TE__2_Reports.pdf

Technical Exhibit #2 Reports, Data, and Other Deliverables

Letter Report, which includes a brief 1-2 page summary of a site visit or other task, based on an individual task item.

Site Visit Report, which will include the following:

A. Health program name, location, date B. Staff names and titles participating in site visit C. Purpose of Visit D. Organizational Overview E. Diabetes Program description and staffing list F. Status of the Health Programs SDPI grant/ Best Practice goals and objectives.

This section must state:

1. The Best Practice(s) selected for SDPI grant application

2. Following the format of the semi-annual report, status of objectives and activities for each Best Practice

3. Data used for programs self-evaluation of progress of goals, objectives and activities

4. During CAO Diabetes Contractor site visits to California tribal clinics and health programs, identify Diabetes Team members, frequency of meetings, and data improvement goals. Note these details in site visit reports sent to the ADC and clinic staff.

G. SDPI Required Key Measure This section must state:

1. The Required Key Measure

2. How the program is measuring their progress

3. Recommendations made to the program for improvement

4. Progress from previous year goals and objectives

H. Assessment tool This section must state:

1. Assess the increased knowledge provided during visit

2. Assess the program staff’s ability to plan, develop, and execute SMART format goals and objectives

3. Evaluate strengths and weaknesses in accomplishing their goals

I. Clinical Care Data Review This section must state:

1. Status of the Government Performance and Results Act (GPRA) for previous year

(July 1 – June 30)

2. Summary of discussion of the results with appropriate staff as it relates to SDPI grant program and healthcare improvement

3. Diabetes Outcomes Audit results (Audit year Jan. 1 – Dec. 31)

4. Summary of discussion of the results with appropriate staff and how it relates to their Required Key Measure

J. RPMS Usage This section must state:

1. Status of all Diabetes Patients:

-Total number on Diabetes Registry -Active (AI/AN & primary care at clinic) -Transient (primary medical care elsewhere) -Inactive (not seen in past 2 years) -Lost to Follow-up (status unknown) -Non IHS (non AI/AN) -Un-reviewed (require review & status designation) -Deceased

2. Pre-Diabetes Registry (if applicable)

3. Reports ran at time of visit

K. Summary of the visit L. Recommendations to the program

This section must state:

1. SDPI Best Practice focus

2. Use of data to measure goals and objective

3. Readiness or interest in the quality improvement as it relates to their diabetes program