1. Learning Session 2 October 31st, 2016
Diabetes Collaborative
Learning Session 2 October 31st, 2016
Bader Drive

2. Introduction Team Dr Nua Tupai (GP) Grace Lino/Joe Rasmussen (PN)
Lesina Miller (CHW/Health Coach)
AH+ PHO Facilitator
Anna Mastrovich

3. Care Bundle Data

4. What does the data say? What does it mean for you
Suboptimal diabetes care?
Cohort
What does it mean for your patient
Dis Engaged
Poor outcome
What does it mean for the work within your practice
Engage Patient
TEAM approach
Streamline process

5. Changes currently being tested
Describe the changes you are testing based on the learning's from the Care Bundle / Practice / PHO or DHB data
Patient Voice/Experience
Current model of diabetes care
Strengths
Opportunities
Suggestion for improvement – future model for Diabetes Care
Streamline process
Guidelines
Care management support/intervention
BPAC Common Form
Repeat Rx
Medication Reconciliation

6. COHORT
Age
FH+
Complications
No functional limitation

7. What matters to me… Eating healthy TIME For exercise CHILDREN Work
FAMILY
Religion
Support group
Language
Emotional support
VALUES

8. The Power of the Group Empowered ‘I am not alone’
I was able to talk about my story
Sharing STORIES
Whanau Engagement
Sharing EXPERIENCES
There were others like me
Positive relationships
Peer Support