1. 1-800-DIABETES diabetes.org EDUCATION RECOGNITION UPDATE EDUCATION RECOGNITION 2008 March 26, 2008 Presented by: Terry Unger, BS, RD, CDE Associate Director, Education Recognition Program

2. 1-800-DIABETES diabetes.org APPLICATION CHANGES OBJECTIVES: At the conclusion of this presentation, participants should be able to: 1.) Identify significant changes in the 7 th Edition Application. 2.) Relate changes in the application to revisions in the 2007 National Standards for DSME. 3.) List steps in submitting a successful application.

3. 1-800-DIABETES diabetes.org APPLICATION CHANGES Type of Application: a.) Original b.) Renewal (previously “ extension ” ) c.) Failed Re-Apply d.) Adding sites: multi and expansion

4. 1-800-DIABETES diabetes.org APPLICATION CHANGES ENTERING NUMBER OF SITES: For a, b & c: If you enter a number >1 you will get a drop down menu, asking you to specify: # of expansion sites # of multi sites (include primary site in this number) For d: If you enter any number, you will get same drop down

5. 1-800-DIABETES diabetes.org DATA PERIOD: CHANGED FROM 6 MONTHS TO 3 MONTHS MINIMUM # OF PATIENTS CHANGED FROM 15 TO 10 APPLICATION CHANGES

6. 1-800-DIABETES diabetes.org APPLICATION CHANGES ADMINISTRATIVE OVERSEER: NO LONGER NEED TO BE CAO OF SPONSORING ORGANIZATION MUST BE PERSON OF ADMINISTRATIVE AUTHORITY OVER THE DSME (i.e., Director of Nursing) EVIDENCE OF SUPPORT Letter Advisory Group minutes

7. 1-800-DIABETES diabetes.org APPLICATION CHANGES Coordinator Credentials: Must submit copies of licenses, registrations, certifications or degrees held. Must be CDE, BC-ADM or have required # of CEU’s If the DSME entity is a single discipline program, must have 20 If the DSME entity is a multi-discipline program, must have 15 Topics to include: chronic disease care, patient education and program management

8. 1-800-DIABETES diabetes.org APPLICATION CHANGES ADVISORY GROUP: a.) Document that Advisory Group consists of, at minimum: Healthcare Professional(s) Person(s) affected by Diabetes Community Member(s) b.) Documentation of Input – at least annually

9. 1-800-DIABETES diabetes.org APPLICATION CHANGES C.) Methods of Input: check all that apply Group Meetings Phone Calls Emails Ballots Surveys Other (fill in)

10. 1-800-DIABETES diabetes.org APPLICATION CHANGES INSTRUCTOR REQUIREMENTS: a.) TEAM and STAFF have been eliminated b.) Instructors must include, AT MINIMUM: 1 RN OR 1 RD OR 1 Pharmacist c.) Other Professional Staff

11. 1-800-DIABETES diabetes.org APPLICATION CHANGES Auxillary Staff: LPN Administrative Support Dietary Techs Lay/Community Health Workers Enter # of hours per week for each category that applies

12. 1-800-DIABETES diabetes.org APPLICATION CHANGES Instructor Credentials: License, registration, certificate #’s and expiration dates Certifications: CDE, BC-ADM, Other CEU’s: For non-CDE/BC-ADM’s Number of CEU’s is determined by type of program per site. – Single discipline - 20 – Multi discipline - 15

13. 1-800-DIABETES diabetes.org APPLICATION CHANGES CURRICULUM: There is a written curriculum with learning objectives, methods of delivery and evaluation of learning for the population served, including pre-diabetes, type 1, type 2, GDM and pregnancy complicated by diabetes. 9 CONTENT AREAS Diabetes disease process and treatment options Incorporating nutritional management into lifestyle Incorporating physical activity into lifestyle

14. 1-800-DIABETES diabetes.org APPLICATION CHANGES Medication use Preventing, detecting and treating acute complications Preventing, detecting and treating chronic complications Developing personal strategies to address psychosocial issues/concerns Developing personal strategies to promote health and behavior change

15. 1-800-DIABETES diabetes.org APPLICATION CHANGES EDUCATION RECORDS: Referral from a primary care provider A comprehensive assessment An education plan which is based on the assessed needs of the patient and includes at least one patient-selected objective Educational interventions which include the date of intervention, content taught and name of the instructor or resource person

16. 1-800-DIABETES diabetes.org APPLICATION CHANGES Evaluation of progress towards or achievement of learning and behavioral objectives and related outcomes Communication with referring provider, including plan for diabetes self- management support (DSMS) DSMS is a plan, devised between the participant and the instructor, for continued support of self-management skills once they have left the program. Examples: Return to PCP on a regular basis Attend Support Group meetings Attend community diabetes programs

17. 1-800-DIABETES diabetes.org APPLICATION CHANGES OUTCOMES: Degree of Achievement: For each Behavioral or Other outcome checked, will get the following drop-down menu: Target % : 100 75 50 25 Actual % : 100 75 50 25 0

18. 1-800-DIABETES diabetes.org APPLICATION CHANGES EXPANSION APPLICATION: Will be available on-line Site of origination: can be primary site or an already established multi-site. Complete all form fields. Expansion Site: Complete all form fields. Attestation: You must assure that all program components at the expansion site are the same as at the site of origination. You must be able to answer all questions “yes” or the application will fail.

19. 1-800-DIABETES diabetes.org APPLICATION CHANGES Paper audit items: New Item: A de-identified patient chart All original (new) applicants must submit all 5 paper audits with their support package.

20. 1-800-DIABETES diabetes.org ADA ERP Contact Information Email: Phone: Prompt #6 Terry Unger, Associate Director Prompt #7 Paulina Duker, Director Website: www.diabetes.org/erp erp@diabetes.org 1-888-232-0822 “Recognition News”

21. 1-800-DIABETES diabetes.org QUESTIONS