Texas A&M Health Science Center Coastal Bend Health Education CenterBi-Annual Report – Fiscal Years 2015 and 2016About UsThe Texas A&M University Health Science Center is a premier assembly of colleges devoted to transforming health through innovative research and education in biomedical sciences, dentistry, medicine, nursing, pharmacy and public health at campuses across the state.In September 1997, the Texas A&M System Board of Regents approved organization of the health-related entities throughout the A&M System into one university—Texas A&M University Health Science Center (The Health Science Center), which officially began operation on September 1, 1999. Original academic units in the consolidation included College of Medicine, Baylor College of Dentistry, Institute of Biosciences and Technology, the then-proposed School of Rural Public Health and School of Graduate Studies. Located on the Texas A&M University-Kingsville campus, the Irma Lerma Rangel College of Pharmacy joined The Health Science Center in 2006, and the College of Nursing opened in 2008. On July 15, 2013, The Health Science Center transitioned to become a unit of Texas A&M University.The Coastal Bend Health Education Center (CBHEC), located in Corpus Christi, Texas, is a community outreach center for The Health Science Center and serves as a key resource for the Coastal Bend. Established in 1999 through Senate Bill 590, CBHEC is dedicated to improving the quality of health care by advancing the knowledge and skills of health care professionals, students and the community. The center provides community-based education opportunities for health professionals, supports programs designed to foster recruitment into health-related professions among underrepresented populations, and sponsors community outreach efforts throughout its 20-county service area.CBHEC maximizes state and local funds by collaborating with private organizations and sharing community resources, and has established partnerships with colleges, universities, hospital systems, community-based organizations, and local and state agencies.

MissionThe Coastal Bend Health Education Center is committed to improving the quality of health care by advancing the knowledge and skills of health care professionals, students and the community through partnerships in education, research and technology.

Vision

The vision of the Coastal Bend Health Education Center is to optimize the health of the residents of the Coastal Bend by being a premier health education center.

2015 and 2016 Highlights$6.2 million dollars were saved on prescription medications through the Medication Assistance Program.23,815 continuing education credits were awarded through the Continuing Education Program.8,229 students were reached through the Health Careers Program.18,326 people participated in the Diabetes Education Program.

Medication Assistance ProgramThe Medication Assistance Program provides resources to uninsured and under-insured populations in Texas in order to improve their overall health.Residents of the Coastal Bend and surrounding areas can worry less about being able to afford their medications thanks to the Texas A&M University Health Science Center (TAMHSC) Coastal Bend Health Education Center’s Medication Assistance Program.Most elderly individuals have at least one chronic condition and may have multiple conditions, according to the Department of Health & Human Services Administration on Aging. For these people, getting their medications is vital, but often challenging since they may have multiple prescriptions to address each condition.“Some of these patients have up to fifteen different medications and have to alternate them on a monthly basis because they can’t afford to pay for all of them at once,” said Eslanda Trevino, community health worker. “But we are able to find some of their medications at absolutely no cost to them.”By working closely with pharmaceutical companies and retail pharmacies, the program is able to track down the lowest possible cost for medications that treat cardiovascular conditions, diabetes, respiratory conditions, Alzheimer’s, glaucoma, gastrointestinal and other medical conditions.The majority of those assisted by the program do not have insurance and/or do not meet federal poverty guidelines. But even those who have Medicare prescription drug coverage (Part D) can find themselves in the coverage gap and struggling to pay for prescriptions.Falling into the coverage gap, also called the “donut hole,” occurs when Medicare Part D recipients have spent their maximum allotted prescription drug costs and must pay out-of-pocket for their prescriptions until the next year or when they qualify for “catastrophic coverage” (when Medicare steps in to assist with costs). Thankfully, the Medication Assistance Program can help some of these individuals before they reach that point.

“I had a client who had six medications and was very worried about how she was going to obtain them,” said Sandra Garcia, program manager. “As I marked off all the medications on her list as ones we could get for her, she started crying and hugged me. What a wonderful feeling to give her such relief!”From 2015 to 2016, the program has saved 1,353 people in the Coastal Bend more than $6.2 million in prescription costs. This is a long way since it began in 2005 with a single administrative support person and 50 clients. Now the program spans 20 counties in the Coastal Bend and has helped nearly 8,799 clients secure their medications. The cost savings to the health care system is even greater when accounting for fewer hospitalizations, ER visits, complications and missed work days due to illness related to uncontrolled chronic disease.For more information or to schedule an appointment, call toll free at 1.866.524.1408. Visit the website www.cbhec.tamhsc.edu/medication-assistance to find the location nearest you.

Key DataMedication Assistance Data QuantityTotal clients served 1,353Total applications processed 5,536Total cost savings $6,225,452

Client DemographicsGender 60% female40% maleRace84% Hispanic11% White3% African-American1% Asian-American1% OtherAge Range14% 66 years and older38% 56-65 years30% 46-55 years11% 36-45 years

5% 26-35 years3% 10-25 years

Service Area Breakdown, 2015-2016Location Clients Served Applications

ProcessedCost Savings

Nueces County 627 3,004 3,189,286Brooks County 479 1,673 2,130,503Victoria County 114 366 441,479Kleberg County 98 359 318,222Hidalgo County (2016 only)

35 134 145,962

Total 1,353 5,536 6,225,452

Percent of total clients at each county:Nueces County – 46%Brooks County – 35%Victoria County – 9%Kleberg County – 7%Hidalgo County – 3%Medications Received by Disease State:Diabetes – 36%Cardiovascular – 26%Respiratory – 10%Pain Management – 5%Gastrointestinal – 4%Mental Health 4%Other – 15%

Continuing Education ProgramThe Continuing Education Program plans, develops and presents practical teaching activities based on identified needs for physicians, pharmacists and other health care professionals. These education activities enhance knowledge, skills, practice performance and attitudes of health care professionals, leading to better patient outcomes.In today’s rapidly evolving health care environment, it has become increasingly critical for practicing health care professionals to stay up-to-date with cutting-edge

knowledge and skills. Through the Continuing Education Program, CBHEC ensures medical professionals statewide are given the opportunity to acquire the knowledge and skills necessary to provide the highest standard of care to their patients.CBHEC is accredited by the Texas Medical Association to provide continuing medical education for physicians and by the Accreditation Council for Pharmacy Education to provide continuing pharmacy education for pharmacists and pharmacy technicians. In addition, the Continuing Education Program partners with Texas A&M University-Corpus Christi College of Nursing and Health Sciences, an approved provider of continuing nursing education by the Texas Nurses Association, to offer continuing education opportunities for nurses and nurse practitioners.The First Annual Tropical and Infectious Disease Conference was held on April 24–25, 2015, in Corpus Christi. Led by course director Scott Lillibridge, MD, the conference featured infectious disease experts from across the state and nation who spoke about current diseases impacting the Texas Gulf Coast, as well as conditions predicted to affect domestic soil. Nearly 100 health care professionals attended the event.Online courses, conferences and lecture series offered by CBHEC have added up to almost 24,000 continuing education credits awarded this year to health care professionals in the Coastal Bend and beyond.Key DataNumber of Continuing Education Programs Held, 2015-2016

Major Conferences 12Regularly scheduled series 457Courses 9Enduring materials 86

Major Conferences in Review, Fiscal Years 2015-20162014 Pharmacy Technician Summit, September 20, 2014Half-day event covering critical topics for pharmacy technicians, including maintenance of license, state board updates, new horizons for technicians and law.4th Annual Gulf Coast Pharmacy Symposium, February 20–21, 2015One-and-half day conference featuring outstanding speakers covering a broad range of topics, including perspectives in health policy implications for pharmacy’s future and recent changes in pharmacy law.Aspects of Asthma, March 7, 2015Half-day seminar providing health care professionals with an in-depth knowledge of asthmatic disorders, including regional prevalence, special populations management, treatments, patient education and disease management.

Tropical & Infectious Diseases Impact Texas, April 24–25, 2015One-and-a-half day conference providing health professionals with the knowledge and tools to identify symptoms and treat tropical infections impacting the Texas Gulf Coast.11th Annual Diabetes Conference, July 24–25, 2016Two-day seminar updating health care professionals on the latest advances in diabetes prevention, management and treatment.5th Annual Gulf Coast Pharmacy Symposium, February 26–27, 2016 Two-day pharmacy symposium that features renowned speakers covering a variety of topics. Attendees learn how to improve management of patients in challenging practice environments and more effective communication and collaboration with colleagues.Tropical & Infectious Disease Conference, June 3–4, 2016Ten-hour conference designed to educate physicians and other health professionals on the identification of symptoms, proper diagnosis, and treatment of both emerging tropical and infectious diseases.12th Annual Diabetes Conference, July 22–23, 2016Two-day interprofessional conference designed to enhance the knowledge and management of diabetes in acute and outpatient settings. Additionally, the curriculum educates attendees on how to advance therapeutic compliance and lifestyle changes to improve patient outcomes.

2015 Program Participant PercentagesProfessionsPhysicians: 64%PA/NP: 3%Nurses: 3%Residents: 4%Pharmacy Techs: 7%Pharmacists: 12%Others: 19%Class TypeRegularly Scheduled Series: 52%Major Conferences: 19%

Enduring Materials: 18%Joint Providership 10%Courses 9%

2016 Program Participant PercentagesProfessionsPhysicians: 21%PA/NP: 7%Nurses: 19%Pharmacy Techs: 9%Pharmacists: 23%Others: 21%Class TypeRegularly Scheduled Series: 60%Major Conferences: 27%Enduring Materials: 5%Preceptor Training: 7%Courses: 1%

Learning OutcomesThe CE department tracks learning outcomes by having participants take part in pre- and post-tests facilitated by an audience response system. These charts illustrate the change in knowledge that occurred as a result of attending the conferences.Pharmacy Technician SummitPre-TestAbout 65% of participants answered question one correctly.About 38% of participants answered question two correctly.About 65% of participants answered question three correctly.About 10% of participants answered question four correctly.About 20% of participants answered question five correctly.About 70% of participants answered question six correctly.

About 65% of participants answered question seven correctly.About 58% of participants answered question eight correctly.About 75% of participants answered question nine correctly.About 10% of participants answered question ten correctly.About 20% of participants answered question eleven correctly.About 30% of participants answered question twelve correctly.About 18% of participants answered question thirteen correctly.About 95% of participants answered question fourteen correctly.About 20% of participants answered question fifteen correctly.About 40% of participants answered question sixteen correctly.About 80% of participants answered question seventeen correctly.Post-TestAbout 70% of participants answered question one correctly.About 82% of participants answered question two correctly.About 80% of participants answered question three correctly.About 90% of participants answered question four correctly.About 30% of participants answered question five correctly.About 90% of participants answered question six correctly.About 90% of participants answered question seven correctly.About 62% of participants answered question eight correctly.About 85% of participants answered question nine correctly.About 12% of participants answered question ten correctly.About 25% of participants answered question eleven correctly.About 60% of participants answered question twelve correctly.About 20% of participants answered question thirteen correctly.About 98% of participants answered question fourteen correctly.About 25% of participants answered question fifteen correctly.About 80% of participants answered question sixteen correctly.About 75% of participants answered question seventeen correctly.4th Annual Gulf Coast Pharmacy Symposium

Pre-TestAbout 19% of participants answered question one correctly.About 45% of participants answered question two correctly.About 22% of participants answered question three correctly.About 45% of participants answered question four correctly.About 30% of participants answered question five correctly.About 40% of participants answered question six correctly.About 22% of participants answered question seven correctly.About 55% of participants answered question eight correctly.About 50% of participants answered question nine correctly.About 75% of participants answered question ten correctly.About 10% of participants answered question eleven correctly.About 65% of participants answered question twelve correctly.About 20% of participants answered question thirteen correctly.About 15% of participants answered question fourteen correctly.About 75% of participants answered question fifteen correctly.About 25% of participants answered question sixteen correctly.About 70% of participants answered question seventeen correctly.About 25% of participants answered question eighteen correctly.Post-TestAbout 38% of participants answered question one correctly.About 90% of participants answered question two correctly.About 65% of participants answered question three correctly.About 70% of participants answered question four correctly.About 90% of participants answered question five correctly.About 80% of participants answered question six correctly.About 80% of participants answered question seven correctly.About 78% of participants answered question eight correctly.About 80% of participants answered question nine correctly.About 78% of participants answered question ten correctly.

About 10% of participants answered question eleven correctly.About 70% of participants answered question twelve correctly.About 40% of participants answered question thirteen correctly.About 50% of participants answered question fourteen correctly.About 98% of participants answered question fifteen correctly.About 70% of participants answered question sixteen correctly.About 70% of participants answered question seventeen correctly.About 80% of participants answered question eighteen correctly.11th Annual Diabetes ConferenceNote: Due to technical difficulties at the 11th Annual Diabetes Conference, many of the pre-test questions experienced a malfunction and did not register an answer. Therefore, only five sets of questions yielded results.Pre-TestAbout 30% of participants answered question one correctly.About 40% of participants answered question two correctly.About 55% of participants answered question three correctly.About 80% of participants answered question four correctly.About 90% of participants answered question five correctly.Post-TestAbout 65% of participants answered question one correctly.About 55% of participants answered question two correctly.About 95% of participants answered question three correctly.About 90% of participants answered question four correctly.About 95% of participants answered question five correctly.

Tropical and Infectious Disease ConferencePre-TestAbout 78% of participants answered question one correctly.About 80% of participants answered question two correctly.About 82% of participants answered question three correctly.About 35% of participants answered question four correctly.

About 40% of participants answered question five correctly.About 50% of participants answered question six correctly.About 80% of participants answered question seven correctly.About 30% of participants answered question eight correctly.About 78% of participants answered question nine correctly.About 85% of participants answered question ten correctly.About 50% of participants answered question eleven correctly.About 45% of participants answered question twelve correctly.About 55% of participants answered question thirteen correctly.About 45% of participants answered question fourteen correctly.About 5% of participants answered question fifteen correctly.About 75% of participants answered question sixteen correctly.About 65% of participants answered question seventeen correctly.About 55% of participants answered question eighteen correctly.About 75% of participants answered question nineteen correctly.About 20% of participants answered question twenty correctly.About 70% of participants answered question twenty-one correctly.About 0% of participants answered question twenty-two correctly.About 55% of participants answered question twenty-three correctly.Post-TestAbout 98% of participants answered question one correctly.About 96% of participants answered question two correctly.About 90% of participants answered question three correctly.About 96% of participants answered question four correctly.About 85% of participants answered question five correctly.About 80% of participants answered question six correctly.About 82% of participants answered question seven correctly.About 55% of participants answered question eight correctly.About 90% of participants answered question nine correctly.About 88% of participants answered question ten correctly.

About 86% of participants answered question eleven correctly.About 80% of participants answered question twelve correctly.About 90% of participants answered question thirteen correctly.About 85% of participants answered question fourteen correctly.About 80% of participants answered question fifteen correctly.About 100% of participants answered question sixteen correctly.About 80% of participants answered question seventeen correctly.About 85% of participants answered question eighteen correctly.About 100% of participants answered question nineteen correctly.About 90% of participants answered question twenty correctly.About 96% of participants answered question twenty-one correctly.About 90% of participants answered question twenty-two correctly.About 88% of participants answered question twenty-three correctly.5th Annual Gulf Coast Pharmacy SymposiumPre-TestAbout 55% of participants answered question one correctly.About 0% of participants answered question two correctly.About 60% of participants answered question three correctly.About 65% of participants answered question four correctly.About 20% of participants answered question five correctly.About 30% of participants answered question six correctly.About 50% of participants answered question seven correctly.About 20% of participants answered question eight correctly.About 35% of participants answered question nine correctly.About 30% of participants answered question ten correctly.About 25% of participants answered question eleven correctly.About 15% of participants answered question twelve correctly.About 35% of participants answered question thirteen correctly.About 60% of participants answered question fourteen correctly.About 95% of participants answered question fifteen correctly.

Post-TestAbout 85% of participants answered question one correctly.About 20% of participants answered question two correctly.About 90% of participants answered question three correctly.About 65% of participants answered question four correctly.About 40% of participants answered question five correctly.About 65% of participants answered question six correctly.About 70% of participants answered question seven correctly.About 90% of participants answered question eight correctly.About 80% of participants answered question nine correctly.About 60% of participants answered question ten correctly.About 20% of participants answered question eleven correctly.About 15% of participants answered question twelve correctly.About 45% of participants answered question thirteen correctly.About 70% of participants answered question fourteen correctly.About 55% of participants answered question fifteen correctly.

12th Annual Diabetes ConferencePre-TestAbout 55% of participants answered question one correctly.About 15% of participants answered question two correctly.About 90% of participants answered question three correctly.About 60% of participants answered question four correctly.About 70% of participants answered question five correctly.About 65% of participants answered question six correctly.About 40% of participants answered question seven correctly.About 65% of participants answered question eight correctly.About 20% of participants answered question nine correctly.About 15% of participants answered question ten correctly.Post-Test

About 75% of participants answered question one correctly.About 55% of participants answered question two correctly.About 90% of participants answered question three correctly.About 80% of participants answered question four correctly.About 75% of participants answered question five correctly.About 80% of participants answered question six correctly.About 75% of participants answered question seven correctly.About 98% of participants answered question eight correctly.About 98% of participants answered question nine correctly.About 100% of participants answered question ten correctly.

Health Careers ProgramThe recruitment and educational preparation of middle and high school students is necessary in creating the workforce needed to provide future services. The Health Careers Program provides opportunities to explore career choices through school clubs, annual conferences, summer camps, shadowing, mentoring and hands-on demonstrations.Trey scrubs his hands and forearms vigorously, carefully dries and puts on his gown, gloves, mask and surgical cap before entering the operating room. A patient lies under the sheet, anesthetized and prepped for his gall bladder procedure. Everything is in order, ready for surgery.Trey cracks a smile under his mask as a classmate giggles. The atmosphere in this O.R. is much more lighthearted than most. That’s because the patient is not alive, or even human —it’s a simulated human midsection surrounded by state-of-the-art teaching equipment. And Trey is not a surgeon; he’s a high school student from Incarnate Word Academy in Corpus Christi who is learning about what it takes to become a surgical technologist. Hundreds of high school students from around the Coastal Bend got to experience this scenario and many more like it at the 13th Annual Future Health Professionals Conference hosted by the Texas A&M Health Science Center Coastal Bend Health Education Center (CBHEC). The event was held on the Del Mar College West campus in 2015 and showcased degree programs in surgical technology, nursing, respiratory therapy, pharmacy, radiology, sonography, nuclear medicine, medical laboratory science, emergency medical services, dental hygiene and dietetics. Throughout the day, students participated in hands-on activities with simulation equipment and interacted with educators of the programs and current health science students.

“Teenagers can read about these professions on the Internet or hear about them from their teachers, but it’s something else to actually see what these professions entail and get to work with the training equipment in a real college environment. It’s much more engaging and exciting this way,” said Becky Smith, then health careers program coordinator at CBHEC and coordinator of the event. The Health Careers program aims to spark area youth’s interests in health careers, especially career paths that are in high demand in South Texas and across the state. By educating young people about these career paths and getting them interested early, the program positions them to achieve their career goals and also helps to address a growing problem in the South Texas area. An overwhelming number of counties spanning the region have been identified as Health Professional Shortage Areas by the U.S. Department of Health and Human Services, meaning that more health professionals are needed in the region, from primary care doctors to dentists, pharmacists and medical technicians.The annual Future Health Professionals Conference has introduced thousands of teens in the area to a variety of health careers since it began in 2001. From 2015 to 2016, more than 500 students from middle and high schools in the Coastal Bend attended.“It’s been an awesome experience,” said Gasper D’Anna, a senior at Incarnate Word Academy. “I had no idea about some of these degrees until today, and I feel like I’ve learned a lot about the different aspects of health. And I’m only 30 minutes into it!”Gasper’s sights are set on a career in kinesiology; perhaps after attending this event, he will go on to develop an orthopedic device to restore mobility in the paralyzed. And it may have been a simulation this time, but Trey just might be seen a few years down the road in a hospital O.R. performing life-saving surgery on a fellow South Texan.Program Outreach, 2015-2016Mobile Medical Library visits to schools: 5,472 participantsCareer Fairs and Community Outreach Events: 2,119 participantsAnnual Future Health Professionals Conferences: 535 participantsAnnual Health Careers Discovery Camps: 53 participants

Diabetes Education ProgramThe Diabetes Education Program improves the health of the community by providing education and support to patients with diabetes and their loved ones in the Coastal Bend area.Daniel felt weak. On most days, when he came home from working at his rental business in Corpus Christi, Texas, he’d lay on the couch and sleep the evening away, leaving little time or motivation to enjoy his many hobbies. His wife took notice and encouraged him to visit his doctor, where he found out he’d been living

with diabetes, likely for some time. His kids’ smiles flashed before his eyes and struck his heart—he had lost too many friends to uncontrolled diabetes, and today would not be his day.Daniel is among the nearly one in four adults in South Texas who has been diagnosed with diabetes, but even more may have it and don’t know it. In the Coastal Bend, more than 31 percent of adults are overweight and 42 percent are obese, meaning nearly three quarters of Coastal Bend residents are at increased risk for developing Type 2 diabetes.In response to this epidemic, the Texas A&M Health Science Center Coastal Bend Health Education Center (CBHEC) provides resources to residents and health professionals of the Coastal Bend on how to prevent and control this disease. Just days after receiving his diagnosis, Daniel registered for CBHEC’s Diabetes Education Program. Accredited by the American Diabetes Association (ADA), the program’s diabetes self-management (DSME) classes provide support to prevent onset of type 2 diabetes and to keep the disease under control once diagnosed. In addition, community events offer programs to schools and workplaces across the Coastal Bend. From 2015 to 2016, more 18,000 people were affected by the efforts of the program.DSME is a critical part of care for those with diabetes and, according to the ADA, is necessary in order to improve patient outcomes. CBHEC’S DSME classes are offered in English and Spanish to provide guidance with blood glucose monitoring, medication and insulin administration, nutrition support, and physical activity opportunities. Attendance has increased drastically over the life of the program with 1,113 attending in 2015.Health professionals use the Hemoglobin A1C test to assess a person’s average blood glucose (blood sugar) levels over the past two to three months. It does this by measuring the percent of hemoglobin (the protein in our red blood cells that carry oxygen) that has glucose attached to it. For people without diabetes, the normal range for the A1C test is between 4 and 5.6 percent. To control diabetes, the ADA suggests a target level below 7 percent in those who have already been diagnosed. Daniel’s A1C level was 12.2 percent when he began classes.A key component to achieving success in a DSME class is the follow-up care. Every three months for one year, class participants are provided with complimentary follow-up labs and one-on-one consultation sessions. “Follow-ups continue the education participants received in our class,” said Juanita Garcia, RN, MPH, manager of the CBHEC Diabetes Education Program. “We can answer questions that they are likely to have after trying to apply the strategies they learned in class.”

To lower A1C levels, Garcia recommends that patients take their medications as directed and keep their appointments with their health care providers and diabetes education program.“We empower participants of our program to make change,” Garcia said, “Change that is appropriate in each of their lives and individual situations.”Just three months after taking CBHEC’s DSME class, Daniel’s energy was back, he felt stronger, and he started fishing again. And his A1C was down to 6.2 percent.“When I hear someone talking about their high blood pressure, diabetes, or any other preventable health problem, I tell them my story,” Daniel said. “Diabetes doesn’t just take a toll on your health, it also affects your loved ones, so take control of it for you and your family.”Counties served, 2015-16Nueces, 66%Kleberg, 9%San Patricio, 8%Victoria, 7%DeWitt, 4%Aransas, 2%Less than 1%:Bee, Bexar, Brazoria, Brooks, Calhoun, Cameron, Cuero, Duval, Goliad, Gonzalez, Jackson, Jim Wells, Karnes, Kenedy, Lavaca, Live Oak, Refugio, ZavalaProgram Participants, 2015-16Community outreach events, 10,675Follow-up visits, 2,800 Diabetes management classes, 2,732Support group meetings, 1,296Consultations, 382House Bill 984 training (Diabetes Management of Children in Schools), 302Professional training, 139Total participants, 18,326Change in A1C levels, 2015-16

A1C levels were tested at participants’ initial visit and again at their follow-up visit(s). The goal is for more people to be within the lower A1C ranges by their follow-up appointment.2015 participantsLess than 6.5: 6%6.5-8.08: 3%8.1-10.0: -3%10.1-12.0: -4%Greater than 12.0: -2.0%2016 participantsLess than 5.7: 3.3%5.7-6.46: -1%6.5-7.9: -6.9%8.0-9.9: -9.1%10.0-12.0: -23.8%Greater than 12.0: -26.9%Community Health Worker Resource Connections, 2015–16Medical (clinic referrals, medication assistance, pharmacy referrals, glucometers, etc.), 3,126Outreach (face-to-face visits, home visits, phone visits), 3,045Educational (walking videos, First Aid kits, diabetes publications, etc.), 1,733Miscellaneous services, 1,304Housing and food (food pantry, utility assistance, homeless shelters, clothing, etc.), 408Transportation (bus passes, B-Line application, etc.), 218Psychosocial (Behavioral Health Center referral, PATH Program, etc.), 28Total, 9,863

Participant Health Insurance, 2015–16A minimal fee of $25 is charged per participant. That fee includes the 8-hour class, lab work, follow-ups for a year and lunch during the full-day class. However, thanks to a partnership with the Corpus Christi-Nueces County Public Health District through their 1115 waiver program, those who qualify are enrolled free of charge.

2015Private insurance, 46%County Indigent Program, 19%Medicare, 16%Medicaid, 7%No Insurance, 9%No Answer, 4%2016Private insurance, 51%County Indigent Program, 11%Medicare, 13%Medicaid, 6%No Insurance, 19%

Demographics (DSME Participants), 2015–16 20152015RaceHispanic, 70%Caucasian, 25%African American, 3%Asian, 1%Other, 1%GenderFemale, 60%Male, 40%2016RaceHispanic, 70%Caucasian, 25%African American, 3%

Asian, 1%Other, 1%GenderFemale, 61%Male, 39%

Community PartnersClinicalAccess Esperanza Clinic Amistad Federally Qualified Health CenterAtascosa County Federally Qualified Health Center—Central TexasCare Regional Medical Center CHI St. Luke’s Brazosport Hospital CHRISTUS Spohn Family Health Centers CHRISTUS Spohn Hospital Community Health Center of South Central Texas FQHC Corpus Christi Medical Center Cuero Community Hospital Deleon Pharmacy DeTar Hospital Doctors Hospital at Renaissance Driscoll Health System El Milagro Clinic HCA Bay Area Hospital Hector P. Garcia Family Clinic Karnes County Community Health Center Matagorda Regional Medical Center- Matagorda McAllen Dental Associates Molina Healthcare (HC) Nuestra Clinica Del Valle OHO Kaiser Medical Center Port Lavaca Memorial Medical Center

Post-Acute Medical Specialty Hospital of Corpus Christi Refugio Community Hospital Rio Grande Regional Hospital South Texas Health System Community Based OrganizationsAffordable Homes of South Texas, Inc. Alamo Community Resource Center Aransas-San Patricio Master Gardeners American Diabetes Association AVANCE, Rio Grande Valley Baylor Hunger Initiative Behavioral Health Center of Nueces County Boys and Girls Club of Corpus Christi and Weslaco Coastal Bend Asthma Coalition Coastal Bend Center for Independent Living Community Action Committee of Victoria Easter Seals, Rio Grande ValleyFood Bank Good Samaritans Gulf Bend MHMR Health Information Network of South Texas Humane Society of Rockport Mid-Coast Family Services Mission of Mercy Nueces County Community Action Agency— Head Start Program/Community Services Texas Area Health Education Center East-Victoria Region Texas Healthy Communities Coalition Victoria Food Bank Victoria Immunization Coalition

County/CityBrazoria/ Matagorda County

Brooks County City of Alice City of Aransas Pass City of Kingsville City of Los Fresnos City of McAllen City of McAllen Health Department City of Rio Grande Community State Park & Swimming Pool Corpus Christi Housing Authority Corpus Christi-Nueces County Public Health District Donna Public Libraries Harlingen Housing Authority Hidalgo County Hidalgo County Community Center Hidalgo County Head Start Center Jackson County Hospital District Johnny S. Calderon County Building Kingsville Housing Authority Kingsville Recycling Center Kleberg County McAllen Fire Department McAllen Police Department Monte Alto Community Center North San Juan Community Resource Center Nueces CountyProgresso Community Resource Center Raymondville Chamber of Commerce Regional Transportation Association Rio Grande Public Library San Carlos Community Resource Center

San Patricio Health Department Transportation Coordination Network Rural Economic Assistance League Victoria County Public Health District Victoria County Sheriff’s Department Victoria Housing Authority Weslaco Public Library

Schools/EducationCorpus Christi Independent School District Cuero Independent School District Edinburg Independent School District Education Service Center, Region 2 Los Fresnos Consolidated Independent School District Lyford Consolidated Independent School District Region One Education Service Center San Benito Consolidated Independent School District Weslaco Independent School District

Higher EducationCoastal Bend College Del Mar College—Dental Hygiene & Nursing Programs South Coastal Area Health Education Center (AHEC) South Texas College Texas A&M AgriLife Extension Office, Research & Development Texas A&M Family Practice Residency Program Texas A&M Irma Lerma Rangel College of Pharmacy Texas A&M University—Corpus Christi Texas A&M University—Kingsville Texas A&M College of Nursing Texas A&M School of Public Health Texas A&M University Colonias Program

University of Houston—Victoria University of Houston—Victoria Student Health Organization University of Houston—VRT University of Texas Medical Branch, Brazoria

Faith-Based OrganizationsChurch Unlimited Cornerstone Church Cuero Area Ministerial Alliance Diocese of Corpus Christi—Catholic Schools First United Methodist Churches in Alice, Corpus Christi, Rockport, Kingsville Karnes Ministries Methodist Healthcare Ministries Metro Ministries Solid Rock Church St. Vincent de Paul Victoria Christian Alliance Ministerial

State AgenciesArea Agency on Aging Texas Department of Agriculture Texas Department of State Health Services

Federal ProgramsChildren’s Defense Fund WIC ProgramExpanded Food and Nutrition Education Program

PrivateBabies R Us Carolina Nisimblat Citgo Refineries First National Bank in Hebbronville

Fox Run Apartments Golden Crescent H-E-BKing Ranch CorporationKnolle Jersey FarmsScott ElectricSherwin AluminaSTP Nuclear Operating Company- Matagorda Superior Health PlanToastmasters International EmceeUnited HealthcareValero RefineriesWeight WatchersWells Fargo Bank—Cuero and Victoria

Committee MembersDiabetes Education Program Advisory CommitteeTina Baier, RN, Wesley NurseAmy Barressi, MSN, APRN, FNP-c, Corpus Christi—Nueces County Public Health District David Calk, Diabetes Education Program A1c ChampLaura Calk, Fresenius Medical CareSandi English, PhD, CHW, Parkside Family ClinicJoe Flores, CBHECJoe A. Flores, Law Office of Joe A. FloresStarr Flores, CBHEC, Texas A&M Healthy South TexasElaine Fries, PhD, Texas A&M Healthy South Texas, Texas A&M AgriLife Extension Service Ashley Garcia, RD, Driscoll Children’s HospitalJuanita Garcia, RN, CBHEC Health Education ManagerRyan Loftin, MD, Driscoll Children’s HospitalVirginia Longoria, San Patricio County Department of Public HealthJoe Martinez, Nueces County Community Action Agency

Petra Martinez, RN, Texas A&M University-Corpus Christi College of Nursing & Health Sciences Victor Melgoza, MD, Holly Family MedicineKimberly Perez, American Diabetes AssociationNoelia Rodriguez, Corpus Christi-Nueces County Public Health DistrictMelissa Wilson, MD, Litchenstein Foundation

Continuing Medical Education Advisory CommitteeThomas Alexander, MDMichael Bullen, MDJack Cortese, MDSteven Gates, DOEarl Matthew, MDKimberly Megow, MD, FAAP, FACHEVictor Melgoza, MD Arvind Modak, MD Shane Perkins, DO Jackie Phillips, DO Daniel Vijjeswarapu, MD Gerard Voorhees, MD

Continuing Pharmacy Education Advisory CommitteeFadi Alkhateeb, BSPharm, MBA, PhDVivian Armstrong, CPhT, PhTRMary Chavez, PharmDJohn D. Evans, PharmD, MBAMary B. Hill, RPhMike Horseman, PharmDAlice Mendoza, RPhGeorge Udeani, PharmD, DSc, FCP, FCCP

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