$ 69,793.54$ 16%Heavy Consumers 2,843,020 95,671,975,239.00$ 18,628.82$ 47%Moderate Consumers 4,738,374 47,708,671,614.00$ 5,147.32$ 23%Light Consumers 7,897,289 21,202,133,460.00$ 1,319.21$ 10%Low Consumers 15,794,535 6,895,752,227.00$ < $1319.21 3%

Total 31,589,110 205,236,699,446.00$

2003 N Sum Expenditures Cut points % Total ExpCrisis Consumers 322,966 35,331,307,500.00$ 71,759.24$ 16%Heavy Consumers 2,906,703 102,393,325,640.00$ 19,852.57$ 46%Moderate Consumers 4,844,509 52,521,308,582.00$ 5,587.05$ 24%Light Consumers 8,074,184 23,746,233,756.00$ 1,451.72$ 11%Low Consumers 16,148,325 7,779,027,531.30$ < $1451.72 4%

Total 32,296,687 221,771,203,009.30$

2004 N Sum Expenditures Cut points % Total ExpCrisis Consumers 326,951 37,583,281,622.00$ 76,496.50$ 16%Heavy Consumers 2,942,559 111,200,631,271.00$ 21,452.70$ 46%Moderate Consumers 4,904,265 57,765,522,779.00$ 6,075.01$ 24%Light Consumers 8,173,799 26,433,281,478.00$ 1,615.13$ 11%Low Consumers 16,347,500 8,773,439,584.10$ < $1615.13 4%

Total 32,695,074 241,756,156,734.10$

2005 N Sum Expenditures Cut points % Total ExpCrisis Consumers 328,020 39,882,913,587.00$ 80,461.07$ 15%Heavy Consumers 2,952,180 117,631,072,715.00$ 22,825.87$ 46%Moderate Consumers 4,920,305 62,438,785,099.00$ 6,607.66$ 24%Light Consumers 8,200,492 28,882,660,697.00$ 1,773.81$ 11%Low Consumers 16,400,986 9,690,478,696.80$ < $1773.81 4%

Total 32,801,983 258,525,910,794.80$

Beneficiaries with diabetes Expenditures

Year Cluster No. % Range Total% of total

2000 Crisis Consumers 136,290 3 ≥$62,125.24 $13,062,977,262 24Heavy Consumers 854,588 16 $16,084.40–$62,125.23 $26,417,993,212 49Moderate Consumers 1,147,896 21 $4,325.00–$16,084.39 $10,037,153,361 19Light Consumers 1,582,856 29 $1,051.88–$4,324.99 $3,561,867,342 7Low Consumers 1,678,587 31 ≤$1,051.87 $828,601,331 2Total 5,400,217 $53,908,592,508

2001 Crisis Consumers 143,016 2 ≥$66,651.90 $14,735,116,636 24Heavy Consumers 897,485 16 $17,592.16–$66,651.89 $29,951,484,689 48Moderate Consumers 1,218,235 21 $4,861.86–$17,592.15 $11,777,989,832 19Light Consumers 1,676,283 29 $1,221.09–$4,861.85 $4,308,880,648 7Low Consumers 1,801,074 31 ≤$1,221.08 $1,036,958,492 2Total 5,736,093 $61,810,430,297

2002 Crisis Consumers 152,643 2 ≥69,793.54 $16,532,932,360 24Heavy Consumers 959,672 15 $18,628.82–$69,793.53 $33,670,837,870 48Moderate Consumers 1,309,584 21 $5,147.32–$18,628.81 $13,381,543,575 19Light Consumers 1,805,632 29 $1,319.21–$1,319.20 $4,944,513,303 7Low Consumers 1,972,664 32 ≤$1319.20 $1,229,914,114 2Total 6,200,195 $69,759,741,222

2003 Crisis Consumers 162,482 2 ≥$71,759.24 $18,042,119,373 23Heavy Consumers 1,023,549 15 $19,852.57–$71,759.23 $37,510,342,998 48Moderate Consumers 1,403,627 21 $5,587.05–$19,852.56 $15,418,282,516 20Light Consumers 1,930,446 29 $1,451.72–$5,587.04 $5,791,098,625 7Low Consumers 2,151,330 32 ≤$1,451.71 $1,468,449,094 2Total 6,671,434 $78,230,292,606

class06 Bene Diabetes Percent by Class Total Expenditures Pecent Total Hospital Cost Percent Class Percent Total

Crisis Consumer 220 5% $28,586,631 31% $17,011,323 44% 60%

Heavy Consumers 1,015 24% $43,941,808 48% $18,356,626 48% 42%

Moderate Consumers 1,079 26% $14,331,657 16% $3,067,797 8% 21%

Light Consumers 1,003 24% $3,684,619 4% $111,410 0% 3%

Low Consumers 837 20% $679,211 1% $889 0% 0%

4,154 $91,223,926 $38,548,044 42%

Medicare Diabetes, McAllen, Texas 2006

Beneficiaries migrating to:

Crisis Consumers Low consumers

Years Beneficiaries migrating from: No. % No. %

2000–2001 Crisis consumers 20,196 19 3,465 0

Heavy consumers 41,581 39 63,881 4

Moderate consumers 20,930 20 151,453 11

Light consumers 15,154 14 369,034 26

Low consumers 8,512 8 848,998 59

Total 106,373 1,436,831

2001–2002 Crisis consumers 21,492 19 3,479 0

Heavy consumers 43,087 39 66,542 4

Moderate consumers 22,205 20 158,866 10

Light consumers 15,582 14 398,911 26

Low consumers 8,651 8 922,058 59

Total 111,017 1,549,856

2002–2003 Crisis consumers 23,444 20 3,808 0

Heavy consumers 46,799 39 70,530 4

Moderate consumers 23,634 20 169,929 10

Light consumers 16,099 14 438,766 26

Low consumers 9,209 8 1,021,450 60

Total 119,185 1,704,483

2003–2004 Crisis consumers 25,552 20 4,002 0

Heavy consumers 49,751 39 75,133 4

Moderate consumers 24,677 20 178,867 10

Light consumers 16,378 13 469,414 25

Low consumers 9,620 8 1,119,369 61

Total 125,978 1,846,785

2004–2005 Crisis consumers 27,695 21 4,120 0

Heavy consumers 51,576 39 79,769 4

Moderate consumers 25,425 19 191,446 10

Light consumers 16,685 13 504,367 25

Low consumers 9,938 8 1,200,731 61

Total 131,319 1,980,433

2005–2006 Crisis consumer 29,493 21 3,793 0

Heavy consumers 55,106 40 72,864 4

Moderate consumers 26,433 19 175,506 9

Light consumers 17,087 12 459,056 24

Low consumers 10,264 7 1,185,192 62

Total 138,383 1,896,411

2001–2006 inpatient costYear 2000 cluster Total %Crisis consumers $2,773,701,043 2Heavy consumers $18,921,003,776 17Moderate consumers $27,741,431,692 24Light consumers $37,176,089,274 32Low consumers $28,019,411,754 24Total $114,631,637,539

Contribution of each year 2000 cluster to the overall cost of inpatient care

National Minority Quality ForumSupport marketing activities

National Minority Quality ForumSupport advocacy efforts

www.padcoalition.com

National Minority Quality ForumSupport publication strategies

National Minority Quality ForumSupport policy

www.ipabactioncenter.org

National Minority Quality ForumSupport public relations

National Minority Quality ForumSupport clinical research

National Minority Quality ForumDiabetes in South Texas, Prevalence

Source:

National Minority Quality ForumDefining uncontrolled diabetes by the numbers (National, South Texas)

National

8.95%

11.4%

54.6%

23.1%

South Texas

10.88%

25.3%

59.7%

25.1%

Prevalence

Uninsured

Diabetics Hospitalized

Diabetes Control

National Minority Quality ForumSouth Texas Diabetes Reporterwww.diabetescareproject.com

National Minority Quality Forum

National Minority Health Month:A Pacing Event