The Transformation Center has offered technical assistance and resources to support CCOs and clinics working on the diabetes CCO incentive measures: HbA1c poor control and oral evaluations for adults with diabetes.
Diabetes metrics toolkit
This toolkit is for primary care and dental clinics working to improve HbA1c control and oral health evaluation for adults with diabetes. The toolkit includes real-life examples, tools, templates and inspiration to design and implement your own quality improvement projects.
Recorded webinars
Working with pharmacists on a diabetes care team
This webinar is for clinicians working with pharmacists to improve HbA1c control. The webinar features Dr. Andrew Ahmann, director of the Harold Schnitzer Diabetes Health Center and recipient of the 2018 Outstanding Physician Clinician in Diabetes Award from the American Diabetes Association.
-
View slides
-
Watch recording (2/3/20)
- Audience: Primary care physicians, specialty physicians, physician assistants, nurse practitioners, pharmacists
Patient education and engagement in diabetes care
Learn how you can you help educate and engage patients with diabetes to control HbA1c. The Transformation Center-produced webinar features Dr. Andrew Ahmann, director of the Harold Schnitzer Diabetes Health Center and recipient of the 2018 Outstanding Physician Clinician in Diabetes Award from the American Diabetes Association.
-
View slides
-
Watch recording (2/28/20)
- Audience: Primary care physicians, specialty physicians, physician assistants, nurse practitioners, pharmacists
A systems approach to improving diabetes care
Explore how you can lower rates of HbA1c poor control using strategies that span your health system. The webinar will feature Dr. Andrew Ahmann, director of the Harold Schnitzer Diabetes Health Center and recipient of the 2018 Outstanding Physician Clinician in Diabetes Award from the American Diabetes Association.
-
Watch recording (1/22/20)
-
View slides
- Audience: Quality improvement staff and diabetes/chronic disease care coordinators at CCOs, Tribal health systems and other health systems
Tailoring nutrition programming to fit different communities and populations
The Oregon Food Bank and two of their partner organizations, African Family Holistic Health Organization and Familias en Accion, will share how you can create and work with programs responsive to the diverse populations and different types of communities we serve.
-
Watch recording (1/30/20)
-
View slides
- Audience: CCO staff working on clinic quality improvement, diabetes care and patient nutrition
Peer-to-peer learning for CCOs
Columbia Pacific and Trillium CCO staff present on how they share data with clinics, use their incentive dollars to improve diabetes programs, improve care through learning collaboratives, and their other keys to success with this metric. Sara Kleinschmit from OHA’s metrics team also gives an outline of the metric and answers questions.
Peer-to-peer learning for clinics
Presenters from Winding Waters Clinic and Old Town Clinic share how they create workflows, address social determinants of health, offer team-based care and involve pharmacists, among other best practices for diabetes care.
National Diabetes Prevention Program
The National Diabetes Prevention Program (DPP) is a Medicaid and Medicare covered benefit in Oregon. Resources are available for CCOs and primary care teams to prevent diabetes at both the system and clinic levels.
See program information and benefit coverage in Oregon, including billing guidance, training opportunities, implementation resources, and more.
2023 DPP Companion Guide for Health System Partners Serving Oregon Health Plan Members
DPP webinars
- National DPP 101
Topics: key program elements necessary for payment including member/patient eligibility, program modalities, current program providers and their credentials, and CDC-recognition
- Slides / Recording (10/24/23)
- Billing Medicaid for National DPP Payment
Other resources
Standards of Medical Care in Diabetes
The American Diabetes Association has released the
2023 Standards of Medical Care in Diabetes. Resources for practices include a highlights webinar, abridged standards for primary care providers, and a standards of care app.
Evaluation of the Clinical Outcomes of Telehealth for Managing Diabetes
A 2018 meta-analysis found that telehealth is more effective than usual care in diabetes management. Read the evaluation to learn about how telehealth can help people with diabetes better control their glycemic index and reduce blood pressure.
Billing OHP for diabetes self-management programs
The Oregon Health Plan covers diabetes self-management programs. See the following resources for providers about reimbursement.