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Diabetes Telehealth Network

Telemedicine education

Tanya Mack of Womens Telehealth

Diabetes Telehealth Network

As patients want more control and visibility to their health data and mHealth (mobile health) and
technology are evolving daily, remote patient monitoring has emerged as a viable way to manage chronic diseases, such as diabetes. Remote home monitoring works by collecting health care data at the
patient’s home and then transmitting this data to health care providers in real time to make modifications if needed, avoid unnecessary hospital visits and prevent some serious long term
complications.

The University of MS has been one of the nation’s leading telehealth providers logging over 500K patient encounters, covering 35 medical specialties and serving 218 locations statewide. In 2014, the university developed the Diabetes Telehealth Network.

It has been estimated that the cost of diabetes in the US exceeds $2.7B/ yr. Real time insights and the ability to talk to patients remotely can lead to improved patient outcomes. The results of their pilot program have been astounding and now serve as a model for other states with access and limited provider resources to follow.

Join us today as we listen to Michael Adcock, Director of Network Strategies talk about this innovative and effective RPM solution.

WellCare of Georgia and Diabetes

diabetes

Dr. John Johnson of WellCare of Georgia talks diabetes

WellCare of Georgia and Diabetes

Dr. John Johnson is the Senior Medical Director at WellCare Health Plans, Inc. – which is one of the Medicaid CMOs in Georgia. His areas of responsibility include utilization review, care management, quality improvement and clinical outcomes.  Dr. Johnson graduated from the University of Medicine and Dentistry of New Jersey in Rutgers. He completed his residency at Emory University Hospital. Dr. Johnson is Board Certified in internal medicine.

He also has an MBA from Emory University’s Goizueta School of Business. Dr. Johnson owned and operated a practice in Douglasville that cares for patients with acute and chronic medical conditions for more than 13 years. Before joining WellCare in 2014, Dr. Johnson was the medical director for Blue Cross Blue Shield of Georgia. While there, he oversaw utilization review and case management for more than 600,000 State Health Benefit Plan patients.  Dr. Johnson is a member of MAG, the AMA, and the American College of Physicians.  He is a also colonel in the U.S. Army Reserves Medical Corps.

Diabetes is becoming more common in the United States. It afflicts more than 29 million Americans, including more than one million Georgians. One quarter of the people who are affected by it aren’t aware that they have the disease. An additional 86 million people have pre-diabetes, which means that their blood glucose (sugar) is higher than normal but not high enough to be classified as diabetic. Estimates project that as many as one in three American adults will have diabetes by 2050.

In addition to its detrimental health effects, the American Diabetes Association reports that the U.S. spends $174 billion a year to treat the disease.  The primary risk factors for diabetes include being overweight; sedentary; over the age of 45; and having a family history of diabetes. African Americans, Hispanics/Latinos, Native Americans, Asian Americans, and Pacific Islanders are at an increased risk for developing the disease.

Diabetes is the nation’s seventh-leading cause of death. It is also a leading cause of kidney failure, non-traumatic lower-limb amputations, new cases of blindness, heart disease, and stroke. A significant number of Georgians who are struggling with diabetes, particularly those in low-income and medically underserved populations, do not fully understand how to manage diabetes on a day-to-day basis.

WellCare is working to address the needs the diabetic population by collaborating with patients, providers, family members, and the community using a variety of mechanisms, including value-based care, telemedicine, field-based case management, the patient-centered medical home, and advocacy.

Special Guests:

Dr. John Johnson, MD, Senior Medical Director, WellCare of Georgia  

diabetes

  • Doctor of Medicine, University of Medicine and Dentistry of New Jersey
  • Board Certified, Internal Medicine
  • MBA, Goizueta Business School, Emory University
  • Colonel, US Army

Donald Palmisano, CEO, Executive Director of Medical Association of Georgia  twitter_logo_small  linkedin_small1  facebook_logo_small3

Medical Association of Georgia

  • JD Law, Loyola School of Law
  • Board of Directors, Physician Advocacy Institute
  • Medical Payment Subcommitte Member, State Board of Workers’ Compensation
  • Treasurer, Board of Directors, Physicians’ Institute for Excellence in Medicine
  • Former Director, Government Relations/General Counsel/Director, GAMPAC

Pre-diabetes

Dr. Ellie Campbell

Dr. Ellie Campbell talks pre-diabetes

Pre-diabetes

This week I featured a long-time friend of the show, Dr. Ellie Campbell, of Campbell Family Medicine, located in Cumming, GA.  We talked about a topic I am hopeful many of our followers will both listen to and share:  Pre-diabetes.

How many times have you gone for your annual check-up and been told, “Your labs are normal,” when your fasting blood glucose is >80mg/dl?  Those “normal” results could actually be a red flag that you have Pre-diabetes.

During this phase it’s actually possible to reverse the condition through diet and exercise.  But, as Ellie described, many physicians haven’t yet been educated that they need to be concerned with glucose levels that don’t exceed “normal” limits.  This means that we, as patients, need to be advocates for ourselves and our loved ones.

It is well-known that diabetes leads to a range of chronic and often, deadly, diseases such as heart disease, kidney disease, blindness, stroke, and more.  While we also know it is often challenging to make life-style changes, when you are aware of the risks, it can become more easy to do so.

I am pleased Ellie sat down with us to talk about pre-diabetes, a problem many people can actually do something about if they’re willing to make some of the simple changes she recommends.

Special guest:

Dr. Ellie Campbell, DO, Family Practice & Integrative Medicine at Campbell Family Medicine

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Campbell Family Medicine

  • Doctor of Osteopathic Medicine, Kirksville College of Osteopathic Medicine
  • Family Medicine Residency, Medical College of Georgia
  • Board Certified Family Medicine

Treating Diabetic Ulcer Patients

Top Docs

Top Docs Radio features healthcare providers and professionals sharing their expertise to “Get the Word Out” about a variety of health problems, treatments and community concerns to elevate our community’s well-being.

Treating Diabetic Ulcer Patients

According to recent data from the CDC, diabetes affects over 25.8 million people in the US (roughly 8% of the population).  Coupled with data that shows another 79 million persons in the US have pre-diabetes (A1C levels above normal) or 35% of the population.  Obviously, it’s a serious problem.  Diabetes is a major contributor to stroke, heart disease and peripheral vascular disease (PAD).  Roughly 1:6 diabetics will develop a diabetic ulcer on their foot or lower extremity and many of them will ultimately require amputation of part of the foot or leg.  After amputation for an ulcer, studies have shown diabetics’ 5 year mortality rates rise significantly — to as high as 45-60%.  It is critical that these patients receive rapid, aggressive care from a spectrum of specialists who must each address the various factors contributing to the ulcer.

Our guests this week include three such specialists who treat diabetic ulcer patients in their practice every day.  They will give insight about the role they play in saving the diabetic ulcer patient’s limb (and possibly their life).

The host of Top Docs Radio is Charles “CW” Hall with Hyperbaric Physicians of Georgia.

Dr. Shamir Bhikha, DPM

  • Doctorate with Honors, Podiatric Medicine, Barry University School of Podiatric Medicine
  • Residency, Inova Fairfax Hospital 2010-13 & Limb Salvage Center at Georgetown University Hospital 2013
  • Skilled in Sports Medicine/Trauma to the foot/ankle, Podopediatrics and Reconstructive foot/ankle surgery
  • Comprehensive training in diabetic limb salvage, plastic surgery and wound care

Dr. Andrew Pugliese, MD

  • Doctorate in Medicine, St. George University School of Medicine
  • Fellowship, Infectious Disease, Winthrop University Hospital
  • Triple Board Certified in Internal Medicine and Infectious Disease
  • Pioneer in non-surgical treatment of acute and chronic sinusitis and president of Sinus Solutions

Dr. Uthan Vivek, MD

  • Doctorate in Medicine, Madras Medical College, India
  • Board Certified in General Surgery and Vascular & Endovascular Surgery
  • Fellow, American College of Surgeons
  • Vascular Fellow, Wayne State, Detroit
  • General Surgery, Saint Vincent Catholic Medical Center, New York
  • Certified in Vascular Sonography, American Registry of Diagnostic Medical Sonography
  • Specialist in endovascular procedures for peripheral arterial disease/varicose veins, management of carotid artery disease, abdominal aortic aneurysm, deep vein thrombosis, diabetic foot ulcers and dialysis access
Charles "CW" Hall, Dr. Uthan Vivek, Dr. Andrew Pugliese, Dr. Shamir Bhikha

Charles “CW” Hall, Dr. Uthan Vivek, Dr. Andrew Pugliese, Dr. Shamir Bhikha