Reducing Disparities in Diabetic Care

Promoting 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

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Initiative Documents
Screening for Diabetes and Pre-Diabetes Tip SheetTip SheetDiabetes and Pre-Diabetes ScreeningCMS
Chronic Care ManagementTip SheetChronic Care ManagementCMS
Initial Preventive Physical Examination (IPPE)Tip SheetInitial Preventive Physical Examination (IPPE)CMS
Diabetes Foot Exam FlyerToolThree Minute Foot Exam FlyerNational Coordinating Center
Intensive Behavioral Therapy (IBT) for ObesityTip SheetIBT for Obesity Tip SheetCMS
Diabetes Self-Management TrainingTip SheetDiabetes Management Tip SheetCMS
Feb 22 @ 12:00 pm – 1:00 pm
Start WebEx Playback   WebEx Overview and Purpose: For decades, Stanford University has developed, evaluated, and translated into practice self-management programs for English and Spanish-speakers with chronic health problems, as well as for cancer survivors[...]
Jan 19 @ 12:00 pm – 1:00 pm
Start WebEx Playback Following the DASH Eating Plan Following the DASH Eating Plan (Spanish version) New Year, new you! Get lean in 2017. Do you have a similar New Year’s resolution? Many of our patients[...]
May 18 @ 11:00 am – 12:00 pm
  Start WebEx Playback Using EHR to Establish a Workflow Presentation The toll of having a chronic disease such as diabetes can greatly compromise a person’s quality of life.  Evidence-based, self-management education programs have been[...]
Sep 29 @ 2:00 pm – 3:00 pm WebEx
Start WebEx Playback Purpose: To review the Hospital Readmission Reduction Program. Learn how to read your Hospital Specific Reports and make sense of them for your facility. There will also be time for an open[...]
Sep 17 @ 12:00 pm – 1:00 pm
Start WebEx Playback Dr. Palmer’s Presentation WebEx Objectives To provide updated knowledge related to diabetic patient management in primary care as they relate to the new Standards of Practice To provide a review of medical[...]
Jul 9 @ 2:00 pm – 3:00 pm
  Start WebEx Playback Promoting Mobility Access Ms. Lundgren’s Promoting Mobility Presentation We invite you to attend this webinar to learn more about the impact immobility/mobility has on the overall health of the elderly. This[...]
Reducing Disparities in Diabetic Care Contacts
Kaitlin NolteQuality Improvement Project ManagerKansasSarah.Good@area-a.hcqis.org
Dee KaserRN, CDEQuality Improvement AdvisorNebraskaDee.Kaser@area-a.hcqis.org
Tasha PeltierRT(R)Quality Improvement SpecialistNorth Dakotatpeltier@qualityhealthnd.org
Denise KolbaRN, MS, CNS Quality Improvement Program ManagerSouth Dakotadenise.kolba@area-a.hcqis.org

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