IMPROVING DIABETES CARE FOR UNDERSERVED COMMUNITIES IN CUMBERLAND, MD
UPMC Western Maryland aims to transform primary care for low-income, rural populations with diabetes who often face geographic barriers to care.
To reach this population, the program embeds diabetes care managers in primary care practices. The program also involves community paramedics who conduct home visits, uses telemonitoring to promote communication between vulnerable patients and care providers, and offers education on diabetes self-management that is culturally appropriate. The organization fosters community partnerships to facilitate access to healthy food and provides referrals to local resources that can address needs related to housing, health insurance coverage, or transportation.