AADE18: Passion into Action

Transcription

1 AADE7 IN PRACTICE AADE18: Passion into Action AADE18 Education Track Descriptions AADE7 Self-Care Behaviors are at the core of successful diabetes self-management and support. This track explores these essential behaviors in detail and the many teaching strategies, tools, and resources for effective and innovative delivery models. AADE encourages proposals that address the wide range of diabetes educator skill levels, expertise in working with a variety of patient populations and providing AADE7 in all types of practice settings. The AADE18 Planning Committee seeks full session proposals (1 hour), short case studies (10-12 minutes) or short presentations (10-12 minutes). Full session proposals that include case studies, panel discussions and interactive learning methods will be privileged for selection. Healthy Eating Nutrigenomics Fad diets: myths vs. evidence Teaching techniques and case studies for healthy eating, grocery store tours, cooking demos, home set up, etc. Being Active Team approach: Exercise Physiologist, behavioral change therapist and PT making recommendations for success Exercise is medicine. What are the benefits and how to implement this evidence based intervention with fidelity Taking Medication/Monitoring/Problem Solving Blood sugar management case studies and success stories Problem solving medication management Beyond blood sugar: BP and Lipid meds for management and why it s important to the PWD. Healthy Coping Healthy coping workshop for PWD support team Reducing Risks Sessions and case studies focused on oral health, foot care, PT and managing wounds

2 Best practices and case studies for putting safe at school into practice. What kinds of partnerships have you seen work (e.g., RN, CDE and parents)? Collaborations and New Approaches Building a transition team steps for success when transitioning from teen to college. Explore hot topics-alcohol, sex, etc. What are assessment tools that you ve found that work? How do you create an education plan that meets the individual needs of a PWD? Using literacy and numeracy tools Utilizing paraprofessionals and multidisciplinary team members to expand and scale your program Cultural, ability and learning style considerations and that have increased impact and outcomes self-management in diverse populations Collaboration and integration with related chronic diseases into your current diabetes programs, including partnership with health care system to help meet system quality goals, and continuity of care initiatives

3 BUSINESS MODELS AND DEVELOPMENT To sustain and help DSME programs thrive in healthcare s ever changing environment, Diabetes Educators and managers need keen business acumen, health economics savvy and the resources to build diverse revenue producing programs. Providing value-based diabetes business models which focus on cost avoidance and cost savings can support reduced health care utilization as well as help ACOs, PCMHs meet HEDIS, quality and budgetary measures. Successful value-based business models and traditional business practices will include a variety of business plans including: multiple revenue streams, cost avoidance and savings data, addressing claims denials, coding and billing processes, marketing plans, identifying new billable services, and measuring ROI not only on revenue and A1cs, but also on health care economics and quality. Expanding business horizons means working smarter, not harder, and leveraging existing staff, budget and resources to exceed the expectations of our organizations. The AADE18 Planning Committee seeks full session proposals (1 hour), short case studies (10-12 minutes), or short presentations (10-12 minutes) related to: Your Team o Describe how you have optimized roles, responsibilities, skills of your full team o How are you recruiting, retaining and sustaining your staff? o How do you use paraprofessionals, as well as clinical professionals in your staffing model? o Do you have an interdisciplinary team? How have you been able to harness the full potential of a multidisciplinary workforce? Are you providing MNT, MTM, DSMES, MDPP, can you? Business planning and reimbursement o The Triple Aim Framework Cost: revenue vs. cost avoidance: What other billable services can enhance your program: MNT, CGM, using alternate codes. How to evaluate these services. Quality: what needs to be measured and how to use that data to show viability: and communicate outcomes to show what DEs are doing and why we need them. Experience: What programs are offered for the PWD and how does the PWD get from referral to discharge. Discuss how you use a navigation center, a team approach vs. silo working structure. o How do you build a business case and teach fundamental budgeting principles? How do you to talk so the CFO/CEO will listen? Share your pearls. Share how you have implemented a business model for underserved persons, community pharmacies, valued based, population health, managed care contracts, or where ROI is based on quality measures/hedis.

4 o How have you revitalized your program to fit into new models of care? Describe evolution of diabetes education in primary care, specialty practices or population health Do you meet with your billing department to review denied claims and work together to resubmit? Tells us how this relationship was developed and how it works? Has your program survived the change to a PCMH or ACO? Tell us your story Do you know how to tap into all payers in your area; Medicaid, Medicare, managed care, private payers, employer wellness programs, third party payers? Marketing o What tools do you use to gather information about how you market your services and tell us how you ve used these marketing tools to increase referrals and improve patient retention? Do you use your outcome measures, testimonials, previous participants to market your services? Do you survey your referring and potential referring providers to help increase your visibility? Have you utilized social media, local radio station interviews, news articles, Facebook to increase your visibility? How have you used the Joint Position Statement to increase referrals and grow your program? o Have your partnered with local community centers, pharmacies, medical centers, YMCAs, physical/occupational health and others to increase your visibility and provide potential support services for your participants? o Have you offered support groups in your local library, community center, Churches, hospital, etc.

5 CLINICAL THERAPEUTICS OF GLYCEMIC CONTROL Clinical Therapeutics of glycemic stability is one of the most challenging and rewarding prescriptions for diabetes self-care! We must rely on the reliable and evolving evidence from clinical therapeutic approaches for the treatment of diabetes. AADE encourages proposals that address the wide range of diabetes educator skill levels and practice settings. The AADE18 Planning Committee seeks full session proposals (1 hour), short case studies (10-12 minutes) or short presentations (10-12 minutes). Full session proposals that include case studies, panel discussions and interactive learning methods will be privileged for selection. Presentation topics may focus on one specific area or combine multiple elements: Insulin Safety, Titration and Therapy Safety with new insulins and concentrations Insulin therapy for uninsured and underinsured. Best practices to influence diabetes care, including insulin initiation, titration, and translating research into practice Hypoglycemia Hypoglycemia harm reduction Share your knowledge of protocols, initiatives, and awareness campaigns around hyperglycemia and hypoglycemia Medication management for special populations Stroke and glycemic management in acute care Pharmacotherapy for obesity: medical management vs. surgical Challenges and best practices with inpatient and outpatient management Medications and monitoring Formularies and their effect on transition of care Simulation of inter-professional scenarios for glycemic control

6 PATHOPHYSIOLOGY: ORIGIN AND MANAGEMENT STRATEGIES Prevention of diabetes complications is paramount. People with diabetes may present themselves with any number of complications of diabetes. Microvascular and macro vascular complications associated with diabetes must be tackled persistently. Prevalence, screening, diagnosis, and management of these complications must be done promptly for risk reduction. AADE encourages proposals that address the wide range of diabetes educator skill levels and practice settings. The AADE18 Planning Committee seeks full session proposals (1 hour), short case studies (10-12 minutes) or short presentations (10-12 minutes). Full session proposals that include case studies, panel discussions and interactive learning methods will be privileged for selection. Presentation topics may focus on one specific area or combine multiple elements: Identifying and treating complications and comorbidities o Hearing o Vision o Kidney o Extremities o Dermatology o Neuropathy-peripheral and autonomic o DKA, HHS, recognize and educate. Relationship of pathophysiology of diabetes with, and effective treatments of o Gut hormones o Celiac disease Special populations/diabetes of other causes o Transplants o Genetics o Pharmacogenomics o Metabolic diseases o Bariatric surgery o Long term effects of bariatric surgery Cardiovascular disease o HTN o Dyslipidemia o HF o Prevention o Treatment o Interrelationship o Macro and Microvascular disorders Impact of obesity and diabetes o Current theories, interventions and treatment models o What strategies effectively manage both

7 POPULATION HEALTH The shift from fee-for-service and traditional reimbursement models to population health and valuebased care is changing healthcare dramatically. Diabetes educators can expand their thought horizons by learning about the core considerations for effective transition from the current, traditional model to a population health framework. The educator has a role from outcomes considerations through effective EMR utilization. We re planning a rigorous multi-day training on population health divided into modules. Each module will feature an in-depth look at a particular aspect of population health. The AADE18 Planning Committee seeks session proposals (30-60 minutes) for the following modules. Subtopics are provided for guidance only; additional subtopics in each module are welcomed! Session proposals that include case studies, panel discussions and interactive learning methods will be privileged for selection. Module 1: Population Health Defined What is it? The journey and the process Why do we need it? Considerations for defining your population Connection to big data What outcomes, why? Robust EMR needs, challenges and solutions Diverse sources of outcome information (EMR, health system reports, CMS, public health data, etc.) Data collection, interpretation and dissemination HIPAA, HITECH, Confidentiality laws, Anti-trust, Contracts, Negligence, Discrimination etc. Module 2: Risk Stratification Approaches for Effective Population Health Management Risk elements-how do you define risks and create clinical pathways? Stratification determination Module 3: Population Health Management Strategies Clinical Pathway Development using evidence-based research & guidelines Addressing needs for pathway divergence when applies Decision support tools, including provider order automation New Models of DSME, embracing the role of diabetes educators, coordinators-working at the top of your license

8 Module 4: Population Health Payment Models Overview of existing payment models Impact on / Preparation requirements for health systems Role of the diabetes educator / coordinator to positively impact payment model Module 5: Leveraging your Workforce Nudging the exciting mindset toward a value driven health care model Engagement & communication strategies Workforce training System redesign needs and tools EMR needs and sources-how does IT and clinical work together? Triple Aim, the value proposition and leveraging the workforce Applying social determinants of health and population health within programs

9 PREVENTION/DELAY OF TYPE 2 DIABETES DSMES programs are increasingly adding prevention to their list of services. With Medicare reimbursement beginning in April of 2018 and an overall move towards value-based care, the number of opportunities will continue to grow. We re planning a rigorous multi-day training divided into three modules. Each module will feature a kick-off lecture from a speaker or panel. The AADE18 Planning Committee seeks to incorporate your pearls, case studies, and short-form presentations to spur discussion and learning. Please note: Cases or presentations in this category will be minutes only. Presentations will be creatively combined by the Planning Committee for each module. DPP Module 1: Implementation Strategies Cases/Presentations Requested Lifestyle Coach Training o What have been your successes, noteworthy practices, and lessons learned? o How can CDC and Lifestyle coach work together? o How can you partner you DPP program with the community DPP Module 2: Technology Strategies Cases/Presentations Requested Distance Learning o What tools have you incorporated? What works and what doesn t? Incorporating technology into DPP program o Are you or your participants using an app, tracker, web-based platform or other high or low tech? What are you using and what lessons can you share? Data and Databases o How are you tracking data and incorporating it into your workflow? How are you using data to encourage participant? How are you using data to prove your ROI? Using your EMR o Is your DPP data incorporated into a larger health record? What challenges and opportunities exist? Virtual DPP (Make up sessions and full program) o Share your experience and pearls in these new delivery mechanisms. DPP Module 3: Scaling and Sustainability Cases/Presentations Requested

10 Marketing Pearls and Pitfalls o Share your tools, stories and strategies for recruitment, enrollment and retention Program ROI o How have you taken your program to a positive financial ROI? Becoming a Medicare supplier and case studies for what works to maintain participant retention for reimbursement.

11 PSYCHOSOCIAL/BEHAVIORAL The 2017 Standards of Medical Care in Diabetes placed a key emphasis on psychological health. The AADE18 Planning Committee seeks full session proposals (1 hour), short case studies (10-12 minutes), or short presentations (10-12 minutes) related to: Diabetes Distress, Depression, and Stigma Interventions for diabetes-related distress during DSMES Diabetes related distress vs. depression and impacts Definition and impact of stigma on diabetes Resiliency and health care providers, care givers, and living with chronic conditions Shared decision making Cultural issues related to psychosocial matters Sleep disorders Standards, Tools, and Skills How do diabetes educators address the psychosocial standards as part of DSMES Incorporating validated tools in the psychosocial/behavioral health area Evidence Based conversations and communication o Group dynamics/facilitation o Question-based How diabetes educators increase skills, capacities and role for assessing/detecting/intervening psychosocial concerns Support Modalities Technology-addressing psychosocial concerns or behavioral concerns through technology Support for adult families members: DAWN2

12 TECHNOLOGY: DEVICES, DATA AND PATIENT GENERATED HEALTH DATA Technology is poised to radically transform prevention, treatment and ongoing support for persons at risk for or affected by diabetes and diabetes educators are perfectly positioned to direct this revolution. How are you using mobile apps, connected health devices and web-based data collection tools? What skills can you share with your colleagues about analysis, awareness, knowledge, and application of patient generated health data (PGHD)? What cases can you share around pattern management, population health data, virtual programming, two-way communication between device and persons with diabetes (PWD) and using customized education on-line or via text, web, phone, and online communities. Are you providing telehealth? Tell us how you are creating a telehealth environment for both the educator and the PWD. AADE encourages proposals that address the wide range of diabetes educator skill levels and practice settings. The AADE18 Planning Committee seeks full session proposals (1 hour), short case studies (10-12 minutes) or short presentations (10-12 minutes). Full session proposals that include case studies, panel discussions and interactive learning methods will be privileged for selection. Presentation topics may focus on one specific area or combine multiple elements: Combinations: Hybrid closed loop. A combination of the science and then art of getting started and progressing from manual to automatic. Monitoring Transitioning PWD to continuous glucose monitoring (CGM) Getting started and staying on CGM - pearls Data, Data, Data how to use it, interpret it, incorporate it into workflow Glucose meters considerations and best practices Medication Delivery and Persistence Pens Pumps: tethered, enhanced features Inhalable Lifestyle Technology that assists what have you found to work? How do you help patients increase their self-management skills with it? Decision making and tracking of activity, meals and carbohydrates How to overcome fears and barriers to use of technology for the PWD How to overcome fears and barriers to use of technology for providers/diabetes educators

13 Apps Possible data collection: food, activity, medications, blood glucose How do you help your patients choose apps based on accuracy, usability, updating and security? What are the best apps out there for patients? Online communities How do you optimally refer patients into the diabetes online community? Share your case studies successes and pitfalls Sharing information for support Privacy, security, safety How do you know what is evidence based Telehealth Success stories Challenges Platforms, processes Utilization and importance of PGHD Leveraging Person Generated Health Data to improve patient and system outcomes How are online services incorporated into traditional services and beyond traditional services, in diverse populations, rural and underserved areas How to use data and translate that data into practical suggestions and for PWD to improve outcomes in device use.