Connecting t the he D Dots: Working T Togethe her t to I - PowerPoint PPT Presentation

Connecting t the he D Dots: Working T Togethe her t to I Improve D Diabetes Manage Manageme ment nt Increasing A Access t to D Diabetes S Self- Management E Education Judith G h Gabriele Diabetes P Prevention a and C Control P Program 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

DPCP W Work P Plan G Goal: Diabetes M Management Prevent complications, disabilities and burden associated with diabetes and related chronic conditions 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Prevent c complications, d disabilities and b burden a associated w with d h diabetes and r related c chr hronic c conditions Overarchi hing ng S Strategy: y: Increase participation in ADA-recognized, AADE- accredited, and/or Stanford licensed diabetes self-management education (DSME) programs. 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Increase p participation i in AD ADA-recognized, AAD AADE-accredited, a and/o /or S Stanford l licensed diabetes s self-management e education ( (DSME) rams prog pr ogram Supportive S Strategy 1 y 1: : Educate members of the health care team about diabetes and chronic disease management programs. Supportive S Strategy 2 y 2: : Increase the reach, capacity, and sustainability of NM’s DSME, CDSMP, and DSMP through infrastructure building, workforce development, and health plan coverage. 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Making t the he C Case f for D DSME/S /S Im Improves, i , inc ncreases, a , and nd/or e enha nhanc nces: : • Hemoglobin A1c • Quality of life • Lifestyle behaviors, e.g. healthy eating, physical activity • Healthy coping • Self-efficacy and empowerment Reduces: : • The onset and/or advancement of diabetes complications • Diabetes-related distress and depression • Hospital admissions and readmissions • Estimated lifetime health care costs 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Making t the he C Case f for D DSME/S /S • What has worked for others and how well? • What might this intervention approach cost, and what am I likely to achieve through my investment? • What are the evidence gaps? 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Stanford C Chr hronic D Disease Self-Management P Program • Improved symptom management in: � Fatigue (10%) � Pain (11%) � Shortness of breath (14%) � Stress (5%) � Sleep problems (16%) • 13% improvement in # of days/week being active • 21% improvement in depression • 6% improvement in health-related quality of life • 15% improvement in unhealthy physical days • 12% improvement in unhealthy mental days 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Better C Choice ices B s Better He Healt lth CDSMP CDSMP • A1C levels reduced • Depression symptoms improved • Frequent hypoglycemic symptoms decreased • Medication adherence improved • Exercise participation improved 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Ut Utili lization o n of R Recomme mmend nded S Screeni ning ngs by H y History o y of A Any F y Form o m of Di Diabetes S Self lf-M -Mana nageme ment nt E Education n Among Adults with Diagnosed Diabetes 2013-2015 Combined BRFSS, Age-adjusted to 2000 U.S. Census 100 78.5 73.5 80 66.5 P 61.8 61.8 e r 49.5 c 60 46.3 e n t 31.8 40 % 20 0 A1C T Twice i in P n Past Y Year Eye E Exam: A m: At L Least 1 1 i in P n Past Foot E Exam b m by M y MD: A D: At L Least 1 1 Met A All T ll Thr hree i in P n Past Y Year Year Ye in P n Past Y Year No Educ. Yes Educ.

Increasing A Access t to D DSME: Key F Factors • DSME Programs • Payers and payment mechanisms • Referral policies and practices • People with diabetes 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Factors t tha hat i impact D DSME utilization i in N NM: • Lack of awareness about the value/importance of DSME among both consumers and providers • Lack of transportation • Uninsured/underinsured patients • Reimbursement policies • Weak payment mechanisms • Lack of availability of qualified diabetes educators and other personnel 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Next U Up: Supportive S Strategy 1 y 1: : Educate members of the health care team about diabetes and chronic disease management programs. 1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org