november 14, 2019 · november 14, 2019. connects north carolinians with prediabetes to a diabetes...
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November 14, 2019
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Connects North Carolinians with prediabetes to a
Diabetes Prevention Program (DPP).
![Page 5: November 14, 2019 · November 14, 2019. Connects North Carolinians with prediabetes to a Diabetes Prevention Program (DPP). Provider/ patient makes a referral. DPP Navigator contacts](https://reader033.vdocuments.us/reader033/viewer/2022060419/5f1688482095513ebc6d268d/html5/thumbnails/5.jpg)
Provider/ patient makes a referral.
DPP Navigator contacts referred patient.
DPP Navigator verifies patient eligibility.
Patient is
enrolled in DPP.
Provider receives patient status updates.
Step 1
Step 2
Step 3
Step 4DiabetesFreeNC Process
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Connects North Carolinians with prediabetes to a
Diabetes Prevention Program (DPP).
![Page 8: November 14, 2019 · November 14, 2019. Connects North Carolinians with prediabetes to a Diabetes Prevention Program (DPP). Provider/ patient makes a referral. DPP Navigator contacts](https://reader033.vdocuments.us/reader033/viewer/2022060419/5f1688482095513ebc6d268d/html5/thumbnails/8.jpg)
Provider/ patient makes a referral.
DPP Navigator contacts referred patient.
DPP Navigator verifies patient eligibility.
Patient is
enrolled in DPP.
Provider receives patient status updates.
Step 1
Step 2
Step 3
Step 4DiabetesFreeNC Process
![Page 10: November 14, 2019 · November 14, 2019. Connects North Carolinians with prediabetes to a Diabetes Prevention Program (DPP). Provider/ patient makes a referral. DPP Navigator contacts](https://reader033.vdocuments.us/reader033/viewer/2022060419/5f1688482095513ebc6d268d/html5/thumbnails/10.jpg)
Step 1: DPP Navigator contacts referred patient.
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Step 2: DPP Navigator verifies patient eligibility.
![Page 12: November 14, 2019 · November 14, 2019. Connects North Carolinians with prediabetes to a Diabetes Prevention Program (DPP). Provider/ patient makes a referral. DPP Navigator contacts](https://reader033.vdocuments.us/reader033/viewer/2022060419/5f1688482095513ebc6d268d/html5/thumbnails/12.jpg)
Must score five or higher on the risk test.
Step 2: DPP Navigator verifies patient eligibility.
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Step 3: Patient is enrolled in a DPP.
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DPP Navigator reports
enrollment and completion
status to the referring provider.
Step 4: Referring provider receives patient updates.
866-366-2329
NCCARE360.org
or
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Real-time, live interaction with a DPP Navigator
Eliminate the barrier of searching for a DPP
Established relationships with DPP lifestyle coaches
Bidirectional feedback for providers
DPP Navigator Benefits
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Every referral may
prevent a future diabetes
diagnosis.
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Purpose: strengthen Stroke System of Care and guide Stroke Advisory Council work
Goals:
1. Guide efforts to increase access to care
2. Increase quality, coordinated care
3. Enhance post-stroke care
4. Prevent strokes
5. Advocate for stroke prevention and care
Primary audience: providers of stroke care
Format: web-based with full annual review and on-going review of additions and revisions
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Strategies and Resources in Four Sections
I. Stroke Prevention
II. Stroke Care
III. Post-Stroke Care
IV. Advocacy
Action Plan
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#1 Clinical Practice Guidelines = Why we do it
#2 Tools for application = How we do it
Standardization of work flows
Communication between EMS and hospital
Recommendation for prehospital stroke assessment
Collaboration with primary care providers
Diagnostic imaging
Stroke data
Stroke Registry
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Review and provide feedback by January 10, 2020
SAC Meeting February 26, 2020
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• Inventory all telestroke services available in NC
• Update telestroke map
• Partner with NCHA, OEMS, etc. to keep list of telestroke sites current
• Identify gap areas
• Assess need for development of telestroke system
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• EMS transport of stroke patients
• Prehospital stroke assessment
• Selection of appropriate transport method
• Selection of appropriate hospital as transport destination
• Assessment of disparities in EMS access
• Prehospital documentation and metrics
• Documentation of baseline deficits and communication of deficits as patients move through continuum of care
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• Case data abstraction guidelines
• Hospital capacity to abstract data
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• Purpose
• Objectives
• Measures across the care continuum
• Collaboration with NC HealthConnex
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