Category A: Diabetes
Management and Type 2 Diabetes Prevention Strategies
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Strategy
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References that Provide
Evidence Base for Recommending these Strategies
|
A1:
Improve access to and participation in
ADA-recognized/AADE-accredited DSMES programs in underserved areas
|
2017
National Standards for Diabetes Self-Management Education and
Support. Diabetes Care. 2017; 40:1409–1419. Retrieved from
http://care.diabetesjournals.org/content/40/10/1409.full-text.pdf.
Klein
HA, Jackson SM, Street K, Whitacre JC, Klein J. Diabetes
self-management education: miles to go. Nurs Res Pract.
2013:581012.
Powers,
MA, Bardsley, J, Cypress, M, et al. Diabetes Self-management
Education and Support in Type 2 Diabetes: A Joint Position
Statement of the American Diabetes Association, the American
Association of Diabetes Educators, and the Academy of Nutrition
and Dietetics. Diabetes Care. Jul 2015; 38(7): 1372-1382.
https://doi.org/10.2337/dc15-0730
Morgan
JM, Mensa-Wilmot Y, Bowen S, Murphy M, Bonner T, Rutledge S, et
al. Implementing Key Drivers for Diabetes Self-Management
Education and Support Programs: Early Outcomes, Activities,
Facilitators, and Barriers. Prev Chronic Dis 2018;15:170399. DOI:
http://dx.doi.org/10.5888/pcd15.170399
|
A2:
Expand or strengthen DSMES coverage policy among public or private
insurers or employers, with emphasis on one or more of the
following: Medicaid and employers
|
2017
National Standards for Diabetes Self-Management Education and
Support. Diabetes Care. 2017; 40:1409–1419. Retrieved from
http://care.diabetesjournals.org/content/40/10/1409.full-text.pdf.
Powers,
MA, Bardsley, J, Cypress, M, et al. Diabetes Self-management
Education and Support in Type 2 Diabetes: A Joint Position
Statement of the American Diabetes Association, the American
Association of Diabetes Educators, and the Academy of Nutrition
and Dietetics. Diabetes Care. Jul 2015; 38(7): 1372-1382.
https://doi.org/10.2337/dc15-0730
Morgan
JM, Mensa-Wilmot Y, Bowen S, Murphy M, Bonner T, Rutledge S, et
al. Implementing Key Drivers for Diabetes Self-Management
Education and Support Programs: Early Outcomes, Activities,
Facilitators, and Barriers. Prev Chronic Dis 2018;15:170399. DOI:
http://dx.doi.org/10.5888/pcd15.170399
|
A3:
Increase engagement of pharmacists in the provision of medication
management or DSMES for people with diabetes
|
2017
National Standards for Diabetes Self-Management Education and
Support. Diabetes Care. 2017; 40:1409–1419. Retrieved from
http://care.diabetesjournals.org/content/40/10/1409.full-text.pdf.
Centers
for Disease Control and Prevention. Collaborative
Practice Agreements and Pharmacists’ Patient Care Services.
Atlanta,
GA: Centers for Disease Control and Prevention, U.S. Department
of Health and Human Services.
https://www.cdc.gov/dhdsp/pubs/docs/Translational_Tools_Pharmacists.pdf
Joint
Commission of Pharmacy Practitioners. Pharmacists’ Patient
Care
Process. 2014 https://jcpp.net/wp-content/uploads/2015/09/Patient_Care_Process_Template_Presentation-Final.pdf.
Klein
HA, Jackson SM, Street K, Whitacre JC, Klein J. Diabetes
self-management education: miles to go. Nurs Res Pract.
2013:581012.
Patient-Centered
Primary Care Collaborative. The
Patient-Centered Medical Home: Integrating Comprehensive
Medication Management to Optimize Patient Outcomes –
Resource Guide.
2nd ed.
2012. https://www.pcpcc.org/sites/default/files/media/medmanagement.pdf.
Powers,
MA, Bardsley, J, Cypress, M, et al. Diabetes Self-management
Education and Support in Type 2 Diabetes: A Joint Position
Statement of the American Diabetes Association, the American
Association of Diabetes Educators, and the Academy of Nutrition
and Dietetics. Diabetes Care. Jul 2015; 38(7): 1372-1382.
https://doi.org/10.2337/dc15-0730
|
A4:
Assist health care organizations in implementing systems to
identify people with prediabetes and refer them to CDC-recognized
lifestyle change programs for type 2 diabetes prevention
|
Albright,
Ann L., and Edward W. Gregg. Preventing type 2 diabetes in
communities across the US: The National Diabetes Prevention
Program. American
Journal of Preventive Medicine 44.4
(2013): S346-S351. https://doi.org/10.1016/j.amepre.2012.12.009
Centers
for Disease Control and Prevention. 2018
CDC Diabetes Prevention Recognition Program Standards.
Atlanta,
GA: Centers for Disease Control and Prevention, U.S. Department
of Health and Human Services.
https://www.cdc.gov/diabetes/prevention/pdf/dprp-standards.pdf
Centers
for Disease Control and Prevention. The
National Diabetes Prevention Program.
Atlanta, GA: Centers for Disease Control and Prevention, U.S.
Department of Health and Human Services.
https://www.cdc.gov/diabetes/prevention/index.html
Centers
for Disease Control and Prevention. Resources
for Health Care Professionals.
Atlanta, GA: Centers for Disease Control and Prevention, U.S.
Department of Health and Human Services.
https://www.cdc.gov/diabetes/prevention/lifestyle-program/resources/professionals.html
Centers
for Disease Control and Prevention. Community-Clinical
Linkages for the Prevention and Control of Chronic Diseases: A
Practitioner’s Guide. Atlanta,
GA: Centers for Disease Control and Prevention, U.S. Department
of Health and Human Services; 2016.
https://www.cdc.gov/dhdsp/pubs/docs/ccl-practitioners-guide.pdf
Centers
for Disease Control and Prevention. Preventing
Type 2 Diabetes: A Guide to Refer Your Patients with Prediabetes
to an Evidence-based Diabetes Prevention Program.
Atlanta,
GA: Centers for Disease Control and Prevention, U.S. Department
of Health and Human Services.
https://preventdiabetesstat.org/toolkit.html
National
DPP Customer Service Center https://nationaldppcsc.cdc.gov/s/
|
A5:
Collaborate with payers and relevant public and private sector
organizations within the state to expand availability of the
National DPP as a covered benefit for one or more of the following
groups: Medicaid beneficiaries; state/public employees; employees
of private sector organizations
|
Albright,
Ann L., and Edward W. Gregg. Preventing type 2 diabetes in
communities across the US: The National Diabetes Prevention
Program. American
Journal of Preventive Medicine 44.4
(2013): S346-S351. https://doi.org/10.1016/j.amepre.2012.12.009
Centers
for Disease Control and Prevention. National
DPP Coverage Toolkit.
Atlanta,
GA: Centers for Disease Control and Prevention, U.S. Department
of Health and Human Service. www.coveragetoolkit.org
Centers
for Disease Control and Prevention. 2018
CDC Diabetes Prevention Recognition Program Standards.
Atlanta,
GA: Centers for Disease Control and Prevention, U.S. Department
of Health and Human Services.
https://www.cdc.gov/diabetes/prevention/pdf/dprp-standards.pdf
Centers
for Disease Control and Prevention. Diabetes
Prevention Impact Toolkit.
Atlanta,
GA: Centers for Disease Control and Prevention, U.S. Department
of Health and Human Service.
https://nccd.cdc.gov/Toolkit/DiabetesImpact/
Centers
for Disease Control and Prevention. Diabetes
State Burden Toolkit.
Atlanta,
GA: Centers for Disease Control and Prevention, U.S. Department
of Health and Human Services.
https://nccd.cdc.gov/Toolkit/DiabetesBurden
Centers
for Disease Control and Prevention. Preventing
Type 2 Diabetes: A Guide to Refer Your Patients with Prediabetes
to an Evidence-based Diabetes Prevention Program.
Atlanta,
GA: Centers for Disease Control and Prevention, U.S. Department
of Health and Human Services.
https://preventdiabetesstat.org/toolkit.html
Centers
for Disease Control and Prevention. CDC
6/18 Initiative: Prevent Type 2 Diabetes.
Atlanta,
GA: Centers for Disease Control and Prevention, U.S. Department
of Health and Human Services.
https://www.cdc.gov/sixeighteen/diabetes/index.htm
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A6:
Implement strategies to increase enrollment in CDC-recognized
lifestyle change programs
|
Albright,
Ann L., and Edward W. Gregg. "Preventing type 2 diabetes in
communities across the US: The National Diabetes Prevention
Program." American
Journal of Preventive Medicine 44.4
(2013): S346-S351.
https://doi.org/10.1016/j.amepre.2012.12.009
Centers
for Disease Control and Prevention. 2018
CDC Diabetes Prevention Recognition Program Standards.
Atlanta,
GA: Centers for Disease Control and Prevention, U.S. Department
of Health and Human Services.
https://www.cdc.gov/diabetes/prevention/pdf/dprp-standards.pdf
Centers
for Disease Control and Prevention. Addressing
Chronic Disease through Community Health Workers.
Atlanta,
GA: Centers for Disease Control and Prevention, U.S. Department
of Health and Human Services; 2018.
https://www.cdc.gov/diabetes/prevention/pdf/dprp-standards.pdf
|
A7:
Develop a statewide infrastructure to promote long-term
sustainability/reimbursement for Community Health Workers (CHWs)
as a means to establish or expand their use in a) CDC-recognized
lifestyle change programs for type 2 diabetes prevention and/or b)
ADA-recognized/AADE-accredited DSMES programs for diabetes
management
|
2017
National Standards for Diabetes Self-Management Education and
Support. Diabetes Care. 2017; 40:1409–1419. Retrieved from
http://care.diabetesjournals.org/content/40/10/1409.full-text.pdf.
Albright,
Ann L., and Edward W. Gregg. "Preventing type 2 diabetes in
communities across the US: The National Diabetes Prevention
Program." American
Journal of Preventive Medicine 44.4
(2013): S346-S351. https://doi.org/10.1016/j.amepre.2012.12.009
Centers
for Disease Control and Prevention. 2018
CDC Diabetes Prevention Recognition Program Standards.
Atlanta,
GA: Centers for Disease Control and Prevention, U.S. Department
of Health and Human Services.
https://www.cdc.gov/diabetes/prevention/pdf/dprp-standards.pdf
Centers
for Disease Control and Prevention. Addressing
Chronic Disease through Community Health Workers.
Atlanta,
GA: Centers for Disease Control and Prevention, U.S. Department
of Health and Human Services; 2018.
https://www.cdc.gov/dhdsp/docs/chw_brief.pdf
|
Category B: Cardiovascular
Disease Prevention and Management
|
Strategy
|
References that Provide
Evidence Base for Recommending these Strategies
|
B1:
Promote the adoption and use of electronic health records (EHRs)
and health information technology (HIT) to improve provider
outcomes and patient health outcomes related to identification of
individuals with undiagnosed hypertension and management of adults
with hypertension
|
Centers for Disease Control
and Prevention. Implementing clinical decision support systems.
Best Practices for
Cardiovascular Disease Prevention Programs: A Guide to Effective
Health Care System Interventions and Community Programs Linked to
Clinical Services.
Atlanta, GA: Centers for Disease Control and Prevention, US Dept
of Health and Human Services; 2017: 43-47.i
|
B2:
Promote the adoption of evidence-based quality measurement at the
provider level (e.g. use dashboard measures) to monitor healthcare
disparities and implement activities to eliminate healthcare
disparities
|
Centers for Disease Control
and Prevention. Implementing clinical decision support systems.
Best Practices for
Cardiovascular Disease Prevention Programs: A Guide to Effective
Health Care System Interventions and Community Programs Linked to
Clinical Services.
Atlanta, GA: Centers for Disease Control and Prevention, US Dept
of Health and Human Services; 2017: 43-47.
|
B3:
Support engagement of non-physician team members (e.g., nurses,
nurse practitioners, pharmacists, nutritionists, physical
therapists, social workers) in hypertension and cholesterol
management in clinical settings
|
Centers for Disease Control
and Prevention. Promoting team-based care to improve high blood
pressure control. Best
Practices for Cardiovascular Disease Prevention Programs: A Guide
to Effective Health Care System Interventions and Community
Programs Linked to Clinical Services. Atlanta,
GA: Centers for Disease Control and Prevention, US Dept of Health
and Human Services; 2017: 18-22.
|
B4:
Promote the adoption of MTM between pharmacists and physicians for
the purpose of managing high blood pressure, high blood
cholesterol, and lifestyle modification
|
Centers for Disease Control
and Prevention. Pharmacy: Community pharmacists and medication
therapy management. Best
Practices for Cardiovascular Disease Prevention Programs: A Guide
to Effective Health Care System Interventions and Community
Programs Linked to Clinical Services.
Atlanta, GA: Centers for Disease Control and Prevention, US Dept
of Health and Human Services; 2017: 55-59.
|
B5:
Develop a statewide infrastructure to promote sustainability for
CHWs to promote management of hypertension and high blood
cholesterol
|
Centers for Disease Control
and Prevention. Integrating community health workers on clinical
care teams and in the community. Best
Practices for Cardiovascular Disease Prevention Programs: A Guide
to Effective Health Care System Interventions and Community
Programs Linked to Clinical Services.
Atlanta, GA: Centers for Disease Control and Prevention, US Dept
of Health and Human Services; 2017: 50-54.
|
B6:
Facilitate use of self-measured blood pressure monitoring (SMBP)
with clinical support among adults with hypertension
|
Centers for Disease Control
and Prevention. Self-measured blood pressure monitoring with
clinical support. Best
Practices for Cardiovascular Disease Prevention Programs: A Guide
to Effective Health Care System Interventions and Community
Programs Linked to Clinical Services.
Atlanta, GA: Centers for Disease Control and Prevention, US Dept
of Health and Human Services; 2017: 28-32.
|
B7:
Implement systems to facilitate systematic referral of adults with
hypertension and/or high blood cholesterol to community
programs/resources
|
Centers for Disease Control
and Prevention. Self-management support and education. Best
Practices for Cardiovascular Disease Prevention Programs: A Guide
to Effective Health Care System Interventions and Community
Programs Linked to Clinical Services.
Atlanta, GA: Centers for Disease Control and Prevention, US Dept
of Health and Human Services; 2017: 33-37.
|