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

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

Jun 10, 2023 417 likes •560 views

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

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1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

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

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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

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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.

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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) pr prog

  • gram

rams

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.

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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
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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?
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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
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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
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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

66.5 49.5 61.8 31.8 73.5 61.8 78.5 46.3 20 40 60 80 100 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 Ye Year Foot E Exam b m by M y MD: A D: At L Least 1 1 in P n Past Y Year Met A All T ll Thr hree i in P n Past Y Year

Among Adults with Diagnosed Diabetes 2013-2015 Combined BRFSS, Age-adjusted to 2000 U.S. Census

No Educ. Yes Educ.

P e r c e n t %

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1190 S. St. Francis Drive • Santa Fe, NM 87505 • Phone: 505-827-2613 • Fax: 505-827-2530 • nmhealth.org

Increasing A Access t to D DSME: Key F Factors

  • DSME Programs
  • Payers and payment mechanisms
  • Referral policies and practices
  • People with diabetes
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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

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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.