7.2_Reports,_Data_and_Other_Deliverables.pdf

DM EDUCATION CONSULT 2018-2019

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. Diabetes Education

This section must state:

1. How group and/or individual education occurs on site

2. The Name of the Diabetes Education Curriculum utilized

3. All Activities included in the programs approach to education

4. Diabetes prevention education efforts in their community

G. Diabetes Case Management This section must state:

1. How the management of the patients identified with diabetes and/or pre-diabetes is handled in the program

2. Description of the use of the programs diabetes audit data

3. Description of the Case Manager’s team meetings

4. Outreach efforts and coordination with medical staff and other departments within the organization.

H. Description of Clinical/Data Committees within organization 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

3. Diabetes Outcomes Audit results (Audit year January 1 – December 31)

4. Summary of discussion of the results with appropriate staff

J. RPMS Usage, or Non-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. 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.

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

This section must state:

1. SDPI Best Practice focus

2. Use of data to measure goals and objectives of Diabetes program

3. Case management recommendations

4. Diabetes Self-Management Education (DSME) protocols and recording of education being provided to the patients

5. Diabetes team development and teamwork resources