Reducing Disparities in Diabetic CarePromoting effective prevention and treatment
Everyone with Diabetes Counts
Diabetes is the most common cause of blindness, kidney failure and amputations in adults, as well as a leading cause of heart disease and stroke. People with diabetes spend 2.3 times more on healthcare costs than others without the disease. In the United States, nearly 13 percent of adults age 20 and older have diabetes. Nearly one-third of persons 65 years and older have diabetes. African-Americans, Hispanics and Native Americans are nearly twice as likely as Caucasians to be diagnosed with diabetes¹.
The Great Plains QIN is working to improve health outcomes and reduce issues of health disparities among people with diabetes. Our approach and goals include:
- Assisting physician clinics in improving utilization and clinical outcome measures for HbA1c, lipid, blood pressure and weight control for Medicare consumers with diabetes
- Improving HbA1c, lipid, blood pressure and weight control outcomes for Medicare consumers with diabetes
- Decreasing the number of individuals who require lower extremity amputations due to complications resulting from poorly controlled diabetes
- Increasing Medicare consumer participation in Diabetes Self-Management Education (DSME) classes utilizing Chronic Disease Models, such as the Stanford Chronic Disease Program and the Diabetes Empowerment Education (DEEP) program (additional information on both programs is included below)
- Increasing the number of diabetes educators, Certified Diabetic Educators (CDEs) and community health workers by partnering with stakeholders and academic institutions
What is the Diabetes Empowerment Education Program (DEEP)?
The DEEP curriculum was developed at the University of Illinois-Chicago’s Midwest Latino Health Research, Training and Policy Center. It is evidenced-based and consists of 8 content modules that are taught in a 6 week series, for 2 hours each session. The modules are designed to be adapted to the needs and abilities of the workshop participants.
The DEEP program is directed towards:
• Adults with diabetes
• Their relatives and caregivers
• Anyone who needs information on diabetes self-care
What is the Stanford Diabetes Self-Management Program?
The Stanford Diabetes Self-Management workshop is given 2½ hours once a week for six weeks, in community settings such as churches, community centers, libraries and hospitals. People with type 2 diabetes attend the workshop in groups of 12-16. Workshops are facilitated from a highly detailed manual by two trained leaders, one or both of whom are peer leaders with diabetes themselves. Classes are highly participatory, where mutual support and success build the participants’ confidence in their ability to manage their health and maintain active and fulfilling lives.
Subjects covered include in the Stanford Program include: 1) techniques to deal with the symptoms of diabetes, fatigue, pain, hyper/hypoglycemia, stress and emotional problems such as depression, anger, fear and frustration; 2) appropriate exercise for maintaining and improving strength and endurance; 3) healthy eating 4) appropriate use of medication; and 5) working more effectively with health care providers. Participants make weekly action plans, share experiences and help each other solve problems they encounter in creating and carrying out their self-management program
For more information on the Diabetes Self Management Programs offered by the Great Plains Quality Innovation Network, contact a member of our team in your state.
1. National Institutes of Health and the Centers for Disease Control and Prevention
|Screening for Diabetes and Pre-Diabetes Tip Sheet||Tip Sheet||Diabetes and Pre-Diabetes Screening||CMS|
|Chronic Care Management||Tip Sheet||Chronic Care Management||CMS|
|Initial Preventive Physical Examination (IPPE)||Tip Sheet||Initial Preventive Physical Examination (IPPE)||CMS|
|Diabetes Foot Exam Flyer||Tool||Three Minute Foot Exam Flyer||National Coordinating Center|
|Intensive Behavioral Therapy (IBT) for Obesity||Tip Sheet||IBT for Obesity Tip Sheet||CMS|
|Diabetes Self-Management Training||Tip Sheet||Diabetes Management Tip Sheet||CMS|
|Diabetes Resource||QIN-QIO Program - Everyone With Diabetes Counts|
|American Association of Diabetic Educators|
|Diabetes Resources||Joslin Diabetes Center|
|Centers for Disease Control and Prevention|
|Educational Initiatives||National Diabetes Education Initiative|
|Information Clearinghouse||National Diabetes Information Clearinghouse|
|Consumer Information||CDC Basics About Diabetes|
|Juvenile Diabetes||Juvenile Diabetes Research Foundation (JDRF)|
|Diabetes Resources||Avera McKennan Diabetes Center|
|Disparities and Diabetes||CMS Health Disparities Pulse Resource Center|
|Natl Assoc of Chronic Disease Directors DSME Resource|
|American Diabetes Association|
|Diabetes||Hospitals in Pursuit of Excellence|
|Park Nicollet International Diabetes Center|
|Diabetes Coalition SD||South Dakota Diabetes Coalition|
|Patient Engagement||Robert Wood Johnson|
|Diabetes||Flu and You - Immunizations and Diabetes Fact Sheet|
|Kaitlin Nolte||Quality Improvement Project Manager||Kansas||Sarah.Good@area-a.hcqis.org|
|Dee Kaser||RN, CDE||Quality Improvement Advisor||Nebraska||Dee.Kaser@area-a.hcqis.org|
|Tasha Peltier||RT(R)||Quality Improvement Specialist||North Dakotafirstname.lastname@example.org|
|Denise Kolba||RN, MS, CNS||Quality Improvement Program Manager||South Dakotaemail@example.com|
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Learning and Action Network
We invite you to join the Great Plains Learning and Action Network (LAN). All LAN partners will be invited to attend educational sessions on a variety of topics, have opportunities to learn from peers throughout the state and region and have access to an abundance of resources and tools. The LAN is a great opportunity to get connected and demonstrate your commitment to quality improvement.