Optimal Therapy TRIAD 8/6/2015. Being Active Reducing Risks Problem Solving Healthy Coping. Robert Powell, PhD, CDE, CEP
|
|
- Jeffry Emory Doyle
- 5 years ago
- Views:
Transcription
1 Robert Powell, PhD, CDE, CEP Assistant Professor- Exercise Science Director- Diabetes Exercise Center Marshall University Huntington, WV Conflict of Interest (COI) and Financial Relationship Disclosures: NONE CAN DIABETES EDUCATORS PROVIDE EFFECTIVE EXERCISE COUNSELING? EXAMINING CURRENT CHALLENGES FOR FUTURE OPPORTUNITIES Optimal Therapy TRIAD Comparison of the Reductions in HbAc levels with Different Modes of Treatment Non- Insulin Pharmacotherapy Drug Classification Average HbAc reduction₁ Biguinides/ TZDs - to -2% Sulfonylureas/ meglitinides -0.5 to -2.0% DPP-4 inhibitors -0.4 to -0.6% GLP to -% Physical Activity Mode of Exercise Average HbAc reduction₂,₃ Aerobic Exercise Resistance Exercise to -0.89% -0.64%. The Art and Science of Diabetes Self-Management Education Desk Reference, 2nd Edition. American Association of Diabetes Educators. 2. Boule, N.G., et al., Effects of exercise on glycemic control and body mass in type 2 diabetes mellitus: a meta-analysis of controlled clinical trials. JAMA, (0): p Umpierre, D., et al., Volume of supervised exercise training impacts glycaemiccontrol in patients with type 2 diabetes: a systematic review with meta-regression analysis. Diabetologia. 56(2): p Reduces the incidence of heart disease and high blood pressure by approximately 40%. Lowers the risk of stroke by 27%. *Lowers the risk of developing type II diabetes by 58% *Can be twice as effective in treating type II diabetes than the standard insulin prescription and can save $2,250 per person per year when compared to the cost of standard drug treatment. Adults with greater muscle strength have a 20% lower risk of mortality than adults with low muscle strength. *A low level of fitness is a bigger risk factor for mortality than mild-moderate obesity. It is better to be fit and overweight than unfit with a lower percentage of body fat. Can decrease depression as effectively as Prozac or behavioral therapy. AADE 7 Self Care Behaviors Monitoring Taking Medications Healthy Eating Being Active Reducing Risks Problem Solving Healthy Coping Being Active Address knowledge: Type, duration, intensity safety precautions Address skills: Develop appropriate plan Balance with nutrition and medication Address barriers: Physical, environmental, psychological Time Fear Measure and assess outcomes and provide ongoing support Mulcahy, K., et al., Diabetes self-management education core outcomes measures. Diabetes Educ, (5):
2 Physical Activity Guidelines for U.S. Adults Aerobic Activity: A minimum of 50 minutes of moderate intensity aerobic activity per week 75 minutes of vigorous intensity aerobic activity per week An equivalent combination of the two per week Resistance Training: A minimum of 2 days per week of resistance training Underlying Message: Some is better than none, more is better than some Physical Activity Guidelines for Americans. Department of Health and Human Services Available from: Statement of the Problem Receive less support, education and encouragement for physical activity compared to other aspects of DSME/S Only 39% are considered regularly active Ages 60 years and older are 2-3x more likely to report inability to walk ¼ mile, climb stairs, or do housework Morrato, E.H., et al., Physical activity in U.S. adults with diabetes and at risk for developing diabetes, Diabetes Care, (2): p Kirk, A., et al., Increasing physical activity in people with type 2 diabetes. Diabetes Care, (4): p Diabetes Educators AADE 204 Membership Information 53% are Nurses (now 6%) 29% are Dietitians (now 25%) 9% pharmacists (now %) 3% other (same) < % exercise physiologists 45 of the 7,876 CDEs 63% are CDE and or BC-ADM (now 62%) Objective To identify factors that may influence the diabetes educator s ability to counseling on physical activity (PA) during DSME/S AADE member statistics, 204 Study Aims Primary Aims Time dedicated to PA counseling Importance placed on PA as a treatment Knowledge of the current PA guidelines for Adults Level of Confidence for PA counseling Barriers toward PA counseling Personal Practice based Exploratory Aims Level of Education Education Background Practice Setting Possession of the CDE Personal Exercise behaviors Recruitment and Sample Population Diabetes Educators attending the AADE, 3 rd Annual PA State Diabetes Conference Eligibility Criteria: Currently practicing Diabetes Educators Providing DSME/S to adults (8 years and older) Survey distribution: Unique Identifier Approved by AADE State Coordinating Body and Pitt IRB Incentives: Raffle for $60 Diabetes and Exercise Resource Exercise and Diabetes: A Clinician's Guide to Prescribing Physical Activity written by Sheri Colberg, PhD 2
3 Demographics Table : Demographic characteristicsof the Diabetes Educators who responded to the survey at the 204Pennsylvania State Diabetes Conference Variables Categories Mean + St. Dev. or % (N) Total (N) 5.9 ±0.7 9 Age (Years) Gender (% Female) 95.8% (4) 9 Race Caucasian 94.% (2) 9 Black or African American 3.4% (4) Native Hawaiian or Pacific Islander.8% () Asian.8% () Other.8% () Ethnicity Hispanic (% Yes) 2.5% (3) 9 Educational Discipline Nursing 60.5% (72) 9 Nutrition 28.6% (34) Pharmacy 5.9% (7) Health Education 2.5% (3) Doctor.7% (2) Other (Exercise Physiologist).8% () Level of Education Associate s Degree.8% (4) 9 Bachelor s Degree 50.4% (60) Master s Degree 23.5% (28) Doctoral Degree 5.0% (6) Other Degree 9.2% () CDE (% Yes) 73.9 (88) 9 Demographics (Cont.) Table 2: Delivery of Diabetes Self-Management and Support Variables Categories Mean + Standard Deviation or % (N) DSME/S Format: DSME/S Setting: Practice Setting: Group Individual Inpatient Outpatient Outpatient Hospital Primary Care Inpatient Hospital Pharmacy Home Health Other 2.6% (24) 78.4% (87) 22.8% (26) 77.2% (88) 5.7% (60).2% (3) 9.0% (22).9% ().7% (2) 5.5% (8) Sample (N) with valid data Performing DSME/S: (Years) 3 ± Time Counseling on Physical Activity Percent (%) Figure : Percent of Time Spent Addressing the 4 Common Content areas of DSME/S Importance of Physical Activity Counseling Table 3: Level of Importance Placed on the 4 Common Content Areas of Diabetes Self-Management Education and Support Variables Median Rank (Least Important) HealthyEating % (22) TakingMedications 2 3.8% (34) PhysicalActivity 3 2.5% (23) Ranking % (N) (Most Important) % 27.% (29) 22.2% (24) 2.5% (23) 3.8% (34) 38.9% (42) 28% (30) 9.6% (2) 5 0 Blood Glucose Monitoring % (28) 35.5% (38) 24.3% (26) 4% (5) Healthy Eating Taking Medications Blood Glucose Monitoring Physical Activity 4 Common Content Areas Physical Activity Guidelines Knowledge Table 4: Knowledge of Current PA Guidelines for Adults Variable Established Guidelines [% Yes(N)] PercentStating Correct Guidelines (N) Range MAPA (88) min VAPA 40.2 (45) 5% (23) min RT 64 (72) 98.6 (7) 2-5 days MAPA= Moderate Intensity Aerobic Physical Activity VAPA=Vigorous Intensity Aerobic Physical Activity RT= Resistance Training Most likely to report the correct amounts of MAPA: Those with Nutrition Degree (p<0.0) Those with CDE (p< 0.00) Most likely to report the correct amounts of RT: Those with Nutrition Degree (p<0.047) Counseling Confidence Table 5: Level of Confidence for Delivering PA Counseling as a Treatment (N=7) Very Confident %(N) Somewhat Confident %(N) Not Confident at All %(N) 54.7 (64) 4 (48) 4.3 (5) Those working in the outpatient hospital setting had a significantly greater level of confidence compared to the inpatient hospital setting (mean ranks= versus 43.70, respectively) (p=.08). Those who engage in regular physical activity (over past 6 months) perceive more confidence compared to their inactive counterparts (p=.02) 3
4 Personal Barriers Table 6: Ranking of Personal Barriers toward Physical Activity Counseling (N=07) Practice Based Barriers Table 7: Ranking of Practice Based Barriers toward Physical Activity Counseling (N=00) Barriers Assuring safe physical activity plans for patients with co-morbidities (HTN, CVD, etc.) Inability to engage patients in physical activity (i.e. motivation, interest, etc.) Limited knowledge of physical activity s effects on diabetes control Limited knowledge of proper physical activity counseling Ranking %(n) Median Least Challenging Most Challenging 3 7.8% 6.8% 3.8% 33.6% (9) (8) (34) (36) 3 2.% 23.4% 27.% 37.4% (3) (25) (29) (40) 50.5% 24.3% 7.8% 7.5% (54) (26) (9) (8) % 35.5% 22.4% 2.5% (22) (38) (24) (23) Those without the CDE were more likely to rank limited Knowledge of physical activities effects on diabetes control as a greater challenge compared to those with the CDE (p=.02) Barriers Median Least Challenging Time allotted for DSME/ S visits 5 8% (8) Limited physician support and/ or 4 6% guidance for physical activity (6) counseling Lack of physical activity resources (i.e. handouts) No reimbursement for physical activity counseling Not sure which exercise professionals to refer to Limited availability for individual visits 3 9% (9) 3 6% (6) 3 3% (3) 3 8% (8) Ranking % (n) % (2) 2% (2) 20% 5% (5) 24% (24) 7% (7) 9% (9) 5% (5) 7% (7) 25% (25) 6% (6) 8% (8) 9% (9) 7% (7) 20% 8% (8) 27% (27) 7% (7) 7% (7) 2% (2) 4% (4) 20% 3% 26% (3) (26) Most Challenging 35% (35) 9% (9) 0% (0) 5% (5) 3% (3) 8% (8) Summary of Findings Diabetes educators spend the least amount of time addressing physical activity (Aim ) Diabetes educators ranked physical activity as the 3 rd most important treatment strategy (Aim 2) Physical Activity Guidelines (Aim 3): 25% did not report at least 50 minutes per week of MPA 80% did not report at least 75 minutes per week of VPA 37% did not report at least 2 days per week of RT 55% felt very confident counseling on physical activity (Aim 4) Barriers (Aim 5): Greatest personal barrier was assuring safe physical activity plans for diabetes patients Greatest practice barrier was time to discuss physical activity Who is Responsible for PA Counseling?? 30% of DEs stated they are not responsible for counseling on PA 60% CEP 4% not sure % MD 8% Personal Trainer We are reaching a point where NOT prescribing or counseling on physical activity should be considered patient neglect? KEEP CALM AND COUNSEL ON EXERCISE 4
5 Address Physical Activity?? Common physical activity counseling approaches Start Moving More! ARE THEY ABLE TO PRODUCE SUSTAINABLE HEALTH BENEFITS??? Park Farther Away from your Destination! Take The Stairs! AADE 7 Self Care Behaviors Monitoring Taking Medications Healthy Eating Being Active Reducing Risks Problem Solving Healthy Coping Being Active Address knowledge: Type, duration, intensity safety precautions Address skills: Develop appropriate plan Balance with nutrition and medication Address barriers: Physical, environmental, psychological Time Fear Measure and assess outcomes and provide ongoing support The role for Physical Activity in Clinical Settings are expanding The Healthcare sector is the nation s largest industry Healthcare professionals are INCREASINGLY called upon to initiate physical activity counseling Change in policies = change in deliveries DEs can expand our worth by becoming a stronger resource for engaging patients in effective physical activity regimens through a number of avenues Mulcahy, K., et al., Diabetes self-management education core outcomes measures. Diabetes Educ, (5): Physical activity Resources (for patient and provider) Continuing Education ADA, ACSM, AADE Webinars Online Learning Certification (ACSM, ACE, NSCA, NASM, etc.) WEB SOURCES Activity Trackers/ Apps My Fitness Pal Map My Fitness Fitbit What happened to written logs????? BOOKS Coordinated Care 5
6 Physical Activity Resources: REFERRALS Clinical Exercise Centers Medical/ Clinical Exercise Centers Cardiac Rehabilitation Physical Therapy Diabetes Exercise Centers MARSHALL UNIVERSITY Diabetes Exercise Center Effects of the Cardiac Rehab Setting on Diabetes Patients Economic Domain Medical System Utilization Variable Pre Post* N Medication ER visits Hospital Admissions Physician visits *p<0.0 Diabetes Patients with CVD Enrolled in a Diabetes Exercise Program (4 year results) Ac (%) Quarterly Changes [42 months] Progression with N=30 2 Years Marley, WP et al. J Cardiopulm Rehab. 2006; 26:262. Marley, WP et al. 200 Diabetes Patients with CVD Enrolled in a Diabetes Exercise Program (4 year results) Mg/dl year Change of Fasting Blood Glucose (mg/dl) 66 Pre p= Post Physical Activity Resources: REFERRALS Fitness Centers Community Fitness Centers YMCA LA Fitness SNAP Fitness Wellness Centers Marley, WP et al
7 General Recommendations for Chronic Disease Management and Prevention: 50 minutes of moderate aerobic exercise per week OR 75 minutes of vigorous aerobic exercise per week OR Equivalent combination of moderate to vigorous aerobic exercise per week PLUS: 2 days per week resistance training MY CHALLENGE TO YOU TRAIN YOUR WEAKNESSES: Expand YOUR: Medical home resources Referrals, measuring/ demonstration tools Physical activity knowledge Physical Activity counseling strategies University of Pittsburgh Linda Siminerio, PhD, RN, CDE John Jakicic, PhD Andrea Kriska, PhD Amy Rickman, PhD, RD Peg Thearle, BSN, CDE Patty Johnson, RN, CDE Thank You Acknowledgments AADE Members Physical Activity Community of Interest Marshall University William Marley, PhD Lois Adkins, MS Karri Britt, MS References. Haas. et al. National Standards for Diabetes Self-Management Education and Support. The Diabetes Educator : Mulcahy, K., et al., Diabetes self-management education core outcomes measures. Diabetes Educ, (5): 3. Physical Activity Guidelines for Americans. Department of Health and Human Services Available from: 4. Morrato, E.H., et al., Physical activity in U.S. adults with diabetes and at risk for developing diabetes, Diabetes Care, (2): p Kirk, A., et al., Increasing physical activity in people with type 2 diabetes. Diabetes Care, (4): p Marsh LA, Armstrong JB, Marley WP. Impact of cardiac rehabilitation on the economic domain. J Cardiopulm Rehabil. 2006; 26: 262 (Abstract). 7. Marley, WP et al. The Effects of a Long-term Intensive Multifactorial Cardiac Rehabilitation Program on Hemoglobin AC. Journal of Cardiopulmonary Rehabilitation and Prevention. 200; 30: Robert Powell, Andrea Kriska, Amy Richman, Linda Siminerio, John Jakicic. Exploring Factors that Influence Diabetes Educator s Physical Activity Counseling during Diabetes Self-Management Education and Support. University of Pittsburgh. December st, 204. (Dissertation). 7
Diabetes Self-Management Education and Support (DSMES) Accreditation/Recognition 101
Diabetes Self-Management Education and Support (DSMES) Accreditation/Recognition 101 What is DSMES? Diabetes Self-Management Education and Support (DSMES) Evidence-based intervention that strengthens the
More informationThe National Diabetes Prevention Program in Washington State March 2012
The National Diabetes Prevention Program in Washington State March 2012 Session Objectives 1. Overview of pre-diabetes. 2. Describe the Diabetes Prevention Program (DPP). 3. Eligibility for the DPP. 4.
More informationMary Ann Hodorowicz RDN, MBA, CDE, CEC (Certified
Mary Ann Hodorowicz RDN, MBA, CDE, CEC (Certified Endocrinology Coder) Mary Ann Hodorowicz, RDN, MBA, CDE, CEC, is a licensed registered dietitian and certified diabetes educator and earned her MBA with
More informationProof that Diabetes Educators Do It Better: Supporting Persons with Diabetes
Proof that Diabetes Educators Do It Better: Supporting Persons with Diabetes Julie P. Gee PhD, RN MSN Director / Faculty Weber State University Ogden, UT Objectives 1. Describe beliefs (as measured by
More informationTo reduce the risk of cardiovascular disease and diabetes among Oklahoma state employees.
E Nancy A. Haller, MPH, CHES, Manager, State Wellness Program M PLOYEES To reduce the risk of cardiovascular disease and diabetes among Oklahoma state employees. To suspend or decrease the rising costs
More informationDiabetes Self-Management Education and Support Joint Position Statement
Diabetes Self-Management Education and Support Joint Position Statement User Guide This guide is meant to assist diabetes educators with implementing the recommendations from the Diabetes Self-Management
More informationREVIEW AND FREQUENTLY ASKED QUESTIONS (FAQ) 8/5/2015. Outline. Navigating the DSMT Reimbursement Maze in Todays Changing Environment
Patty Telgener RN, MBA, CPC VP of Reimbursement Emerson Consultants Navigating the DSMT Reimbursement Maze in Todays Changing Environment Patty Telgener, RN, MBA, CPC VP of Reimbursement Emerson Consultants
More informationInstructions: Please respond to each question as accurately as possible. There may be questions where you may indicate more than one response.
Thank you for agreeing to participate in in the Assessing faculty knowledge, skills and attitudes about oral health and primary care integration survey. Instructions: Please respond to each question as
More informationPresenter Disclosure Information
Prediabetes & Type 2 Diabetes Prevention Cari Ritter, PA-C Presenter Disclosure Information In compliance with the accrediting board policies, the American Diabetes Association requires the following disclosure
More informationThe Role of the Diabetes Educator within the Patient-Centered Medical Home & Future Roles
The Role of the Diabetes Educator within the Patient-Centered Medical Home & Future Roles Linda M. Siminerio, RN, PhD, CDE Professor of Medicine University of Pittsburgh School of Medicine & Nursing Objectives
More informationTopics. Page 1. Web Clinic Details. Copyright , Diabetes Educational Services, All Rights. Welcome to Preparing for BC-ADM Exam 2012
Welcome to Preparing for BC-ADM Exam 2012 Presented by Beverly Thomassian, RN, MPH, BC-ADM, CDE Diabetes Educational Services www.diabetesed.net Web Clinic Details To hear presentation, turn on your computer
More informationDiabetes Management: Interventions Engaging Community Health Workers
Diabetes Management: Interventions Engaging Community Health Workers Community Preventive Services Task Force Finding and Rationale Statement Ratified April 2017 Table of Contents Intervention Definition...
More information8/12/2016. Outline. New CPT Code for Pre-Diabetes Education. Medicare Proposed Coverage for DPP. Medicare Proposed Coverage for DPP cont.
New CPT Code for Pre-Diabetes Education 0403T: Preventive behavior change, intensive program of prevention of diabetes using a standardized diabetes prevention program curriculum, provided to individuals
More informationNational Landscape of Hospital-Based Palliative Care: Findings from the National Palliative Care Registry
National Landscape of Hospital-Based Palliative Care: Findings from the National Palliative Care Registry Maggie Rogers, MPH Senior Research Associate, CAPC Tamara Dumanovsky, PhD VP Research & Analytics,
More informationCHI Franciscan. Matt Levi Director Virtual Health Services. March 31, 2015
CHI Franciscan Matt Levi Director Virtual Health Services March 31, 2015 Reflection / 2 Agenda Introduction and background Matt Levi Director of Franciscan Health System Virtual Health Katie Farrell Manager
More informationIf DSME* were a pill, would you prescribe it?
If DSME* were a pill, would you prescribe it? *Diabetes Self-Management Education/Training Jan Kincaid Rystrom, RD CDE MEd Manager, Diabetes Education EvergreenHealth Goals Evaluate DSME as part of ADA
More informationWhat s New in the Standards of Medical Care in Diabetes? Dr. Jason Kruse, DO Broadlawns Medical Center
What s New in the Standards of Medical Care in Diabetes? Dr. Jason Kruse, DO Broadlawns Medical Center Learning Objectives By the end of this presentation, participants should be able to: Discuss updates
More informationWACMHC QI Roundtable QI Strategies to Address Diabetes and Hypertension. August 3, 2018
WACMHC QI Roundtable QI Strategies to Address Diabetes and Hypertension August 3, 2018 Welcome Thank you for joining us for our third quarterly roundtable of 2018! Facilitator: Hannah Stanfield WACMHC
More information8/13/2016. A Joint DSME/S Position Statement One Year Later. DSME/S Position Statement: Collaboration. Definitions. ADA Standards of Medical Care
DSME/S Position Statement: Collaboration Writing team represented 4 organizations Other organizations and disciplines provided input and review Maggie Powers (Chair), ADA Joan Bardsley, AADE Marjorie Cypress,
More information2016 Pharmacist Re-Licensure Survey Instrument
1. Sex a. Male b. Female 2016 Pharmacist Re-Licensure Survey Instrument 2. Ethnicity: Are you Hispanic or Latino? a. Yes b. No 3. Race (Check all that apply.) a. American Indian or Alaska Native b. Black
More informationHealth Care Providers Action Guide
Health Care Providers Action Guide Health Care Providers Action Guide How to Implement Exercise is Medicine in Your Practice This Exercise is Medicine Health Care Providers Action Guide provides simple
More informationDonna Amundson, RN, BSN, CDE Director of the Sanford Diabetes Center Bismarck, ND
Donna Amundson, RN, BSN, CDE Director of the Sanford Diabetes Center Bismarck, ND Discuss the core principles of quality management for diabetes care and education Identify the 6 core elements of the Chronic
More informationThe Algorithm for DMSES Referrals: A toolkit made for Diabetes Educators to share critical referral times locally and nationally.
The Algorithm for DMSES Referrals: A toolkit made for Diabetes Educators to share critical referral times locally and nationally. Joan Bardsley MBA, BS, RN, CDE, FAADE AVP Research and Nursing Integratio
More information2014 Diabetes Self-Management Education (DSME) Survey
2014 Diabetes Self-Management Education (DSME) Survey PLEASE RESPOND BY: January 23 rd, 2013 Granite State Diabetes Educators Inc. (GSDE) and the New Hampshire Department of Health and Human Services (DHHS),
More information13 B: Colorado Diabetes Burden Map. 15 References 15
Definitions 2 Purpose of Toolkit 2 Diabetes Self-Management Education (DSME) 3 Medicaid DSME Benefit Overview 4 Eligibility 4 Diagnostic Criteria 4 Accreditation 5 Components of a Qualified DSME Program
More informationDiabetes Care begins with Diabetes Prevention. Neha Sachdev, MD Janet Williams, MA
Diabetes Care begins with Diabetes Prevention Neha Sachdev, MD Janet Williams, MA Objectives Describe the clinical practice burden and trends in type 2 diabetes Review evidence for diabetes prevention
More informationDiabetes Prevention in. Massachusetts: Prediabetes and the Diabetes Prevention Program. Diabetes Prevention and Control
Diabetes Prevention in r Massachusetts: Prediabetes and the Diabetes Prevention Program Diabetes Prevention and Control www.mass.gov/dph/diabetes Massachusetts Department of Public Health 29 million with
More informationInternational Diabetes Center s Annual Symposium for Advanced Diabetes Educators: Discoveries in Diabetes: How They Will Change Your Practice
International Diabetes Center s Annual Symposium for Advanced Diabetes Educators: Discoveries in Diabetes: How They Will Change Your Practice The Don Etzwiler Memorial Lecture: Critical Times for Diabetes
More informationDisclosure. I have no relevant financial relationships with commercial interests to disclose American Medical Association. All rights reserved.
Disclosure I have no relevant financial relationships with commercial interests to disclose. 2 Objectives Describe the trends in type 2 diabetes and implications for clinical practice Review the evidence
More informationWorking Together to Prevent Diabetes
Elizabeth Joy, MD, MPH Intermountain Healthcare Medical Director, Community Health & Clinical Nutrition President, American College of Sports Medicine Working Together to Prevent Diabetes Overview Why
More informationPrediabetes & Type 2 Diabetes Prevention. Jacob M. Haus, PHD
Prediabetes & Type 2 Diabetes Prevention Jacob M. Haus, PHD Disclosures In compliance with the accrediting board policies, the American Diabetes Association requires the following disclosure to the participants:
More informationParticipants in the Program
Type 2 Diabetes Performance Improvement Initiative: Chart Reviews Participants in the Program 318 clinicians have registered 192 have started the program 126 have started their initial chart review 26
More informationWorking Together to Prevent Diabetes
Working Together to Prevent Diabetes Elizabeth Joy, MD, MPH, FACSM Medical Director, Community Health Food & Nutrition Family Medicine / Sports Medicine Salt Lake Clinic 29.1 million Americans have diabetes
More informationGerald Bernstein, MD, Director, Diabetes Management Program. Marina Krymskaya, RN, MSN, ANP, CDE FDI Assistant Director
Gerald Bernstein, MD, Director, Diabetes Management Program Marina Krymskaya, RN, MSN, ANP, CDE FDI Assistant Director November, 2010 1 Epidemiology CDC: 1 of 3 born in 2000 will develop diabetes. 42.3%
More informationPhysical Activity/Exercise Prescription with Diabetes
Physical Activity/Exercise Prescription with Diabetes B R AD H I NTERMEYER C E P A C SM S A NFORD H E ALTH C A RDIAC R E H AB A N D D I ABE TES E XE RCISE The adoption and maintenance of physical activity
More informationPREVENTATIVE COMMUNITY PHARMACY DIABETES MANAGEMENT PROGRAMS BROOKE HUDSPETH, PHARMD, CDE, MLDE KROGER DIABETES CARE
PREVENTATIVE COMMUNITY PHARMACY DIABETES MANAGEMENT PROGRAMS BROOKE HUDSPETH, PHARMD, CDE, MLDE KROGER DIABETES CARE DISCLOSURE STATEMENT Brooke Hudspeth is employed by The Kroger Co. No other conflicts
More informationKey Elements in Managing Diabetes
Key Elements in Managing Diabetes Presentor Disclosure No conflicts of interest to disclose Presented by Susan Cotey, RN, CDE Lennon Diabetes Center Stephanie Tubbs Jones Health Center Cleveland Clinic
More informationPatient Activation + Engagement: Implementing Diabetes Group Appointments
Patient Activation + Engagement: Implementing Diabetes Group Appointments Janelle Howe, Director, Disease Management Aurora Galindo Simental, Health Educator June 20, 2013 Solutions-Oriented Approaches
More informationRole of the Clinical Pharmacist in Primary Care
Role of the Clinical Pharmacist in Primary Care Amy Kramer, Pharm.D., Manager Clinical Pharmacy Services Kaiser Permanente Holly Miller, Pharm.D., BCACP, Primary Care Clinical Pharmacist Kaiser Permanente
More informationPhysical Inactivity Overweight/ Obesity High Blood Pressure Hyperlipidemia Healthy Eating Smoking
Mode Matters: Matching Patient Goals with the Appropriate Exercise Regimen to Improve Diabetes Related Health Outcomes Robert O. Powell, PhD, CDE, CSCS, CEP Assistant Professor, Exercise Science Director,
More informationAbout the Highmark Foundation
About the Highmark Foundation The Highmark Foundation, created in 2000 as an affiliate of Highmark Inc., is a charitable organization and a private foundation that supports initiatives and programs aimed
More informationPEER REVIEW HISTORY ARTICLE DETAILS TITLE (PROVISIONAL)
PEER REVIEW HISTORY BMJ Open publishes all reviews undertaken for accepted manuscripts. Reviewers are asked to complete a checklist review form (see an example) and are provided with free text boxes to
More information1. Introduce the Culture of Health Framework. 2. Become acquainted with the the Robert Wood Johnson Foundation Public Health Nurse Leadership Program
1. Introduce the Culture of Health Framework. 2. Become acquainted with the the Robert Wood Johnson Foundation Public Health Nurse Leadership Program (PHNL). 3. Increase awareness of diabetes/prediabetes
More informationDiabetes Survival Skills
Promoting Patient Survival with Diabetes Survival Skills Need to know skills for persons with diabetes Susan Zontine, NP-C WMC Diabetes Stewardship team Objectives: Review & understand basic diabetes survival
More information6/5/2014. Exercise and Metabolic Management DECLINE IN DEATHS. Regular exercise has health benefits for individuals of every weight
Exercise and Metabolic Management Theodore Feldman, MD,FACC,FACP Medical Director, Center for Prevention and Wellness, Baptist Health Medical Director, South Miami Heart Center Heartwell LLP Clinical Associate
More informationJ. Michael Gonzalez-Campoy, MD, PhD, FACE Teresa Pearson, MS, RN, CDE, FAADE
SCREEN, COUNSEL, REFER AND FOLLOW-UP FOR DIABETES AND PREDIABETES J. Michael Gonzalez-Campoy, MD, PhD, FACE drmike@mncome.com Teresa Pearson, MS, RN, CDE, FAADE tpearson@hallelandhabicht.net Sponsored
More informationDiabetes Care begins with Diabetes Prevention. Neha Sachdev, MD Janet Williams, MA
Diabetes Care begins with Diabetes Prevention Neha Sachdev, MD Janet Williams, MA Objectives Describe the clinical practice burden and trends in type 2 diabetes Review evidence for diabetes prevention
More informationManage Diabetes with Small Changes
In This Issue: } Manage with Small Changes } The Role of Your Educator } Prediabetes: A Call to Action } Insulin and : Your Questions Answered Manage with Small Changes One man learns simple ways to keep
More informationRuth Lipman, PhD Chief Science and Practice Officer Joanna Craver, MNM Diabetes Prevention Program Manager Natalie Blum, BA Diabetes Prevention
Ruth Lipman, PhD Chief Science and Practice Officer Joanna Craver, MNM Diabetes Prevention Program Manager Natalie Blum, BA Diabetes Prevention Program Coordinator About AADE Mission: Empower healthcare
More informationATTUD APPLICATION FORM FOR WEBSITE LISTING (PHASE 1): TOBACCO TREATMENT SPECIALIST (TTS) TRAINING PROGRAM PROGRAM INFORMATION & OVERVIEW
ATTUD APPLICATION FORM FOR WEBSITE LISTING (PHASE 1): TOBACCO TREATMENT SPECIALIST (TTS) TRAINING PROGRAM APPLICATION NUMBER: TTS 2010_2_0011 PROGRAM INFORMATION & OVERVIEW Date of this Application 2/01/10
More informationPrevent Diabetes STAT Hannah Herold, MPH, MA, CHES Chronic Disease Prevention Program Wyoming Department of Health Partnering with Wyoming Primary
Prevent Diabetes STAT Hannah Herold, MPH, MA, CHES Chronic Disease Prevention Program Wyoming Department of Health Partnering with Wyoming Primary Care Association Objectives Understand the prevalence
More information6/10/2016. Hui-Chun Hsu
Hui-Chun Hsu PhD, RN, CDE Chief, Department of Diabetes Management Lee s Endocrinology Clinic Pingtung, Taiwan Disclosure to Participants Conflict of Interest (COI) and Financial Relationship Disclosures:
More informationDiabetes and Physical Activity Practice Synopsis October 22, 2015
Diabetes and Physical Activity Practice Synopsis October 22, 2015 Introduction Physical activity is a cornerstone of type 2 diabetes prevention and treatment. Comorbid conditions such as hypertension,
More informationACSM CERTIFIED CLINICAL EXERCISE PHYSIOLOGIST JOB TASK ANALYSIS
ACSM CERTIFIED CLINICAL EXERCISE PHYSIOLOGIST JOB TASK ANALYSIS The job task analysis is intended to serve as a blueprint of the job of an ACSM Certified Clinical Exercise Physiologist. As you prepare
More informationDiabetes Education and Outreach with the WVU Extension Service
Diabetes Education and Outreach with the WVU Extension Service David Roberts, WVU Extension Families and Health Agent Lincoln County Dana Wright, WVU Extension Families and Health Agent Logan County Extension
More informationDiabetes and the Heart
Diabetes and the Heart Jeffrey Boord, MD, MPH Advances in Cardiovascular Medicine Kingston, Jamaica December 6, 2012 Outline Screening for diabetes in patients with CAD Screening for CAD in patients with
More informationAmerican College of Sports Medicine
American College of Sports Medicine The American College of Sports Medicine is the largest sports medicine and exercise science organization in the world. More than 35,000 international, national, and
More informationNational Diabetes Prevention Program Centers for Medicare & Medicaid Service Expansion. Tribal Leaders Diabetes Committee September 22, 2016
National Diabetes Prevention Program Centers for Medicare & Medicaid Service Expansion Tribal Leaders Diabetes Committee September 22, 2016 National Diabetes Prevention Program (DPP) Lifestyle change program
More informationDiabetes Care Begins With Diabetes Prevention
Diabetes Care Begins With Diabetes Prevention Noah Nesin, M.D., FAAFP June 28, 2018 12-1pm Webinar Logistics for Zoom Audio lines for non-presenters are currently muted Please use the Q & A function for
More informationWELL-WOMAN EXAM REVEALS RISK. Katie Jones, MPH, CHES Iowa Department of Public Health Erin Hinderaker, MS, RD, LD Des Moines University
WELL-WOMAN EXAM REVEALS RISK Katie Jones, MPH, CHES Iowa Department of Public Health Erin Hinderaker, MS, RD, LD Des Moines University Disclaimer The information provided in this presentation is for informational
More informationSedentary behaviour and adult health. Ashley Cooper
Sedentary behaviour and adult health Ashley Cooper Physical activity and health in the 1950 s Jerry Morris compared heart attack incidence & severity in drivers vs conductors Morris et al (1953) "Coronary
More informationDiabetes treatment by the algorithm
Diabetes treatment by the algorithm Joseph Dawley, M.D. Southwest Oklahoma Family Medicine Residency Oklahoma University Health Sciences Center Clinical Assistant Professor Objectives By the end of this
More informationParticipatory Medicine and Diabetes Care: A Clinician and Patient Education Initiative. Final Outcomes Assessment September 2017
Participatory Medicine and Diabetes Care: A Clinician and Patient Education Initiative Final Outcomes Assessment September 2017 Novo Nordisk Grant ID: 019262 CME Activity Page Patient Education Activity
More informationMercy Diabetes Prevention Program
Mercy Diabetes Prevention Program Know the risk. Make the change. Live your life. Ashton Caton, Community Wellness Program Manager May 11, 2018 The Statistics DIABETES 30.3 million Americans People who
More information6/9/2016. Activating Hospital Staff & Physicians to Support Diabetes Education in the Hospital and Through Transition. Diabetes in Scripps Hospitals
Disclosure to Participants Notice of Requirements For Successful Completion Please refer to learning goals and objectives Learners must attend the full activity and complete the evaluation in order to
More informationDiabetes Survival Skills
Promoting Patient Survival with Diabetes Survival Skills Need to know skills for persons with diabetes Susan Zontine, NP-C WMC Diabetes Stewardship team May 18, 2015 Diabetes Chronic illness with serious
More informationAdult Diabetes Clinician Guide NOVEMBER 2017
Kaiser Permanente National CLINICAL PRACTICE GUIDELINES Adult Diabetes Clinician Guide Introduction NOVEMBER 2017 This evidence-based guideline summary is based on the 2017 KP National Diabetes Guideline.
More information6/9/2016. Jasmine D. Gonzalvo PharmD, BCPS, BC- ADM, CDE. Advanced Diabetes Training for the Community Pharmacist. Objectives
Jasmine D. Gonzalvo PharmD, BCPS, BC- ADM, CDE Clinical Associate Professor College of Pharmacy Purdue University Clinical Pharmacy Specialist Eskenazi Health Indianapolis, IN Disclosure to Participants
More informationThe Role of Cardiac Rehabilitation in Recovery & Secondary Prevention. Loren M Stabile, MS Cardiac & Pulmonary Rehab Program Manager
The Role of Cardiac Rehabilitation in Recovery & Secondary Prevention Loren M Stabile, MS Cardiac & Pulmonary Rehab Program Manager Objectives Core Components of Cardiac Rehab Program CR Indications &
More informationCOMMUNITY EFFORTS TO PREVENT TYPE 2 DIABETES
COMMUNITY EFFORTS TO PREVENT TYPE 2 DIABETES 15 th Population Health Colloquium March 23, 2015 Marti Macchi, MEd., MPH Senior Consultant National Association of Chronic Disease Directors Today s Agenda
More informationSenior Leaders and the Strategic Alignment of Community Benefit Programs: The Example of Diabetes
Senior Leaders and the Strategic Alignment of Community Benefit Programs: The Example of Diabetes Posted: February 17, 2009 By Patsy Matheny, Community Benefit Consultant. Sugar Grove, Ohio Moving community
More informationUntapped Potential: Health Educators as Certified Diabetes Educators Lori Blanton, MS, CHES Diabetes Health Educator
Untapped Potential: Health Educators as Certified Diabetes Educators Lori Blanton, MS, CHES Diabetes Health Educator Shands at the University of Florida Diabetes Self-Management Education and Nutrition
More informationPre Diabetes Screening in Primary Care
University of San Diego Digital USD Doctor of Nursing Practice Final Manuscripts Theses and Dissertations Spring 5-21-2016 Pre Diabetes Screening in Primary Care Christine Rieger crieger@sandiego.edu Follow
More informationData Summary Report, June 2009
PEIA Weight Management Program Participant Survey Data Summary Report, June 2009 Completed by Sam Zizzi & Christiaan Abildso for Nidia Henderson WMP Survey Report 1 Table of Contents Section pg# Survey
More informationDiabetes Quality Improvement Initiative
Diabetes Quality Improvement Initiative Community Care of North Carolina 2300 Rexwoods Drive, Ste. 100 Raleigh, NC 27607 (919) 745-2350 www.communitycarenc.org 2007 Background The Clinical Directors of
More informationReadiness of Lung Cancer Screening Sites to Implement Smoking Cessation Treatment Services
Readiness of Lung Cancer Screening Sites to Implement Smoking Cessation Treatment Services Jamie S. Ostroff, PhD Memorial Sloan Kettering Cancer Center June 20, 2016 Disclosures Research Consultant, New
More informationImproved IPGM: Demonstrating the Value to both Patients and Hospitals
Improved IPGM: Demonstrating the Value to both Patients and Hospitals Osama Hamdy, MD, PhD, FACE Medical Director, Inpatient Diabetes Program Joslin Diabetes Center Harvard Medical School, Boston, MA Cost
More informationBrigham and Women s Hospital Type 2 Diabetes Management Program Physician Pharmacist Collaborative Drug Therapy Management Protocol
Brigham and Women s Hospital Type 2 Diabetes Management Program Physician Pharmacist Collaborative Drug Therapy Management Protocol *Please note that this guideline may not be appropriate for all patients
More informationCan you see me now? Bringing DSME to rural S.C. via Telehealth. Mandy Floyd, RN Anita Longan, RDN, CDE, BC-ADM March 12, 2016
Can you see me now? Bringing DSME to rural S.C. via Telehealth Mandy Floyd, RN Anita Longan, RDN, CDE, BC-ADM March 12, 2016 HopeHealth A South Carolina Community Health Center What We Offer We served
More informationA Closer Look at the Diabetes Educator
A Closer Look at the Diabetes Educator Jan Pearson, BAN, RN, CDE Sr. Consultant International Diabetes Center A Closer Look at the Diabetes Educator Presentation Overview 1. Meeting the Demand 2. The Role
More informationSTATE OF THE STATE: TYPE II DIABETES
STATE OF THE STATE: TYPE II DIABETES HENRY DRISCOLL, MD, CHIEF of ENDOCRINOLOGY MARSHALL U, CHERTOW DIABETES CENTER, HUNTINGTON VAMC HEATHER VENOY, RD, LD, CDE DIETITIAN, DIABETES EDUCATOR, CHERTOW DIABETES
More information8/7/2015. Objectives JAZZ IT UP BUILDING THE CDE CHW CONNECTION INTO YOUR PRACTICE. Sandi Burke. Ardis Reed MPH RD LD CDE
Sandi Burke PhD, APRN, BC, FAADE, FAAN Professor & Academic Chair: Undergraduate Programs Barnes-Jewish College, Goldfarb School of Nursing St. Louis, MO Educator since 1987 Expert Educator since.2005
More informationEvidence-Based Health Promotion and Disease Prevention Programs on a Budget. Philip McCallion & Lisa A Ferretti
Evidence-Based Health Promotion and Disease Prevention Programs on a Budget Philip McCallion & Lisa A Ferretti www.ceacw.org/qtac Building an Evidence Base: Randomized Control Trials Gold standard for
More informationDIABETES SELF-MANAGEMENT EDUCATION & NATIONAL DIABETES PREVENTION PROGRAMS. What, Why, and How
DIABETES SELF-MANAGEMENT EDUCATION & NATIONAL DIABETES PREVENTION PROGRAMS What, Why, and How This presentation is brought to you by the Chronic Disease Prevention Program at the Wyoming Department of
More informationLOUISIANA MEDICAID PROGRAM ISSUED: 02/01/12 REPLACED: 02/01/94 CHAPTER 5: PROFESSIONAL SERVICES SECTION 5.1: COVERED SERVICES PAGE(S) 6
Diabetes Education Management Training Diabetes self management training (DSMT) is a collaborative process through which recipients with diabetes gain knowledge and skills needed to modify behavior and
More informationChanging Patient Base. A Knowledge to Practice Program
Changing Patient Base A Knowledge to Practice Program Learning Objectives By the end of this tutorial, you will: Understand how demographics are changing among patient populations Be aware of the resulting
More informationPatient Education, Diabetes Education, Structured Patient Education What does it all really mean to a person with Diabetes?
Patient Education, Diabetes Education, Structured Patient Education What does it all really mean to a person with Diabetes? Linda Burns Community Diabetes Nurse Specialist Glasgow North West Diabetes MCN
More informationWelcome to the ACSM/Exercise is Medicine Professional Credential online workshop presented by Health & Exercise Connections, LLC
Welcome to the ACSM/Exercise is Medicine Professional Credential online workshop presented by Health & Exercise Connections, LLC Objectives 1. Provide candidates with an overview of content related to
More informationScreening for diabetes
Screening for diabetes Peggy Odegard, Pharm.D, BCPS, CDE What are your risks? 1 Diabetes Mellitus A problem with glucose regulation type 1= pancreas cannot produce insulin so total insulin deficiency,
More informationPre-diabetes. Pharmacological Approaches to Delay Progression to Diabetes
Pre-diabetes Pharmacological Approaches to Delay Progression to Diabetes Overview Definition of Pre-diabetes Risk Factors for Pre-diabetes Clinical practice guidelines for diabetes Management, including
More informationPresentation Objectives
The Short-Term Effects of a Wellness On-boarding Program with Health Sciences Students on Depression, Anxiety, Healthy Lifestyle Beliefs and Healthy Lifestyle Behaviors Bernadette Mazurek Melnyk, PhD,
More informationIt s Never Too Early To Prevent Diabetes: The Lasting Impact of Gestational Diabetes on Mothers and Children
It s Never Too Early To Prevent Diabetes: The Lasting Impact of Gestational Diabetes on Mothers and Children Robert Ratner, M.D., F.A.C.P. Vice President for Scientific Affairs, Medstar Research Institute
More informationAdvocating for Occupational Therapy s Role in Diabetes Management. Milwaukee VA Medical Center Abbey Lacey, OTS
Advocating for Occupational Therapy s Role in Diabetes Management Milwaukee VA Medical Center Abbey Lacey, OTS Objectives! Overview! Advocacy project! Case study Overview! Type II diabetes results when
More informationBilling and Coding for Pediatric Obesity Care
Novick 1 Billing and Coding for Pediatric Obesity Care PA Medical Home Spring 2014 Conference on Pediatric Obesity May 25, 2014 Marsha B. Novick, MD Medical Director, Pediatric Multidisciplinary Weight
More information= AUDIO. Managing Diabetes for Improved Cardiovascular Health. An Important Reminder. Mission of OFMQ 8/18/2015. Jimmi Norris MS, RN, CDE
Managing Diabetes for Improved Cardiovascular Health Jimmi Norris MS, RN, CDE An Important Reminder For audio, you must use your phone: Step 1: Call (866) 906 0123. Step 2: Enter code 2071585#. Step 3:
More informationImpact of Exercise on Patients with Diabetes Mellitus. Learning Objectives. Definitions Physical Activity and Health
Impact of Exercise on Patients with Diabetes Mellitus Bret Goodpaster, Ph.D. Exercise Physiologist Assistant Professor of Medicine University of Pittsburgh Division of Endocrinology and Metabolism Learning
More informationMyths, Heart Disease and the Latino Population. Maria T. Vivaldi MD MGH Women s Heart Health Program. Hispanics constitute 16.3 % of US population!
Myths, Heart Disease and the Latino Population Maria T. Vivaldi MD MGH Women s Heart Health Program Hispanics constitute 16.3 % of US population! 1 LEADING CAUSES OF DEATH IN LATINOS Heart disease is the
More informationPURPOSE OF THE SELF-ASSESSMENT TOOLS:
Pulmonary Rehab s Framework Self-Assessment Tool Inpatient Rehab Survey for Pulmonary Rehab INTRODUCTION: In response to a changing rehab landscape in which rehabilitation is offered in many different
More informationInitial Patient Self Assessment Demographics:
Initial Patient Self Assessment Demographics: Name: Address: E mail: Phone Number: Date of Birth: Gender: Male Female Other Primary Language: English Spanish Other Occupation: Education: Clerical Skilled
More information