Early ADVICE Programs

The Arizona Diabetes Virtual Center of Excellence (ADVICE) is a comprehensive program for diabetes prevention, assessment, and management utilizing the Arizona Telemedicine Program Network.

Early ADVICE Programs

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.

A statewide diabetes virtual roundtable serves as the ADVICE Advisory Commitee.



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.

ADVICE "tele-kids" programs provide diabetes classes to Nogales, AZ children.



Tucson area Girl Scouts teach Nogales students how to perform a diabetes play

Objective 4: Increase 10 Health Professional Students’ (i.e., medical, nursing, dietitian, public health) telehealth experience through opportunities to practice with telehealth preceptors.

College of Nursing students receiving tele-diabetes training


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.


Promotora (right) assists a patient during a diabetes tele-nutrition consultation.


Objective 6: Provide 4 Spanish and 3 English diabetes patient seminars (7 weekly class series) via videoconferencing to Nogales, Amado and Tuba City sites.

Amado, AZ patients attend tele-diabetes classes

Objective 7: Sponsor quarterly teleconferenced Diabetes Grand Rounds for ADVICE physicians, mid-level providers and allied health professionals.

Diabetes Grand Rounds on Diabetic Foot Care

Objective 8: Provide monthly distance learning classes for a two-year core curriculum cycle on “Becoming A Certified Diabetes Educator (CDE).”

Students at remote sites receive CDE training


Objective 9: Hold bi-monthly multidisciplinary team teleconferences between Nogales, Tuba City and specialty providers.


Mutidisciplinary team teleconference between Tucson and Nogales

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.

Tele-ophthalmology training in Nogales


Objective 13: Provide access to diabetes nutrition teleconsultations with a Certified Diabetes Educator (CDE) for residents of Nogales, Tuba City and Amado with diabetes.


Registered Dietitian/CDE conducts a tele-nutritiion consulation in Spanish


Objective 14: Provide access to diabetes/podiatry/wound care teleconsultations for residents of Nogales, Tuba City and Amado with diabetes.

Podiatrist conducts a diabetic foot examination via telemedicine


Participating Organizations

Community of Amado

Arizona Telemedicine Program

Arizona Foundation for the Eye (at St. Luke’s Medical Center – Phoenix)

Barbara J. Aung, D.P.M.

Catholic Community Services

Carondelet Health Network

Children’s Clinics for Rehabilitative Services (at Tucson Medical Center)

Flowing Wells Unified School District

Mariposa Community Health Center – Nogales

Nogales Unified School District

St. Elizabeth of Hungary Clinic - Tucson

Tuba City Boarding School

Tuba City High School

Tuba City Regional Health Care Corporation

University of Arizona Health Sciences Center Colleges of Medicine, Nursing, Pharmacy, and Public Health

UA Rural Health Office Mobile Health Program


For More Information

Janet Major
Associate Director, Facilities

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