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Running head: SHARED MEDICAL APPOINTMENTS FOR DIABETES (SMAD) 1

SHARED MEDICAL APPOINTMENTS FOR DIABETES, TYPE 2 (SMAD)


CURRICULUM
SPRING 2014
COURSE SYLLABUS

COURSE COORDINATOR:
REBECCA BATES, MSN, RN, FNP-C

SHARED MEDICAL APPOINTMENTS FOR DIABETES

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TABLE OF CONTENTS
General Information..3
Course Description.3
Mission/Vision.3
Course Objectives...4
Course Outline..5
Course Format..6
Methods6
Expectations..6
Course Materials.6
Evaluation of Individuals..7
Evaluation of SMAD.7
References.8
Additional Resources..9
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SHARED MEDICAL APPOINTMENTS FOR DIABETES, TYPE 2 (SMAD)
Course Coordinator Contact: Rebecca Bates, MSN, RN, FNP-C
Phone: 703-777-1612 (at LSFP)
Email: rbates@lmgdoctors.com

Loudoun Medical Group Contact: Mallory Rosetti, RN
Phone: 571-209-1855
Email: mrosetti@lmgdoctors.com

COURSE DESCRIPTION
This course is designed to provide individuals living with diabetes, type 2, who are
adult patients in an LMG-affiliated practice, an opportunity to participate
concurrently in group education and to have a medical appointment for follow-up of
diabetes. Individuals will receive focused medical care and diabetes education to
establish effective diabetes self-management skills. Group members will participate
in education, demonstrations, return-demonstrations, and discussion over a four-
session course.
MISSION/VISION STATEMENT
The mission of SMAD is to:
Provide high quality, cost effective diabetes education to individuals who are
patients of an LMG-affiliated practice;
Offer health information and health services in an inter-collaborative format;
Advocate for individuals living with diabetes;
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Provide community education programs;
Ensure compliance with NCQA Diabetes Recognition Program (DRP) and
AADE-7 Self-Care Behaviors.
The vision of SMAD is:
Persons living with diabetes have the right to diabetes education;
Access to high-quality, cost-effective healthcare will improve outcomes for
patients.
Diabetes education offered through LMG provides patients with continuity of
care.
LMG is a health care leader.
COURSE OBJECTIVES
Objectives are consistent with AADEs National standards for diabetes self-
management education and support, NCQA Diabetes Recognition Program (DRP),
CMS PQRS Reporting, and Healthy People 2020 objectives (AADE, 2013; CMS, 2013;
NCQA, 2012; DHHS, 2010).
1. Improve glycemic control among persons with diabetes.
2. Improve lipid control among persons with diabetes.
3. Increase the proportion of persons with diabetes whose blood pressure is
under control and are taking an ACE or ARB.
4. Increase the proportion of persons with diabetes who have at least an annual
dental examination.
5. Increase the proportion of persons with diabetes who have at least an annual
foot examination.
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6. Increase the proportion of adults with diabetes who have an annual retinal
eye examination.
7. Increase the proportion of adults with diabetes who have a glycosylated
hemoglobin (A1C) measurement at least twice a year.
8. Increase the proportion of persons with diabetes who obtain an annual
urinary microalbumin measurement.
9. Increase the proportion of adults with diabetes who perform self-blood
glucose monitoring at least once daily.
10. Increase the proportion of persons with diabetes who receive formal
diabetes education.
11. Decrease the proportion of persons with diabetes who use tobacco.
12. Increase the proportion of persons with diabetes, with no contraindications,
who use daily aspirin therapy.
COURSE OUTLINE
Clinical Care: Each individual will receive a focused medical examination at each
SMAD visit. This will include vital signs, medication reconciliation (patients will
bring their medications to each visit), medication refill, and referrals as needed.
Collaboration: SMAD will be provided by a provider (Nurse Practitioner, Physician
Assistant, or Physician), nurse (RN), and/or diabetes educator.
Education: Each session will have specific objectives, presentation/content,
activities, and materials coordinated to enhance the individuals learning.

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COURSE FORMAT
Welcome: (15 minutes) sign-in, nametag, vital signs, up-date medication list
Warm-up: (15 minutes) sharing, review goals/attainment from previous session
Education: (30-45 minutes) varies depending on session topic
Wrap-up: (15 minutes) goal setting and closing discussion
METHODS
1. Cognitive: Presentation/content will be problem-based and provided in a
variety of formats to enhance the adult learners education. Patient education
materials will be provided during each session to reinforce the objectives of
that session. Content will support evidence-based knowledge, skills, and
abilities and current practice guidelines.
2. Affective: Individuals will be encouraged to and assisted with setting goals
including behavior change to improve diabetes self-management.
3. Psychomotor: Activities may include demonstrations, group participation,
individual learning opportunities, and problem-solving.
EXPECTATIONS
Individuals will complete a confidentiality agreement prior to the start of the first
session. Participation in SMAD is voluntary and individuals may decide to access
individual appointments for diabetes care instead. Individuals are expected to
participate in group discussion at their comfort level.
COURSE MATERIALS
Course materials will be related to the session objectives and may include smart
phone applications, patient education handouts, web sites, or books.
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EVALUATION OF INDIVIDUALS
Measurable outcomes based on the objectives listed above and behavior change
(healthy eating, being active, monitoring, taking medication, problem solving,
reducing risks, healthy coping) will be assessed for each individual prior to the first
SMAD session and again after six months (completed two sessions) and twelve
months (completed four sessions) of participation.
EVALUATION OF SMAD
Session evaluation will be provided to participants at the end of each session.
Results will be evaluated for session improvement opportunities.




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REFERENCES
American Association of Diabetes Educators (AADE). (2013). Crosswalk for AADEs
diabetes education accreditation program. Retrieved from
http://www.diabeteseducator.org/export/sites/aade/_resources/pdf/accre
d/Final_Crosswalk_-_3-2013.pdf
American Diabetes Association (ADA). (2014). Type 2 lou. Retrieved from
http://web.diabetes.org/link/link_for_life/main.html?loc=facts-about-type2
Center for Medicare and Medicaid Services (CMS). (2013). Diabetes mellitus (DM):
Algorithm for measures calculation EHRS. Retrieved from
http://www.cms.gov/Medicare/Demonstration-
Projects/DemoProjectsEvalRpts/downloads/MMA649_DM_EHRS_Algorithm.
pdf
Healthy Interactions. (2014). The U.S. diabetes conversation map program. Retrieved
from http://www.healthyinteractions.com/conversation-map-
programs/conversation-map-experience/current-programs/usdiabetes
National Committee for Quality Assurance (NCQA). (2012). Diabetes recognition
program (DRP). Retrieved from
http://www.ncqa.org/Portals/0/Programs/Recognition/RPtraining/2012_D
RP_Workshop_revised_Aug_2012.pdf
National Diabetes Education Program (NDEP). (2013). 4 steps to manage your
diabetes for life. NIH publication No. 13-5492.
U.S. Department of Health and Human Services (DHHS). (2010). Diabetes. Retrieved
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from
http://www.healthypeople.gov/2020/topicsobjectives2020/objectiveslist.as
px?topicId=8

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ADDITIONAL RESOURCES

American Diabetes Association
1-800-DIABETES (1-800-342-2383)
www.diabetes.org

American Association of Diabetes Educators (AADE)
1-800-338-3633
www.diabeteseducator.org

Centers for Disease Control and Prevention
1-800-CDC-INFO (1-800-232-4636)
www.cdc.gov/diabetes

National Committee for Quality Assurance (NCQA)
Diabetes Recognition Program (DRP)
1-888-275-7578
www.ncqa.org/DRP

National Diabetes Education Program
1-888-693-NDEP (1-888-693-63370
www.YourDiabetesInfo.org

National Institute of Diabetes and Digestive and Kidney Dieseases
1-800-860-8747
www.diabetes.niddk.nih.gov

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