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

 

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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

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

Training Events
Nov 16 @ 12:00 pm – 1:00 pm
We will add the WebEx recording when available. Overview and Purpose: Healthcare providers can recommend the best diabetes education options for each individual when they are aware of the availability and purpose for each program.[...]
Jul 25 @ 12:15 pm – 12:45 pm WebEx
Overview and Purpose: Key patient-centered care topics will be presented in 15-20 minute webinar segments highlighting provider and clinician perspectives while introducing corresponding resources and tools during the Provider Perspectives on Patient-Centered Care webinar series.[...]
Jul 11 @ 12:15 pm – 12:45 pm WebEx
Webinar Playback   Overview and Purpose: Key patient-centered care topics will be presented in 15-20 minute webinar segments highlighting provider and clinician perspectives while introducing corresponding resources and tools during the Provider Perspectives on Patient-Centered[...]
Jun 20 @ 12:15 pm – 12:45 pm WebEx
Overview and Purpose: Key patient-centered care topics will be presented in 15-20 minute webinar segments highlighting provider and clinician perspectives while introducing corresponding resources and tools during the Provider Perspectives on Patient-Centered Care webinar series.[...]
Jun 6 @ 12:15 pm – 12:45 pm WebEx
Overview and Purpose: Key patient-centered care topics will be presented in 15-20 minute webinar segments highlighting provider and clinician perspectives while introducing corresponding resources and tools during the Provider Perspectives on Patient-Centered Care webinar series.[...]
May 23 @ 12:15 pm – 12:45 pm WebEx
Overview and Purpose: Key patient-centered care topics will be presented in 15-20 minute webinar segments highlighting provider and clinician perspectives while introducing corresponding resources and tools during the Provider Perspectives on Patient-Centered Care webinar series.[...]
May 9 @ 12:15 pm – 12:45 pm WebEx
  Overview and Purpose: Key patient-centered care topics will be presented in 15-20 minute webinar segments highlighting provider and clinician perspectives while introducing corresponding resources and tools during the Provider Perspectives on Patient-Centered Care webinar[...]
Apr 25 @ 12:15 pm – 12:45 pm
  Overview and Purpose: Key patient-centered care topics will be presented in 15-20 minute webinar segments highlighting provider and clinician perspectives while introducing corresponding resources and tools during the Provider Perspectives on Patient-Centered Care webinar[...]
Feb 22 @ 12:00 pm – 1:00 pm
  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 and caregivers. All[...]
Jan 19 @ 12:00 pm – 1:00 pm
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 have the[...]
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[...]
News

News

14Nov

Celebrating World Diabetes Day

Recognizing the growing number of individuals with diabetes and the specific concern for women's rights regarding health, the International Diabetes Federation (IDF), with the support of the World Health Organization (WHO), established…read more →
02Nov

Beware of Diabetes: Check Your Blood

Vampires and zombies are very familiar with blood. As American Diabetes Month begins these Halloween characters are the perfect reminders for those at risk of developing diabetes to check blood…read more →

See All Diabetes Care News Posts 

Documents & Resources

External Resources

American Association of Diabetic Educators
American Diabetes Association
Avera McKennan Diabetes Center
CDC Basics About Diabetes
Centers for Disease Control and Prevention
CMS Health Disparities Pulse Resource Center
Diabetes Awareness Month 2017
Diabetes Educator
Diabetes Health for Life
Flu and You - Immunizations and Diabetes Fact Sheet
Hospitals In Pursuit of Excellence
Joslin Diabetes Center
Juvenile Diabetes Research Foundation (JDRF)
Kansas Department of Health and Environment
National Diabetes Education Initiative
National Diabetes Education Initiative
National Diabetes Information Clearinghouse
Natl Assoc of Chronic Disease Directors DSME Resource
Nebraska Dept. of Health and Human Services
North Dakota Department of Health
Park Nicollet International Diabetes Center
QIN-QIO Program - Everyone With Diabetes Counts
Robert Wood Johnson
Sanford Health
South Dakota Department of Health
South Dakota Diabetes Coalition

 

Meet the Experts

Lisa Thorp

Lisa Thorp

Quality Improvement Specialist

North Dakota
1-701-989-6241
Email Lisa

Kaitlin Nolte

Kaitlin Nolte, BA

Quality Improvement Project Manager
Kansas
1-785-271-4179 Ext: 379
Email Kaitlin

Dee Kaser

Dee Kaser, RN, CDE

Quality Improvement Advisor

Nebraska
1-402-476-1399
Email Dee

Denise Kolba

Denise Kolba, RN, MS, CNS

Quality Improvement Program Manager

South Dakota
1-605-336-3505
Email Denise

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.