2. Core Elements: Case Management Recruitment Yvette Roubideaux, MD, MPH

3. The CVD Risk Reduction Demonstration Project We know “what” but we don’t know “how”

4. The CVD Risk Reduction Demonstration Project  Core elements – “what”  Development of intensive intervention– “how” (details)  Collaborative process

5. The CVD Risk Reduction Demonstration Project  8 Core elements - Intensive Intervention – “the what” Identify eligible individuals with Diabetes Recruit individuals with diabetes to participate Initial physical exam and baseline measures Case Management approach to clinic visits

6. The CVD Risk Reduction Demonstration Project  8 Core elements – Intensive Intervention – “the what” Treat CVD risk factors to recommended target levels Education on diabetes and CVD risk reduction – group or individual Gather data on required evaluation measures Target number of participants per year (minimum) = 50

7. Core Elements: Collaborative Process  Determining the “how” – so far: Planning Meeting Presentations/Training Sessions Grantee Panel Discussions/Questions Breakout Sessions/Input Comments during breaks, email communication Homework follow-up questions Idea maps IHS Advisory Committees - notes CGP Steering Committee IHS programmatic issues/direction

8. Core Elements: Collaborative Process – Big Picture Initial Presentations Training Input, Breakout Sessions, Grantee Panels Idea Maps Draft Protocol Review Committees Refine, Clarify Final Review Grantees Final Decision IHS DDTP

9. Core Elements: Draft  Draft Protocol/Required Activities Review the 1 st Draft today Questions Breakout Session Identify strengths, challenges Potential training needs

10. Core Elements: Draft  Case Management - components Case Management Team Membership, Meetings Intensive Activities Screening for Individuals with Diabetes Eligible Participants - Diabetes Individual Case Management – assessment, care plans Disease Management – standards/goals, treatment, tracking Self-Management Education - components Motivational Activities Monitoring/Follow-up of CVD Risk Factors

11. Core Elements: Draft  Recruitment - components Recruitment Goals Minimum numbers Recruitment Activities Recruitment Team Settings for Recruitment Community, Clinical Methods of Recruiting individuals to participate Materials for Recruitment Process to help individuals participate in screening Invitation for eligible to participate – informed consent process Entry process – instructions, appointments Tracking of recruitment activities

12. Core Elements: Draft  Draft Protocol/Required Activities Review the 1 st Draft today Questions Breakout Session Identify strengths, challenges Potential training needs