Program Impact

Referrals

• 33%    Family and friends
• 29%    WakeMed Hospital
• 10%    Wake County Human Services
• 16%    Media
•   9 %   Churches/Health Fairs

Reduction in ER visits

• 71% of patients surveyed had at least one visit to the local ER in the year prior to becoming a patient at Alliance.
• 86% of these patients had a reduction in their number of ER visits after establishing their care at Alliance.
• Overall, there was a 68% reduction in total ER visits in these patients (176 ER visits prior to Alliance and 57 visits after becoming a patient at Alliance).

Demographics

• 67% of patients are employed.
• 58% of those patients missed at least one day of work in the year prior to becoming a patient at Alliance.
• 90% of employed patients experienced a decrease in the total days missed due to illness after establishing their care at Alliance.
• 68% of patients responded that in the year prior to becoming a patient at Alliance, there were at least 3 times that they did not seek medical care to due concerns about the cost of medical care without insurance.

Patient Care improvements

• 63% of patients rated their health as markedly improved since becoming a patient at Alliance.
• 35% of patients rated their health as moderately improved.
• 100% of patients noted at least minimal improvement.

Diabetes Management

• Prevalence of diabetes in NC increased from 4.5% of adults in 1995 to 8.1% in 2003
• Total cost in NC in 2003 for hospitalizations involving any diagnosis of diabetes was greater than $2.7 billion

Chart review of 334 AMM patients with a diagnosis of DM:

• 99% had appropriate glycosylated hemoglobin (HgbA1C) testing -the national average is less than 50%.
• Average initial A1c average 9.9%
• Of 164 patients with at least 2 values, 98% had a reduction in A1c value since establishing care at AMM
• Average drop in A1c in AMM patients is 2.0% to A1c of 7.9% - Multiple national studies have demonstrated that for every 1% drop in A1c results, the risk of developing microvascular diabetic complications (blindness, kidney failure, nerve disease) is reduced by 40%.
• 86% of DM patients had recent cholesterol screening and an annual diabetic eye exam.

In a recent survey of AMM patients:

100% of patients experienced improvement in overall health since establishing medical care at AMM.

63% of patients rated their health as markedly improved.

71% had at least one visit to the ER prior to becoming an AMM patient.

86% had a reduction in Emergency Room visits.

The cost per patient visit has decreased from 2003 - 2005.