Chronic conditions are among the most common, and costly, of health problems. As of 2012, about half of all adults had at least one chronic condition, and one in every four had two or more. (CDC, 2016). Among the most common chronic conditions is diabetes, which affects 9.3% of the United States population, or about 29 million people. Almost 28% of these people living with diabetes are undiagnosed (CDC, 2015). Diabetes is a very common chronic condition, but thankfully there are effective means of diabetes management. In addition to prescribing proper diet, exercise, and pharmaceutical treatments, healthcare providers may also form clinical care teams to best manage patients with diabetes. This module will discuss care teams, check points, and how to best assist patients in coordinating their care with other providers as it relates to diabetes.
Section 1: Introduction A. About This Course B. Learning Objectives Section 2: Importance of Care Teams A. Meet Robert! B. What are Care Teams? C. What are Check Points? D. Review E. Summary Section 3: Care Teams for Patients with Diabetes A. Building Care Teams to Manage Those with Diabetes B. The Primary Care Provider C. The Nurse D. The Medical Assistant E. The Lay Person F. The Pharmacist G. Social Worker H. The Dietician I. The Patient J. When are Check Points and Follow-up Care Needed? K. How Can the Care Team Coordinate Care with Other Providers? L. How Can the Care Team Evaluate the Care Provided to Patients? M. Review N. Summary Section 4: Conclusion A. Summary B. Course Contributor C. Resources D. References E. Congratulations!
Adam Roesner, BSN has been working with various quality measures optimization since 2013. His experience in program management in both clinical and performance measures allows a unique perspective on the challenge faced by healthcare systems today. Adam has presented trainings on HCAHPS programs for sales forces and executive leadership alike, and has managed various skin health and HCAHPS educational programs and bundles for acute, post-acute, and IDN facilities. Disclosure: Adam Roesner, BSN has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
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