Module 4: Action — Learning From Activities Currently Underway Diabetes Care Quality Improvement: A Workbook for State Action Learning ObjectivesUpon completion of Module 4, the user(s) will be able to:Identify tools and resources to build a quality improvement program.(Knowing what resources are already available saves time and money.)Identify various State approaches to diabetes quality improvement and best practices. (Many existing program models can be modified to accommodate State-specific needs.)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?______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________b. If so, how well are they working?______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________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 Alliancehttp://www.nationaldiabetesalliance.org/Ideas:____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Chronic Care Modelhttp://www.improvingchroniccare.org a>Ideas:____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________IHI Breakthrough Series CollaborativeInstitute for Healthcare Improvement (IHI) Breakthrough Collaboratives general information:http://www.ihi.org/IHI/Programs/CollaborativeLearning/ Ideas:____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Improving care for people with chronic conditions - diabetes:http://www.ihi.org/IHI/Topics/ChronicConditions/Diabetes/HowToImprove/ a>Ideas:____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Report from the Health Disparities Collaborative on Diabetes:http://www.healthdisparities.net/Diabetes_Apr2002.pdfIdeas:____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Disease Management ProgramsDisease Management Association of Americahttp://www.dmaa.orgIdeas:____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Council of State Governmentshttp://www.csg.org/CSG/Policy/health/chronic+illness/default.htmIdeas:____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Self-Management ProgramsChronic Disease Self-management Program at Stanford Universityhttp://patienteducation.stanford.edu/programs/ a>Ideas:____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Federal Programs and Resources for Diabetes Quality ImprovementCDC Diabetes Prevention and Control Program (the State's DPCP)http://www.cdc.gov/diabetes/states/index.htmIdeas:____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Diabetes Detection Initiative and Steps to a Healthier US Initiativehttp://www.ndep.nih.gov/ddi and http://www.healthierus.gov/steps/index.htmlIdeas:____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Health Resources and Services Administration, Bureau of Primary Health Care, Health Disparities Collaborativeshttp://www.hrsa.gov/servicedelivery/default.htm and http://www.healthdisparities.net/Ideas:____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________National Diabetes Education Program (NDEP)http://ndep.nih.gov and http://www.betterdiabetescare.orgIdeas:____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Centers for Medicare & Medicaid Services Quality Improvement Organizationshttp://medqic.org/dcs/ContentServer?pagename=Medqic/MQPage/HomepageIdeas:____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________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.______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________b. What State approaches and examples do you think might be useful in your State?______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________c. What partnerships should you seek?______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________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 InventoryState Quality Improvement ActionStage of DevelopmentPlanningImplementationEvaluationPartnership/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-kindTotalYour 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/diabwork/diabqworkmod4.html
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