Friday, March 30th Annual Conference Vancouver, WA March st Education Sessions

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1 2012 Annual Conference Vancouver, WA March st Education Sessions Friday, March 30th Preconference: Breakouts 8:00-9:30 am Sensational Sensors CGMS Are Now Justified with Evidence of Their Benefit. GET READY Marcia Miller MSN, RN, ARNP, CDE Marcia is an ARNP in a private practice endocrine clinic. She has her own panel of patients that she follows and manages, with over 500 people with Type 1 and Type 2 Diabetes who wear insulin pumps. Marcia prescribes and uses both professional CGMS with an ipro or personal CGMS with Dexcom, Guardian, or Paradigm pumps. 1. Identify current models of professional and personal CGMS with and without insulin pump therapy. 2. Discuss evidence based guidelines where CGMS is used in adult and pediatric settings. 3. Describe basic functionality of CGMS for improved accuracy and patient tolerance of CGMS. 4. Review software and data available to improve blood glucose levels and patient outcomes. Diabetes and Disabilities: Inspiration for Diabetes Educators An Interactive workshop to share and learn teaching skills <MORE> Pat Haldi MN, CRRN, CDE Pat is a certified diabetes educator at St. Luke s Rehabilitation Institute in Liberty Lake, WA. She has spoken at various ARN National Education Conferences on topics including Diabetes in Rehabilitation. Pat has spoken at AADE on Disability and Diabetes, as well as Diabetes in Long Term Care. Pat was awarded AADE Diabetes Educator of the Year She served as WADE president from Pat has served on WADE s annual meeting committee for four years. 1. Compare and contrast inpatient acute care, inpatient rehabilitation and out patient diabetes programs in relation to diabetes education 2. Identify official definitions of disability. 3. State desired outcome of patient education in acute rehabilitation. 4. List differences between teaching and facilitating. 5. Discuss aspects of learning 6. Identify specific theories related to learning. 7. List potential interfering factors to learning. 8. List the 7 principles for Good Practice in Undergraduate Education and discuss how these principles can be used as a resource for the diabetes educator when working with individuals having diabetes.

2 Preconference: Breakouts 10:00-11:30 am What s in the Wind at the State and Federal Levels for Diabetes Education James Specker, AADE Advocacy Specialist James has experience in government and legislative affairs at the national, state, and local levels. He has proven skills in advocacy and public affairs research and analysis, strategic planning, grassroots mobilization, public policy event coordination and management, coalition building, alliance development and extensive experience in on-line and social media advocacy efforts. 1. Discuss the basics of advocating and grassroots activities for diabetes educators and legislation that affects the profession. 2. Recognize and analyze state and federal legislation that affects the profession. Changing the Future - Diabetes Primary Prevention Jeanne Harmon, RD, MBA, CDE Jeanne has worked for the Department of Health s Diabetes Prevention and Control Program since She coordinates projects involving professional education; and works with community and other clinics to enhance diabetes care among their high risk populations. She leads the YMCA Diabetes Prevention Program Intervention and also serves as the lead for self-management support and CDSMP (Chronic Disease Self Management Program) activities. Jeanne also coordinates a program to approve clinic and hospital diabetes education programs for Medicaid reimbursement. 1. Describe the general features of the National Diabetes Prevention Program Curriculum. 2. List two requirements of the Diabetes Prevention Recognition Program. 3. Describe the Diabetes Prevention Program in Washington State.

3 Friday Conference Sessions Breakouts Friday 2:15-3:30 12:45-2:00 pm Metabolic Surgery: Mechanisms of Diabetes Remission After Bariatric Operations David Cummings, MD, Professor of Metabolism, Endocrinology and Nutrition Dr. Cummings serves as Professor of Medicine at the University of Washington. Dr. Cummings has been continuously funded by the NIH since 1993 to conduct research. He currently holds three NIH RO1 grants and an additional large industry grant to perform related studies. He has 115 scientific publications, almost all of which are related to diabetes, metabolism, and bariatric surgery. Dr. Cummings is a board-certified endocrinologist with an academic practice and a full professor of medicine in the Division of Endocrinology at the University of Washington. 1. Becoming familiar with evidence demonstrating that certain forms of gastrointestinal surgery, such as gastric bypass, typically cause rapid remission of Type 2 diabetes via hormonal and metabolic mechanisms beyond just those related to weight loss and reduced food intake. 2. Become familiar with several of the leading hypotheses to explain weigh independent anti-diabetes effects of bariatric "surgery 3. Become familiar with the current role of gastrointestinal surgery to treat Type 2 diabetes, including among patients not obese enough to qualify for such operations based on their body weight. Nutrition and Kidney Disease Filtering Through the Stages Jessie Pavlinac, MS, RD, CSR, LD Jessie serves as the Director of Clinical Nutrition at Oregon Health & Science University Healthcare. She has published several professional research studies in the field of nephrology. 1. Identify the diet recommendations for stages of chronic kidney disease. 2. Understand the effect chronic kidney disease has on medications including insulin. Epidemiology of Pediatric Type 2 Diabetes and Approaches to the Pediatric Type 2 Patient. Srinath Sanda, MD, Pediatric Endocrinologist Dr. Sanda serves as the Clinical Assistant Professor of Pediatrics at the University of Washington School of Medicine, Seattle Children s Hospital, and Benaroya Research Institute. Dr. Sanda is a pediatric endocrinologist, providing care to children, teenagers, and young adults with all forms of diabetes. Dr. Sanda is also a diabetes researcher, studying genetic and inflammatory pathways common to the pathogenesis of both Type 1 and Type 2 diabetes. Dr. Sanda has also served as an investigator on multiple NIH sponsored studies using immune modulation in Type 1 diabetes patients. 1. Have an understanding of the pathogenesis and risk factors for pediatric Type 2 diabetes. 2. Discuss appropriate treatment modalities for pediatric patients. 3. Appreciate the controversies in pediatric obesity and Type 2 diabetes.

4 Breakouts Friday 2:15-3:30 Transforming Primary Care to Build a Statewide Standard of Excellence for the Management of Diabetes Pat Justis, MA, Department of Health Pat is the Health Home Quality Improvement Manager for the Washington State Department of Health. Pat has also managed a two year collaborative for 31 primary care practices, the Washington Patient-Centered Medical Home Collaborative. She has served as the lead for Practice Transformation Education for the Beacon Community of the Inland Northwest, offering training for a large region to improve care coordination and care quality for adults with Type 2 diabetes. Pat developed and taught quality improvement curriculum to a hospital employing over 2000 employees. She also served as the lead facilitator for a team of quality improvement facilitators that facilitated a wide variety of clinical and service improvement projects in multiple healthcare settings. 1. Key elements of a collaborative. 2. The DOH history of diabetes collaborative. 3. Compare and contrast conventional primary care with a patient centered medical home. 4. The logic model for medical home and diabetes care improvements. 5. Data Results The Other 50% of the Total Daily Dose- Prandial Insulin Alison Evert, MS, RD, CDE Alison serves as the Diabetes Nutrition Coordinator and Coordinator of Diabetes Education Programs for the University of Washington Medical Center s Diabetes Care Center. In the past year, Alison served as a co-editor on a publication for the American Diabetes Association titled Diabetes Nutrition Therapy. In this publication, Alison authored two chapters on evidence-based diabetes nutrition therapy. In 2010 Alison served as the co-chair of the American Dietetic Association s Revised Standards of Practice and Standards of Professional Performance for Dietitians (Generalist, Specialty, and Advanced). She also recently worked with Ginny Lewis, ARNP, CDE to create a patient nutrition education brochure for individuals with diabetes initiating insulin therapy that is co-published by the American Diabetes and Dietetic Associations. 1. List two formulas or Rules used to determine the prandial insulin dose. 2. Describe two eating pattern or food habits that may evolve over time after following long-term adherence to the carbohydrate counting meal-planning approach.

5 Saturday Conference Sessions 8:30-9:45 am 10:15-11:30 am 8 Essential Keys to Sustaining MNT-DSMT Programming a Down-Turn Economy: 5 P s and 3 F s Think like a Business and Act Like a Business Mary Ann Hodorowicz, RD, LDN, MBA, CDE, CED Mary Ann is the owner of Mary Ann Hodorowicz Consulting, LLC, specializing in nutrition, diabetes care and education, health promotion and insurance reimbursement. Mary Ann is a consultant, speaker, author, and spokesperson in: Keynote Speaker: Nicole Johnson, MA, MPH Former Miss America 1999 living with Type 1 Diabetes Nicole is a motivational speaker, author, and diabetes advocate. She serves as the Executive Director of Bringing Science Home at the University of South Florida. Nicole secured a $10 million grant to research and create programs to change the way people living with chronic disease receive health care. Nicole was also awarded the title of Miss America She is an advocate for people living with chronic disease, helping them live happier and healthier lives. At the end of this presentation, the participant will be able to: 1. Recognize the opportunities to promote diabetes awareness in the community 2. Reach patients with a new level of understanding of what it is like to live with diabetes. 3. Develop key talking points to influence policy makers to take action in support of diabetes. Diabetes Self-Management Education (DSME) Medical Nutrition Therapy (MNT) Health and Wellness Programs Applying Motivational Interviewing Tools in DSME Medicare and Private Payer Reimbursement for DSME, MNT, and related services for professionals Nutrition Diabetes Care and Prevention Weight Management Nutrition Care Process Mary Ann is a consultant in MNT and DSME program development in the following areas: operations, financial management, curriculum and forms, marketing, outcomes management, quality management, compliance to clinical standards, staff training, insurance (Medicare and private payer), reimbursement and obtaining DSME program recognition from the American Diabetes Association. Mary Ann has given numerous talks on the subject of Medicare and private payer reimbursement for Diabetes Self-Management Education to professional healthcare audiences at the annual meeting of state AADE and the American Diabetes Association national meetings and to their state chapter meetings and also at state affiliate meeting of the American Dietetic Association. Mary Ann also self-published a resource manual on DSME and MNT reimbursement. In her counseling business, Mary Ann is retained by physicians, clinics, hospitals, and private practice RDs to help them establish their Medicare-reimbursable DSME programs. Mary Ann is on the faculty of the Johnson and Johnson Diabetes Institute in Sane Jose, CA to teach DSME reimbursement and program structure. 1. Name the 5 Ps for sustaining patient programs and practice entities that sponsor them 2. Name the 7 Fs for sustaining patient programs and practice entities that sponsor them. 3. Name 4 of the many types of off site locations where patient programs can be delivered.

6 Saturday Breakouts 1:00-2:15 pm Understanding Reimbursement for Diabetes Self-Management Education and Medical Nutrition Therapy Mary Ann Hodorowicz, RD, LDN, MBA, CDE, CED See above 1. Describe the beneficiary eligibility criteria for Medicare DSMP 2. List 3 of the coverage guidelines for Medicare MNT and DSME telehealth services. 3. Name the 3 MNT CPT procedure codes. Diabetes...There is an App for that: Using Mobile Technology for Diabetes and Diabetes Conditions. Katherine Blondon, MD in Switzerland specializing in Internal Medicine Dr. Blount is currently working toward her PHD in Health Services and the University of Washington. She has a fellowship for Simulation and Interprofessional Studies (UW) where she is studying team training. Dr. Blount is also part of a research group for consumer health informatics, led by Professor W Pratt (UW). Dr. Blount s research interests focus on improving care coordination for diabetes through patient empowerment, using mobile technology, tailored education and patient incentives. She is conducting a study to design a smartphone application that will help improve the care patients receive, through better understanding of the diabetes, facilitated data collection, reminders and aids for organizing care. In this process, Dr. Blount is reviewing the current smartphone apps that relate to diabete and diabetes-related conditions. 1. Discover the uptake of mobile technologies for diabetes and diabetes-related conditions 2. Identify features that may be useful to care=providers and/or patients with diabetes. 3. Be able to advise patients on the choice of apps for diabetes care. 2:30-3:30 pm The Whisperer in Diabetes Educator: Using Your Head and Your Heart Joe Solowiejczyk, RN, MSW, CDE Joe is on the faculty and is coordinator of educational curriculum and faculty scheduling at Johnson & Johnson Diabetes Institute; as well as Faculty, Children with Diabetes ad Lecturer & trainer for Animas and LifeScan. He is professional lecturer and motivational speaker with 30 years of inpatient and outpatient clinical work with adults and children with diabetes; He gives over 200 lectures per year on psychosocial aspects of living with diabetes; clinical supervision and training of health care professionals in training on integrating family dynamics and behavior change into clinical skill sets 1. Describe the difference between healing and fixing. 2. Describe how to apply the art of healing to their patients with diabetes 3. Describe the positive impact of the diabetes educator when they act as healers and not fixers