Module 4: Action — Learning From Activities Currently Underway

Diabetes Care Quality Improvement: A Workbook for State Action

Learning Objectives

Upon completion of Module 4, the user(s) will be able to:

  1. Identify tools and resources to build a quality improvement program.(Knowing what resources are already available saves time and money.)
  2. Identify various State approaches to diabetes quality improvement and best practices. (Many existing program models can be modified to accommodate State-specific needs.)
  3. Create an inventory of your State's quality improvement actions and resources. (You can build upon the resources and partnerships that already exist and identify where your State needs to develop activities.)

1. Identify tools and resources to build a quality improvement program.

Review Module 4, Selected Public/Private Quality Improvement Initiatives of the Resource Guide for selected public/private quality improvement initiatives as well as Federal programs and resources.

a. Is your State currently using any of these tools and resources?

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b. If so, how well are they working?

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c. Visit some Web sites listed below and jot down ideas to help you build, implement, and evaluate a diabetes care quality improvement program. (Note: additional quality improvement initiatives are located in Appendix G, of the Resource Guide.)

National Diabetes Quality Improvement Alliance
http://www.nationaldiabetesalliance.org/

Ideas:
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Chronic Care Model
http://www.improvingchroniccare.org Exit Disclaimera>

Ideas:
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IHI Breakthrough Series Collaborative

  • Institute for Healthcare Improvement (IHI) Breakthrough Collaboratives general information:
    http://www.ihi.org/IHI/Programs/CollaborativeLearning/

    Ideas:
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  • Improving care for people with chronic conditions - diabetes:
    http://www.ihi.org/IHI/Topics/ChronicConditions/Diabetes/HowToImprove/ Exit Disclaimera>

    Ideas:
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  • Report from the Health Disparities Collaborative on Diabetes:
    http://www.healthdisparities.net/Diabetes_Apr2002.pdf

    Ideas:
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Disease Management Programs

  • Disease Management Association of America
    http://www.dmaa.orgExit Disclaimer

    Ideas:
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  • Council of State Governments
    http://www.csg.org/CSG/Policy/health/chronic+illness/default.htm

    Ideas:
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Self-Management Programs

  • Chronic Disease Self-management Program at Stanford University
    http://patienteducation.stanford.edu/programs/ Exit Disclaimera>

    Ideas:
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Federal Programs and Resources for Diabetes Quality Improvement

  • CDC Diabetes Prevention and Control Program (the State's DPCP)
    http://www.cdc.gov/diabetes/states/index.htm

    Ideas:
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  • Diabetes Detection Initiative and Steps to a Healthier US Initiative
    http://www.ndep.nih.gov/ddi and http://www.healthierus.gov/steps/index.html

    Ideas:
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  • Health Resources and Services Administration, Bureau of Primary Health Care, Health Disparities Collaboratives
    http://www.hrsa.gov/servicedelivery/default.htm and http://www.healthdisparities.net/

    Ideas:
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  • National Diabetes Education Program (NDEP)
    http://ndep.nih.gov and http://www.betterdiabetescare.org

    Ideas:
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  • Centers for Medicare & Medicaid Services Quality Improvement Organizations
    http://medqic.org/dcs/ContentServer?pagename=Medqic/MQPage/Homepage

    Ideas:
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2. Identify various State approaches to diabetes quality improvement and best practices.

Read Module 4, State Approaches to Diabetes Care Quality Improvement of the Resource Guide on partnership/planning activities, program development activities, and dissemination activities and for examples of State diabetes care quality improvement programs and best practices.

a. What do other States' leaders indicate are keys to success (i.e., best practices)? For example, Wisconsin, California, and Minnesota indicate that setting up strategic partnerships was very effective for their programs.

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b. What State approaches and examples do you think might be useful in your State?

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c. What partnerships should you seek?

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3. Create an inventory of your State's quality improvement actions and resources.

a. Inventory your own State's activities. Note in the chart below the stage of development for each activity. Also note if your State has not yet begun undertaking an activity or if the activity is complete.

State Diabetes Quality Improvement Inventory

State Quality Improvement ActionStage of Development
PlanningImplementationEvaluation
Partnership/Planning Activities   
  Coalition/Advisory Board   
  Collaborative   
  Cross-Agency Initiatives   
Program Development Activities   
  Diabetes Care Guidelines   
  Data Measurement and Reporting   
  Information Technology   
  Patient Education/Self Management   
  Provider Training   
  Collaborative   
  Disease Management   
Dissemination Activities   
  Raising Awareness   
  Minority and Rural Outreach   
Other Quality Improvement Action in My State   
  Non-Governmental Initiatives   
  Federal Initiatives   
  Local Initiatives   

b. Review Appendix H of the Resource Guide. In the table below, write down your State's level of funding for diabetes from the CDC, the State's general fund, and State in-kind resources. Compare these levels with two or three other States in your region or locality.

LevelsCDC fundingState general fundState in-kindTotal
Your State    
Comparable State    
Comparable State    
Comparable State    
Current as of August 2008
Internet Citation: Module 4: Action — Learning From Activities Currently Underway: Diabetes Care Quality Improvement: A Workbook for State Action. August 2008. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/quality-resources/tools/diabguide/diabwork/diabqworkmod4.html