National Diabetes Education Program NDEP ( ) A joint program of NIH and CDC Team Care Guide Now Available! Developed by the National Diabetes Education Program (NDEP) NDEP is a joint partnership of the NIH, the CDC, and more than 200 partner organizations

National Diabetes Education Program NDEP ( ) A joint program of NIH and CDC The Need – Diabetes 25.8 million Americans — 8.3% of the U.S. population — have diabetes Of those with diabetes, 7 million are undiagnosed 79 million adults have pre-diabetes Diabetes is the seventh leading cause of death Adapted from the Centers for Disease Control and Prevention. National Diabetes Fact Sheet: national estimates and general information on diabetes and pre- diabetes in the United States, Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 2011.

National Diabetes Education Program NDEP ( ) A joint program of NIH and CDC The Need for Team Care Diabetes management requires expertise from many disciplines for optimal care Team care is integral to health care reform initiatives such as the Medical Home Demonstration projects are assessing new payment structures with positive results Improved quality and costs for diabetes care

National Diabetes Education Program NDEP ( ) A joint program of NIH and CDC Benefits of Team Care – reduced risk factors for diabetes – improved diabetes management – lowered risk for complications – efficient patient education – improved glycemic control – increased patient follow-up – higher patient satisfaction – improved quality of life – reduced hospitalizations – decreased health care costs

National Diabetes Education Program NDEP ( ) A joint program of NIH and CDC Purpose & Topics of the Team Care Guide Purpose: To provide a practical resource to help health care professionals and organizations implement collaborative, multidisciplinary team care for adults and children with diabetes in a variety of settings Topics: – Chronic Disease & the Health Care Delivery System – What Makes a Successful Team? – Nontraditional Team Care Approaches – Payment & Cost-Effectiveness Data for Diabetes Education & Services – Collaborative Care in Practice – Real-World Case Studies – Appendices – Related Resources and References

National Diabetes Education Program NDEP ( ) A joint program of NIH and CDC Team Care Content Advisory Group W. Lee Ball, Jr., O.D., F.A.A.O. of the American Optometric Association Mary Jo Goolsby, Ed.D., M.S.N., N.P-C, F.A.A.N.P. of the American Academy of Nurse Practitioners Amy Nicholas, Pharm.D. of the American Pharmacists Association Amparo Gonzalez, R.N., C.D.E., F.A.A.D.E. of the American Association of Diabetes Educators M. Sue Kirkman, M.D. of the American Diabetes Association Patti Urbanski, M.Ed., R.D., L.D., C.D.E. of the American Dietetic Association

National Diabetes Education Program NDEP ( ) A joint program of NIH and CDC The Basics of Team Care Select a key person to coordinate Vary team according to patients’ needs/load, organizational constraints, resources, clinical setting, geographic location and professional skills Augment team with community resources and support Expand access to team care via nontraditional approaches

National Diabetes Education Program NDEP ( ) A joint program of NIH and CDC What Makes a Successful Team? Commitment/support of organizational leadership Active patient and health care professional participation Information tracking system Adequate resources Payment mechanisms for team care services Coordinated communication system Documentation and evaluation of outcomes and adjustment of services

National Diabetes Education Program NDEP ( ) A joint program of NIH and CDC Nontraditional Team Care Approaches Telehealth – team care without walls: – Uses secure, high-speed Internet real-time video conferencing – Expands access to health care and education – Increases delivery of evidence-based medicine – Improves consistency of care Shared medical appointments and group education: – Eight to 10 patients – Longer sessions include 20+ patients – Team members with different expertise see patients individually – Group education sessions – One to two hour appointments

National Diabetes Education Program NDEP ( ) A joint program of NIH and CDC Real-World Case Study Example

National Diabetes Education Program NDEP ( ) A joint program of NIH and CDC Helpful Materials Appendices: – Stratifying Care According to Patient Population Needs – Scope of Practice for Diabetes Educators & Board- Certified Advanced Diabetes Management Practitioners – Quality Improvement Indicators for Diabetes Care – Medicare for People with Diabetes Related resources from 17 NDEP partners 109 useful references

National Diabetes Education Program NDEP ( ) A joint program of NIH and CDC Promote, Promote, Promote! Use promotional tools available on the NDEP website at Link to Team Care Distribute the e-newsletter announcement through your newsletter or your listserv Print and distribute the promotional flyer Download these presentation slides from the NDEP website and give your own talks about Team Care

National Diabetes Education Program NDEP ( ) A joint program of NIH and CDC THANK YOU!