A continuum of international education Three programmes: one continuum.
Diabetes Continuum of Care and the Arizona Diabetes Alliance Donna Zazworsky, RN, MS, CCM, FAAN Vice...
-
Upload
cathleen-black -
Category
Documents
-
view
216 -
download
0
Transcript of Diabetes Continuum of Care and the Arizona Diabetes Alliance Donna Zazworsky, RN, MS, CCM, FAAN Vice...
![Page 1: Diabetes Continuum of Care and the Arizona Diabetes Alliance Donna Zazworsky, RN, MS, CCM, FAAN Vice President Community Health and Continuum Care.](https://reader036.fdocuments.us/reader036/viewer/2022062600/5a4d1b947f8b9ab0599c28f1/html5/thumbnails/1.jpg)
Diabetes Continuum of Careand the Arizona Diabetes Alliance
Donna Zazworsky, RN, MS, CCM, FAANVice President
Community Health and Continuum Care
![Page 2: Diabetes Continuum of Care and the Arizona Diabetes Alliance Donna Zazworsky, RN, MS, CCM, FAAN Vice President Community Health and Continuum Care.](https://reader036.fdocuments.us/reader036/viewer/2022062600/5a4d1b947f8b9ab0599c28f1/html5/thumbnails/2.jpg)
Objectives
• Discuss the new advances and reach of Carondelet’s Diabetes Continuum of Care
• Provide an overview of the Arizona Diabetes Alliance
![Page 3: Diabetes Continuum of Care and the Arizona Diabetes Alliance Donna Zazworsky, RN, MS, CCM, FAAN Vice President Community Health and Continuum Care.](https://reader036.fdocuments.us/reader036/viewer/2022062600/5a4d1b947f8b9ab0599c28f1/html5/thumbnails/3.jpg)
![Page 4: Diabetes Continuum of Care and the Arizona Diabetes Alliance Donna Zazworsky, RN, MS, CCM, FAAN Vice President Community Health and Continuum Care.](https://reader036.fdocuments.us/reader036/viewer/2022062600/5a4d1b947f8b9ab0599c28f1/html5/thumbnails/4.jpg)
Guiding Strategic Initiatives
• Establish Carondelet Diabetes Care and Outreach as the premier source of diabetes education and self-management
• Build and strengthen partnerships with Carondelet, Carondelet Medical Group and the community to maximize and leverage resources
• Establish the Carondelet Diabetes Education Institute to increase the number of qualified health professionals to teach diabetes in our communities
• Continue to influence diabetes care through research in evidence-based practices and policy initiatives.
![Page 5: Diabetes Continuum of Care and the Arizona Diabetes Alliance Donna Zazworsky, RN, MS, CCM, FAAN Vice President Community Health and Continuum Care.](https://reader036.fdocuments.us/reader036/viewer/2022062600/5a4d1b947f8b9ab0599c28f1/html5/thumbnails/5.jpg)
Carondelet Diabetes Care Continuum
Faith CommunityNursing
Diabetes Care Center
Community Partners
PatientIn Patient
Diabetes Educators In
Primary Care
Carondelet Diabetes Education Institute
Telehealth Services
![Page 6: Diabetes Continuum of Care and the Arizona Diabetes Alliance Donna Zazworsky, RN, MS, CCM, FAAN Vice President Community Health and Continuum Care.](https://reader036.fdocuments.us/reader036/viewer/2022062600/5a4d1b947f8b9ab0599c28f1/html5/thumbnails/6.jpg)
In PatientIn Patient Advanced Practice Nurse EducatorsReferrals to Out Patient DSMT & Diabetes Educators in CMG offices
![Page 7: Diabetes Continuum of Care and the Arizona Diabetes Alliance Donna Zazworsky, RN, MS, CCM, FAAN Vice President Community Health and Continuum Care.](https://reader036.fdocuments.us/reader036/viewer/2022062600/5a4d1b947f8b9ab0599c28f1/html5/thumbnails/7.jpg)
Out-Patient ADA-recognized Diabetes Self Management Training Program
St. Joe’s and St. Mary’s HospitalsSatellites at Carondelet Heart & Vascular Institute, Green Valley Medical Mall, Primeros Pasos & El Rio CHC (OB Gestational), St. Elizabeth Health Center (uninsured), Mt. Graham Regional Medical Center (Safford), University Physicians Hospital, Holy Cross Hospital (Nogales)Physician Office Referral Pads: Type 1, Type 2 & GestationalBarrier-free access: Medicare, Third-Party, Self Pay, CharityCertified Diabetes Educators (RN, RD) & PromotorasProvide over 5000 visits annually
![Page 8: Diabetes Continuum of Care and the Arizona Diabetes Alliance Donna Zazworsky, RN, MS, CCM, FAAN Vice President Community Health and Continuum Care.](https://reader036.fdocuments.us/reader036/viewer/2022062600/5a4d1b947f8b9ab0599c28f1/html5/thumbnails/8.jpg)
DSMT A1C Results
• CSJ Pre 7.6 % Post 6.4%• CSM Pre 8.8% Post 7.0%• GV Pre 9.75% Post 7.0%• MTG Pre 8.8% Post 7.1%
![Page 9: Diabetes Continuum of Care and the Arizona Diabetes Alliance Donna Zazworsky, RN, MS, CCM, FAAN Vice President Community Health and Continuum Care.](https://reader036.fdocuments.us/reader036/viewer/2022062600/5a4d1b947f8b9ab0599c28f1/html5/thumbnails/9.jpg)
Carondelet Medical GroupDiabetes Educators leased to Carondelet Medical Group (CMG) Primary Care Offices (n=11 offices)
Diabetes Nurse EducatorsDietitiansDiabetes Navigators
![Page 10: Diabetes Continuum of Care and the Arizona Diabetes Alliance Donna Zazworsky, RN, MS, CCM, FAAN Vice President Community Health and Continuum Care.](https://reader036.fdocuments.us/reader036/viewer/2022062600/5a4d1b947f8b9ab0599c28f1/html5/thumbnails/10.jpg)
Diabetes Clinics with Health Plans
Annual Eye and Foot Exams Medical Nutrition Therapy Vital Signs and Labs
![Page 11: Diabetes Continuum of Care and the Arizona Diabetes Alliance Donna Zazworsky, RN, MS, CCM, FAAN Vice President Community Health and Continuum Care.](https://reader036.fdocuments.us/reader036/viewer/2022062600/5a4d1b947f8b9ab0599c28f1/html5/thumbnails/11.jpg)
Community Health Outreach Workers
•Lay Workers in Carondelet Diabetes Continuum
• Promotores: Hispanic• Navigators: Primary Care Offices• ePromotoras: Facilitate telehealth activities• General Certificate & Specialty training• Service Coordination, Self-management
support, data collection & management
11
![Page 12: Diabetes Continuum of Care and the Arizona Diabetes Alliance Donna Zazworsky, RN, MS, CCM, FAAN Vice President Community Health and Continuum Care.](https://reader036.fdocuments.us/reader036/viewer/2022062600/5a4d1b947f8b9ab0599c28f1/html5/thumbnails/12.jpg)
e Promotora/Navigator
12
![Page 13: Diabetes Continuum of Care and the Arizona Diabetes Alliance Donna Zazworsky, RN, MS, CCM, FAAN Vice President Community Health and Continuum Care.](https://reader036.fdocuments.us/reader036/viewer/2022062600/5a4d1b947f8b9ab0599c28f1/html5/thumbnails/13.jpg)
Telecardiology
TeleDiabetes Services-TeleOphthalomogly-Medical Nutrition Therapy-TeleDiabetes Day Clinics
Telederm
TeleProfessional Classes-Diabetes -Cardiology-Neuro
Carondelet Telemedicine Services
![Page 14: Diabetes Continuum of Care and the Arizona Diabetes Alliance Donna Zazworsky, RN, MS, CCM, FAAN Vice President Community Health and Continuum Care.](https://reader036.fdocuments.us/reader036/viewer/2022062600/5a4d1b947f8b9ab0599c28f1/html5/thumbnails/14.jpg)
TeleOphthalmology
Improve number of
Annual Retinopathy Exams
![Page 15: Diabetes Continuum of Care and the Arizona Diabetes Alliance Donna Zazworsky, RN, MS, CCM, FAAN Vice President Community Health and Continuum Care.](https://reader036.fdocuments.us/reader036/viewer/2022062600/5a4d1b947f8b9ab0599c28f1/html5/thumbnails/15.jpg)
![Page 16: Diabetes Continuum of Care and the Arizona Diabetes Alliance Donna Zazworsky, RN, MS, CCM, FAAN Vice President Community Health and Continuum Care.](https://reader036.fdocuments.us/reader036/viewer/2022062600/5a4d1b947f8b9ab0599c28f1/html5/thumbnails/16.jpg)
16
![Page 17: Diabetes Continuum of Care and the Arizona Diabetes Alliance Donna Zazworsky, RN, MS, CCM, FAAN Vice President Community Health and Continuum Care.](https://reader036.fdocuments.us/reader036/viewer/2022062600/5a4d1b947f8b9ab0599c28f1/html5/thumbnails/17.jpg)
Dark Eye
![Page 18: Diabetes Continuum of Care and the Arizona Diabetes Alliance Donna Zazworsky, RN, MS, CCM, FAAN Vice President Community Health and Continuum Care.](https://reader036.fdocuments.us/reader036/viewer/2022062600/5a4d1b947f8b9ab0599c28f1/html5/thumbnails/18.jpg)
Light Eye
![Page 19: Diabetes Continuum of Care and the Arizona Diabetes Alliance Donna Zazworsky, RN, MS, CCM, FAAN Vice President Community Health and Continuum Care.](https://reader036.fdocuments.us/reader036/viewer/2022062600/5a4d1b947f8b9ab0599c28f1/html5/thumbnails/19.jpg)
Abnormal Eye
![Page 20: Diabetes Continuum of Care and the Arizona Diabetes Alliance Donna Zazworsky, RN, MS, CCM, FAAN Vice President Community Health and Continuum Care.](https://reader036.fdocuments.us/reader036/viewer/2022062600/5a4d1b947f8b9ab0599c28f1/html5/thumbnails/20.jpg)
TeleDiabetes Classes
![Page 21: Diabetes Continuum of Care and the Arizona Diabetes Alliance Donna Zazworsky, RN, MS, CCM, FAAN Vice President Community Health and Continuum Care.](https://reader036.fdocuments.us/reader036/viewer/2022062600/5a4d1b947f8b9ab0599c28f1/html5/thumbnails/21.jpg)
CHN continues to provide Medical Nutrition Therapy Consults, Diabetes Day Clinics & Classes
Page Amado
![Page 22: Diabetes Continuum of Care and the Arizona Diabetes Alliance Donna Zazworsky, RN, MS, CCM, FAAN Vice President Community Health and Continuum Care.](https://reader036.fdocuments.us/reader036/viewer/2022062600/5a4d1b947f8b9ab0599c28f1/html5/thumbnails/22.jpg)
Diabetes Nutrition
Teleconsultation
Patient & PromotoraMariposa CHC,
Nogales, AZ
![Page 23: Diabetes Continuum of Care and the Arizona Diabetes Alliance Donna Zazworsky, RN, MS, CCM, FAAN Vice President Community Health and Continuum Care.](https://reader036.fdocuments.us/reader036/viewer/2022062600/5a4d1b947f8b9ab0599c28f1/html5/thumbnails/23.jpg)
Diabetes Education Core ClassesCarondelet Diabetes Education Institute
Graduated over 1000 health professionals
150 in Rural Communities
Phoenix Indian Medical Center
![Page 24: Diabetes Continuum of Care and the Arizona Diabetes Alliance Donna Zazworsky, RN, MS, CCM, FAAN Vice President Community Health and Continuum Care.](https://reader036.fdocuments.us/reader036/viewer/2022062600/5a4d1b947f8b9ab0599c28f1/html5/thumbnails/24.jpg)
CDEI Advance ClassesGestational Diabetes, Type 1, Insulin Pump,
Wound Care, Renal Care, Promotora/MA Series
![Page 25: Diabetes Continuum of Care and the Arizona Diabetes Alliance Donna Zazworsky, RN, MS, CCM, FAAN Vice President Community Health and Continuum Care.](https://reader036.fdocuments.us/reader036/viewer/2022062600/5a4d1b947f8b9ab0599c28f1/html5/thumbnails/25.jpg)
Diabetes Tele-Turnkey Models
• Mount Graham Regional Health Center, Safford, AZ (ADHS Grant): established diabetes continuum of care
• Southeast Texas Health System: 8 Critical Access Hospitals
• St. Alphonsus, Boise, Idaho
25
![Page 26: Diabetes Continuum of Care and the Arizona Diabetes Alliance Donna Zazworsky, RN, MS, CCM, FAAN Vice President Community Health and Continuum Care.](https://reader036.fdocuments.us/reader036/viewer/2022062600/5a4d1b947f8b9ab0599c28f1/html5/thumbnails/26.jpg)
Virtual Diabetes Day: UA Mobile Health Unit, MGRMC & Carondelet for Diabetes Day at Canyonland CHC in Safford
![Page 27: Diabetes Continuum of Care and the Arizona Diabetes Alliance Donna Zazworsky, RN, MS, CCM, FAAN Vice President Community Health and Continuum Care.](https://reader036.fdocuments.us/reader036/viewer/2022062600/5a4d1b947f8b9ab0599c28f1/html5/thumbnails/27.jpg)
Telementoring from Tucson
![Page 28: Diabetes Continuum of Care and the Arizona Diabetes Alliance Donna Zazworsky, RN, MS, CCM, FAAN Vice President Community Health and Continuum Care.](https://reader036.fdocuments.us/reader036/viewer/2022062600/5a4d1b947f8b9ab0599c28f1/html5/thumbnails/28.jpg)
Carondelet Person-Centered Care in Primary Care
28
![Page 29: Diabetes Continuum of Care and the Arizona Diabetes Alliance Donna Zazworsky, RN, MS, CCM, FAAN Vice President Community Health and Continuum Care.](https://reader036.fdocuments.us/reader036/viewer/2022062600/5a4d1b947f8b9ab0599c28f1/html5/thumbnails/29.jpg)
CMG Diabetes Disease Management ProgramDiabetes Scorecard
Patient Grade Annual Cost per Patient
A $1,621
B $3,405
C $9,720
D $21,003
![Page 30: Diabetes Continuum of Care and the Arizona Diabetes Alliance Donna Zazworsky, RN, MS, CCM, FAAN Vice President Community Health and Continuum Care.](https://reader036.fdocuments.us/reader036/viewer/2022062600/5a4d1b947f8b9ab0599c28f1/html5/thumbnails/30.jpg)
Carondelet Medical Group: Scorecard Elements
HbA1cBlood PressureLDLNeuropathy scoreRetinopathy scoreGFR
30
![Page 31: Diabetes Continuum of Care and the Arizona Diabetes Alliance Donna Zazworsky, RN, MS, CCM, FAAN Vice President Community Health and Continuum Care.](https://reader036.fdocuments.us/reader036/viewer/2022062600/5a4d1b947f8b9ab0599c28f1/html5/thumbnails/31.jpg)
CMG Diabetes Intervention Grid• PCP Visits (EHR Diabetes Template)• Diabetes Nurse Educator Visits•Telehealth monitoring for high-risk patients• Dietitian Visits•Behavioral Health Visits for Chronic Disease•Diabetes Day Clinics for annual exams•Diabetes Navigator (Promotora)•Patient Incentives (Food Cards)•Pilot in CMG Offices 31
![Page 32: Diabetes Continuum of Care and the Arizona Diabetes Alliance Donna Zazworsky, RN, MS, CCM, FAAN Vice President Community Health and Continuum Care.](https://reader036.fdocuments.us/reader036/viewer/2022062600/5a4d1b947f8b9ab0599c28f1/html5/thumbnails/32.jpg)
Telehome monitoring
32
![Page 33: Diabetes Continuum of Care and the Arizona Diabetes Alliance Donna Zazworsky, RN, MS, CCM, FAAN Vice President Community Health and Continuum Care.](https://reader036.fdocuments.us/reader036/viewer/2022062600/5a4d1b947f8b9ab0599c28f1/html5/thumbnails/33.jpg)
Mercy Care Partnership beginning July 2011Payment Reform LOI submitted: High Value Care
33
![Page 34: Diabetes Continuum of Care and the Arizona Diabetes Alliance Donna Zazworsky, RN, MS, CCM, FAAN Vice President Community Health and Continuum Care.](https://reader036.fdocuments.us/reader036/viewer/2022062600/5a4d1b947f8b9ab0599c28f1/html5/thumbnails/34.jpg)
Teleschool Diabetes Prevention
Community Benefit
34
![Page 35: Diabetes Continuum of Care and the Arizona Diabetes Alliance Donna Zazworsky, RN, MS, CCM, FAAN Vice President Community Health and Continuum Care.](https://reader036.fdocuments.us/reader036/viewer/2022062600/5a4d1b947f8b9ab0599c28f1/html5/thumbnails/35.jpg)
TeleDiabetes Prevention to high-risk schools
35
Ha’san Prep SchoolTohono O’odham
Nogales High SchoolHispanic
![Page 36: Diabetes Continuum of Care and the Arizona Diabetes Alliance Donna Zazworsky, RN, MS, CCM, FAAN Vice President Community Health and Continuum Care.](https://reader036.fdocuments.us/reader036/viewer/2022062600/5a4d1b947f8b9ab0599c28f1/html5/thumbnails/36.jpg)
How to Check Your Blood Sugar & Universal Precaution
![Page 37: Diabetes Continuum of Care and the Arizona Diabetes Alliance Donna Zazworsky, RN, MS, CCM, FAAN Vice President Community Health and Continuum Care.](https://reader036.fdocuments.us/reader036/viewer/2022062600/5a4d1b947f8b9ab0599c28f1/html5/thumbnails/37.jpg)
37
![Page 38: Diabetes Continuum of Care and the Arizona Diabetes Alliance Donna Zazworsky, RN, MS, CCM, FAAN Vice President Community Health and Continuum Care.](https://reader036.fdocuments.us/reader036/viewer/2022062600/5a4d1b947f8b9ab0599c28f1/html5/thumbnails/38.jpg)
38
![Page 39: Diabetes Continuum of Care and the Arizona Diabetes Alliance Donna Zazworsky, RN, MS, CCM, FAAN Vice President Community Health and Continuum Care.](https://reader036.fdocuments.us/reader036/viewer/2022062600/5a4d1b947f8b9ab0599c28f1/html5/thumbnails/39.jpg)
Thank You