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Roles: The Reality

Using Educators to Their Full Potential and Other Staffing Issues Carole ' Mensing, RN, MA, CDE Elaine Sullivan, MS, RN, CDE Rich Jackson, MD. Roles: The Reality. Educator Clinician Coordinator Consultant Case Management. Roles Defined:. Educator- learning process Clinician

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Roles: The Reality

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  1. Using Educators to Their Full Potential and Other Staffing IssuesCarole' Mensing, RN, MA, CDEElaine Sullivan, MS, RN, CDE Rich Jackson, MD

  2. Roles: The Reality • Educator • Clinician • Coordinator • Consultant • Case Management Confidential

  3. Roles Defined: • Educator- learning process • Clinician • Coordinator • Consultant • Case Management Confidential

  4. Skill Sets: (Mensing, Norris; DS, vol 16, no 2, 2003) • Preparation- Topics, materials, AV’s • Delivery options- demo, visits, discuss • Assessment- individualized, readiness • Documentation Confidential

  5. Roles Defined: • Educator- learning process • Clinician- practice standards/ care trends • Coordinator • Consultant • Case Management Confidential

  6. Standards • National Standards for Diabetes Self-Management Education (Funnell et all; DC, January, 2007) • Joslin Guidelines , Policy and Procedures • Standards of Medical Care in Diabetes (ADA, DC, January, 2009) • Scope of Practice for Diabetes Educators; Standards of Practice for Diabetes Educators; Position Statements (AADE 2009 ) • IDF Standards and Guidelines (2008-9) • State by State Regulations Confidential

  7. Roles Defined: • Educator- learning process • Clinician- practice standards/ care trends • Coordinator- program management • Consultant • Case Management Confidential

  8. Implementation Stage • Goals / Objectives/ Topics for programs • Methods • Outcomes- satisfaction, etc. • CQI, NCQA • ERP/ DEAP applications and extensions • Scheduling Confidential

  9. Roles Defined: • Educator- learning process • Clinician- practice standards/ care trends • Coordinator- program management • Consultant- community advocate • Case Management Confidential

  10. Delivery systems/ sites: • Worksites and organizations • Schools, Churches, Community Centers • SNF’s • Media- printed, personalized, mass media, Radio- TV spots • Group Homes • Insurers • Government- policy, local Health Departments • Grants • Other…. Confidential

  11. Roles Defined: • Educator- learning process • Clinician- practice standards/ care trends • Coordinator- program management • Consultant- community advocate • Case Management Confidential

  12. Case/Care Strategies: • Risk Stratification • Monitoring and adjusting care plans • Prioritizing – clinical status and readiness for change • Intensifying care Confidential

  13. So…… what educator roles are billable/ reimburseable??? Confidential

  14. How do you want your educators to spend their time? Confidential

  15. Results of Education Coordinator Time Studies Confidential

  16. Results of Education Coordinator Time Studies Confidential

  17. Very little change since Spring 2009 • Are you surprised by your site’s results? • Did anything in your coordinator’s role change after the Education Summit? • If your site is an outlier: • Is there an explanation? • What can you do? • Should we plan an educator time study in 2010? Confidential

  18. Are we using staff to their full potential? Confidential

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