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Western Tribal Diabetes Project

Western Tribal Diabetes Project. Kerri Lopez, Director Don Head, Specialist Western Tribal Diabetes Project Northwest Portland Area Indian Health Board. The Diabetes Care and Outcomes Audit, 2015. The Diabetes Care and Outcomes Audit, 2015. Patients to include in the Audit: Have diabetes

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Western Tribal Diabetes Project

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  1. Western Tribal Diabetes Project Kerri Lopez, Director Don Head, Specialist Western Tribal Diabetes Project Northwest Portland Area Indian Health Board

  2. The Diabetes Care and Outcomes Audit, 2015 Northwest Portland Area Indian Health Board

  3. The Diabetes Care and Outcomes Audit, 2015 • Patients to include in the Audit: • Have diabetes • Are Alaska Native/American Indian • Had a visit for primary care in 2014 • Patients to exclude: • Received most of their care elsewhere • Are on dialysis and receive their care at that clinic • Have died before the end of the audit period • Have gestational or pre-diabetes • Have moved, temporarily or permanently Northwest Portland Area Indian Health Board

  4. The Diabetes Care and Outcomes Audit, 2015 • Additions to the Audit • Screened for tobacco use? • TDAP ever? • Statin use, allergy/intolerant • Deletions from the Audit • Lipid lowering agents other than statins • Modifications to the Audit • Hep B immunity added to response • Tuberculosis items changed Northwest Portland Area Indian Health Board

  5. The Diabetes Care and Outcomes Audit, 2015 • Audit due date: March 16, 2015 • Hard vs. Soft due date • Patch 8.0 – Audit Update dependent on IHS DIRM Northwest Portland Area Indian Health Board

  6. The Diabetes Care and Outcomes Audit, 2015 • Audit site visit requests: two specialists available • Individual chart audits (electronic or paper) • Training using WebAudit, DMS, QMAN, PCC Management Reports Northwest Portland Area Indian Health Board

  7. DMS Training • Difficulties in recorded sessions • Training on all of the DMS would be a long recorded session • Aspects of the DMS, or other packages, aren’t specifically targeted • Specific questions can’t be answered on-the-spot Northwest Portland Area Indian Health Board

  8. DMS Training • Advantages of interactive online session • Training is targeted specifically to needs of the site • The site is allowed to use its own data for training purposes • Questions that arise can be addressed immediately Northwest Portland Area Indian Health Board

  9. Best Practices Data Retrieval Northwest Portland Area Indian Health Board

  10. Staff & Funding • Staff • Kerri Lopez, Director • Don Head, Project Specialist • Erik Kakuska, Project Specialist • Ahndine Mason, Project Assistant • 5% set-aside SDPI funding • National Contract • DMS training sessions • Special projects • Program evaluation tools

  11. SDPI Tribal Competitive Successes • Every group had substantial weight loss • With that lower triglycerides, blood pressure, cholesterol • Emphasis on the role of the coach and support • Education was essential • Participants have carried message to family • In event not eligible for program – clinic support • Participants were able to incorporate into life • 1st group have become mentors and coaches to 2nd group • Four tribes in Oregon (Cow Creek, Klamath, Coquille – consortium and Warm Springs)

  12. Health Funding Disparity

  13. Data, data, data • Track your activities • Measured of success • Time - BMI • Minutes per day • 5 a day

  14. Audit to Health Status Report

  15. Health Status Report

  16. HSR comparison Northwest Portland Area Indian Health Board

  17. NW trends Northwest Portland Area Indian Health Board

  18. HSR comparison Northwest Portland Area Indian Health Board

  19. Trends Northwest Portland Area Indian Health Board

  20. NW trends Northwest Portland Area Indian Health Board

  21. NW trends Northwest Portland Area Indian Health Board

  22. Data challenges • Data is only as good as data entry • Limited by documentation in medical chart • Data reflects active user ITU – submitting IHS diabetes audit • Data may include patients using more than one clinic • Data may be affected by increase in number of sites reporting • Changes to audit Northwest Portland Area Indian Health Board

  23. DM Prevalence in American Indian and Alaska Native Children and Youth Northwest Portland Area Indian Health Board

  24. Native Fitness XII • August 18-19, 2015 • Beaverton, OR

  25. Short cut and reference manual Health Status Report Tribal diabetes comparison report Tribal diabetes trends report NW Diabetes Aggregate Report Diabetes Screening Toolkit WTDP Tools and Resources

  26. Northwest Tribes Meet the Challenge • 10,000 STEPS • Youth screening in schools • Aerobics/Water • Aerobics Video • Mile Moccasin Club • Yoga • Fitness centers/personal trainers • Golf tournaments • Community Gardens • Biggest Loser • Health Fairs • Walk to Smithsonian • Cooking classes/healthy eating • Pre-diabetes Screening • Just Move It • Youth and Adult Diabetes Camps • Tribal Diabetes Conferences • Lifestyle Intervention Classes

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