qin-qio public sharing call – september 26, 2018 · 9/26/2018 · qin-qio public sharing call...
TRANSCRIPT
QIN-QIO Public Sharing Call –Understanding the 2017 National Standards for Diabetes Self-Management Education and Support
Wednesday September 26, 20183:00-4:30 PM ET
Welcome and Reminders
Karen Ten CateEvent Lead
Lindsay KaatzChat Manager
• Please be prepared for sharing and open discussion
• Slides and a recording from today’s session can be found on: https://qioprogram.org/qin-qio-public-sharing-call-september-2018
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Purpose
• Audience: Patients, community and healthcare providers, local partners, federal partners, and Quality Improvement Organization (QIO) Program partners (*registration required)
• Purpose: The purpose of this session is to prepare healthcare quality improvement professionals to identify and implement effective healthcare strategies by exploring the 2017 National Standards for Diabetes Self-Management Education and Support
• Expectations: Participants will gain knowledge that is directly applicable to their work in healthcare quality improvement and acquire information that can be easily shared among their own community, organization, or team
• Topics: Topics will be aligned with the CMS Quality Strategy goals
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Learning Outcomes
• Identify the initial and annual requirements for ADA recognition or AADE accreditation of diabetes self-management education and support (DSMES) services.
• Be able to set an action plan to transition to an ADA recognized or AADE accredited DSMES service.
• List the annual requirements of professional and paraprofessional DSMES team members.
• List 3 ADA and 3 AADE resources that assist DSMES services in meeting and maintaining recognition or accreditation.
• Describe the difference between a DSMES behavioral goal and a diabetes self-management support plan.
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Things to Think About
Will you commit to being… • Attentive• Active• Actionable
Show your commitment by clicking the green checkmark!
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Let’s Take a Poll
How familiar are you with the 2017 National Standards of Diabetes Self-Management Education and Support?
a. Not at all familiar b. I’ve seen them at least once c. Refer to when needed, but unsure of some standards d. I live by them (very familiar)
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Continuing Education Credit
Continuing education credit is available for:• Physicians and Physician Assistants• Registered Nurses and Nurse Practitioners• Dietitians• Pharmacists and Pharmacy Technicians• Certificate of Attendance
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Instructions for Obtaining CE
• Attend the entire event• Complete the evaluation that will pop up at the
conclusion of the event• There is a separate evaluation required for CE that will
load in your browser following completion of the general evaluation
• Once you submit your CE evaluation, you will be provided with a certificate to retain for your records
• For technical assistance, please email Stacey Davis ([email protected])
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CE Information
Physicians:This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providershipof AKH Inc., Advancing Knowledge in Healthcare, CRW & Associates and Telligen. AKH Inc., Advancing Knowledge in Healthcare is accredited by the ACCME to provide continuing medical education for physicians.
AKH Inc., Advancing Knowledge in Healthcare designates this live activity for a maximum of 1.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Physician Assistants:NCCPA accepts AMA PRA Category 1 Credit™ from organizations accredited by ACCME.
Pharmacists:AKH Inc., Advancing Knowledge in Healthcare is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.AKH Inc., Advancing Knowledge in Healthcare approves this knowledge-based activity for 1.5 contact hours (0.15 CEUs). UAN 0077-9999-18-031-L04-P; UAN 0077-9999-18-031-L04-T. Initial Release Date 9/26/2018
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CE Information, Continued
Registered Nurses:AKH Inc., Advancing Knowledge in Healthcare is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.This activity is awarded 1.5 contact hours.
Nurse Practitioners:This activity has been planned and implemented in accordance with the accreditation Standards of the American Association of Nurse
Practitioners (AANP) through the joint providership of AKH Inc., Advancing Knowledge in Healthcare, CRW & Associates and Telligen. AKH Inc., Advancing Knowledge in Healthcare is accredited by the American Association of Nurse Practitioners as an approved provider of nurse practitioner continuing education. Provider number: 030803This activity is accredited for 1.5 contact hour(s) which includes 0 hour(s) of pharmacology. Activity ID #218176
Dietitians:AKH Inc., Advancing Knowledge in Healthcare is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR). Registered dietitians (RDs) and dietetic technicians, registered (DTRs) will receive 1.5 continuing professional education units (CPEUs) for completion of this program/material. CDR Accredited Provider #AN008. The focus of this activity is rated Level 2. Learners may submit evaluations of program/materials quality to the CDR at www.cdrnet.org.
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Disclosure of Financial Relationships & Commercial Support
• The planners and faculty do not have any relevant financial relationships to disclose.
• AKH Inc., CRW & Associates, and Telligen do not have any relevant financial relationships to disclose.
• No commercial support was received for this activity.
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Disclosure of Financial Relationships & Commercial Support
Disclosures:It is the policy of AKH Inc. to ensure independence, balance, objectivity, scientific rigor, and integrity in all of its continuing education activities. The author must disclose to the participants any significant relationships with commercial interests whoseproducts or devices may be mentioned in the activity or with the commercial supporter of this continuing education activity. Identified conflicts of interest are resolved by AKH prior to accreditation of the activity and may include any of or combination of the following: attestation to non-commercial content; notification of independent and certified CME/CE expectations; referral toNational Author Initiative training; restriction of topic area or content; restriction to discussion of science only; amendment of content to eliminate discussion of device or technique; use of other author for discussion of recommendations; independent review against criteria ensuring evidence support recommendation; moderator review; and peer review.
Disclosure of Unlabeled Use and Investigational Product:This educational activity may include discussion of uses of agents that are investigational and/or unapproved by the FDA. Pleaserefer to the official prescribing information for each product for discussion of approved indications, contraindications, andwarnings.
Disclaimer:This course is designed solely to provide the healthcare professional with information to assist in his/her practice and professional development and is not to be considered a diagnostic tool to replace professional advice or treatment. The course serves as ageneral guide to the healthcare professional, and therefore, cannot be considered as giving legal, nursing, medical, or otherprofessional advice in specific cases. AKH Inc. specifically disclaim responsibility for any adverse consequences resulting directly or indirectly from information in the course, for undetected error, or through participant's misunderstanding of the content.
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Method of Participation
• You must participate in the entire activity to receive credit.
• A statement of credit will be available upon completion of an online evaluation/claimed credit form.
• The link to the online evaluation will be provided after completion of the activity.
• If you have questions about this CME/CE activity, please contact AKH Inc. at [email protected].
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Meet Your Speakers
Jodi Lavin-Tompkins, MSN, RN, CDE, BC-ADM
Director of AccreditationAmerican Association of Diabetes
Educators
Uzma Quraishi, MS, RDAssociate Director, Education
Recognition ProgramAmerican Diabetes Association
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Disclosure to Participants Notice of Requirements For Successful Completion
Please refer to learning goals and objectives Learners must attend the full activity and complete the evaluation in order
to claim continuing education credit/hours Conflict of Interest (COI) and Financial Relationship Disclosures
Presenter: Jodi Lavin-Tompkins MSN, RN, CDE, BC-ADM – No conflicts of interest to disclose
Presenter: Uzma Quraishi MS, RD– No conflicts of interest to disclose Non-Endorsement of Products
Accredited status does not imply endorsement by ADA, AADE, ANCC, ACPE or CDR of any commercial products displayed in conjunction with this educational activity
Off-Label Use Participants will be notified by speakers to any product used for a purpose
other than for which it was approved by the Food and Drug Administration.
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Learning Objectives Identify the initial and annual requirements for AADE accreditation or
ADA recognition of DSMES services.
Be able to set an action plan to transition to an ADA Recognized or AADE Accredited DSMES service.
List the annual requirements of professional DSMES and paraprofessional DSMES team members.
List 3 ADA and 3 AADE resources that assist DSMES services in meeting and maintaining accreditation
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Introductionand
Accreditation/Recognition Overview
Jodi Lavin-Tompkins MSN, RN, BC-ADM, CDE
Director of Accreditation
American Association of Diabetes Educators
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ADA and AADE are the two CMS National Accrediting Organizations for DMST
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Accreditation/Recognition 4 Year Cycle Online application and fee submission Supporting documents for all standards plus onede-identified patient chart
Once accredited/recognized, receive certificate to provide a copy to MAC (Medicare Administrative Contractor) Every year following accreditation, need to report data,
stakeholder input, continuous quality improvement plan/results Be audit ready at all times Every 4 years need to re-apply/renew
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Operationalizing the Diabetes Self-Management
andSupport Standards
Jodi Lavin-Tompkins MSN, RN, BC-ADM, CDE
Director of Accreditation
American Association of Diabetes Educators
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There are 10 National Standards to meet for accreditation
Structure Standards
Standard 1 –
Internal Structure
Standard 2 –
Stakeholder Input
Standard 3 –
Evaluation of population served
Standard 4 –
Quality Coordinator overseeing DSMES
Process Standards
Standard 5 –
DSMES Team
Standard 6 –
Curriculum
Standard 7 –
Individualization
Standard 8 –
Ongoing Support
Outcome Standards
Standard 9 –Participant ProgressStandard 10 –Quality Improvement
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AADE Interpretive GuidanceHighlights from the standards
document.
The element of a standard that
a DSMES service must
have operationalized
for Accreditation
The documented
evidence that reflects adherence
to the standard
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ADA Review Criteria and Indicators
The element of a standard that
a DSMES service must have
operationalized for Recognition
The documented
evidence that reflects
adherence to the standard
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Standards Walk Through
ADA or AADEReflects requirements unique
to one or the other organizations
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AWalk Through Standards 1-5
Jodi Lavin-Tompkins MSN, RN, CDE, BC-ADM
Director of Accreditation
American Association of Diabetes Educators
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Standard 1: Mission and Goals Organizational Structure/Org Chart illustrating where
the DSMES service fits into the larger organization
Mission Statement = fundamental purpose
Program Goals = activities to accomplish the mission
Signed letter of support from sponsoring organization/owner
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Standard 2: Stakeholder Input Process for seeking outside input and lists the
stakeholders, roles Documented at least annually and available for audit Must document within 6 months after accreditation if not
submitted with application (AADE) Stakeholders can give input to improve utilization,
quality, measureable outcomes, and sustainability of the services Input can be completed by phone, survey, email, or face-
to-face ADA requires single discipline services to have a
healthcare provider of a different discipline as a stakeholder
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Standard 3: Evaluation of Population Served
Evaluating the population where services are delivered determines the resources, design and delivery methods that will align with their needsDocument allocation of resources to meeting
population specific needs Document plan to address any opportunities, gaps
in services, access issues identified
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Standard 4: Quality Coordinator Overseeing DSMES Services
Quality Coordinator is responsible for all components of DSMES, including evidence-based practice, service design, evaluation and continuous quality improvement Coordinator resume/CV Coordinator job description 15 hours of Continuing Education related to diabetes
within 12 months prior to the application and annually throughout the 4 years OR maintenance of CDE or BC-ADM certification
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Standard 5: DSMES Team At least one team member is an RN, RD or pharmacist with
training and experience pertinent to DSMES, or be another health care professional holding CDE or BC-ADM certification All team members have valid licensure, registration and
certification Team members have either 15 hours of continuing education
annually OR maintain CDE or BC-ADM certification Paraprofessionals may contribute with appropriate training and
supervision must have experience or training in related field, is
supervised by Quality Coordinator/professional team member, has annual documentation of 15 hours of continuing education and/or training specific to the role they serve on the team
Document explaining a mechanism for ensuring participant needs are met if outside scope of practice or expertise
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Q & A on the first five Standards
• Standard 1: Mission and Goals• Standard 2: Stakeholder Input• Standard 3: Evaluation of Population Served• Standard 4: Quality Coordinator Overseeing DSMES
Services• Standard 5: DSMES Team
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A Walk ThroughStandards 6 - 10
Uzma Quraishi MS, RDAssociate Director of Education Recognition
Program for the American Diabetes Association
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Standard 6: CurriculumDocumentation reflecting: A service’s curriculum with 9 topic areas
Diabetes pathophysiology and treatment optionsHealthy eatingPhysical activityMedication useMonitoring and using patient generated health data (PGHD)Preventing, detecting, and treating acute complicationsPreventing, detecting, and treating chronic complicationsHealthy coping with psychosocial issues and concernsProblem solving
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Standard 6: Curriculum 2 of the 9 Topic Areas must reflect specific elements
Preventing, detecting, and treating acute complications including hypoglycemia, hyperglycemia, diabetes ketoacidosis, sick day guidelines, and severe weather or situation crisis and diabetes supplies management
Preventing, detecting, and treating chronic complications including immunizations and preventive eye, foot, dental, and renal examinations as indicated per the individual participant’s duration of diabetes and health status
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Standard 6: Curriculum
Documentation reflecting:
Each of the 9 topic areas must have:ContentLearning objectivesMethods of deliveryCriteria for evaluating learning for population served
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Standard 6: Curriculum
Supporting material relevant to the population served
Regular review and/or revisions as needed or at least annually of the curriculum and/or supporting materials by DSMES team members and/or advisory group
The instruction method is tailored/individualized and involves problem solving
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Standard 7, 8, and 9: The DSMES Chart
Standard 7: Individualization
Standard 8: Ongoing Support
Standard 9: Participant Progress
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The DSMES Assessment An Assessment in the following 12 areas is required.
Diabetes disease processNutrition managementPhysical activityUsing medicationsMonitoring blood glucosePreventing, detecting, and treating acute complicationsPreventing detecting, and treating chronic complicationsCognitive (knowledge of self-management skills, functional health literacy)Psychosocial (emotional response to diabetes)
Clinical (diabetes and other pertinent clinical history)Diabetes distress and support systemsBehavioral (readiness for change, lifestyle practices, self-care behaviors)
If part of the assessment is deferred, the reason for deferment needs to be documented.
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The Participant Education Record
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The Participant Education Record
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The Support Plan (DSMS Plan) DSMES participants’ self selected Diabetes Self-Management Support plan
ADA DSMS Plan must be outside of the DSMES service
List of support options, including those specific to community
The support options being reviewed/revised at least annually
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Outcome Measurement and Communication
Participants’ achievement of at least one of their individualized self selected behavior goals At least one other participant outcomeOutcome assessments are personalized and reviewed at appropriate intervalsCommunication with referring provider (if applicable) or with another healthcare provider outside of the DSMES services regarding the education planned or provided and participant outcome
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Standard 10: Quality Improvement Aggregation of at least one participant behavioral goal
Aggregation of at least one other participant outcome
New DSMES services: A continuous quality improvement (CQI) project plan AADE-for new services, review requirements on phone
interview and do a check-in at 6 months Existing services: A current CQI project
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Standard 10: Quality Improvement A CQI project that includes:Opportunity for DSMES service improvement or changeBaseline project achievement*Project targetOutcome assessment and evaluation scheduleCQI outcomes measured at a minimum annuallyPlans and actions based on CQI outcomes*
* - items new services may not have at the time of their application
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ADA ResourcesQuality Coordinator Guide CQI Toolkit ERP Live Symposiums (7.25 CEUs)Monthly and Quarterly Q and A networking callsNew QC Call , Application and Annual Status Report Call, Chronicle Diabetes DSMES Charting Platform Call, DPP Charting Platform Call, KRAMES Call, Expanding ERPs to the Primary Care Quarterly Call, DSMES at FQHC)
• Krames Health Sheets • 3,000 sheets in English and Spanish and 10 other languages• Arabic Korean Armenian Portuguese Chinese Russian Farsi Tagalog French
Vietnamese
www.diabetes.org/[email protected]
1.888.232.082251
AADE Resources [email protected]
• Interpretive Guidance• Online application
Dashboard• Phone interview for all new
applicants• Monthly coordinator
webinars• One year free membership
with accreditation (20 free CEU’s)
• Access to Reimbursement Expert
• New: DANA tech hub• New: Quality
Coordinator Practice Discussion Group on myAADE network
Webinars WorkshopsWorkforce trainingOnline CE courses Books AADE7 self-care behavior tip sheets patient handouts videos AADE7system software Annual ConferenceDPP resources and software
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Facilitated Discussion
Chat in your questions and comments.
Press *1 on your telephone key pad to enter the teleconference queue.
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Call to Action
• What is one Standard you will start work on in the next week? Please chat in.
• What resource(s) you will access to fulfill this requirement.
–Leadership, internal program staff, IT department, external stakeholders
–Specific ADA or AADE guidance documents–Technical assistance (QIN-QIO, ADA, AADE)
• https://qioprogram.org/locate-your-qio
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CE Credit
• Complete the post-event assessment upon exiting WebEx: https://www.surveymonkey.com/r/ZD83F2C
• It will pop up at the conclusion of the event• There is a separate evaluation required for CE that will
load in your browser following completion of the general evaluation
• Once you submit your CE evaluation, you will be provided with a certificate to retain for your records
• For technical assistance, please email Stacey Davis ([email protected])
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Save the Date!
Join us for the Three-Part QIN-QIO Public Sharing Call Series: Going Back to Basics of Diabetes Self-Management Training
– The 2nd Thursday of October, November, and December– Topics: operations, reimbursement, and CQI for DSME/T
programs– 3:00 - 4:30 PM ET– Registration is required!
• Register at https://qioprogram.org/qin-qio-public-sharing-calls-3-part-series
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Follow the QIO Program on Social Media!
https://twitter.com/QIOProgram
https://www.youtube.com/channel/UCP-3KliHRoKeozEs-7ohQnw
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Thank you!
This material was prepared by Telligen, the Quality Innovation Network National Coordinating Center, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. 11SOW-QINNCC-02324-09/19/18
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