Response Form for Participation on TOD Workgroups
Taking on Diabetes relies on the expertise available in health plans. To gather this expertise, the Initiative has developed workgroups in four areas: collecting and disseminating best practices, building community partnerships, developing work site educational materials, and evaluating the success of the initiative. Each workgroupd is composed of representatives from health plans, the ADA, and initiative sponsors. Workgroups are responsible for reviewing TOD materials and providing input to the initiative's advisory committee on the direction of the initiative.

The following information is required for participation in each workgroup:

Nominee Name/Title: _______________________________

Company: ______________________________________

Address: _______________________________________

Phone: ________________________________________

Email: _________________________________________

You must also choose the type of workgroup you would like to participate in:

______ The Best Practices Workgroup studies, reviews, and sets criteria for reviewing diabetes interventions focusing on issues of the intervention's success, significance, and replicability.

Duties and membership: AAHP staff facilitates collection of these interventions, while the workgroup develops criteria for selecting best practices. The workgroup oversees creation of a dissemination vehicle to share its finding with other health plans. Membership in the workgroup includes staff, sponsors and representatives from Taking on Diabetes health plans and ADA members.

______ The Community Parternships Workgroup fosters locally based partnerships designed to develop, promote and evaluate consistent diabetes programs and education messages for a local population.

Duties and Membership: AAHP identifies the target based on the geographic distribution of health plans in the initiative. In regions that are targeted for establishing a community partnership, AAHP invites plans to participate in the partnership and convenes initial organizational meetings as needed. The Community Partnerships workgroup is a forum for identifying successful models, including organizational structure and objectives for community partnerships. Membership in the workgroup consists of staff, sponsors, health plans with experience in forming community partnerships, and health plans and ADA members drawn from the targeted communities.

______ The Measurement and Evaluation Workgroup evaluates the national success of Taking on Diabetes.

Duties and Membership: AAHP facilitates and oversees the collection of data for the national evaluation of the initiative. The workgroup is responsible for recommending measures to evaluate the initiative's success and for assessing information requirements associated with those measures. Membership in the workgroup includes staff, sponsers, ADA members and health plan quality experts with a background and/or interest in national-level measurement data and trend evaluation.

______ The Work Site Education Workgroup oversees the creation of educational materials and screening programs to be implemented in the worksite setting.

Duties and Membership: Working collaboratively with AAHP/ADA and the Employers Managed Health Care Association (MHCA), the Work Site Education Workgroup creates, disseminates, and evaluates materials and interventions designed for implementation in the work setting. Membership in the workgroup includes staff, employer representatives, ADA members and health plan representatives.