Health Extension for Diabetes (HED) was originally developed in
2017 in Greenville County, South Carolina by Clemson University.
The program is delivered statewide in South Carolina via Clemson
Extension Service.
Why offer Health Extension for Diabetes?
Universities, health systems, community organizations, and other
institutions interested in improving health status of individuals
living with diabetes can offer Health Extension for Diabetes by
becoming a HED Program Partner.
Who are HED Program Partners?
HED Program Partners are organizations collaborating with Clemson
University to become licensed providers of HED. Licensed HED
providers work with Clemson to replicate HED in their service
areas and with their community members/patients.
How was HED's curriculum developed?
The educational materials used in HED are built upon the
Association of Diabetes Care and Education Specialists (ADCES) 7
Self-Care Behaviors, which encompass key aspects of diabetes
self-management such as healthy coping, physical activity,
medication management, blood glucose monitoring, risk reduction
and problem-solving. HED's curriculum is updated annually to
stay up-to-date on current recommendations and best-practices
and to support the Standards of Medical Care in Diabetes.
What is the structure of HED?
HED is a 4-month diabetes self-management support program that is
delivered by group facilitation. The program is primarily
delivered via HED facilitators with one session delivered by a
Certified Diabetes Care and Education Specialist (CDCES). The
program is a high-touch program providing eight bi-weekly core
group education sessions with individual, personalized follow-up
contacts between group sessions. The program can be delivered in
person or online.
How long is the Health Extension for Diabetes program?
For each cohort, HED is approximately 4-months long and includes a
series of 8 education sessions and intermittent support. Each
session is one-hour.
What is an ADA practice-tested support program?
HED is an ADA Diabetes Practice-Tested Support program. A
Diabetes Practice-Tested Support program indicates a program has
high-quality diabetes support curriculums and resources that
meet the American Diabetes Association (ADA) criteria for
support programming, aligns with the Standards of Medical Care
in Diabetes, and demonstrates significant positive outcomes.
For more information visit the ADA Website:
https://professional.diabetes.org/content-page/diabetes-support-initiative
What training is required to become an HED facilitator?
Individuals from organizations licensed to provide HED who are
interested in becoming a HED facilitator must complete online
training through the Association of Diabetes Care and Education
Specialists as well as attend training taught by the Clemson HED
team.
What are the costs of becoming a licensed provider of Health
Extension for Diabetes?
Institutions seeking to become HED Program Partners pay
licensure and training fees. The licensing fee structure
requires an initial payment for the first 3 years and includes
virtual technical assistance. After year three, licensees will
begin a yearly HED renewal fee. All licensees will incur
training costs to prepare an organization to be an HED provider.
See “HED Programming and Pricing” for more information regarding
costs.
In terms of the licensing structure, does the cost remain
consistent for a single entity, regardless of the number of
locations or programs they intend to implement within the
community?
Yes, acquiring a HED License entails a fixed cost that covers
all affiliated locations and participants the entity can
adequately support. The cost applies uniformly to the partner
organization, rather than being calculated based on individual
participants served. If program fidelity is maintained and data
reports are provided to the Clemson HED team, there are no
limits on the number of participants a licensee can serve each
year.
Can HED Program Partners charge a participant fee for HED?
HED Program Partners may choose to provide HED as a free program
or have a per participant fee. Some HED Program Partners may
work with third party payers to seek program reimbursement.
Are there any data outcome measures that should be collected as
part of this program?
Yes. Program partners submit annual progress reports on HED
program enrollment. Individual participant data is also
collected for HED. HED Program Partners are provided with data
collection portals by the Clemson HED team.