Practices submitted learnings for the learning session 2 Timeline for practices participating in a collaborative project to improve diabetes care in the community Learning Session 1 Learning Session 2 Learning Session 3 Learning Session 0 25 Jul Date TBC 11 May 31st October Practices engage with improvement advisors and improvement practice facilitators Practices submitted learnings for the learning session 2 Practices regularly submit Diabetes Clinical Data to PHO Clinical Review Tool is reported monthly Practices submitted learnings for the learning session 3 Practice are applying learning and experiences to all people with diabetes Ideas are constantly shared Fewer people with poor glycaemic control Practices are confident in diabetes care Patients with poor glycaemic control identified Virtual Consults set up Storyboards submitted Nov 7 Dec 20 2016 May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun 2017 Today Tasks 6 days 18 days Practices appoint a Diabetes Practice Champion Implement a Planned Proactive Care Approach: using practice reports invite patients with poor glycaemic control into the practice, review and update their care plan and utilise SMO time for complex case discussions Reflect on the aim and assess your practice results against it 25 days Practices discuss specific patients or issues relating to managing patients with SMO/DNS via formal meeting and ad hoc contact Collaborate with PHO to improve diabetes practices and data management 17 days 25 days Utilise allied health services, psychological support, Whaanau Ora and other resources within localities Merge diabetes virtual consults and locality practice MDT if it is preferred Support nurses to attend podiatry training Use Diabetes Clinical Review Tool on a sample of patients to discuss findings with improvement facilitators Access training and education opportunities