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ROLE OF AREA DIABETES

CONSULTANTS

Michael Bryer-Ash MD, FRCP(Lond), FRCP(C)

Area Diabetes Consultant & Endocrinologist

IHS – Oklahoma City Area

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Michael Bryer-Ash: Disclosures

Disclosure Company

Stockholder Dexcom Inc.

Pfizer Inc.

Updated: September 19, 2016

(Current or within 12 months prior to this date)

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Objectives

1. Origins and creation of the ADCs and their core functions.

2. Description of ADCs general roles in support of DDTP.

3. Other diabetes-related roles and responsibilities of ADCs.

4. Evolution of the ADCs – How can we help you?

To Review and Discuss:

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Objectives

1. Origins and creation of the ADCs and their core functions.

2. Description of ADCs general roles in support of DDTP.

3. Other diabetes-related roles and responsibilities of ADCs.

4. Evolution of the ADCs – How can we help you?

To Review and Discuss:

ACKNOWLEDGEMENT

Melanie Knight, PMP - SDPI Community-Directed Program Coordinator

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Establishment of the IHS Area Diabetes Consultants

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Establishment of the IHS Area Diabetes Consultants

United States Public Law 100-713, Sec 204 d-1, 1988

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Establishment of the IHS Area Diabetes Consultants

Overview of the Indian Health Diabetes Network

The Indian health diabetes network includes an Area Diabetes Consultant

in each of the 12 IHS Areas, 19 Model Diabetes Programs, 399 Special

Diabetes Program for Indians grant programs, and other diabetes and

technical experts.

Area Diabetes Consultants

The Indian Health Care Improvement Act, amended in 1987, established

that each IHS Area should have an Area Diabetes Consultant to

support a variety of activities.

Source: IHS Report to Congress 2007

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1. Serve as Project Officers for the Special Diabetes Program for Indians Community-

Directed Diabetes Program.

2. Serve as a liaison between the Special Diabetes Program for Indians grant

programs and clinical staff at IHS, Tribal, and Urban Indian health care facilities.

3. Play a critical role in the coordination of the extensive Indian health system

diabetes network to facilitate bi-directional information flow from local to national

levels.

4. Provide diabetes orientation, training, and monitoring activities to health care

professionals and paraprofessionals.

5. Work with the IHS Division of Diabetes to translate and disseminate the latest

scientific findings on diabetes treatment and prevention to American Indian and

Alaska Native communities.

Functions of the ADC:

Establishment of the IHS Area Diabetes Consultants

Source: IHS Report to Congress 2007

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Objectives

1. Origins and creation of the ADCs and their core functions.

2. Description of ADCs core roles in support of DDTP.

3. Other diabetes-related roles and responsibilities of ADCs.

4. Evolution of the ADCs – How can we help you?

To Review and Discuss:

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1. Serve as Project Officers for the Special Diabetes Program for

Indians Community-Directed Diabetes Program:

Support and advise grantees in the preparation of SDPI grant applications*;

Review and approve qualifications of proposed SDPI Diabetes Coordinators;

Review SDPI grant applications*;

Review and approve carryover requests and budget revisions;

Recommend SDPI grant applications for approval in Grant Solutions;

Create the funding memo to fund grants in Grant Solutions;

Assist grantees with other amendments to their SDPI awards;

Provide grantees with review feedback on SDPI grant applications*;

Functions of the ADC:

Establishment of the IHS Area Diabetes Consultants

* activity confined to non-competitive application cycles by Grants Policy

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1. Serve as Project Officers for the Special Diabetes Program for

Indians Community-Directed Diabetes Program (cont’d):

Support and advise grantees in the preparation of SDPI grant required

progress reports and Best Practice required key measure data into SOS;

Support and advise grantees in the preparation and submission of their

Annual Diabetes Data Audit;

Functions of the ADC:

Roles of the IHS Area Diabetes Consultants

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.

2. Serve as a liaison between the Special Diabetes Program for Indians

grant programs and clinical staff at IHS, Tribal, and Urban Indian health

care facilities.

Direct grantees where to find information and the appropriate resource contact.

Coordinate with grantees’ designated specialist at DGM

Liaise with appropriate DDTP support personnel in the Diabetes Audit Support

Team, the SDPI Outcomes System and Mandatory Training Programs

Identify appropriate resources for programs in RPMS, EHR, ICARE, DMS etc.

Functions of the ADC:

Roles of the IHS Area Diabetes Consultants

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3. Play a critical role in the coordination of the extensive Indian health

system diabetes network to facilitate bi-directional information flow

from local to national levels.

Help to ensure that grantees are aware of new program requirements, changes,

system updates, deadlines, resources, clinical advances etc;

Ensure that grantees’ concerns, problems, opinions and feedback are directed to

the appropriate national resource at DGM or DDTP, if the issue cannot be

addressed locally

Participate in monthly ADC Calls with DDTP Director and Staff

Functions of the ADC:

Roles of the IHS Area Diabetes Consultants

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4. Provide diabetes orientation, training, and monitoring activities to

health care professionals and paraprofessionals.

5. Work with the IHS Division of Diabetes to translate and disseminate

the latest scientific findings on diabetes treatment and prevention to

American Indian and Alaska Native communities.

Functions of the ADC:

Roles of the IHS Area Diabetes Consultants

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Objectives

1. Origins and creation of the ADCs and their core functions.

2. Description of ADCs general roles in support of DDTP.

3. Other diabetes-related roles and responsibilities of ADCs.

4. Evolution of the ADCs – How can we help you?

To Review and Discuss:

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Organizational Structure

IHS

DDTPArea

Director

Area

CMO

ADC

Local/National National

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1. Clinical Care – multiple specialties

2. Liaison to TLDC and NIHB

3. Advise on Local Diabetes Formularies and Protocols

4. Train and mentor clinical providers in diabetes

5. Improvement of GPRA Diabetes Measures

6. Advising on community needs assessment

7. Giving basic statistical advice

8. Prepare or assist with conferences in several related areas

9. Assist and advise with local strategic planning

10. Site visit clinical programs

11. Advise on clinical care templates.

Other Roles and Responsibilities of ADCs:

Roles of the IHS Area Diabetes Consultants

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Objectives

1. Origins and creation of the ADCs and their core functions.

2. Description of ADCs general roles in support of DDTP.

3. Other diabetes-related roles and responsibilities of ADCs.

4. Evolution of the ADCs – How can we help you?

To Review and Discuss: