Team Care Guide Now Available! Www.YourDiabetesInfo/ TeamCare

1. Team Care GuideNow Available!Www.YourDiabetesInfo.org/TeamCare • Developed by the National Diabetes Education Program (NDEP) • NDEP is a joint partnership of the NIH, the CDC, and more than 200 partner organizations

2. The Need – Diabetes • 25.8 million Americans — 8.3% of the U.S. population — have diabetes • Of those with diabetes, 7 million are undiagnosed • 79 million adults have pre-diabetes • Diabetes is the seventh leading cause of death Adapted from the Centers for Disease Control and Prevention. National Diabetes Fact Sheet: national estimates and general information on diabetes and pre-diabetes in the United States, 2011. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 2011.

3. The Need for Team Care • Diabetes management requires expertise from many disciplines for optimal care • Team care is integral to health care reform initiatives such as the Medical Home • Demonstration projects are assessing new payment structures with positive results • Improved quality and costs for diabetes care

4. Benefits of Team Care • reduced risk factors for diabetes • improved diabetes management • lowered risk for complications • efficient patient education • improved glycemic control • increased patient follow-up • higher patient satisfaction • improved quality of life • reduced hospitalizations • decreased health care costs

5. Purpose & Topics of the Team Care Guide • Purpose: To provide a practical resource to help health care professionals and organizations implement collaborative, multidisciplinary team care for adults and children with diabetes in a variety of settings • Topics: • Chronic Disease & the Health Care Delivery System • What Makes a Successful Team? • Nontraditional Team Care Approaches • Payment & Cost-Effectiveness Data for Diabetes Education & Services • Collaborative Care in Practice • Real-World Case Studies • Appendices • Related Resources and References

6. Team Care Content Advisory Group • W. Lee Ball, Jr., O.D., F.A.A.O. of the American Optometric Association • Mary Jo Goolsby, Ed.D., M.S.N., N.P-C, F.A.A.N.P. of the American Academy of Nurse Practitioners • Amy Nicholas, Pharm.D. of the American Pharmacists Association • Amparo Gonzalez, R.N., C.D.E., F.A.A.D.E. of the American Association of Diabetes Educators • M. Sue Kirkman, M.D. of the American Diabetes Association • Patti Urbanski, M.Ed., R.D., L.D., C.D.E. of the American Dietetic Association

7. The Basics of Team Care • Select a key person to coordinate • Vary team according to patients’ needs/load, organizational constraints, resources, clinical setting, geographic location and professional skills • Augment team with community resources and support • Expand access to team care via nontraditional approaches

8. What Makes a Successful Team? • Commitment/support of organizational leadership • Active patient and health care professional participation • Information tracking system • Adequate resources • Payment mechanisms for team care services • Coordinated communication system • Documentation and evaluation of outcomes and adjustment of services

9. Nontraditional Team Care Approaches Telehealth – team care without walls: • Uses secure, high-speed Internet real-time video conferencing • Expands access to health care and education • Increases delivery of evidence-based medicine • Improves consistency of care Shared medical appointments and group education: • Eight to 10 patients • Longer sessions include 20+ patients • Team members with different expertise see patients individually • Group education sessions • One to two hour appointments

10. Real-World Case Study Example

11. Helpful Materials • Appendices: • Stratifying Care According to Patient Population Needs • Scope of Practice for Diabetes Educators & Board-Certified Advanced Diabetes Management Practitioners • Quality Improvement Indicators for Diabetes Care • Medicare for People with Diabetes • Related resources from 17 NDEP partners • 109 useful references

12. Promote, Promote, Promote! • Use promotional tools available on the NDEP website at www.YourDiabetesInfo.org/TeamCare • Link to Team Care • Distribute the e-newsletter announcement through your newsletter or your listserv • Print and distribute the promotional flyer • Download these presentation slides from the NDEP website and give your own talks about Team Care

13. THANK YOU!