Diabetes Technical Assistance

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.

• Diabetes metrics toolkit
  
• Introductory webinar (recorded 6/22/21)
  

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.

• Watch recording (12/12/19)
  

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.

• Watch recording (10/30/19)
  

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
  
• Topics: DPP billing cadence and rates, diagnosis codes, rendering and supervising providers, and the two
  provider types to bill under
  
• Slides / Recording (11/7/23)
  

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

• Memo (August 2022)
  
• Fact sheet (August 2022)