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Diabetes Technical Assistance

The Transformation Center will be offering technical assistance and resources to support CCOs and clinics working on the following diabetes CCO incentive measures: HbA1c poor control and oral evaluations for adults with diabetes.

Diabetes metrics toolkit

A new toolkit is available to help primary care and dental clinic settings apply quality improvement frameworks and tools for measurable change in HBA1C poor control and oral health evaluation for adults with diabetes. This toolkit includes many real-life example improvement projects, templates and inspiration to conceptualize, design and implement your own quality improvement projects.

Recorded webinars

Working with pharmacists on a diabetes care team

The Transformation Center invites clinicians who serve Oregonians to a webinar focused on lowering rates of HbA1c poor control through working with pharmacists as part of the diabetes care team. 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.

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 will 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

Effective January 1, 2019, 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 support work 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.

DPP Companion Guide 2020 for Health System Partners Serving Oregon Health Plan Members

DPP webinars

Other resources

Standards of Medical Care in Diabetes

The American Diabetes Association has released the 2020 Standards of Medical Care in Diabetes. Practice resources 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. Follow the link to learn more about how telehealth can help people with diabetes better control their glycemic index and reduce systolic and diastolic blood pressure levels.

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