Sustainability Best Practices. Darcy Reid, RN, BSN CNN, CMSRN, CDE Program Director

Save this PDF as:

Size: px
Start display at page:

Download "Sustainability Best Practices. Darcy Reid, RN, BSN CNN, CMSRN, CDE Program Director"

Transcription

1

2 Sustainability Best Practices Darcy Reid, RN, BSN CNN, CMSRN, CDE Program Director

3 Objective Identify innovative strategies for planning sustainability of Office of Rural Health Policy (ORHP)-funded initiatives.

4 What: Program Description North Country Diabetes Project

5 Who: Program Description Champlain Valley Physicians Hospital Medical Center (CVPHMC) Clinton County Department of Health (CCDOH) Joint Council of Economic Opportunity of Clinton and Franklin Counties (JCEO)

6 When: Program Description Grant Years: May 1, 2006 April 30, 2009

7 Where: Program Description Targets Tri-county area in rural Upstate New York Clinton County Essex County Franklin County

8 Why: Program Description Diagnosed population greater than 5,700 Over the age of 45 Under-diagnosed and under reported Region medically underserved Shortage of primary care providers Socioeconomic disadvantaged

9 Program Description Education levels low Affects health behaviors and outcomes Reflected in levels of obesity, smoking, high blood pressure, lack of regular exercise Significant rates of diabetes and complications of diabetes Higher than state average of hospital admissions

10 Program Description Problems of diabetes inadequately addressed Little or no access to outpatient diabetes selfmanagement education (DSME) Suffered consequences of untreated diabetes Unnecessary limb amputations End stage renal disease (ESRD) Increased incidence of cardiovascular disease Increased mortality

11 Program Description No American Diabetes Association (ADA) Recognized program locally Closest was one hour away Decision to address problem based on Medical personnel involved with partnership agencies Discussions with patients in their practice Own personal experiences and frustrations Disturbing data related to this disease in the tricounty area

12 Our Vision To build ongoing community collaboration among core health care providers To increase access to diabetes care To develop physician referral network To establish an ADA Recognized DSME program and expand Medical Nutrition Therapy (MNT) To sustain services post-grant!!

13 Goals Improve health outcomes for individuals age 45 and over with diabetes or at risk for diabetes that complete the ADA DSME or MNT. Increase quality of life for individuals aged 45 and over who have diabetes or are at risk for diabetes and complete ADA DSME or MNT.

14 Community Health Approach Risk awareness Education Need for risk assessment Need for periodic screenings Diagnosis Treatment Self-management education

15 Community Health Approach Stimulate increased referrals for essential medical interventions required by best practice guidelines Eye examinations Foot examinations Testing of blood glucose levels Reduction in incidence of complications Hospitalizations Amputations

16 Community Health Approach Registered Dietitian from CCDOH 51 Home Health Care Registered Nurses (RN) 3 JCEO Case Managers 12 Community Outreach Workers (JCEO) 12 different community sites 26 JCEO volunteers to provide transportation to appointments for homebound seniors

17 Community Health Approach Public Service Announcements Tele-health capability in local libraries Internet access to reliable diabetes education resources; Postings for local services Publication of project s services Office of Aging The Senior Citizen s Council The United Way

18 Outcomes ADA Recognized program DSME MNT CGMS Gestational Insulin starts Insulin pump starts

19 Ability to Sustain Assure plans are solid going into initiative Literature searches for best-practices Involvement of those who will be impacted by the service Gaining the organizations support Make services seamless Plan from the beginning that the partnership will remain after the grant

20 Ability to Sustain Ensure collaboration Maintenance of physician referral network Outreach CCDOH during grant; continued after grant (program director/office coordinator) CCDOH continues support through large events JCEO continue with education (case coordinators and community); rides for those who meet criteria Maintain Partnerships!

21 Outreach Ability to Sustain Main focus on risk assessment, prevention, and referral Broad audience Group opportunities Cost neutral services

22 Ability to Sustain Promotion of program Combined efforts of partners Recognition HANYS; US Senator Charles Schumer; NYS DOH and SUNY Albany School of Public Health; CDC national conference on diabetes; high participant satisfaction; generation of positive health outcomes (reduction in A1c)

23 Ability to Sustain Continue to promote awareness 2 levels: provider and public Improve access to services Show outcomes/quality service A1c, foot checks, eye exams, weight loss, BP control, SMBG, improved QOL

24 Ability to Sustain Medical advisory committee Physicians Nurses Dietitians VP s People with diabetes Collaboration Meeting

25 Ability to Sustain Always be on the look out for other income post-grant/additional revenue sources Other grant opportunities Foundation support Consultation fees Retail merchandise

26 Ability to Sustain Analyze billing and patterns to determine best patient mix for sustainability Developing benchmarks and targets for staff productivity Right staffing mix Reimbursement Medicare, Medicaid, Private Insurers, Charity Cares Negotiate with payors for better rates

27 Ability to Sustain Analyze participant retention patterns Analyze physician referral patterns Patient satisfaction survey Future endeavors plan ahead EMR/Grant Bariatric Population NYS Health Foundation List Serves

28 Ability to Sustain PI Plan to increase physician referrals and increase participant retention (Handout) Physician satisfaction survey Medical Centers weekly newsletter Planned visits to OB/GYN offices round table discussion, visits extended to other specialists 15 office visits to deliver 2008 Self-Learning Module based on ADA s Diabetes Standards of Care Presentations to medical staff Monthly faxes Every 2 years update at EXPLORE Consortium Local radio Television Vignette

29 Ability to Sustain Marketing plan (Handout) Newsprint Radio Library System Pharmacies Faith Community Displays (mall kiosk, annual health fairs, etc.) Senior Outreach Presentations Website Worksite Education Build other alliances Pocket cards/guides Encourage and support patient self-referral Brochures Tickler system f/u for patients Signage Posters in key locations

30 Common Sense Thoughts Hard Work Team work listen to all members (monthly meetings) Never let initiative off radar Don t get too comfortable with status quo In every circle think how your program can be involved/impacted/etc. Watch Trends Be creative, try something different

31 Lessons Learned Adequate numbers of core educators who meet qualifications Line up resources and contacts for troubleshooting reimbursement issues Involve reimbursement experts early on Succession planning Secure adequate resources prior to starting the program Classroom space Ability to grow program Adequate office staff time/system for addressing phone calls/voic Registration process seamless/easy

32

Welcome to the Emory Diabetes Education Training Academy!

Welcome to the Emory Diabetes Education Training Academy! Welcome to the Emory Diabetes Education Training Academy! Session Title: DSME Program Overview: What a Coordinator Should Know About Reimbursement, Coding, Billing and Referrals Speakers: Amie Hardin,

More information

Healthy Living with Diabetes. Diabetes Disease Management Program

Healthy Living with Diabetes. Diabetes Disease Management Program Healthy Living with Diabetes Diabetes Disease Management Program Healthy Living With Diabetes Diabetes Disease Management Program Background According to recent reports the incidence of diabetes (type

More information

8/5/2015. Magon Saunders. Apophia Namageyo-Funa. Leslie Kolb. Jo Ellen Condon. DHSc, MS, RDN, LD. Program Development Consultant

8/5/2015. Magon Saunders. Apophia Namageyo-Funa. Leslie Kolb. Jo Ellen Condon. DHSc, MS, RDN, LD. Program Development Consultant Magon Saunders DHSc, MS, RDN, LD Program Development Consultant Centers for Disease Control and Prevention Atlanta, Georgia Apophia Namageyo-Funa Ph.D, MPH, CHES Program Evaluator Centers for Disease Control

More information

Presented by Jacque Corey, RN, CNS, CDE Kirsten Gram, RD, LD, CDE Sue McGrath, RN, CDE

Presented by Jacque Corey, RN, CNS, CDE Kirsten Gram, RD, LD, CDE Sue McGrath, RN, CDE Presented by Jacque Corey, RN, CNS, CDE Kirsten Gram, RD, LD, CDE Sue McGrath, RN, CDE Lots of Diabetes, Shortage of Endocrinologists, Health Care Reform We Can Help! Diabetes by the Numbers 26 million

More information

Medicare Billing for DSME and MNT Services

Medicare Billing for DSME and MNT Services Medicare Billing for DSME and MNT Services Jo Ellen Condon, RD, CDE Barbara Eichorst, MS, RD, CDE Director of Education Recognition American Diabetes Association Vice President of Clinical Healthy Interactions

More information

1. POSITION TITLE: CERTIFIED DIABETES EDUCATOR CLINICAL DIETITIAN Coordinator, Diabetes Self-Management Education Program

1. POSITION TITLE: CERTIFIED DIABETES EDUCATOR CLINICAL DIETITIAN Coordinator, Diabetes Self-Management Education Program 1. POSITION TITLE: CERTIFIED DIABETES EDUCATOR CLINICAL DIETITIAN Coordinator, Diabetes Self-Management Education Program 2. General Description: The Diabetes Self-Management Education (DSME) Program Coordinator/Dietitian,

More information

American Diabetes Association Education Recognition Program Overview

American Diabetes Association Education Recognition Program Overview American Diabetes Association Education Recognition Program Overview A brief history of the National Standards for Diabetes Self-Management Education and Support and a walk through the 10 DSME/S standards

More information

Gayle Curto, RN, BSN, CDE Clinical Coordinator

Gayle Curto, RN, BSN, CDE Clinical Coordinator Gayle Curto, RN, BSN, CDE Clinical Coordinator INTRODUCTION Historical Program Overview Leadership Team Mission Statement Diabetes Center Demographics for 2011 Older Adult Population HISTORICAL PROGRAM

More information

Overview. Provider Qualifications

Overview. Provider Qualifications Overview Diabetes self management training (DSMT) is a collaborative process through which patients with diabetes gain knowledge and skills needed to modify behavior and successfully manage the disease

More information

Objectives. Family Stress. Pediatric Diabetes Complications. Diabetes Self-Management Education (DSME)

Objectives. Family Stress. Pediatric Diabetes Complications. Diabetes Self-Management Education (DSME) Objectives Recognize the problem related to lack of access to pediatric diabetes subspecialist in Rural Maryland. Appreciate the impact of pediatric telehealth delivery of care to improve access to pediatric

More information

N E E D S and G O A L S A S S E S S M E N T

N E E D S and G O A L S A S S E S S M E N T MARY ANN HODOROWICZ CONSULTING, LLC Nutrition, Diabetes Education, Health Promotion and Insurance Reimbursement for Professionals For the Healthcare and Food Industry N E E D S and G O A L S A S S E S

More information

An Overview of Medicare Covered Diabetes Supplies and Services

An Overview of Medicare Covered Diabetes Supplies and Services News Flash - Understanding the Remittance Advice: A Guide for Medicare Providers, Physicians, Suppliers, and Billers serves as a resource on how to read and understand a Remittance Advice (RA). Inside

More information

INDIAN HEALTH DIABETES BEST PRACTICE

INDIAN HEALTH DIABETES BEST PRACTICE INDIAN HEALTH DIABETES BEST PRACTICE Diabetes Self-Management Education (DSME) and Support Note! Please review the Best Practice Addendum, which provides the most current information on the Required Key

More information

The Real Skinny on Medicare Billing Through an Accredited Diabetes Self- Management Program

The Real Skinny on Medicare Billing Through an Accredited Diabetes Self- Management Program The Real Skinny on Medicare Billing Through an Accredited Diabetes Self- Management Program 1 Dallas Area Agency on Aging The Dallas Area Agency on Aging (DAAA) is the department under the umbrella of

More information

2014 -- H 8166 S T A T E O F R H O D E I S L A N D

2014 -- H 8166 S T A T E O F R H O D E I S L A N D LC000 01 -- H 1 S T A T E O F R H O D E I S L A N D IN GENERAL ASSEMBLY JANUARY SESSION, A.D. 01 A N A C T RELATING TO INSURANCE - ACCIDENT AND SICKNESS INSURANCE POLICIES Introduced By: Representatives

More information

MEDICAL POLICY POLICY TITLE DIABETIC SELF-MANAGEMENT TRAINING PROGRAM POLICY NUMBER MP- 2.076

MEDICAL POLICY POLICY TITLE DIABETIC SELF-MANAGEMENT TRAINING PROGRAM POLICY NUMBER MP- 2.076 Original Issue Date (Created): July 1, 2005 Most Recent Review Date (Revised): Effective Date: May 24, 2011 August 31, 2011- RETIRED I. POLICY Initial diabetic self-management training (DSMT) may be considered

More information

Pharmacy and the Medicaid Accountable Care Organization

Pharmacy and the Medicaid Accountable Care Organization RCCO Pilot Project CDC Grant Increase engagement of non-physician team members (ie., pharmacists) in Hypertension (HTN) and Diabetes Mellitus (DM) management in health care systems; Increase the proportion

More information

New Hampshire Telemedicine Reimbursement Guide. Franconia Notch, New Hampshire

New Hampshire Telemedicine Reimbursement Guide. Franconia Notch, New Hampshire New Hampshire Telemedicine Reimbursement Guide Franconia Notch, New Hampshire The Northeast Telehealth Resource Center team is pleased to announce our 1 st edition of this Telemedicine Reimbursement Manual.

More information

Medicaid Health Plans: Adding Value for Beneficiaries and States

Medicaid Health Plans: Adding Value for Beneficiaries and States Medicaid Health Plans: Adding Value for Beneficiaries and States Medicaid is a program with numerous challenges, both for its beneficiaries and the state and federal government. In comparison to the general

More information

Cracking the Code Billing Beyond MNT ADA Coding and Coverage Committee

Cracking the Code Billing Beyond MNT ADA Coding and Coverage Committee Cracking the Code Billing Beyond MNT ADA Coding and Coverage Committee Billing Primer To successfully bill for nutrition services provided by RDs, practitioners need to become familiar with certain terms

More information

Managing the Hospitalized Patient on Insulin: Care Transition. Catie Prinzing MSN, APRN, CNS

Managing the Hospitalized Patient on Insulin: Care Transition. Catie Prinzing MSN, APRN, CNS Managing the Hospitalized Patient on Insulin: Care Transition Catie Prinzing MSN, APRN, CNS Diabetes and Hospitalization People with DM are hospitalized 3x more frequently than patients without diabetes

More information

An Interprofessional Approach to Diabetes Management

An Interprofessional Approach to Diabetes Management Disclosures An Interprofessional Approach to Diabetes Management Principal in DiabetesReframed, LLC. Inventor of U.S. Provisional Patent Application No. 61/585,483 METHODS OF USING A DIABETES CROSS- DISCIPLINARY

More information

Shaping our future: a call to action to tackle the diabetes epidemic and reduce its economic impact

Shaping our future: a call to action to tackle the diabetes epidemic and reduce its economic impact Shaping our future: a call to action to tackle the diabetes epidemic and reduce its economic impact Task Force for the National Conference on Diabetes: The Task Force is comprised of Taking Control of

More information

Columbus Regional Health. Diabetes Educators designing programs using Health Coach extenders in the PCMH.

Columbus Regional Health. Diabetes Educators designing programs using Health Coach extenders in the PCMH. Columbus Regional Health Diabetes Educators designing programs using Health Coach extenders in the PCMH. Objectives: Define what generated the need for the project. Discuss the delivery design model in

More information

Diabetes Education. Shelley Conner, RN, BSN, CDE April 26, 2012

Diabetes Education. Shelley Conner, RN, BSN, CDE April 26, 2012 Diabetes Education Shelley Conner, RN, BSN, CDE April 26, 2012 Rex Healthcare Key Facts Locations in Wake County North Carolina Raleigh, Cary, Wakefield, Apex, Garner, Knightdale, Holly Springs Panther

More information

1. Understand the prevalence of the diabetes epidemic in the United States. 2. Explain why more diabetes patient education programs are needed

1. Understand the prevalence of the diabetes epidemic in the United States. 2. Explain why more diabetes patient education programs are needed How to Set Up a Diabetes Education Program Frances Cohenour, PharmD Chad s Payless Pharmacy Florence, AL fvcoheno@samford.edu Learning Objectives By the end of this presentation, you should be able to:

More information

Population Health Management Program

Population Health Management Program Population Health Management Program Program (formerly Disease Management) is dedicated to improving our members health and quality of life. Our Population Health Management Programs aim to improve care

More information

Interactive Voice Response Technology To Prevent Type 2 Diabetes in Cardiac Population

Interactive Voice Response Technology To Prevent Type 2 Diabetes in Cardiac Population Interactive Voice Response Technology To Prevent Type 2 Diabetes in Cardiac Population Overview The University of Ottawa Heart Institute (UOHI) with an annual rate of 6000 admissions is committed to understanding,

More information

HealthCare Partners of Nevada. Heart Failure

HealthCare Partners of Nevada. Heart Failure HealthCare Partners of Nevada Heart Failure Disease Management Program 2010 HF DISEASE MANAGEMENT PROGRAM The HealthCare Partners of Nevada (HCPNV) offers a Disease Management program for members with

More information

Diabetes Education Services

Diabetes Education Services Diabetes Education Services Reimbursement Tips for Primary Care Practice Revised June 2010 Copyright 2010 American Association of Diabetes Educators The information provided in this booklet is intended

More information

The Wyoming Pay for Participation Program for Medicaid Health Management

The Wyoming Pay for Participation Program for Medicaid Health Management The Wyoming Pay for Participation Program for Medicaid Health Management 2010 Medicaid Congress James Bush, M.D. State Medicaid Medical Officer Wyoming Department of Health Wyoming Medicaid- EqualityCare

More information

Diabetes Educator Mentorship Program

Diabetes Educator Mentorship Program Diabetes Educator Mentorship Program Mentee Application Packet People come in and go out of our lives all the time. Some of these relationships help us grow, and through them, we learn personal and professional

More information

Upstate New York adults with diagnosed type 1 and type 2 diabetes and estimated treatment costs

Upstate New York adults with diagnosed type 1 and type 2 diabetes and estimated treatment costs T H E F A C T S A B O U T Upstate New York adults with diagnosed type 1 and type 2 diabetes and estimated treatment costs Upstate New York Adults with diagnosed diabetes: 2003: 295,399 2008: 377,280 diagnosed

More information

Connecticut Diabetes Statistics

Connecticut Diabetes Statistics Connecticut Diabetes Statistics What is Diabetes? State Public Health Actions (1305, SHAPE) Grant March 2015 Page 1 of 16 Diabetes is a disease in which blood glucose levels are above normal. Blood glucose

More information

May 9, 2014. Hon. Mike Thompson 231 Cannon House Office Building Washington, D.C. 20515. RE: Telehealth Promotion Act of 2014. Dear Rep.

May 9, 2014. Hon. Mike Thompson 231 Cannon House Office Building Washington, D.C. 20515. RE: Telehealth Promotion Act of 2014. Dear Rep. Hon. Mike Thompson 231 Cannon House Office Building Washington, D.C. 20515 RE: Telehealth Promotion Act of 2014 Dear Rep. Thompson: On behalf of the 110,600 physician and student members of the American

More information

Services available to people without a Family Physician or Nurse Practitioner

Services available to people without a Family Physician or Nurse Practitioner Services available to people without a Family Physician or Nurse Practitioner Most people receive the majority of their primary health care through their family physician or nurse practitioner. There are

More information

Coventry Health Care of Florida, Inc. Coventry Health Plan of Florida, Inc. Coventry Health and Life Insurance Company Commercial Lines of Business

Coventry Health Care of Florida, Inc. Coventry Health Plan of Florida, Inc. Coventry Health and Life Insurance Company Commercial Lines of Business Coventry Health Care of Florida, Inc. Coventry Health Plan of Florida, Inc. Coventry Health and Life Insurance Company Commercial Lines of Business Quality Management Program 2012 Overview Quality Improvement

More information

State of Payor Network and Reimbursement for Telehealth Services. Tim Maloney, UC Health Vice President of Payor Relations

State of Payor Network and Reimbursement for Telehealth Services. Tim Maloney, UC Health Vice President of Payor Relations State of Payor Network and Reimbursement for Telehealth Services Tim Maloney, UC Health Vice President of Payor Relations Introduction Reimbursement for services delivered via telehealth varies greatly

More information

Diabetes Self-Management Training Services

Diabetes Self-Management Training Services INDIANA HEALTH COVERAGE PROGRAMS PROVIDER REFERENCE M ODULE Diabetes Self-Management Training Services L I B R A R Y R E F E R E N C E N U M B E R : P R O M O D 0 0 0 2 3 P U B L I S H E D : F E B R U

More information

D I D Y O U K N O W? D I A B E T E S R E S O U R C E G U I D E. Blindness Heart Disease Strokes Kidney Failure Amputation

D I D Y O U K N O W? D I A B E T E S R E S O U R C E G U I D E. Blindness Heart Disease Strokes Kidney Failure Amputation D I D Y O U K N O W? D I A B E T E S R E S O U R C E G U I D E Diabetes is a serious disease that can lead to Blindness Heart Disease Strokes Kidney Failure Amputation Diabetes kills almost 210,000 people

More information

MedStar Family Choice (MFC) Case Management Program. Cyd Campbell, MD, FAAP Medical Director, MFC MCAC June 24, 2015

MedStar Family Choice (MFC) Case Management Program. Cyd Campbell, MD, FAAP Medical Director, MFC MCAC June 24, 2015 MedStar Family Choice (MFC) Case Management Program Cyd Campbell, MD, FAAP Medical Director, MFC MCAC June 24, 2015 Case Management Program Presentation Overview CM Programs Disease Management Complex

More information

Maryland s Partnership with Medicaid and DSME

Maryland s Partnership with Medicaid and DSME Maryland s Partnership with Medicaid and DSME October 31, 2013 Adelline Ntatin MPH, MBIM, MA Heart Disease, Stroke, and Diabetes Program Administrator Maryland Department of Health and Mental Hygiene Prevention

More information

4040 McEwen Rd. Suite 350. Dallas. TX 75244 972-503-3215 * fax 972-503-3219 * info@nw 14.esrd.net * www.esrdnetwork.org

4040 McEwen Rd. Suite 350. Dallas. TX 75244 972-503-3215 * fax 972-503-3219 * info@nw 14.esrd.net * www.esrdnetwork.org 4040 McEwen Rd. Suite 350. Dallas. TX 75244 972-503-3215 * fax 972-503-3219 * info@nw 14.esrd.net * www.esrdnetwork.org STANDARD 1 ESRD NETWORK #14 MEDICAL REVIEW BOARD STANDARDS FOR THE REGISTERED NURSE

More information

Facts about Diabetes in Massachusetts

Facts about Diabetes in Massachusetts Facts about Diabetes in Massachusetts Diabetes is a disease in which the body does not produce or properly use insulin (a hormone used to convert sugar, starches, and other food into the energy needed

More information

Diabetes 101: A Brief Overview of Diabetes and the American Diabetes Association What Happens When We Eat?

Diabetes 101: A Brief Overview of Diabetes and the American Diabetes Association What Happens When We Eat? Diabetes 101: A Brief Overview of Diabetes and the American Diabetes Association What Happens When We Eat? After eating, most food is turned into glucose, the body s main source of energy. 1 Normal Blood

More information

Connect4 Patients CCCM Primary Care Community. Presented By: Veronica Mansfield, DNP, APRN, AE-C, CCM Kit McKinnon, MBA, BSN, RN, CDE, CCM

Connect4 Patients CCCM Primary Care Community. Presented By: Veronica Mansfield, DNP, APRN, AE-C, CCM Kit McKinnon, MBA, BSN, RN, CDE, CCM Connect4 Patients CCCM Primary Care Community Presented By: Veronica Mansfield, DNP, APRN, AE-C, CCM Kit McKinnon, MBA, BSN, RN, CDE, CCM September 17, 2015 Objectives: Describe innovative care management

More information

IAC 12/1/10 Public Health[641] Ch 9, p.1. CHAPTER 9 OUTPATIENT DIABETES EDUCATION PROGRAMS [Prior to 7/29/87, Health Department[470], Ch 9]

IAC 12/1/10 Public Health[641] Ch 9, p.1. CHAPTER 9 OUTPATIENT DIABETES EDUCATION PROGRAMS [Prior to 7/29/87, Health Department[470], Ch 9] IAC 12/1/10 Public Health[641] Ch 9, p.1 CHAPTER 9 OUTPATIENT DIABETES EDUCATION PROGRAMS [Prior to 7/29/87, Health Department[470], Ch 9] 641 9.1(135) Scope. The scope of this chapter is to describe the

More information

Scottish Diabetes Survey 2013. Scottish Diabetes Survey Monitoring Group

Scottish Diabetes Survey 2013. Scottish Diabetes Survey Monitoring Group Scottish Diabetes Survey 2013 Scottish Diabetes Survey Monitoring Group Contents Contents... 2 Foreword... 4 Executive Summary... 6 Prevalence... 8 Undiagnosed diabetes... 18 Duration of Diabetes... 18

More information

DSME/T Reimbursement Toolkit Table of Content

DSME/T Reimbursement Toolkit Table of Content October 2013 This material was prepared by the Delmarva Foundation for Medical Care (DFMC), the Disparities National Coordinating Center, under contract with the Centers for Medicare & Medicaid Services

More information

Technician Learning Objectives 3/25/2014. Pharmacy Practice Changes in ACA Accountable Care Organizations

Technician Learning Objectives 3/25/2014. Pharmacy Practice Changes in ACA Accountable Care Organizations Pharmacy Practice Changes in ACA Accountable Care Organizations Avani S. Desai, PharmD & Emory S. Martin PharmD Sunday, April 12, 2014 9:05 10:05 am Pharmacist Learning Objectives At the conclusion of

More information

Diabetes Management in the Primary Care Setting

Diabetes Management in the Primary Care Setting APNA Online Learning www.apna.asn.au/onlinelearning Diabetes Management in the Primary Care Setting Course Summary Diabetes Management in the Primary Care Setting is an online learning program aimed at

More information

The Burden Of Diabetes And The Promise Of Biomedical Research

The Burden Of Diabetes And The Promise Of Biomedical Research The Burden Of Diabetes And The Promise Of Biomedical Research Presented by John Anderson, MD Incoming Chair, ADA s National Advocacy Committee; Frist Clinic, Nashville, TN Type 1 Diabetes Usually diagnosed

More information

Telehealth s Role in a Medical Home Model. Learning Objectives 4/9/2012

Telehealth s Role in a Medical Home Model. Learning Objectives 4/9/2012 Telehealth s Role in a Medical Home Model Susan Makela, BSN, MPA Director Upper Peninsula Telehealth Network Marquette General Health System Learning Objectives Identify the role telehealth plays in the

More information

DELTA AHEC HELENA, AK August, 2004

DELTA AHEC HELENA, AK August, 2004 DELTA AHEC HELENA, AK August, 2004 Executive Summary: The Delta Area Health Education Center (Delta AHEC) is a seven-county health education outreach program of the University of Arkansas for Medical Sciences.

More information

Type 1 Diabetes ( Juvenile Diabetes)

Type 1 Diabetes ( Juvenile Diabetes) Type 1 Diabetes W ( Juvenile Diabetes) hat is Type 1 Diabetes? Type 1 diabetes, also known as juvenile-onset diabetes, is one of the three main forms of diabetes affecting millions of people worldwide.

More information

University Hospital Community Health Needs Assessment FY 2014

University Hospital Community Health Needs Assessment FY 2014 FY 2014 Prepared by Kathy Opromollo Executive Director of Ambulatory Care Services Newark New Jersey is the State s largest city. In striving to identify and address Newark s most pressing health care

More information

Diabetes Coverage in the Health Insurance Exchanges & Essential Health Benefits

Diabetes Coverage in the Health Insurance Exchanges & Essential Health Benefits Diabetes Coverage in the Health Insurance Exchanges & Essential Health Benefits Dr. LaShawn A. McIver, MD, MPH National Director, Public Policy & Strategic Alliances American Diabetes Association O Presentation

More information

10/18/2013. Alphabet Soup: Understanding the Use of Coding/Billing Terminology. Cracking the Code: Part 1. Session Objectives

10/18/2013. Alphabet Soup: Understanding the Use of Coding/Billing Terminology. Cracking the Code: Part 1. Session Objectives Cracking the Code: Part 1 Alphabet Soup: Understanding the Use of Coding/Billing Terminology Marsha Schofield, MS, RD, LD Director, Nutrition Services Coverage Academy of Nutrition and Dietetics Session

More information

About to Retire: Preparing for Medicare Patient Financial Services Agenda Medicare Enrollment Covered Services Medicare-covered covered Preventive Services Agenda, continued Advance Beneficiary Notice

More information

CHAPTER 17: HEALTH PROMOTION AND DISEASE MANAGEMENT

CHAPTER 17: HEALTH PROMOTION AND DISEASE MANAGEMENT CHAPTER 17: HEALTH PROMOTION AND DISEASE MANAGEMENT HEALTH SERVICES AND PROGRAMS The Plan s Health Promotion and Disease Management Department seeks to improve the health and overall well-being of our

More information

Disease Management Identifications and Stratification Health Risk Assessment Level 1: Level 2: Level 3: Stratification

Disease Management Identifications and Stratification Health Risk Assessment Level 1: Level 2: Level 3: Stratification Disease Management UnitedHealthcare Disease Management (DM) programs are part of our innovative Care Management Program. Our Disease Management (DM) program is guided by the principles of the UnitedHealthcare

More information

FORCES OF CHANGE ASSESSMENT

FORCES OF CHANGE ASSESSMENT APPENDIX C FORCES OF CHANGE ASSESSMENT Report of Results 2011 Page C1 FORCES OF CHANGE ASSESSMENT PROCESS SUMMARY The Florida DOH led a coordinated, statewide effort to conduct a Forces of Change Assessment

More information

Maryland Opportunities

Maryland Opportunities Here you will find the key programs and projects created as a result of the federal health reform law (Patient Protection and Affordability Act) passed in March 2010 that require the attention of your

More information

Canadian Diabetes Association, Diabetes Educator Section. Standards for Diabetes Education in Canada 2014

Canadian Diabetes Association, Diabetes Educator Section. Standards for Diabetes Education in Canada 2014 Canadian Diabetes Association, Diabetes Educator Section Standards for Diabetes Education in Canada 2014 Canadian Diabetes Association Diabetes Educator Section Belief Statements As members of the Diabetes

More information

Diabetes Complications

Diabetes Complications Managing Diabetes: It s s Not Easy But It s s Worth It Presenter Disclosures W. Lee Ball, Jr., OD, FAAO (1) The following personal financial relationships with commercial interests relevant to this presentation

More information

Objectives. Clinical Impact of An Inpatient Diabetes Care Model. Impact of Diabetes on Hospitals. The Nebraska Medical Center Stats 6/5/2014

Objectives. Clinical Impact of An Inpatient Diabetes Care Model. Impact of Diabetes on Hospitals. The Nebraska Medical Center Stats 6/5/2014 Objectives Clinical Impact of An Inpatient Diabetes Care Model Beth Pfeffer MSN, RN CDE Andjela Drincic, MD 1. Examine the development of the role of the diabetes case manager model in the inpatient setting

More information

Provider Community Pharmacist Team Management of Hypertension and Diabetes

Provider Community Pharmacist Team Management of Hypertension and Diabetes Provider Community Pharmacist Team Management of Hypertension and Diabetes William R. Doucette, Ph.D. University of Iowa College of Pharmacy Iowa Background Provider pharmacist team management of hypertension

More information

Programme Specification and Curriculum Map for the Advanced Diploma in Long Term Conditions

Programme Specification and Curriculum Map for the Advanced Diploma in Long Term Conditions Programme Specification and Curriculum Map for the Advanced Diploma in Long Term Conditions 1. Programme title Advanced Diploma in Long Term Conditions 2. Awarding institution Middlesex University 3. Teaching

More information

New York Methodist Hospital Community Service Plan Year One Update

New York Methodist Hospital Community Service Plan Year One Update New York Methodist Hospital Community Service Plan Year One Update 1. Mission Statement There have been no changes made to New York Methodist Hospital s Mission Statement. 2. Service Area The primary service

More information

Clinical Impact of An Inpatient Diabetes Care Model. Objectives

Clinical Impact of An Inpatient Diabetes Care Model. Objectives Clinical Impact of An Inpatient Diabetes Care Model Beth Pfeffer MSN, RN CDE June 4, 2014 Objectives 1. Examine the development of the role of the diabetes case manager model in the inpatient setting 2.

More information

Module I October 18-22, 2015 JW Marriott Marquis Hotel, Dubai, UAE

Module I October 18-22, 2015 JW Marriott Marquis Hotel, Dubai, UAE CME Accreditation is under process Module 1: Diabetes Facts and Diabetes in the Clinic Module 2: Nursing theory and educational (pedagogical) tools to advise and educate people with diabetes and their

More information

Telehealth Services. Part B Provider Outreach and Education January 2016

Telehealth Services. Part B Provider Outreach and Education January 2016 Telehealth Services Part B Provider Outreach and Education January 2016 DISCLAIMER This information release is the property of Noridian Healthcare Solutions, LLC. It may be freely distributed in its entirety

More information

Community Health Program Outpatient Care Management Program

Community Health Program Outpatient Care Management Program Community Health Program Outpatient Care Management Program Beverly Dowling Assistant Vice President Community Health Network Office of Health Policy and Legislative Affairs The University of Texas Medical

More information

May 9, 2013. FaithAnn Amond, RN Navigator Care Central Ellis Medicine

May 9, 2013. FaithAnn Amond, RN Navigator Care Central Ellis Medicine A Systems Approach to Diabetes Care Hospital to Home. Improving Care Transitions and Outcomes Helen Hayes Hospital West Haverstraw, NY James Desemone, MD Director of Medical Staff Quality Diabetes and

More information

Home Health Care: A More Cost-Effective Approach to Medicaid in Illinois Illinois HomeCare & Hospice Council December 2010

Home Health Care: A More Cost-Effective Approach to Medicaid in Illinois Illinois HomeCare & Hospice Council December 2010 Home Health Care: A More Cost-Effective Approach to Medicaid in Illinois Illinois HomeCare & Hospice Council December 2010 As the Illinois Legislature prepares to act on the future of Medicaid, it is important

More information

Treating Patients with PRE-DIABETES David Doriguzzi, PA-C First Valley Medical Group. Learning Objectives. Background. CAPA 2015 Annual Conference

Treating Patients with PRE-DIABETES David Doriguzzi, PA-C First Valley Medical Group. Learning Objectives. Background. CAPA 2015 Annual Conference Treating Patients with PRE-DIABETES David Doriguzzi, PA-C First Valley Medical Group Learning Objectives To accurately make the diagnosis of pre-diabetes/metabolic syndrome To understand the prevalence

More information

The Management of Type II Diabetes Mellitus in the Face of the Healthcare System and Social Determinants

The Management of Type II Diabetes Mellitus in the Face of the Healthcare System and Social Determinants The Management of Type II Diabetes Mellitus in the Face of the Healthcare System and Social Determinants Alexis Boaz 1 1 Department of Health Systems Administration, Georgetown University, Washington D.C.

More information

A Nurse-Led Center for Chronic Care Management: Transforming Care in Our Community

A Nurse-Led Center for Chronic Care Management: Transforming Care in Our Community A Nurse-Led Center for Chronic Care Management: Transforming Care in Our Community Veronica Mansfield, APRN, AE-C, CCM Supervisor, Center for Chronic Care Management Asthma Care Manager February 5, 2010

More information

An Integrated, Holistic Approach to Care Management Blue Care Connection

An Integrated, Holistic Approach to Care Management Blue Care Connection An Integrated, Holistic Approach to Care Management Blue Care Connection With health care costs continuing to rise, both employers and health plans need innovative solutions to help employees manage their

More information

North Carolina Diabetes Education Recognition Program. Policies and Procedures

North Carolina Diabetes Education Recognition Program. Policies and Procedures North Carolina Diabetes Education Recognition Program Policies and Procedures The mission of the Diabetes Self-Management Program is to provide quality comprehensive diabetes self-management education

More information

The London Primary Care Diabetes Support Program:

The London Primary Care Diabetes Support Program: The London Primary Care Diabetes Support Program: Diabetes Care with a Difference SUCC ESS STO R Y 1 A patient s first appointment here includes an intake assessment of the broader determinants of health

More information

Provider Manual. Section 18.0 - Case Management and Disease Management

Provider Manual. Section 18.0 - Case Management and Disease Management Section 18.0 - Case Management and Disease Management 18.1.1 Introduction 18.2.1 Scope 18.3.1 Objectives 18.4.1 Procedures Case Management 18.4.1-A. Referrals 18.4.1-B. Case Management Mercy Maricopa Acute

More information

Medical Nutrition Therapy (MNT): Billing, Codes and Need. Melissa Brito Adelante Healthcare, Phoenix, AZ

Medical Nutrition Therapy (MNT): Billing, Codes and Need. Melissa Brito Adelante Healthcare, Phoenix, AZ Medical Nutrition Therapy (MNT): Billing, Codes and Need Melissa Brito Adelante Healthcare, Phoenix, AZ Introduction Adelante Helathcare centers do not currently provide Medical Nutrition Therapy (MNT).

More information

Diabetes Self Management Training Insulin Pump Follow Up

Diabetes Self Management Training Insulin Pump Follow Up 701 East Marshall Street, West Chester, PA 19380 www.chestercountyhospital.org 610.431.5000 Diabetes Self Management Training Insulin Pump Follow Up Patient Name: Visit Date: Time: To prepare for your

More information

2015 Medicare Advantage Summary of Benefits

2015 Medicare Advantage Summary of Benefits 2015 Medicare Advantage Summary of Benefits HNE Medicare Premium No Rx and HNE Medicare Basic No Rx January 1, 2015 - December 31, 2015 H8578_2015_034 Accepted HNE MEDICARE ADVANTAGE ENROLLMENT KIT 2015

More information

1900 K St. NW Washington, DC 20006 c/o McKenna Long

1900 K St. NW Washington, DC 20006 c/o McKenna Long 1900 K St. NW Washington, DC 20006 c/o McKenna Long Centers for Medicare & Medicaid Services U. S. Department of Health and Human Services Attention CMS 1345 P P.O. Box 8013, Baltimore, MD 21244 8013 Re:

More information

HEALTH POLICY STATEMENT

HEALTH POLICY STATEMENT Page 1 HEALTH POLICY STATEMENT PREAMBLE The American Nephrology Nurses Association (ANNA) is a national organization of registered nurses practicing in nephrology, which includes but is not limited to

More information

Understand and Leverage the Link Between Employee Wellness and Workers Compensation

Understand and Leverage the Link Between Employee Wellness and Workers Compensation Understand and Leverage the Link Between Employee Wellness and Workers Compensation Presented by: Amy Richter, Wellness Consultant John Fuhs, VP Business Development Would You Agree? Healthier people are

More information

Priority needs per CHNA. Androscoggin County

Priority needs per CHNA. Androscoggin County Priority needs per CHNA County Identified Need Agency Specific program/projects Comments Alcohol abuse Parents Who Host, Lose The Most Campaign Training medical providers on integrating SBIRT, (Screening,

More information

EXECUTIVE SUMMARY AND OVERVIEW. The Nursing Center Model of Health Care for the Underserved

EXECUTIVE SUMMARY AND OVERVIEW. The Nursing Center Model of Health Care for the Underserved EXECUTIVE SUMMARY AND OVERVIEW The Nursing Center Model of Health Care for the Underserved Tine Hansen-Turton, Co-Principal Investigator, MGA, JD Laura Line, Co-Principal Investigator, MS Michelle O Connell,

More information

Federally Qualified Health Centers (FQHC) Billing 1163_0212

Federally Qualified Health Centers (FQHC) Billing 1163_0212 Federally Qualified Health Centers (FQHC) Billing 1163_0212 Today s Presenter Charles Wiley- Provider Outreach and Education Representative 2 Disclaimer has produced this material as an informational reference

More information

The Joint Commission Advanced DSC Certification for Inpatient Diabetes Care

The Joint Commission Advanced DSC Certification for Inpatient Diabetes Care The Joint Commission Advanced DSC Certification for Inpatient Diabetes Care November 12, 2013 Caroline Isbey RN, MSN, CDE Associate Director Teresa Gomez Associate Project Director Specialist-SSM Carol

More information

Summary of Benefits Community Advantage (HMO)

Summary of Benefits Community Advantage (HMO) Summary of Benefits Community Advantage (HMO) January 1, 2015 - December 31, 2015 This booklet gives you a summary of what we cover and what you pay. It doesn't list every service that we cover or list

More information

Remote Access Technologies/Telehealth Services Medicare Effective January 1, 2016

Remote Access Technologies/Telehealth Services Medicare Effective January 1, 2016 Remote Access Technologies/Telehealth Services Medicare Effective January 1, 2016 Prior Authorization Requirement Yes No Not Applicable * Not covered by Medicare but is covered by HealthPartners Freedom

More information

Like John Fogerty said in one of his hit songs, I see a bad moon arising, How to Decrease Your Health Care Costs for Employees with Diabetes

Like John Fogerty said in one of his hit songs, I see a bad moon arising, How to Decrease Your Health Care Costs for Employees with Diabetes How to Decrease Your Health Care Costs for Employees with Diabetes Written by Tom Milam Like John Fogerty said in one of his hit songs, I see a bad moon arising, I see trouble on the way, the self-insured

More information

Letter from the President

Letter from the President Letter from the President To Our Communities... In January 1974, Delano Regional Medical Center (DRMC) opened its doors with 10 patients, 50 employees, 5 physicians and 110 volunteers! Celebrating our

More information

Limb Preservation Strategies: Quality Outcomes for the ACO Model. SPEAKERS: Audrey K Moyer-Harris MBA BSN RN CWCN Martha Kelso RN HBOT COO MWS LEAP

Limb Preservation Strategies: Quality Outcomes for the ACO Model. SPEAKERS: Audrey K Moyer-Harris MBA BSN RN CWCN Martha Kelso RN HBOT COO MWS LEAP Limb Preservation Strategies: Quality Outcomes for the ACO Model SPEAKERS: Audrey K Moyer-Harris MBA BSN RN CWCN Martha Kelso RN HBOT COO MWS LEAP Disclosures Audrey K Moyer-Harris MBA BSN RN CWCN Executive

More information

Assessment of Inpatient Diabetes Care Management and Education in Wisconsin Critical Access Hospitals

Assessment of Inpatient Diabetes Care Management and Education in Wisconsin Critical Access Hospitals Assessment of Inpatient Diabetes Care Management and Education in Wisconsin Critical Access Hospitals Authors: The Critical Access Hospital Diabetes Project Workgroup vember 2006 TABLE OF CONTENTS INTRODUCTION...

More information

Ann Hablitzel, RN, BSN, MBA Hospice Care of California

Ann Hablitzel, RN, BSN, MBA Hospice Care of California Ann Hablitzel, RN, BSN, MBA Hospice Care of California Objectives Describe the creations of new community based palliative care programs Identify criteria for admission Discuss philosophy and goals Analyze

More information

Objectives. What Is Diabetes? 1/26/2015. Carbs & Meds & Meters, Oh My!: Diabetes in Pregnancy

Objectives. What Is Diabetes? 1/26/2015. Carbs & Meds & Meters, Oh My!: Diabetes in Pregnancy Carbs & Meds & Meters, Oh My!: Diabetes in Pregnancy Jan Tisdale RD, MPH, CDE Nutritionist / Certified Diabetes Educator UAB School of Medicine OB/GYN Maternal-Fetal Medicine 02/2015 Objectives Review

More information