Colorados Diabetes Prevention

1
ColoradosDiabetes Prevention Control Program

• Dale Rogoff Greer, RN, MPH, CPHQ
• 303.692.2577
• dale.greer_at_state.co.us

2
Health Center Partners

• Dove Creek CHC
• Clinica Campesina 3 sites
• CO Coalition for the Homeless
• Denver Community Health 4 sites
• High Plains CHC
• Metro Community Provider Network
• Peak Vista CHC

3
Health Center Partners (cont.)

• 8. Pueblo CHC
• 9. Peoples Clinic
• 10. Salud Family Health Center
• 11. Uncompagne Combined Clinics
• 12. Valleywide Health Services
• 13. Plains Medical Center

4
Overall Role with Teams

• Funding to clinics through PCA (CCHN)
• Funding to spread sites in 2 Steps to A
  Healthier US counties
• Funding for Promotora training
• Funding to train and implement Kate Lorigs
  Chronic Disease Self-Management Program

5
Overall Role with Teams

• Funding
• Actively participate in
• Listserv
• Conference Calls
• Learning Sessions West Central Cluster and
  National
• Speaker/facilitator at Learning Sessions
• Clinic Site Visits

6
Self Management

• Technical Support
• Funding to attend Kate Lorig Chronic Disease
  Self-Management Training
• Suggest 2-ply NCR SMG sheets
• Train the presenters of DWD in Colorado
• Provide data from DWD in CO presentations
• Sponsored self-management workshop

• Resources
• Que Bueno Cookbooks
• Dining With Diabetes in Colorado cd materials
• (in both English/Spanish
• Print 2-ply NCR SMG sheets
• Funding to conduct CDSMT in Salud Clinics
• Foot Care Kits
• Funding to train promotoras at Salud Clinics
• Bandaids, magnets, jar grippers, etc.

Linkages To Diabetes Community
Coalitions Diabetes Educators Local Health
Fairs
7
Community

• Technical Support
• Train CHC staff to teach Dining With Diabetes
  in Colorado
• TA for Metro Denver Black Church
  Initiative/Eastside Clinic

• Resources
• Dining With Diabetes in Colorado - materials
  incl. Idaho Plate Method
• Diabetes Sunday (ADA)
• Media campaign to promote diabetes awareness
  targeting Hispanic/Latino pop.

• Linkages
• CSU Cooperative Ext.
• CUHSC Colorado On the Move
• CHC connected to local Diabetes Community
  Coalition
• American Diabetes Association
• AHEC
• Diabetes Advisory Council
• Drug companies, patient assistance programs

8
Delivery System Design

• Technical Support
• Worked with CCHN to design foot exam program.
• Training for doctors office staff rediabetes
• DPCP served in advisory capacity to faciliate
  changes made at CHCs to improve delivery of care

Resources Funded Promotora training at Salud
Family CHC DPCP presented inservice programs to
staff on delivery system changes FoodWorks
Nutritional Analysis software provided to CHC
dietitans
Linkages To Colorado Clinical Guidelines
Collaborative NDEP educational materials in
Spanish and English
9
Decision Support

• Technical Support
• Provided packets of CCGCs Diabetes Clinical
  Practice Guidelines, incl flowsheet
• Diabetes Training for Office Staff and Mas on
  the basics of diabetes.
• Develop Gestational Diabetes Program with CHC
  staff participation.
• Test newly designed GDM program at CHC

Resources Monofilaments GSK posters/magnets
with ADA Standards of Care for patients Provide
educational materials Include team members on
DPCP Buddy Mailing Provide Take Charge of Your
Diabetes Sponsor obesity, CVH, and diabetes
workshops/conferences
Linkages List linkages facilitated or
provided Through Buddy Mailing provide
linkages to web sites
10
Organization of Healthcare

• Technical Support
• Technical and educational support either by
  staff or through educational programs

• Resources
• Diabetes Advisory Council
• Buddy network
• Influenza/pneumonia promotional materials
• Funding to spread to 2 CHC sites

• Linkages
• CFMC - Colorados QIO
• Speakers at private practice Diabetes/CVD
  Collaborative (CO)
• DPCP linkages with programs in state working on
  diabetes issues

11
Clinical Information Systems

• Technical Support
• DPCP funded consultant to organize CHC
  aggregate registry data
• TA to early teams using DEMS

• Resources
• Funding to assist with data entry-distributed
  through PCA
• Funding to load registry at 2 spread sites

• Linkages
• Share HDC data with local diabetes community
  coalitions
• Compare data with other quality data sources