The Arizona Diabetes Virtual Center of Excellence (ADVICE) is a comprehensive program for diabetes prevention, assessment, and management utilizing the Arizona Telemedicine Program Network.
From 2004-2006 ADVICE was partially supported by the Office for the Advancement of Telehealth (OAT), Department of Health and Human Services, Health Resources and Services Administration (HRSA).
Create the “Arizona Diabetes Virtual Center of Excellence” (ADVICE) network to establish a comprehensive telemedicine program for diabetes prevention, assessment, and management.
Objective 1: Connect three rural communities, Nogales, Tuba City, and Amado to diabetes clinical providers and education specialists in year 1 to establish a Diabetes Virtual Center of Excellence Telehealth Network.
Objective 2: Assemble an ADVICE Advisory Committee.
Create and evaluate innovative distance learning programs on diabetes for patients, families, children, community-based allied health professionals, and physicians in rural areas, thereby creating a community-based infrastructure for diabetes health education.
Objective 3: Develop, provide and evaluate annual community health center-based telehealth diabetes learning activities for K-12 student groups and their families that are age-appropriate and culturally sensitive.
Objective 4: Increase 10 Health Professional Students’ (i.e., medical, nursing, dietitian, public health) telehealth experience through opportunities to practice with telehealth preceptors.
Objective 5: Develop and provide Promotora/Community Health Representatives (CHR) with bi-directional videoconference training on diabetes self-management skills, support group telehealth facilitation and technology skills development with in-home health devices, such as tele-home units, computers, and digital cameras.
Objective 6: Provide 4 Spanish and 3 English diabetes patient seminars (7 weekly class series) via videoconferencing to Nogales, Amado and Tuba City sites.
Objective 7: Sponsor quarterly teleconferenced Diabetes Grand Rounds for ADVICE physicians, mid-level providers and allied health professionals.
Objective 8: Provide monthly distance learning classes for a two-year core curriculum cycle on “Becoming A Certified Diabetes Educator (CDE).”
Objective 9: Hold bi-monthly multidisciplinary team teleconferences between Nogales, Tuba City and specialty providers.
Objective 10: Disseminate news and “lessons learned” to participating communities, health professionals, and the general public.
Provide access to specialty health care for people with diabetes and pre-diabetes in rural areas.
Objective 11: Provide access to diabetes/pediatric endocrinology teleconsultations to children of Nogales and Tuba City as an extension of currently available adult services.
Objective 12: Provide access to diabetes/ophthalmology teleconsultations for residents of Nogales with diabetes.
Objective 13: Provide access to diabetes nutrition teleconsultations with a Certified Diabetes Educator (CDE) for residents of Nogales, Tuba City and Amado with diabetes.
Objective 14: Provide access to diabetes/podiatry/wound care teleconsultations for residents of Nogales, Tuba City and Amado with diabetes.
Community of Amado
Arizona Telemedicine Program
Arizona Foundation for the Eye (at St. Luke’s Medical Center – Phoenix)
Catholic Community Services
Children’s Clinics for Rehabilitative Services (at Tucson Medical Center)
Flowing Wells Unified School District
Nogales Unified School District
Tuba City Boarding School
Tuba City High School
UA Rural Health Office Mobile Health Program
Associate Director, Facilities