It’s no secret that for those in historically underserved populations, daily management of health conditions poses unique challenges. In this webinar, we will look at these challenges through the lens of health equity and social determinants of health with a focus on diabetes, a hugely prevalent disease that is widely known to disproportionately affect underserved populations. Presenter Lisa Packard, who has spent years focused on health inequities and diabetes, will share how diabetes patients can take charge of their health through community-based workshops teaching positive self-management techniques. She will also go over how healthcare professionals can help support these individuals, foster the linkages between communities and clinics/health systems, and find or implement these kinds of trainings – particularly the evidence-backed Diabetes Self-Management Program (DSMP) workshops. Lisa will also review the evidence behind the Diabetes Prevention Program (DPP) and quality improvement opportunities that can be identified using Medicare claims data. This webinar is appropriate for front-line clinicians, patient safety and quality improvement professionals, and anyone involved or interested in making strides in health disparities and/or diabetes work.
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Reducing Disparities in Diabetes Care: From Data to Doing
1. Reducing Disparities in Diabetes
Care:
From Data to Doing
Lisa Packard, MS
QI Consultant & CDSME Master Trainer
September 21, 2017
2. 2
Qualis Health
• A leading national population health
management organization
• The Medicare Quality Innovation Network - Quality
Improvement Organization (QIN-QIO) for
Idaho and Washington
The QIO Program
• One of the largest federal programs dedicated to
improving health quality at the local level
3. 3
Objectives
• Diabetes prevalence in underserved
populations
• Social determinants of health
• Community-based approach
• Evidence-based programs
• Provider support: QI opportunities
• Clinic to communities linkages
13. 13
In the News
“The new analysis, which combines data from death
certificates with statistical methods to differentiate
trends from random events, also reveals large swaths in
SeaTac, Kent, Federal Way and Auburn where diabetes
deaths have increased, while dropping almost
everywhere else.”
“How long will you live? It might depend on your King County neighborhood”
Originally published September 5, 2017
http://www.seattletimes.com/seattle-news/health/how-long-will-you-live-it-might-depend-on-your-
neighborhood/
22. 22
Community-Based Approach
• Affordable
Housing
• Senior
Apartments
• Senior Centers
• Area Agencies on
Aging
• District Health
Departments
• First Responders
• Lions Club
• Churches
• Faith-based
Organizations
• Clinics
• Hospitals
• Pharmacies
• Volunteer
Organizations
23. 23
Evidence-Based Programs
• Solid research
• Documented health benefits
• Packaged Programs
• Evidence-based Program Review
Council
• Evidence-based Leadership Council
24. 24
Evidence-Based Programs
• The National Diabetes Prevention
Program
• DPP
• CDC
• The Diabetes Self-Management
Workshop
• DSMP
• Self-Management Resource Center
(formerly Stanford Patient Education Center)
26. 26
CDC Recognized DPP:
Key Components
• CDC approved curriculum
• A lifestyle coach, specifically trained
to lead the program
• A support group with similar goals
and challenges
44. 44
The Call to Action
• Refer patients who are at-risk for
diabetes to DPP
• Refer patients with diabetes to DSMP
• Implement your own evidence-based
programs
• Develop change packages to support
the Triple Aim, starting with high-risk,
high-cost populations
• Optimize your EHR
47. 47
Contact
Lisa Packard, MS
QI Consultant
CDSME Master Trainer
lisap@qualishealth.org
(206) 288-2565
For more information:
http://medicare.qualishealth.org/projects/everyone-with-
diabetes-counts
This material was prepared by Qualis Health, the Medicare Quality Innovation Network - Quality Improvement Organization
(QIN-QIO) for Idaho and Washington, 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. WA-EDC-
QH-3158-09-17