Click on the title or speaker name for more information about each session
Audit
The Diabetes Audit: How It Started and Why It Matters
Advanced Diabetes Audit Issues
Cost
The Cost Effectiveness of Preventing Type 2 Diabetes
Cost Accounting in the Indian Health System
A Cost Analysis of Type 2 Diabetes in the Indian Health System
Epidemiology and Statistics
Epidemiology 101: Grappling with Data
Epidemiology of Diabetes and Obesity
Tribal Epidemiology Centers Enhance Diabetes Data Quality
Careers Involving Data and Statistics in Indian Health
Evaluation
Diabetes Programs in Urban Areas: Successes, Challenges, and Excellence in Data Collection and Service Delivery
Bring the Epidemic into Focus: A Novel Data Approach to Defining the Current and Future Diabetes Epidemic
Using Data to Measure the Effectiveness of Your Diabetes Self-Management Programs
Evaluation of the SDPI Diabetes Preventiotn and Healthy Heart Demonstration Projects
Building Blocks for Program Evaluation
Putting Evaluation to Work for You: Developing Evaluation Plans that Work
Telling Your Story with Data: Principles and Tools for Data Presentation
Do Patients Benefit from Your Diabetes Self Management Education Program?
General
Data Makes a Difference: Measuring Diabetes and Obesity in the Indian Health System
Current Knowledge of Prevention of Diabetes and Obesity
Training and Technology in the Electronic Work Environment
Achieving Best Health Care Outcomes in Populations
Chronic Care Initiative: Innovations in Planned Care for the Indian Health System
Obesity
Current Knowledge of Prevention and Treatment of Childhood Overweight
Issues and Challenges in Assessing Overweight and Obesity in Adults
Childhood Overweight: What We Know and What Works
Strategies and Challenges in Assessing and Treating Overweight in Children
RPMS Applications
Demystifying the Resource Patient Management System (RPMS)
Clinical Reporting System (CRS) and GPRA 101: Basics of Clinical Quality in the Care of Patients with Diabetes and Obesity
Clinical Reporting System (CRS) and GPRA: Advanced Applications
Practical Aspects of the Diabetes Management System
iCare: Improving Access to Patient and Population Health Data
Schedule
Tuesday, December 18, 2007
10:00 AM - 11:30 AM
Demystifying the Resource Patient Management System (RPMS)
Christopher Lamer, PharmD, BCPS, NCPS, CDE
Session A1
December 18, 2007
10:00 AM - 11:30 AMThis program will provide an overview of the Resource Patient Management System (RPMS) computer system and related applications. It is not a training course; it will describe the way RPMS is designed and updated to meet the needs of clinicians and the population they serve.
- Understand what RPMS is and how it works.
- Be familiar with various applications that work with RPMS.
- Know how the Office of Information Technology (OIT) collects feedback and requirement for new software or software updates.
Epidemiology 101: Grappling with Data
Julien Naylor, MD, CDE
Session B1
December 18, 2007
10:00 AM - 11:30 AMThis session will review the basic concepts of epidemiology and statistics as applied to diabetes data in American Indian and Alaska Native populations. A review of modifiable risk factors for diabetes and how epidemiology helps us understand the effects of these risks will be done. We will learn how epidemiologic data is used in the Indian health system. The presentation will help participants develop an understanding of how this data can be used to support their programs.
- Learn basic concepts and terms of epidemiology.
- Learn how the burden of diabetes is described in epidemiological terms.
- Discuss how IHS Tribal and Urban program staff use data to support their programs.
Diabetes Programs in Urban Areas: Successes, Challenges and Excellence in Data Collection and Service Delivery
Maile Taualii, MPH
Rodney Stapp, MD
Susan Mathew, RN, CDE, MS, BC-CNS, BC-ADM
Session C1
December 18, 2007
10:00 AM - 11:30 AMThis session offers a snapshot of diabetes projects taking place in select urban American Indian/Alaska Native health care settings. In this presentation, 3 ongoing projects will be described to explore models of success, present creative solutions to barriers and facilitate discussion around service delivery. The first presentation will provide an overview of data for years 2000 through 2005 from Urban Indian Health Organizations (UIHOs) participating in the annual Diabetes Clinical Audit and how UIHOs can maximize the use of their diabetes registry and target resources. The second presentation will illustrate how diabetes technical assistance provided to UIHOs can improve data quality and reporting by describing the TA available for the IHS Integrated Diabetes Education Recognition Program (IDERP) certification. The third presentation describes an innovative project providing solutions for people experiencing diabetes and foot dysfunctions. The CEO of an UIHO started a special initiative with NIKE to design diabetic shoes to meet the needs of people with diabetes and reduce the risk of foot complications.
- Describe results from UIHO participating in the IHS annual diabetes clinical audit for years 2000 through 2005.
- Discuss diabetes education successes, challenges and excellence in UIHO.
- Discuss the innovative NIKE Footwear Project and its impact for people receiving services at one UIHO.
Chronic Care Initiative: Innovations in Planned Care for the Indian Health System
Charles Ty Reidhead, MD
Session D1
December 18, 2007
10:00 AM - 11:30 AMThis session will describe the current system change efforts of the Innovations in Planned Care Collaborative (IPC), an IHS Directors' initiative strategy. The scope of the Collaborative includes multiple chronic conditions and preventive health services. Diabetes and obesity-focused clinical and system level improvement strategies will be outlined with concrete examples shared of progress from the 14 IPC pilot sites.
- Describe at least 6 planned care change concepts aimed at improving practice in I/T/Us caring for patients with diabetes and obesity as well as other co-morbid conditions.
- Increase understanding of a family of measures to drive planned care into practice.
2:15 PM - 3:45 PM
The Diabetes Audit: How It Started and Why It Matters
Karen Sheff, MS
Raymond Shields, MD
Session A2
December 18, 2007
2:15 PM - 3:45 PMThis presentation will provide a brief synopsis of the IHS Diabetes Care and Outcomes Audit. Topics to be covered include: Audit history and development, Audit methodologies, and local, regional, and national uses for Audit data. It will provide an overview of the steps taken to perform an Audit and describes who should be involved with the Audit process. In addition, anticipated changes to the Audit for 2009 will be discussed.
- Understand the general history of the Audit and its continuing evolution.
- Explain the available methods for satisfying Audit requirements.
- Describe how Audit data is used.
- Describe how the Audit is related to RPMS applications.
Epidemiology of Diabetes and Obesity
Jonathan Krakoff, MD
Session B2
December 18, 2007
2:15 PM - 3:45 PMThis presentation will describe the epidemiology of diabetes and obesity. Steps in the research process, different types of research designs and data and statistics used in epidemiological studies will be discussed. Participants will gain an appreciation for why ‘simple questions’ are not always easy to answer.
- Describe how epidemiology is used in describing the problem of diabetes and obesity.
- Describe various research designs, types and treatment of data and advanced statistical methods used in epidemiological studies.
- Describe how knowledge gained from epidemiological studies is translated into programs for prevention and treatment of diabetes and obesity.
Issues and Challenges in Assessing Overweight and Obesity in Adults
Steve Rith-Nijarian, MD
Cecilia Butler, MS, RD, CDE
Session C2
December 18, 2007
2:15 PM - 3:45 PMThis session will review the clinical value and limitations of selected obesity measures, e.g. Body Mass Index (BMI), waist circumference, skin fold thickness, impedance. The presenters will identify challenges with the quality of data on these measurements for individuals and populations. Strategies for improving data quality and examples of how to use these data to improve care for individuals and populations will be shared.
- Discuss the pros and cons of selected obesity measures for adult populations.
- Describe challenges with reliability and validity of selected measures of obesity for individuals and populations.
- Discuss strategies to ensure data quality.
- Describe several RPMS applications used to retrieve obesity data.
- Share examples of how improving the quality of data can improve the care of individuals and populations.
Do Patients Benefit from Your Diabetes Self Management Education Program?
Johnnie Brasuell, NP
Robin Thompson, RN
Session D2
December 18, 2007
2:15 PM - 3:45 PMThis session will address methods for documenting data needed to evaluate behavioral and clinical outcomes for the patients participating in a diabetes self management education program (DSME). Application of available RPMS and other data systems used to capture and extract data will be described.
- Describe clinical and behavioral measures that can be used to evaluate patient outcomes.
- Discuss methods and processes for documenting data.
- Describe different kinds of applications that can be used to collect data.
- Discuss examples of how to report patients’ outcomes.
4:00 PM - 5:30 PM
Advanced Diabetes Audit Issues
Karen Sheff, MS
Raymond Shields, MD
Session A3
December 18, 2007
4:00 PM - 5:30 PM(NEW INFORMATION)
The IHS Diabetes Care and Outcomes Audit is a process for assessing diabetes care and health outcomes for American Indians and Alaska Natives with diagnosed diabetes. In order to effectively use the data collected as part of an audit, these data must be entered into a database for processing (including data checking and cleaning) and generating reports. A new internet-based system called the WebAudit has been developed to streamline and centralize Diabetes Audit data entry, processing, and reporting. In the past, the Epi InfoTM software package was used for these tasks, along with the IHS RPMS system which can generate electronic audit data files. The WebAudit was designed to be easy to use and to address limitations of the software used in the past.
Advantages and features of the WebAudit include:
- Access via the internet requiring only an internet connection and browser (no software to install).
- An easy to use “point-and-click” interface.
- Basic instructions included on the screens seen by users.
- A built-in data security system to ensure confidentiality and to allow users to have access to data for only the facility(ies) necessary.
- Easy download of data files and reports for local use and distribution. One central location for audit data from multiple facilities and years.
iCare: Improving Access to Patient and Population Health Data
Cindy Gebremariam, RN
Session B3
December 18, 2007
4:00 PM - 5:30 PMThis session will provide an introduction to iCare. The “Nuts and Bolts” of the application, such as panel creation, panel modification, and data display, will be discussed and demonstrated. The course will allow the participants to consider how they could utilize iCare to proactively manage and ultimately improve patient care.
- Review the iCare application.
- Discuss at least 2 different ways to define a unique group of patients.
- Discuss the 3 different ways that Clinical Reporting System (CRS) information is displayed in iCare.
- Discuss the advantages of “auto-tagging” patients.
- Determine 2 panels of patients that you will create when you return to your office.
Tribal Epidemiology Centers Enhance Diabetes Data Quality
Nancy Bennett
John Mosely Hayes, DrPH, MBA, MSPH
Kerri Lopez
Dianna Richter, RD, MPH, CDE
Session C3
December 18, 2007
4:00 PM - 5:30 PMThis session will describe the role of the Tribal Epidemiology Centers in assisting IHS, Tribal and Urban programs in the areas of diabetes data management and diabetes data quality improvement processes. Approaches and instruments developed by several Tribal Epidemiology Centers will be discussed.
- Describe the training materials available to help improve data management and quality.
a. GLTC “Diabetes Audit: What to do with negative or missing data; possible solutions.” b. USET TEC “Diabetes Report and Instruction Guide: An Overview” c. NWPIHB “Diabetes Data Assessment Tool.”
- Describe how these tools help strengthen local infrastructure and provide essential technical elements needed for sustaining and improving diabetes data management.
Using Data to Measure the Effectiveness of Your Diabetes Self-Management Programs
Johnnie Brasuell, NP
Robin Thompson, RN
Session D3
December 18, 2007
4:00 PM - 5:30 PMThis session will discuss the importance of data collection that is needed to evaluate the effectiveness of a Diabetes Self Management Education (DSME) program. Elements which define a quality DSME program will be addressed. Application of RPMS and other data management systems to capture DSME activities will be described.
- Discuss how goals and objectives guide DSME program objectives.
- Describe process and outcome measures that are useful in defining DSME program effectiveness.
- Discuss methods for data collection and applications that can be used to analyze group data.
- Describe examples of reporting program outcomes.
Wednesday, Dec 19, 2007
10:00 AM - 11:30 AM
Clinical Reporting System (CRS) and GPRA 101:
Basics of Clinical Quality in the Care of Patients with Diabetes and Obesity
Elaine Brinn
Michelle Gemelas
Session A4
December 19, 2007
10:00 AM - 11:30 AMThis session will outline the basics of Government Performance and Results Act (GPRA) measures, tracking and reporting including use of CRS and its vestry reporting capabilities for multiple uses of data, especially in the care of patients with diabetes and obesity.
- Describe 3 measures that can be tracked in CRS for diabetes and obesity.
- Outline two strategies to improve GPRA reporting results.
- Describe two methods of CRS reports to improve care for patients with diabetes and obesity.
- Describe how the CRS, GPRA and Diabetes audit are linked together.
Telling Your Story with Data: Principles and Tools for Data Presentation
Karen Sheff, MS
Session B4
December 19, 2007
10:00 AM - 11:30 AMVisual presentations of data help people understand and think about the information being presented. This workshop will cover general principles for presenting data and tools for creating graphical displays. Participants are invited to share their own data for discussion. Contact course instructor for more details.
- Describe 2 or 3 key principles to help them think carefully and critically about how to present data.
- Identify and use tools and resources to help them develop graphics and present information.
Childhood Overweight: What We Know and What Works
Jane McGrath, MD
Session C4
December 19, 2007
10:00 AM - 11:30 AMThis workshop will provide a broad overview of several programs addressing childhood overweight. A description of how the programs are addressing childhood overweight, using best practices and current scientific evidence, will be provided. Information data and outcomes measures used by the programs will be presented. Successful strategies being employed by each program will be described.
- Describe two or three approaches to childhood overweight in different settings.
- Describe data and outcome measures used by program and how data is used in program evaluation.
- Discuss strategies used by the programs to enhance communication with parents and facilitate behavior change.
Evaluation of the SDPI Diabetes Prevention and Healthy Heart Demonstration Projects
Yvette Roubideaux MD MPH
Session D4
December 19, 2007
10:00 AM - 11:30 AMThe purpose of this session is to review the development of the evaluation of the SDPI Demonstration Projects, the evaluation framework as a public health program evaluation and successes/challenges during the evaluation.
- Describe the key components of the SDPI Demonstration Projects evaluation.
- Describe the process used to develop an evaluation collaboratively with participating programs.
- Discuss successes and challenges of the evaluation.
2:15 PM - 3:45 PM
Clinical Reporting System (CRS) and GPRA: Advanced Applications
Elaine Brinn
Michelle Gemelas
Session A5
December 19, 2007
2:15 PM - 3:45 PMThis session will outline detailed content related to the advanced use of the RPMS Clinical Reporting System (CRS) including GPRA measures reporting, methods for improving measures results, use of other functions of CRS for clinical quality improvement, planned care and population health interventions through CRS measure display in the RPMS iCare Application.
- Participants will gain an advanced understanding of the use of RPMS Clinical Reporting System for GPRA measures results improvement.
- Participants will learn at least 3 strategies for using CRS for planned proactive health care service delivery including panels of patients.
Cost Accounting in Indian Health Systems
Sandra Winfrey
Session B5
December 19, 2007
2:15 PM - 3:45 PMLearn to identify where cost information is available in Indian health systems and how this can be used to understand cost and cost effectiveness of our programs.
- Identify the current sources of cost accounting in the Indian health system including UFMS and the CMS cost center report.
- Describe ways of using this cost data In managing health programs.
Strategies and Challenges in Assessing and Treating Overweight in Children
Jane McGrath, MD
Kevin Sweeney, MD
Kelly Keyes, RD, LD
Workshop C5
December 19, 2007
2:15 PM - 3:45 PMThis session will present information on challenges and issues related to data quality in assessing overweight and obesity in pediatric populations. Challenges related to what to measure and how to obtain valid and reliable data will be discussed. Interpretation and use of data in program evaluation will be discussed. An evaluation model and outcomes data for a Best Practices program in Youth and Diabetes in Children in AI/AN communities will be presented.
- Discuss the issues and challenges related to assessing at-risk for overweight and overweight in pediatric populations.
- Discuss strategies for improving data quality.
- Discuss how data can be used to improve care.
- Give an example of a best practice approach to weight management in AI/AN community.
Building Blocks for Program Evaluation
Mark Dignan, PhD, MPH
Workshop D5
December 19, 2007
2:15 PM - 3:45 PMProgram evaluation is developed using a series of steps, or building blocks. These building blocks will be defined and described in this session, and illustrations of strategies to use them in evaluation of diabetes programs will be provided.
- List three building blocks that can be used to develop an evaluation plan.
- Provide at least one example of how the building blocks can be used in program evaluation.
- Identify at least one example of an evaluation strategy to use in evaluation of diabetes programs.
4:00 PM - 5:30 PM
Practical Aspects of the Diabetes Management System
Barbara Khan, MS, RD, CDE
Workshop A6
December 19, 2007
4:00 PM - 5:30 PMThis workshop will discuss an overview of the Diabetes Management System (DMS) for both beginner and advanced users. Discussion of how the DMS is used in everyday practice will be included. Methods and techniques to update and maintain a diabetes registry will be explored.
- Describe key components of the DMS.
- Describe how the DMS can be used in their practice.
- Discuss strategies on how to maintain and update a diabetes registry.
A Cost Analysis of Type 2 Diabetes in the Indian Health System
Joan O’Connell, PhD
Charlton Wilson, MD
Workshop B6
December 19, 2007
4:00 PM - 5:30 PMThis session will provide the results of an analysis of the costs of treating type 2 diabetes in Indian health settings.
- Identify the costs associated with type 2 diabetes in Indian health system settings.
- Describe the methods used to determine cost in this setting.
- Describe the benefits and limitations of the methods used.
Careers Involving Data and Statistics in Indian Health
Yvette Roubideaux, MD, MPH
Workshop C6
December 19, 2007
4:00 PM - 5:30 PMThe purpose of this session is to learn about careers in Indian health that involve data and statistics.
- Identify the various types of careers in Indian health that involve data and statistics.
- Describe how invited panelists chose their career that involves data and statistics.
- Describe the training and education needed to enter a career that involves data and statistics.
Putting Evaluation to Work for You: Developing Evaluation Plans that Work
Mark Dignan, PhD, MPH
Workshop D6
December 19, 2007
4:00 PM - 5:30 PMThis presentation will apply the building blocks for program evaluation to development of simple plans for evaluating diabetes programs. Emphasis will be on identifying strategies that can be implemented in applied settings.
- List two strategies for planning basic evaluation of program processes.
- Describe strategies for collecting evaluation data for diabetes programs.
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