1. Data Collection Update SPECIAL DIABETES PROGRAM FOR INDIANS Healthy Heart Project: Year 4 Meeting 2 Jeanne M. Boswell

2. Overview Assessment Forms and Questionnaires - Keep up the good work! Serious Adverse Event Form (SAE) Participant Attendance Form (I2) Individual Retention Form (I3) SPECIAL DIABETES PROGRAM FOR INDIANS Healthy Heart Project: Year 4 Meeting 2

3. Are you submitting Serious Adverse Event (SAE) Forms? –83% (25/30) of grantees have submitted an SAE on one or more participants SPECIAL DIABETES PROGRAM FOR INDIANS Healthy Heart Project: Year 4 Meeting 2 –Guidelines for SAE forms can be found in the Operations Manual (pp. 95-98) http://aianp.uchsc.edu/sdpi/common/manual_v3/OM. 03%20Operations%20Manual%20Version%203.dochttp://aianp.uchsc.edu/sdpi/common/manual_v3/OM. 03%20Operations%20Manual%20Version%203.doc

4. Number of B1 Forms Number of Participants with SAE % 17621.1 13910.7 13221.5 12621.6 11398.0 1101513.6 9611.0 9311.1 9322.2 9311.1 Number of B1 Forms Number of Participants with SAE % 822125.6 7256.9 71811.3 7122.8 6857.4 6446.3 6100.0 5900.0 5858.6 541120.4 Number of B1 Forms Number of Participants with SAE % 5447.4 5300.0 50510.0 48612.5 451635.6 4412.3 4312.3 4249.5 3900.0 2700.0 HH SAE Report

5. Participant Attendance Form (I2) –Date of 1 st Case Management visit (CMV) Should match date of Scheduled Visit Number 1 Suggestion: Identify as “1 st CMV” in Provider Comments SPECIAL DIABETES PROGRAM FOR INDIANS Healthy Heart Project: Year 4 Meeting 2 –Indicate Monthly (M) or Quarterly (Q) CM visits –List ONLY Case Management Visits; use complete date –Indicate if CMV Appointment was Kept (yes/no) –If CMV missed but made up in same month, list make-up date in Provider Comments

6. Individual Retention Form (I3) Page 2: If participant missed CMV appointment listed on I2, and CMV was not made up within the calendar month, then write record in Retention Efforts table Use complete date (i.e., 5-20-08) – Date should match missed CMV appointment on I2 Page 3: Always answer DROP-OUT question. If Yes, Proceed to REASONS. (Should be ‘Yes’ until next Annual December submission) SPECIAL DIABETES PROGRAM FOR INDIANS Healthy Heart Project: Year 4 Meeting 2

7. Questions? SPECIAL DIABETES PROGRAM FOR INDIANS Healthy Heart Project: Year 4 Meeting 2