Participants in the Program
|
|
- Piers Watson
- 6 years ago
- Views:
Transcription
1 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 have completed their initial chart review 19 have submitted their action plans and are awaiting their follow-up chart review Performance Improvement Enrolling in this PI program is the 1st step in improving care for your patients Key component to improvement is chart review Simple way to look at baseline measures of your practice Very act of reviewing charts can be illuminating 1
2 Chart Review Challenge Biggest challenge = time Ways to overcome this barrier: Ask support staff to review patients seen in past month with any ICD 9 code for diabetes and pull charts, or review electronic medical record Make a plan to complete this chart review Recruit another member of your team to help Schedule 2 one-hour sessions over the next week using administrative time or your lunch hour Type 2 Diabetes Project Make a commitment to yourself and to your patients to work toward improving care! Complete the chart review as soon as possible as your first step toward improvement If you are having trouble completing the chart reviews, please let us know. We can help! If you have any questions, please us at mentorqi@bu.edu or call us at
3 Patient Education and Promoting Self-Care in Type 2 Diabetes Jane Jeffrie Seley, MPH, MSN, GNP, CDE Diabetes Nurse Practitioner New York Presbyterian- Weill Cornell Medical Center New York, NY Diabetes Self-Management Education (DSME) Provides skills, knowledge, and the ability to perform self-care Helps patients make informed decisions and practice problem-solving skills Funnell MM, et al. Diabetes Educ. 2007;33: , DSME (cont d) Encourages collaboration with health care team Improves clinical outcomes and quality of life 1
4 Core Components of DSME Educational needs assessment Learning preferences, health literacy Barriers to learning, following regimen Developing education plan Behavioral goal-setting Practice skills Need for ongoing support & outcome measurement Content Areas to Cover Over Time Disease process & treatment options Nutrition Physical activity Optimizing medications Monitoring glycemic control Pattern management Preventing complications Psychosocial issues co-existing with diabetes Promoting behavior change & self-care Recommendations Disease process & treatment options: Type 1 vs Type 2, multiple defects in diabetes, glucose metabolism Nutrition: Identifying carbohydrates in meals, portion sizes, servings per meal, spaced meal times Physical activity: What? When? How long? How often? Be specific! 2
5 Recommendations (cont d) Optimizing medications: How antidiabetes agents work, best times to take, when not to take, review skills Monitoring glycemic control: Review skills, upgrade meter prn, determine best times to check BG on ongoing basis Recommendations (cont d) Pattern management: Work toward patient participation in modifying meals, physical activity, dose of insulin according to current BG Recommendations (cont d) Preventing complications: both acute and chronic, start with hypo- and hyperglycemia Psychosocial issues living with diabetes: screen for depression, anxiety Promoting behavior change & self-care through education, practicing skills, setting realistic goals, encouragement 3
6 Steps to Success Provide education AND support Encourage patient empowerment by facilitating self-care behaviors Set realistic, achievable, short-term goals Monitor outcomes and adjust treatment plan as needed Plan for difficult situations Motivate, motivate, motivate! Common Barriers to Self-Care Depression: up to 2x more common in patients with diabetes 1 Denial/despair around diagnosis Myths/poor understanding/culture I ve got a little sugar Little social support High cost of meds/supplies Lack of physical & cognitive ability 1. Brown et al. Diabetes Care. 2005;28: Tools to Encourage Self-Care Knowledge is power Back to basics: Re-assess prior knowledge & skills Look at all meds and supplies: Ask patients exactly what they do and when 4
7 Tools to Encourage Self-Care (cont d) Focus on comfort: examine & modify blood glucose and injection supplies Evaluate feasibility of treatment regimen in relation to patient ability and quality of life Tools to Encourage Self-Care (cont d) Blood Glucose Monitoring (BGM) Is a Motivating Tool Set short-term BGM goals based on current medications and potential treatment changes Review and discuss log book at each visit Consider periodic review of log by fax or phone between visits Tools to Encourage Self-Care (cont d) Create library of written materials to reinforce teaching More is NOT better: Choose 1 or 2 simple handouts on each main topic 5
8 Improving Care in Your Practice Elaine Fleck, MD Associate Clinical Professor of Medicine Director, Internal Medicine New York Presbyterian Hospital- Columbia University Medical Center New York, NY Identifying Practice Gaps and Setting Goals What gaps do you see between care as it is and care as it could and should be for patients with type 2 diabetes? Identify goals that you would like to accomplish over the next 2 weeks to 3 months Understand and implement techniques that can change the nature of care delivery in your practice What can you do to plan, do, study, and act? Institute for Healthcare Improvement. Available at: Accessed December 4, Plan, Do, Study, Act (PDSA) Cycles What are we trying to accomplish? How will we know that a change is an improvement? What changes can we make that will result in an improvement? Act Study Plan Do 1
9 Is the Change Being Implemented an Improvement? Improvement is not about measurement, though measurement plays an important role Key measures are required to assess progress Specific measures can be used for learning during PDSA cycles Balancing measures are needed to assess whether the system as a whole is being improved A General Approach to Developing Measures Try to collect data before and after making changes Multiple measures are almost always required to assure that the system as a whole is improved Fewer than six measures is ideal; maximum of 10 Develop a list of measures that are useful and manageable Mix of outcome, process, balancing Feasible! Langley K, et al. The Improvement Guide: A Practical Approach to Enhancing Organizational Performance. San Francisco: Jossey-Bass Publishers; Types of Measures in Improvement Projects Process measure - How often is a question asked? How often is an A1C being drawn? Outcome measure - What is actual result? A1C level Balance measure - Looking at a system from all directions/dimensions. What happens to the system as we improve the outcome and process measures? ie, costs rise dramatically for minimal improvement patients not seen for other teaching because nurse is using time for diabetes teaching 2
10 Integrate Data Collection for Measures in Daily Work Include the collection of data with another current work activity (for example, data from office visit flow sheets) Develop an easy-to-use data collection form... spend 10 minutes creating a form or make Information Systems input and output easy for clinicians Clearly define roles and responsibilities for ongoing data collection; or offer pizza for a lunch chart review Set aside time to review data with those who collect it... give back information to everyone... people like to know Example of Data Collection: Is Depression Screening, Evaluation, and Treatment Occurring in Patients With Type 2 Diabetes? Patient screened for depression in past 12 months? Yes No History of diabetes? History of depression? Treatment for depression in past? If patient s screen positive: Was patient treated with medication? Y N Was patient referred to social worker, psychologist, psychiatrist, or none? (Circle one) If patient was treated, was there follow-up? Y N Time frame to follow-up visit? Results of Chart Review on Depression Depression Screening and Evaluation Patients Screened for depression in past 12 months Intake form used Y N No documentation History of diabetes History of depression documented Treatment of depression in past If patient's screen was positive, was patient treated with medication? Was patient referred to social worker?...psychologist?...psychiatrist? If patient was treated, was there follow up? 5 4 3
11 Next Steps: Set AIM Statement and Attainable Goals AIM Statement: Improve rates of yearly screening for depression to 90% in patients with diabetes over next 3 months We will do this by giving feedback to providers on results, ie, only 60% screened yearly presently Incorporate flow sheet (already in existence but first one did not have depression screen) into paper chart, and ensure screening questions are in electronic medical record Educate providers and staff on evaluation, treatment, and referral options. Incorporate social workers and psychologists into plan Repeat chart review in 3 months Interventions in Patients at Risk for Complications Evidence-Based Medicine Patients with microalbuminuria are at greater risk for cardiovascular (CV) mortality. 1 Intensified treatment intervention aimed at risk reduction in patients with type 2 diabetes and microalbuminuria reduces the risk of CV and microvascular events by about 50%. 2 How are our process and outcome measures of BP, A1C, LDL cholesterol in patients with microalbumin >30? Use electronic registry and paper chart review Results of chart review: Assigned to a resident (n=11) 36% with adequate BP control 91% on angiotensin II receptor blockers 67% A1C >9 (vs. 13% in patient population at large) 36% LDL <100 67% had nutrition referral, or education documented 1. Bell DS. Endocr Pract. 2008;14: Gaede P, et al. N Engl J Med. 2003;348: Creating AIM Statement for Practice Improvement AIM statement: We will improve A1C control in patients with microalbuminuria and A1C >9 by 50% in next 4 months, using American Diabetes Association guidelines and patient-centered approach to care We will accomplish this by... 4
12 Next Steps: Set Attainable Goals Giving feedback to providers of chart review results... send and provide one-on-one feedback Identify patients with A1C >9 through registry; each house staff reviews own patients Educate providers: Discuss intensifying therapy if A1C >9 Use flow sheet in each chart Call patients to come in for nurse education Consider social work referral and VNS referral for better assessment of learning and identification of barriers to care Return to practice within one month of intervention Steps to Success in Promoting Self-Care and Practice Improvement Set realistic, achievable short-term goals More is NOT better: Choose 1 or 2 simple interventions to make change Monitor outcomes and adjust intervention plan as needed Plan for difficult situations Knowledge is Power Q&A 5
Topics in Inpatient Glycemic Control
Topics in Inpatient Glycemic Control Jane Jeffrie Seley DNP MPH MSN GNP BC-ADM CDE CDTC FAADE FAAN Diabetes Nurse Practitioner Program Manager, Inpatient Glycemic Control Program NewYork-Presbyterian/
More informationMeeting the Challenge of Inpatient Glycemic Management in the Non-Critical Care Setting
Meeting the Challenge of Inpatient Glycemic Management in the Non-Critical Care Setting Jane Jeffrie Seley, DNP, MPH, GNP, BC-ADM, CDE, CDTC, FAAN, FAADE Diabetes Nurse Practitioner, Inpatient Diabetes
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 informationType 2 Diabetes Performance Improvement Initiative: Chart Reviews. Lara Zisblatt Boston University School of Medicine Boston, MA
Type 2 Diabetes Performance Improvement Initiative: Chart Reviews Lara Zisblatt Boston University School of Medicine Boston, MA Participants in the Program 487 people registered 217 people started the
More informationParticipants in the Program
Type 2 Diabetes Performance Improvement Initiative: Chart Reviews Lara Zisblatt Boston University School of Medicine Boston, MA Participants in the Program 487 people registered 217 people started the
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 informationImproving Diabetes Quality of Care in Your Practice. Successful Diabetes Practices in New Mexico Clinics
Improving Diabetes Quality of Care in Your Practice Introduction According to the American College of Physicians (ACP), high quality diabetes care requires a systematic and organized team-based approach.
More informationChoosing Life: Empowerment, Action, Results! CLEAR Menu Sessions. Substance Use Risk 5: Drugs, Alcohol, and HIV
Choosing Life: Empowerment, Action, Results! CLEAR Menu Sessions Substance Use Risk 5: This page intentionally left blank. Session Aims: (70 Minutes) To understand the health consequences of drugs and
More informationChoosing Life: empowerment, Action, Results! CLEAR Menu Sessions. Adherence 1: Understanding My Medications and Adherence
Choosing Life: empowerment, Action, Results! CLEAR Menu Sessions Adherence 1: Understanding My Medications and Adherence This page intentionally left blank. Understanding My Medications and Adherence Session
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 informationYour Chart Review Data. Lara Zisblatt, MA Assistant Director Continuing Medical Education Boston University School of Medicine
Your Chart Review Data Lara Zisblatt, MA Assistant Director Continuing Medical Education Boston University School of Medicine Participation 243 registered for the program 98 have completed the Practice
More informationQuality Improvement Methodology, Workflow Redesign and Outcomes Management
Quality Improvement Methodology, Workflow Redesign and Outcomes Management Jeffrey Hummel, MD, MPH Medical Director for Clinical Informatics, Qualis Health and UW Medicine Neighborhood Clinics July 28,
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 informationINTRODUCTORY LESSON: Facilitator s Guide
INTRODUCTORY LESSON: Facilitator s Guide GETTING READY FOR THE PROGRAM Overall Curriculum and Introductory Lesson ONE MONTH BEFORE THE PROGRAM: 1. Read through the Introduction and the Introductory Lesson
More informationWho s who on your healthcare team.
Who s who on your healthcare team. Your primary care or family physician (who may be a general practitioner or internist) will likely be at the center of your diabetes healthcare team. Depending on your
More informationTake Action! Caring for Your Diabetes
Educator Guide: Take Action! Caring for Your Diabetes Table of Contents Take Action! Caring for Your Diabetes Series Goals...2 Audience...2 Purpose of Guide...2 Icons Used in this Guide...3 Description
More informationQUALITY IMPROVEMENT TOOLS
QUALITY IMPROVEMENT TOOLS QUALITY IMPROVEMENT TOOLS The goal of this section is to build the capacity of quality improvement staff to implement proven strategies and techniques within their health care
More informationSUPPORTING COLLABORATIVE CARE THROUGH MENTAL HEALTH GROUPS IN PRIMARY CARE Hamilton Family Health Team
SUPPORTING COLLABORATIVE CARE THROUGH MENTAL HEALTH GROUPS IN PRIMARY CARE Hamilton Family Health Team Jackie Bootsma, MSW, RSW Marian Schorr, MSW, RSW About Family Health Teams Family Health Teams are
More informationChoosing Life: Empowerment, Action, Results! CLEAR Menu Sessions. Health Care 3: Partnering In My Care and Treatment
Choosing Life: Empowerment, Action, Results! CLEAR Menu Sessions Health Care 3: Partnering In My Care and Treatment This page intentionally left blank. Session Aims: Partnering In My Care and Treatment
More informationChoosing Life: Empowerment, Action, Results! CLEAR Menu Sessions. Substance Use Risk 2: What Are My External Drug and Alcohol Triggers?
Choosing Life: Empowerment, Action, Results! CLEAR Menu Sessions Substance Use Risk 2: What Are My External Drug and Alcohol Triggers? This page intentionally left blank. What Are My External Drug and
More informationLeonard Wonnenberg, PA-C May 18, 2016
Using EHR to Establish a Workflow Process for Referring Patients to Diabetes Self- Management/Chronic Disease Self-Management Programs Leonard Wonnenberg, PA-C May 18, 2016 Horizon Proprietary = Data +
More informationInspiring and Supporting Behavior Change
Inspiring and Supporting Behavior Change A Food, Nutrition, and Health Professional s Counseling Guide Second Edition Cecilia Sauter, MS, RD, CDE, FAADE Ann Constance, MA, RD, CDE, FAADE Contents Foreword...vii
More informationEducation and Lifestyle
Education and Lifestyle Provide strategies to incorporate patient education into diabetes selfmanagement Develop plans to involve other healthcare professionals to support the care of patients with type
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 informationRecord-Keeping Charts
In this appendix, we have provided some useful charts for you so you can record information that s important to manage your diabetes. Use these charts to keep track of the information not only for yourself,
More informationHigh-Impact HIV Prevention: A Step-By-Step Implementation Approach
Capacity Building Assistance for High Impact HIV Prevention: Session 3 High-Impact HIV Prevention: A Step-By-Step Implementation Approach Hildi Hagedorn, PhD Center for Chronic Disease Outcomes Research
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 informationMEASUREMENT FOR IMPROVEMENT. Pat Waniewski, RN, MS
MEASUREMENT FOR IMPROVEMENT Pat Waniewski, RN, MS In God we trust. All others bring data. W. E. Deming Learning Objectives Identify the purpose and general principles of measurement for quality improvement
More informationWhat s App? Challenges and Opportunities in Diabetes Mobile Technologies
Disclosure Information What s App? Challenges and Opportunities in Diabetes Mobile Technologies I have no conflicts of interest to disclose. Addie L. Fortmann, PhD Scripps Whittier Diabetes Institute,
More informationCounselling Should: Recognize that behaviour change is difficult and human beings are not perfect
Counselling Should: Be sensitive, inclusive, and non-judgmental Recognize that behaviour change is difficult and human beings are not perfect Be presented as a personal choice Counselling should support
More information1. Continuous Glucose Monitoring
1. Continuous Glucose Monitoring 1. Physiology of interstitial fluid glucose 2. Comparison of CGM and self-monitored blood glucose (SMBG) data 3. Insulin dosing indication in BGM vs. CGM & the FDA 4. Protection
More informationMedical Nutrition Therapy & Nutrition Ed in DSMES What s the Difference?
Medical Nutrition Therapy & Nutrition Ed in DSMES What s the Difference? MEGAN ELLISON, MS, RDN, CSOWM, CDE WADE CONFERENCE APRIL 25, 2019 1 Disclosure to Participants Notice of Requirements for Successful
More informationTools for Life. Blood sugar basics.
Tools for Life. Blood sugar basics. OneTouch, Ultra, Ultra2, and UltraMini are registered trademarks, and Delica and DoubleSure are trademarks, of LifeScan, Inc. 2011 LifeScan, Inc. Milpitas, CA 95035
More informationPST-PC Appendix. Introducing PST-PC to the Patient in Session 1. Checklist
PST-PC Appendix Introducing PST-PC to the Patient in Session 1 Checklist 1. Structure of PST-PC Treatment 6 Visits Today Visit: 1-hour; Visits 2-8: 30-minutes Weekly and Bi-weekly Visits Teach problem
More informationDiabetes 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 informationBehavioral Interventions The TEAMcare Approach. Bernadette G. Overstreet BSH Tatiana E. Ramirez DDS., MBA Health Educators Project Turning Point
Behavioral Interventions The TEAMcare Approach Bernadette G. Overstreet BSH Tatiana E. Ramirez DDS., MBA Health Educators Project Turning Point TEAMcare Background TEAMcare is a comprehensive, cost-effective
More informationDiabetes Self-Management Support: Finding the Right Balance. June 30, 2016
Diabetes Self-Management Support: Finding the Right Balance June 30, 2016 Objectives n Review and discuss the intent of the 2016 American Diabetes Association (ADA) Standards of Care n Discuss how the
More informationCQI Toolkit. Contents:
CQI Toolkit In this toolkit you will find an explanation of what is required by ADA Recognized DSMES services to meet the National Standards for Diabetes Self-Management and Support Standard 10 s criteria.
More informationMY PERSONAL ROADMAP WORKBOOK
FINALLY. Celebrate your successes, even the small ones! Learn from your efforts that don t turn out as you hoped or expected. If you do this, you can t fail! Set yourself up to succeed. Remember.. Most
More informationISHN Keys to Increasing Participation in an Occupational Safety Process. I recently heard one of my partners at SPS (Safety Performance
1. Keys to Increasing Participation in an Occupational Safety Process I recently heard one of my partners at SPS (Safety Performance Solutions), Dr. Sherry Perdue, deliver a thoughtful and practical presentation
More informationLesson 8 Setting Healthy Eating & Physical Activity Goals
Lesson 8 Setting Healthy Eating & Physical Activity Goals Overview In this lesson, students learn about goal setting. They review the activity sheets they filled out earlier to log their eating and activity
More informationFive Years Outcome Review of IPCP Program for Newly Diagnosed Type II Diabetes (Family Medicine Diabetes Triage Clinic) in NTWC
Five Years Outcome Review of IPCP Program for Newly Diagnosed Type II Diabetes (Family Medicine Diabetes Triage Clinic) in NTWC Chan L, Liang J, Ho YY, Ng SY, Chow MF, Hung V, Ng S, Koo J, Choi P, Law
More informationSupplementary Online Content
Supplementary Online Content Naik AD, Palmer NRA, Petersen NJ, et al. Comparative Effectiveness of Goal-Setting in Diabetes Mellitus Group Clinics. Arch Intern Med. 2011;171(5):453-459. eappendix. EPIC
More informationLiving Well with Diabetes. Meeting 12. Welcome!
12-1 Welcome! Welcome back and congratulations! Today is a time to celebrate all of your accomplishments. For the past few months we have learned a great deal about managing diabetes. Today, we will talk
More informationJulie White, MS Administrative Director Boston University School of Medicine Continuing Medical Education
MENTOR QI Diabetes Performance Improvement Initiative, Getting Patients to Goal in Glycemic Control: Current Data Julie White, MS Administrative Director Boston University School of Medicine Continuing
More informationKeeping your diabetes support as mobile as you are,
Millions of people have diabetes. But we at Novo Nordisk know that managing diabetes is a personal journey. That is why we created the e-book Your guide to better office visits, with valuable insights
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 informationLiving well today...32 Hope for tomorrow...32
managing diabetes managing managing managing managing managing managing diabetes Scientific research continually increases our knowledge of diabetes and the tools to treat it. This chapter describes what
More informationCollaborative Approach in Managing the High Risk Diabetic Patient in a Patient Centered Medical Home
Collaborative Approach in Managing the High Risk Diabetic Patient in a Patient Centered Medical Home Background Safety net facility serving the community for more than 140 years Employ over 3500 health
More informationCalgary Diabetes Centre Insulin Pump Therapy: Preparation and Expectations
Calgary Diabetes Centre Insulin Pump Therapy: Preparation and Expectations This is a long and important document. It lists the steps for starting insulin pump therapy at the Calgary Diabetes Centre. It
More informationThis webinar is presented by
Webinar DATE: Prostate Cancer effects on mental health November after 12, surgery 2008 Thursday, 1 st March 2018 Supported by The Royal Australian College of General Practitioners, the Australian Psychological
More informationInpatient Glycemic Management:
Disclosure to Participants Conflict of Interest (COI) and Financial Relationship Disclosures: Dr. Seley attended Advisory Board Meeting: Alliance (Boehringer-Ingelheim/Lilly) Bayer Diabetes Care Sanofi
More informationThis product was developed by the diabetes self management project at Gateway Community Health Center, Inc. in Laredo, TX. Support for this product
This product was developed by the diabetes self management project at Gateway Community Health Center, Inc. in Laredo, TX. Support for this product was provided by a grant from the Robert Wood Johnson
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 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 informationSmartphone Apps for Diabetes Management
Smartphone Apps for Diabetes Management By David Kerr, MD; Charis Hoppe; and Ceara AxelrodMarch 2017 There s an app for pretty much everything these days reading magazines (Diabetes Forecast has its own!),
More informationDIAGNOSIS OF DIABETES NOW WHAT?
DIAGNOSIS OF DIABETES NOW WHAT? DISCUSS GOALS FOR DIABETES CARE IDENTIFY COMMON COMPLIANCE- ADHERENCE ISSUES DESCRIBE TECHNOLOGY TO ASSIST AND / OR IMPROVE DIABETES CARE WHAT DO WE WANT OUR PATIENTS TO
More informationmotivation workbook why do you want to change?
motivation workbook why do you want to change? Start by figuring out your personal reasons for wanting to change. Here are some interesting truths about reasons for change: The clearer you are in your
More informationThis product was developed by the RWJ Diabetes Self Management Program at Community Health Center, Inc. in Middleton, CT. Support for this product
This product was developed by the RWJ Diabetes Self Management Program at Community Health Center, Inc. in Middleton, CT. Support for this product was provided by a grant from the Robert Wood Johnson Foundation
More informationRESOURCE LIST FOR REDUCING CLUTTER. Presented by
RESOURCE LIST FOR REDUCING CLUTTER Presented by Elizabeth Barr & Gillian Howell ANNOUNCEMENTS Be sure you have these 3 hand outs: The Top 20 List Suggestion form Workshop evaluation Please hold questions
More informationDiabetes Education Columbus Community Hospital Stacy Biesel RN, CDE
Diabetes Education Columbus Community Hospital Stacy Biesel RN, CDE Stacy Biesel, RN CDE Registered Nurse Certified Diabetes Educator Locations: Columbus Community Hospital Prairie Ridge Health Clinic
More informationDiabetes Center Advisory Board Survey Responses
Diabetes Center Advisory Board Survey Responses 1. Please offer thoughts on how the Diabetes Center can collaborate, offer expertise and provide benefit to our local community. -As staffing vacancies are
More informationPRESS RELEASE. November is Diabetes Awareness Month Severity/Epidemic and Risk Factors of Diabetes
November 7, 2012- (Part 1 in a series of 5) November is Diabetes Awareness Month Severity/Epidemic and Risk Factors of Diabetes Data released from the American Diabetes Association have found almost 26
More informationPEMISCOT MEMORIAL HEALTH SYSTEM BSMOD PROGRAM Final Project Status Report January December 2009
PEMISCOT MEMORIAL HEALTH SYSTEM BSMOD PROGRAM Final Project Status Report January 2007 - December 2009 1. To what extent were the project s original goal(s) and objective(s) achieved? If goal(s) and/or
More informationTransforming Diabetes Care
Transforming Diabetes Care Barriers to Mealtime Insulin Dosing Mark Peyrot, PhD Loyola University Maryland, Baltimore, MD Faculty Background Principle Investigator DAWN and DAWN2 studies (Novo Nordisk)
More informationQUALITY OF LIFE WITH DIABETES AND CHRONIC KIDNEY DISEASE
QUALITY OF LIFE WITH DIABETES AND CHRONIC KIDNEY DISEASE www.kidney.org National Kidney Foundation's Kidney Disease Outcomes Quality Initiative Did you know that the National Kidney Foundation's Kidney
More informationApproach to the Young child & Parent with Child with DM Best Structure for Continued Care
Approach to the Young child & Parent with Child with DM Best Structure for Continued Care M.S. Limbe MD Paediatric Endcocrinologist Aga Khan University Hospital, Nairobi Approach to the Young Child & Parent
More informationCentral Coast Recovery College. Course Guide Semester 1 August to November 2015
Central Coast Recovery College Course Guide Semester 1 August to November 2015 Central Coast Recovery College The philosophy of the Central Coast Recovery College is working partnerships recognising the
More informationQuick Fact: How do I stay engaged after Scale Back Alabama is over?
Ways to Stay Motivated Scale Back Alabama Congratulations! This is the end of this year's program. You now have the tools and information to continue your journey toward a healthier lifestyle. Continue
More informationQuality Improvement Techniques to Improve Blood Pressure Readings
June 7, 2016 Quality Improvement Techniques to Improve Blood Pressure Readings Rebecca Durham, HealthInsight Utah Susan Yelton, HealthInsight New Mexico HealthInsight Quality Innovation Network (QIN) Quality
More informationIABETES. Center for Diabetes Education* at Monmouth Medical Center
M O N M O U T H M E D I C A L C E N T E R IABETES Center for Diabetes Education* at Monmouth Medical Center About the Center for Diabetes Education at Monmouth Medical Center According to the American
More informationDiabetes Self-Care Information and Record Booklet
Diabetes Self-Care Information and Record Booklet Your personal guide... what you do each day really matters. This document is available online at www.wisconsindiabetesinfo.org What is Diabetes? Diabetes
More informationThe First Five Sessions: Coach People to Lose Weight
The First Five Sessions: Coach People to Lose Weight 1. Ideal Body, Health, Energy, Weight Congratulations again on deciding to transform this area of your life forever. We re going to start this fat-loss
More informationBringing It All Together Ways to Stay Motivated
Bringing It All Together Ways to Stay Motivated Adapted for Upstate Medical University by: Kristi Shaver, BS, RN, CDE, MS-CNS Student (2014) January 2014 Your new plan for diabetes care Feeling motivated?
More informationOnline courses for anxiety and depression CLINICIAN USER GUIDE. Frequently Asked Questions. thiswayup.org.au clinician user guide v2.
Online courses for anxiety and depression CLINICIAN USER GUIDE Frequently Asked Questions thiswayup.org.au clinician user guide v2.2 1 Contents Who Are We?... 3 What is CBT?... 4 What is icbt?... 4 Why
More informationILSI NA - Canadian Diabetes Association Workshop on Carbohydrate Quality
ILSI NA - Canadian Diabetes Association Workshop on Carbohydrate Quality Sacha Uelmen, RDN, CDE Director, Nutrition American Diabetes Association Arlington, VA Presentation Title 1 Discussion Points Review
More informationThis Diabetes Policy should be read in conjunction with the Dealing with Medical Conditions Policy of Goulburn Region Preschool Association Inc.
DIABETES POLICY Mandatory Quality Area 2 The content of this policy was developed for KPV by advocacy and diabetes educators at Diabetes Australia Vic and the Royal Children s Hospital Melbourne s manager
More informationHELPING RESHAPE SHARED DECISION MAKING WITH THE DIABETES MEDICATION OPTIONS DECISION AID
HELPING RESHAPE SHARED DECISION MAKING WITH THE DIABETES MEDICATION OPTIONS DECISION AID The Diabetes Decision Aid is favorably reviewed by the AADE and featured on the Together 2 Goal website. DIABETES
More informationHealthy Coping. Learning You Have Diabetes. Stress. Type of Stress
Healthy Coping Learning You Have Diabetes Learning you have diabetes changes your life forever. You may feel scared, shocked, angry or overwhelmed. You may not want to believe it. These are normal reactions.
More informationGoing DEEP into Oklahoma with the Diabetes Empowerment Education Program
Going DEEP into Oklahoma with the Diabetes Empowerment Education Program Margaret Enright, MPH, CDE, CPHQ Quality Improvement Consultant TMF Health Quality Institute margaret.enright@tmf.org (405) 641-0756
More informationDiabetes Care Program of Nova Scotia (DCPNS)
1! Diabetes Care Program of Nova Scotia (DCPNS) Triage and Discharge Guidelines for Initial and Follow-Up Appointments in Diabetes Centres (DCs) in Nova Scotia, 2016 Frequently Asked Questions (FAQs) Background:
More informationPatient Sticky Label. A Resource Guide for Stroke Survivors and their Caregivers
A Resource Guide for Stroke Survivors and their Caregivers Patient Sticky Label An initiative of the Stroke Services Improvement (SSI) team in collaboration with all public hospitals in Singapore. Learning
More informationthe rural primary care practice guide to Creating Interprofessional Oral Health Networks
the rural primary care practice guide to Creating Interprofessional Oral Health Networks November 2017 2 purpose and background 3 getting started: developing a plan 4 activities and ideas for consideration
More informationFollow-Up Patient Self-Assessment (Version 2)
Follow-Up Patient Self-Assessment (Version 2) Demographics: Name: Address: E-mail: Phone Number: Date of Birth: What is your height? What is your current weight? feet inches lbs Have there been any change(s)
More informationWelcome Everyone. Monitoring, Sick Days, Inpatient Management - Objectives. Mrs. Jones has new diabetes. She asks you: Page 1
Welcome Everyone Sign-In Enjoy Breakfast Meet someone new Enter Raffle Pick a team name Please silence phones We start at 8:00am Monitoring, Sick Days, Inpatient Management - Objectives Objectives: Strategies
More informationThe Diabetes Breakthrough: Dr. Osama Hamdy on his 12-week Plan
Transcript Details This is a transcript of an educational program accessible on the ReachMD network. Details about the program and additional media formats for the program are accessible by visiting: https://reachmd.com/programs/book-club/the-diabetes-breakthrough-dr-osama-hamdy-on-his-12-weekplan/7059/
More informationDepression & Diabetes: Pathways and TeamCare Studies
Depression & Diabetes: Pathways and TeamCare Studies Wayne Katon, MD 1 Mike VonKorff, ScD 2 Elizabeth Lin, MD, MPH 2 Paul Ciechanowski, MD, MPH 1 Evette Ludman, PhD 2 Joan Russo, PhD 1 Carolyn Rutter,
More informationSetting Goals for Setting Goals: Implementing Self Management Support in Primary Care
Setting Goals for Setting Goals: Implementing Self Management Support in Primary Care Andrea S. Wallace PhD RN Assistant Professor University of Iowa College of Nursing Today The Landscape of Diabetes
More informationDiabetes Education Programs
Wayne HealthCare Greenville, OH 45331 Diabetes Education Programs (937) 547-5750 Corporate Wellness (937) 547-7409 Diabetes Education Programs A resource guide to help individuals manage diabetes. What
More informationAsthma: Evaluate and Improve Your Practice
Potential Barriers and Suggested Ideas for Change Key Activity: Initial assessment and management Rationale: The history and physical examination obtained from the patient and family interviews form the
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 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 informationNutrition Practice Guidelines Care Improves Diabetes Outcomes
Nutrition Practice Guidelines Care Improves Diabetes Outcomes Patti Geil a Introduction Nutrition recommendations for individuals with diabetes have evolved over the years from starvation diets and no
More informationDraft Implementation Plan for Consultation Adult Type 1 Diabetes Guidelines
Draft Implementation Plan for Consultation Adult Type 1 Diabetes Guidelines 1 Adult Type 1 Diabetes Guidelines - Implementation Plan 1. Introduction The following section is a national implementation plan,
More informationDiabetes Manual. Diabetes education guide
Diabetes Manual Diabetes education guide Diabetes Service, Country Health SA July 2013 Authors Kate Visentin, Clinical Practice Consultant, RN CDE, Diabetes Service, Country Health SA Jane Giles, Advanced
More informationReport Reference Guide
Report Reference Guide How to use this guide Each type of CareLink report and its components are described in the following sections. Report data used to generate the sample reports was from sample patient
More informationWill You Get Diabetes?
Summary Diabetes is a common and serious health condition. Diabetes can be controlled. Many people do not know that they have diabetes. With proper care, people with diabetes can enjoy good health now
More informationPreparing for CDE Exam Handouts DiabetesEd.Net >> Resources >> Live Webcasts >> Prep for CDE. Web Clinic Details. Preparing For the CDE Exam.
Preparing for CDE Exam Handouts DiabetesEd.Net >> Resources >> Live Webcasts >> Prep for CDE Beverly Dyck Thomassian, RN, MPH, BC ADM, CDE President, Diabetes Education Services Web Clinic Details To hear
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 informationSimple Start TM Diabetes Log Book
Learn about Diabetes & Earn rewards at the same time Simple Start TM Diabetes Log Book our engagement and rewards program that Empowers you through Education Learn how to manage your diabetes better with
More information