Bio

Bio


Dr. Cuttriss serves as Director of Project ECHO Diabetes at Stanford University. Prior to joining Stanford, Dr. Cuttriss served as the first pediatric endocrinologist for the University of New Mexico Project ECHO Institute ENDO teleECHO (www.echo.unm.edu) to democratize specialty knowledge and expand patients? access to critical care and services in rural and underserved communities. Dr. Cuttriss co-founded and serves of chairman of the Board of AYUDA (www.ayudavolunteer.org), a global health volunteer organization that empowers youth to serve as agents of change for youth with diabetes. Dr. Cuttriss has supported diabetes outreach initiatives in over 10 countries, trained and placed over 700 students abroad. Dr. Cuttriss has special interest in telehealth, diabetes, and supporting vulnerable and underserved diabetes communities in the United States and globally.

Clinical Focus


  • Pediatrics
  • Diabetes
  • Pediatric Endocrinology

Academic Appointments


Boards, Advisory Committees, Professional Organizations


  • co-Founder & Chairman of the Board, AYUDA (American Youth Understanding Diabetes Abroad) (1998 - Present)

Professional Education


  • Board Certification: Pediatrics, American Board of Pediatrics (2013)
  • Board Certification: Pediatric Endocrinology, American Board of Pediatrics (2015)
  • Fellowship: University of Miami Miller School of Medicine/Jackson Memorial Hospital (2014) FL
  • Residency: Harbor UCLA Medical Center (2011) CA United States of America
  • Medical Education: George Washington University School of Medicine and Health Sciences (2007) DC

Community and International Work


  • Project ECHO Diabetes in the Time of COVID-19 (http://diabetescovid.stanford.edu)

    Topic

    Diabetes, COVID-19, Primary Care

    Populations Served

    primary care providers and patients with diabetes

    Location

    International

    Ongoing Project

    Yes

    Opportunities for Student Involvement

    Yes

  • Project ECHO Diabetes

    Topic

    Diabetes

    Partnering Organization(s)

    ECHO Institute, University of Florida

    Location

    International

    Ongoing Project

    Yes

    Opportunities for Student Involvement

    Yes

  • Project ECHO T1D Ecuador, Ecuador

    Partnering Organization(s)

    ECHO Institute, UTE

    Populations Served

    Diabetes

    Ongoing Project

    Yes

    Opportunities for Student Involvement

    Yes

  • AYUDA (www.ayudavolunteer.org), Dominican Republic

    Topic

    Global health

    Partnering Organization(s)

    AYUDA and Aprendiendo a Vivir

    Populations Served

    Diabetes

    Location

    International

    Ongoing Project

    Yes

    Opportunities for Student Involvement

    Yes

Research & Scholarship

Projects


  • Project ECHO Diabetes in the Time of COVID-19, Stanford University

    Tele-education and tele-mentoring program that addresses the urgent needs of patients with type 1 and type 2 diabetes who require complex diabetes treatment in the time of COVID-19 in the primary care setting by empowering and increasing the capacity of primary care providers (PCPs) and clinics to safely and effectively manage underserved patients who do not have access to routine specialty care. The program consist of (1) live weekly ECHO webinar, (2) On-demand webinars, (3) Curb-side consultation for participating providers, (4) clinic and patient resources for diabetes in the time of COVID-19 in the primary care setting. http://diabetescovid.stanford.edu/

    Location

    Stanford, California, USA

  • Project ECHO Diabetes, Stanford University

    The majority of people living with diabetes do not have the privilege of access to routine diabetes specialists and endocrinologists. Most people with diabetes rely on their primary care provider (PCP) to manage their diabetes. Lack of access to diabetes specialists and suboptimal outcomes for people living with diabetes care mandates the development of innovative healthcare delivery models.

    Stanford Medicine has partnered with Project ECHOŽ (Extension for Community Healthcare Outcomes) and the University of Florida Diabetes Institute (UFDI) to develop an ECHO model for diabetes called ECHO Diabetes. The goal is to increase the capacity of PCPs and clinics to safely and effectively manage underserved patients with insulin-requiring diabetes who do not receive routine specialty care. In turn, PCPs empower patients to achieve better control over their diabetes, and gain confidence in managing their own day-to-day care.

    ECHO Diabetes is a tele-education and tele-mentoring collaborative that provides cutting edge knowledge. ECHO Diabetes:
    ?Focuses on HEDIS/NCQA outcomes, including improving A1c control and decreasing hospital admissions/readmissions
    ?Provides no cost Continuing Medical Education/Continuing Education credits for providers
    ?Emphasizes quality improvement and dedicated time to discuss individual QI measures
    ?Inspires providers and clinics to do the right thing for their community
    ?Offers sponsorship for accepted clinics

    Location

    California, USA

    For More Information:

Publications

All Publications


  • The Neighborhood Deprivation Index and Provider Geocoding Identify Critical Catchment Areas for Diabetes Outreach. The Journal of clinical endocrinology and metabolism Walker, A. F., Hu, H., Cuttriss, N., Anez-Zabala, C., Yabut, K., Haller, M. J., Maahs, D. M. 2020

    Abstract

    PURPOSE: In designing a Project ECHO Type 1 Diabetes (T1D) program in Florida and California, the Neighborhood Deprivation Index (NDI) was used in conjunction with geocoding of primary care providers (PCPs) and endocrinologists in each state to concurrently identify areas with low endocrinology provider density and high health risk/poverty areas. The NDI measures many aspects of poverty proven to be critical indicators of health outcomes.METHODS: The data from the 2013-2017 American Community Survey (ACS) 5-year estimates were used to create NDI maps for California and Florida. In addition, geocoding and 30-minute drive-time buffers were performed using publicly available provider directories for PCPs and endocrinologists in both states by Google Geocoding API and TravelTime Search Application Programming Interface (API).RESULTS: Based on these findings, we defined high need catchment areas as areas with: 1) more than a 30-minute drive to the nearest endocrinologist, but within a 30-minute drive to the nearest PCP; 2) an NDI in the highest quartile; and 3) a population above the median (5,199 for census tracts, and 1,394 for census block groups). Out of the 12,181 census tracts and 34,490 census block groups in California and Florida, we identified 57 tracts and 215 block groups meeting these criteria as high need catchment area.CONCLUSION: Geospatial analysis provides an important initial methodologic step to effectively focus outreach efforts in diabetes program development. The integration of the NDI with geocoded provider directories enables more cost-effective and targeted interventions to reach the most vulnerable populations living with T1D.

    View details for DOI 10.1210/clinem/dgaa462

    View details for PubMedID 32676640

  • Tele-rounds and Case-Based Training: Project ECHO Telementoring Model Applied to Complex Diabetes Care. Pediatric clinics of North America Cuttriss, N., Bouchonville, M. F., Maahs, D. M., Walker, A. F. 2020; 67 (4): 759?72

    Abstract

    Lack of access to subspecialty care and persistent suboptimal outcomes for insulin-requiring patients with diabetes mandates development of innovative health care delivery models. The workforce shortage of endocrinologists in the United States results in primary care providers taking on the role of diabetes specialists despite lack of confidence and knowledge in complex diabetes management. The telementoring model Project ECHO amplifies and democratizes specialty knowledge to reduce disparities in care and improve health outcomes. Project ECHO can be applied to type 1 diabetes and other complex medical conditions to address health disparities and urgent needs of complex patients throughout the lifespan.

    View details for DOI 10.1016/j.pcl.2020.04.017

    View details for PubMedID 32650871

  • Primary Care Providers in California and Florida Report Low Confidence in Providing Type 1 Diabetes Care. Clinical diabetes : a publication of the American Diabetes Association Lal, R. A., Cuttriss, N., Haller, M. J., Yabut, K., Anez-Zabala, C., Hood, K. K., Sheehan, E., Basina, M., Bernier, A., Baer, L. G., Filipp, S. L., Wang, C. J., Town, M. A., Gurka, M. J., Maahs, D. M., Walker, A. F. 2020; 38 (2): 159?65

    Abstract

    People with type 1 diabetes may receive a significant portion of their care from primary care providers (PCPs). To understand the involvement of PCPs in delivering type 1 diabetes care, we performed surveys in California and Florida, two of the most populous and diverse states in the United States. PCPs fill insulin prescriptions but report low confidence in providing type 1 diabetes care and difficulty accessing specialty referrals to endocrinologists.

    View details for DOI 10.2337/cd19-0060

    View details for PubMedID 32327888

    View details for PubMedCentralID PMC7164993

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