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Getting Started with DSMESPart Four in Six Webinar Series

Molly Beimel, PharmD

Director of Pharmacy, St Marys Pharmacy Inc.

Part FourStandards 6-7

Welcome

• In today’s 30 minute session we will:• Review standards 4-5 and any questions • Overview Standards 6-7

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Homework From Last Webinar

• Check in to keep on track• Assign a quality coordinator • Assign instructor(s)• Work on a job description for quality coordinator• Gather CVs and licensure documentation• Map out a plan for 15 hours of CE

Standard 4

Essential elements checklist

• Quality coordinator job description

• Quality coordinator CV

• Proof of 15 hours of continuing education in diabetes

Continuing Education Requirements

1. Proof needed for application• Within past 12 months

2. At renewal • Can be every calendar year or within past 12 months

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Standard 5

Essential elements checklist

• Job description for instructor(s)

• CV or resume for each team member

• Proof of licensure

• Proof of 15 hours of continuing education in diabetes

Standard 6-Curriculum

• A curriculum reflecting current evidence and practice guidelines, with criteria for evaluating outcomes, will serve as the framework for the provision of DSMES. The needs of the individual participant will determine which elements of the curriculum are required

The Curriculum

•Must be• Up to date• Evidence-based• Supplemented with appropriate resources and supporting

education materials • Flexible

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Core Content Areas

AADE 7 Self Care Behaviors• Healthy eating

• Physical activity

• Medication usage

• Monitoring and using patient-generated health data

• Preventing, detecting, and treating acute & chronic complications

• Healthy coping

• Problem solving

Curriculum Development

How to Develop Sessions

• Incorporate the core content areas

• Educate each participant on • Navigating the health care system• Learning self-advocacy

• Tailor the sessions to match participant needs and be adaptable as necessary for• Age• Readiness stage• Type of diabetes• Cultural factors• Health literacy• Comorbidities

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Sample Curriculum Outline

• AADE example

https://www.diabeteseducator.org/docs/default-source/practice/deap/sample-standard-6-template.pdf?sfvrsn=2

Sample Curriculum Outline

Choosing a Curriculum

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Choosing a Curriculum

• Here is a link to the newest edition should you choose to use ADCES’s curriculum.

https://nf01.diabeteseducator.org/eweb/DynamicPage.aspx?Action=Add&ObjectKeyFrom=1A83491A-9853-4C87-86A4-F7D95601C2E2&WebCode=ProdDetailAdd&DoNotSave=yes&ParentObject=CentralizedOrderEntry&ParentDataObject=Invoice%20Detail&ivd_formkey=69202792-63d7-4ba2-bf4e-a0da41270555&ivd_cst_key=00000000-0000-0000-0000-000000000000&ivd_cst_ship_key=00000000-0000-0000-0000-000000000000&ivd_prc_prd_key=505FF2A2-79E3-43EC-9D61-11111CCDC76D

Standard 6

Essential Elements Checklist

• Evidence of a written curriculum, tailored to meet the needs of the target population showing principles of AADE7® behaviors

• The curriculum is reviewed at least annually and updated as appropriate to reflect current evidence, practice guidelines and its cultural appropriateness

• Curriculum reflects maximum use of interactive training methods either in individual or group sessions

Standard 7-Individualization

• The DSMES needs will be identified and led by the participant with assessment and support by one or more DSMES team members. Together, the participant and DSMES team member(s) will develop an individualized DSMES plan

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Key Points

• Individualize your program based on patient needs

• Be flexible in your programming

• Have different modes of communication available for a variety of learners

• Incorporate technology into programming

Standard 7

Essential Elements Checklist

• De-identified patient chart

DSMES Patient Chart

1. Initial self-assessment

2. Individualized education plan

3. SMART goals and goal achievement

4. Education provided (curriculum)

5. Ongoing support plan

6. Communication to the referring provider

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Self-Assessment

• Completed by the individual prior to the first meeting

• Should be appropriate for the population the program serves

• Tailored also to meet the needs of any individual participant

Individualized Education Plan

• At least one complete, individualized education plan for each participant

• Include interventions and desired outcomes

• Develop plan COLLABORATIVELY with participant, caregivers, and providers

SMART Goals

• Action-oriented behavioral goals must be clearly documented in patient care plan

• Follow-up discussion of progress towards achieving goals and/or identified gaps in achieving goals should be clearly documented

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On-going Support

• Document at least one individualized follow-up support plan

• Examples include telephone follow-up and use of other information technologies (e.g., Web-based, text-messaging, or automated phone calls), and may be used to augment face-to-face follow-up, progress assessments

Communication to the Provider

• Clearly documented communication to referring provider

• Include• Actionable steps

• Goal setting

• Progress during sessions

• Referrals made

Chart Review Form

• https://www.diabeteseducator.org/docs/default-source/practice/deap/new-education-record-(chart)-review-doc.pdf?sfvrsn=2

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Chart Review Form

Next Steps

• Review toolkit for standards 6-7 more in depth

■ https://www.papharmacists.com/page/DSMESBestPracticesToolkit

Homework• Review Standards 6 and 7

• Continue to work on items from Standards 1-5

• Look at different curricula and start to think about which may be best for YOUR program

• Follow up with mentor with questions and assistance on the standards and to help get your homework completed

• Start to review Module 3 of the DSMES Program Management Course

• Come to Webinar #5 on December 8th with any questions/concerns

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Remember!

Webinar Part 5December 8th, 2020

Standards 8 & 9

8:30 – 9:00 A.M.

https://attendee.gotowebinar.com/register/6845740123317809421

Save the Dates

• Schedule of Upcoming Webinars• December 8 – 8:30 a.m. – Module 5 – Standards 8 and 9 – Nicole Pezzino

• December 29 – 8:30 a.m. – Module 6 – Standard 10 – Molly Beimel*

* These dates are for module wrap up discussion too.

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DSMES Program Management CourseModule 2 Discussion – Operational Planning

Elizabeth Bunk, PharmDCenter for Pharmacy Care ManagerDuquesne University School of Pharmacy

Resource Planning

• Naming your program

• Curriculum• AADE Curriculum

• 3rd Edition - New!

• Resources • Human

• Financial

• Physical

• Technology

Policies and Procedures

• Office Operations and Patient Scheduling

• Patient Visit Monitoring and Notifications

• Referral Forms

• Claim Processing

• OSHA and State Health Regulations

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Forms

• Operational• Referral

• AADE form

• Visit • Pre, First, Each Visit

• Patient Charts

• Educational Resources

• Utilize templates on Google Drive!

Expanding Your Program’s Reach

• Can you expand your reach?

• Where?

• Keep in mind:• Patient needs

• Educator needs

• Off site location logistics

• Adding new site to accreditation if needed

Questions

Coaches:mollybeimel@smprx.comNicole.Pezzino@wilkes.edu

Junior Coaches:mgreen@ckcrx.combunke@duq.edu

Pepple@papharmacists.com