The National Clinical Care Commission Report: Improving Federal Programs That Impact Diabetes Prevention and Care
Authors: Paul R. Conlin, Carol Greenlee, Dean Schillinger, Aaron Lopata, John M. Boltri, Howard Tracer, Ann Albright, Ann Bullock, William H. Herman
Journal: Annals of Internal Medicine (2022)

Ideas and OpinionsApril 2022The National Clinical Care Commission Report: Improving Federal Programs That Impact Diabetes Prevention and CareThe National Clinical Care Commission Writing Group*The National Clinical Care Commission Writing Group*Author, Article, and Disclosure Informationhttps://doi.org/10.7326/M21-4175 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail In 2017, Congress passed the National Clinical Care Commission Act (Public Law 115-80). It directed the Secretary of the U.S. Department of Health and Human Services (HHS) to convene a committee to evaluate and make recommendations to Congress and the HHS Secretary regarding federal programs that impact diabetes and its complications. The National Clinical Care Commission (NCCC) was charged with evaluating and making recommendations regarding federal programs that prevent and reduce diabetes and its complications, support clinicians, provide education and awareness for health care professionals and the public, and identify opportunities to consolidate overlapping or duplicative programs related to diabetes. ...References1. National Clinical Care Commission. Report to Congress on Leveraging Federal Programs to Prevent and Control Diabetes and Its Complications. Accessed at https://health.gov/about-odphp/committees-workgroups/national-clinical-care-commission/report-congress on 25 January 2022. Google Scholar2. Centers for Disease Control and Prevention. Prevalence of both diagnosed and undiagnosed diabetes. Updated 24 June 2020. Accessed at www.cdc.gov/diabetes/data/statistics-report/diagnosed-undiagnosed-diabetes.html on 14 December 2021. Google Scholar3. Centers for Disease Control and Prevention. Prevalence of diagnosed diabetes. Updated 25 June 2020. Accessed at www.cdc.gov/diabetes/data/statistics-report/diagnosed-diabetes.html on 14 December 2021. Google Scholar4. Wang L, Li X, Wang Z, et al. Trends in prevalence of diabetes and control of risk factors in diabetes among US adults, 1999-2018. JAMA. 2021. [PMID: 34170288] doi:10.1001/jama.2021.9883 CrossrefMedlineGoogle Scholar5. American Diabetes Association. Economic costs of diabetes in the U.S. in 2017. Diabetes Care. 2018;41:917-928. [PMID: 29567642] doi:10.2337/dci18-0007 CrossrefMedlineGoogle Scholar6. Hill-Briggs F, Adler NE, Berkowitz SA, et al. Social determinants of health and diabetes: a scientific review. Diabetes Care. 2020;44:258-279. [PMID: 33139407] doi:10.2337/dci20-0053 CrossrefMedlineGoogle Scholar7. Marmot M, Allen JJ. Social determinants of health equity [Editorial]. Am J Public Health. 2014;104 Suppl 4:S517-9. [PMID: 25100411] doi:10.2105/AJPH.2014.302200 CrossrefMedlineGoogle Scholar8. Hill JO, Galloway JM, Goley A, et al. Scientific statement: socioecological determinants of prediabetes and type 2 diabetes. Diabetes Care. 2013;36:2430-9. [PMID: 23788649] doi:10.2337/dc13-1161 CrossrefMedlineGoogle Scholar9. Baptista DR, Wiens A, Pontarolo R, et al. The chronic care model for type 2 diabetes: a systematic review. Diabetol Metab Syndr. 2016;8:7. [PMID: 26807158] doi:10.1186/s13098-015-0119-z CrossrefMedlineGoogle Scholar10. Knowler WC, Barrett-Connor E, Fowler SE, et al; Diabetes Prevention Program Research Group. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med. 2002;346:393-403. [PMID: 11832527] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Note: Members of the National Clinical Care Commission Writing Group who authored this work include Paul R. Conlin, MD (Department of Veterans Affairs Boston Healthcare System, Boston, Massachusetts); Carol Greenlee, MD (Western Slope Endocrinology, Grand Junction, Colorado); Dean Schillinger, MD (University of California, San Francisco, School of Medicine, San Francisco General Hospital, San Francisco, California); Aaron Lopata, MD (Maternal and Child Health Bureau, Office of the Associate Administrator, Health Resources and Services Administration, U.S. Department of Health and Human Services, Rockville, Maryland) John M. Boltri, MD (Department of Family and Community Medicine, Northeast Ohio Medical University College of Medicine, Rootstown, Ohio); Howard Tracer, MD (Center for Evidence and Practice Improvement, Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services, Rockville, Maryland); Ann Albright, PhD (formerly with Division of Diabetes Translation, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, U.S. Department of Health and Human Services, Atlanta, Georgia); Ann Bullock, MD (formerly with Indian Health Service, U.S. Department of Health and Human Services, Rockville, Maryland); and William H. Herman, MD, MPH (University of Michigan, Ann Arbor, Michigan).Disclaimer: The views expressed in this article are those of the authors and do not necessarily reflect the position or policy of the Department of Health and Human Services or other departments and agencies of the federal government.Acknowledgment: The authors acknowledge with gratitude other members of the National Clinical Care Commission who helped develop and author the 2021 "Report to Congress on Leveraging Federal Programs to Prevent and Control Diabetes and Its Complications." These include Shari Bolen, MD, MPH; William Chong, MD; J. William Cook IV, MD; Ayotunde Dokun, MD, PhD; Naomi Fukagawa, MD, PhD; Jasmine Gonzalvo, PharmD; Meredith Hawkins, MD, MS; Shannon Idzik, DNP; Ellen Leake, MBA; Barbara Linder, MD, PhD; Pat Schumacher, MS; Donald Shell, MD, MA; David Strogatz, PhD, MSPH; CAPT Jana Towne, RN, BSN; and Samuel Wu, PharmD. They also thank Clydette Powell, MD, and Jennifer Gillissen for their support of the Commission.Financial Support: The National Clinical Care Commission was funded by the Department of Health and Human Services, Office of the Assistant Secretary, Office of Disease Prevention and Health Promotion, and Office on Women's Health. The Department of Health and Human Services had no role in the preparation, review, or approval of this manuscript or the decision to submit the manuscript for publication.Disclosures: No financial compensation was provided to members of the Commission. Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M21-4175.Corresponding Author: Paul R. Conlin, MD, Medical Service (111), VA Boston Healthcare System, 1400 VFW Parkway, West Roxbury, MA 02132; e-mail, paul.[email protected]gov.Author Contributions: Conception and design: J.M. Boltri, P.R. Conlin, M. Carol Greenlee, W.H. Herman, D. Schillinger, H. Tracer.Analysis and interpretation of the data: J.M. Boltri, A. Bullock, W.H. Herman, A.M. Lopata, H. Tracer.Drafting of the article: A.L. Albright, A. Bullock, P.R. Conlin, M. Carol Greenlee, A.M. Lopata, D. Schillinger.Critical revision for important intellectual content: J.M. Boltri, P.R. Conlin, W.H. Herman, A.M. Lopata, D. Schillinger, H. Tracer.Final approval of the article: A.L. Albright, J.M. Boltri, A. Bullock, P.R. Conlin, M. Carol Greenlee, W.H. Herman, A.M. Lopata, D. Schillinger, H. Tracer.Administrative, technical, or logistic support: W.H. Herman, D. Schillinger.Collection and assembly of data: J.M. Boltri, W.H. Herman, A.M. Lopata, H. Tracer.This article was published at Annals.org on 15 February 2022.* Members of The National Clinical Care Commission Writing Group are listed at the end of the article. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics April 2022Volume 175, Issue 4Page: 594-597KeywordsChild healthDiabetes preventionHealth care qualityHealth promotionHealth services administration and managementMedicareNutritionObesityType 2 diabetes ePublished: 15 February 2022 Issue Published: April 2022 PDF downloadLoading ...