Virginia Diabetes Council Quarterly Meeting

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Virginia Diabetes Council Quarterly Meeting

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1. Virginia Diabetes Council Quarterly Meeting Friday, February 4, 2011 Sentara Williamsburg Regional Medical Center, 100 Sentara Circle, Williamsburg, VA 10:00 AM 3:00 PM VDC Feb 2011

2. Agenda 10:00 am Welcome & Introductions Quarterly Volunteer Recognition VDC Business Update 10:30 am Legislative Update for Current VA Legislative Session 10:45 am Diabetes Local Orientation (Kathy Gold & Access to Care) 11:15 am Break 11:30 am Statewide Diabetes Outcome Data Collection Project (DiaWeb Shamly Abdelfattah/Gail Slifka/Surveillance) Noon Discussion Groups Data Collection or Community Partnerships 12:30 pm Lunch Chesapeake Public Schools Maryland P3 Diabetes Program Update James Ward, Dir. Of Financial Services & Risk Management (CPS) 1:15 pm Workgroup Breakouts 3:00 pm Adjourn VDC Feb 2011

3. WELCOME Special thanks to Sentara Williamsburg Regional Medical Center for hosting our meeting. We greatly appreciate for sponsoring our lunch (Tim Robertson, Pharmacist). VDC Feb 2011

4. INTRODUCTIONS Executive Team 2010-2011 Chair Pam Suter, MS, RD, CDE Private Practice Diabetes Educator Chair-Elect Rhonda Keith, MS Anthem, Coord. Health & Preventative Services Treasurer Kathy Gold, RN, MSN, CDE & Past Chair Diabetes Research & Wellness Foundation Diabetes Education Specialist Secretary Mike Barrett Roche Accu-Chek Regional Account/Channel Business Manager Member At Ann Forburger, MS Large VA Dept. of Health, Div.of Chronic Disease Prevention & Control Project, Director Mary Donny Executive Director of VDC VDC Feb 2011

5. FEBRUARY QUARTERLY RECOGNITION Introduction & Thank You to: TRACI Polden VDC Administrative Volunteer VDC Feb 2011

6. WELCOME Introductions Please Introduce Yourself Employment Position New or Continuing Member of VDC Workgroup Participation or Interests in VDC VDC Feb 2011

7. MOVING FORWARD Next Meetings: Friday, May 6, 2010 Mary Washington Hospital Fredericksburg, VA Friday, September 9, 2011 Roanoke/Lynchburg? Thursday, October 27, 2011 (Tentative) Joint Meeting with Heart Disease & Stroke Alliance Henrico/Richmond VDC Feb 2011

8. MARK YOUR CALENDARS Register @ Diabesity Forum Presented by the Obici Healthcare Foundation Suffolk Cultural Arts Center, Suffolk, Virginia March 11, 2011 Featured speaker: Francine Kaufman, MD Past President of ADA, ADA Woman of Valor and author of Diabesity VDC Feb 2011

9. VDC Feb 2011

10. Executive Director Update Obici Grant Award & Implementation Annual VDC Donation Campaign Workgroup/Member Orientation Materials available Policy/By-Law Taskforce (board liaison TBD) Need volunteers & leader Fundraising Taskforce (board liaison Kathy Gold) Need volunteers & leader VDC Feb 2011

11. VDC Feb 2011

12. South Hampton Roads Diabetes Program Board Meeting/Discussion 1/25/2011 Gary Effron, DPM Committee/Task Force Chair temporarily added to VDC Steering Committee Board Liaison to project: Kathy Gold Saturday, November 5, 2011 VA Beach Hotel and Resort Conference Center reserved @ No Charge for program Free to the public/Possibly CE Offerings Lectures Vendors Tasting Room w/ area restaurants to showcase Healthy Menu Offerings ($5 charge) Marketing Potential to offer program at additional locations in 2012 Volunteers Needed ASAP (see Gary Effron or Kathy Gold)! VDC Feb 2011

13. Advocacy Legislative Update for 2011 Session (in progress) VDC Feb 2011

14. Diabetes Local Orientation (Kathy Gold & Access to Care Workgroup) Computers will be available today for resource input and hands on trial. VDC Feb 2011

15. Statewide Diabetes Outcome Data Collection & Program Management Project Surveillance Workgroup VDC Feb 2011

16. Shamly Abdefattah, Pharm.D. and Gayle Slifka, Pharm.D. Virginia Diabetes Council Electronic Diabetes Registry and Management System (eDRMS)

17. VDC Surveillance and Evaluation Goal #2 VDC is to assess the feasibility and environment for electronic submission of diabetes information from providers in Virginia via electronic medical records or registries.

18. eDRMS may help us achieve that Goal The ideal eDRMS will provide tools to: 1- Enable providers and care managers to provide the highest quality of care to their patients 2- Allow stakeholders to measure and improve outcomes by identifying gaps in care, by monitoring the quality of care and by developing continued quality improvement (CQI) initiatives.

19. What is eDRMS? Is a software called Diaweb . It is an online clinical information system developed by Chiron Data (Dallas, TX, USA). The software is based on the Chronic Care Model (CCM) It will be hosted by the Appalachian College of Pharmacy (ACP) It will be marketed by VDC Providers will access Diaweb through the Internet. It will cost the provider $75 per month ( 5 users) You can access a demo of the eDRMS at login is: shamlya and Password is: vdcmember

20. Features and Benefits of eDRMS Provides standardized platform and evidence- based national guidelines for the multidisciplinary team. The platform allows timely communication and reminders related to the individuals diabetes management Provides detailed and summarized views of the patients progress through the disease management program. Identifies high risk, high cost patients and recommends patient interventions utilizing clinical guidelines, and Tracks patient education

21. Features and Benefits of eDRMS (contd) Provides aggregated patient data for analysis and detailed outcomes reporting to enable your team to identify patient groups needing more aggressive management while supporting performance measurement and continuous quality improvement. Tracks diabetes outcomes such as A1c, heart disease, eye exam, kidney function, foot care and behavioral health status. Generates reports for benchmarking and regional comparisons of practice quality and process metrics.

22. Augments the Continuous Quality Improvement (CQI) and Performance Improvement (PI) Compiles detailed reporting on patient and staff encounters Useful in evaluation of staff productivity and efficiency Provides evidence of achievement of CDE credentialing requirements. Features and Benefits of eDRMS (contd)

23. Promotes documentation in line with the National Standards for Diabetes Self-Management Supports ADA Education Program Recognition and AADE Diabetes Education Accreditation. Facilitates behavior goals documentation and outcomes reporting in line with the AADE7TM Self Care Behaviors. Features and Benefits of eDRMS (contd)

24. Enables VDC and other stakeholders to develop specific training programs to improve the quality of care and reduce the burden of diabetes Statewide. Features and Benefits of eDRMS (contd)

25. HIPAA compliant confidentiality and security protections User authentication and role level security Password encryption Detailed patient record and user activity logs Patient record locking for multi-user environments prevents more than one user from editing the patient medical record at the same time thereby eliminating editing errors, preventing data loss

26. Log in Screen

27. Main Screen

28. Patient Screen

29. Trends and Graphs

30. Trends and Graphs (contd)

31. Trends and Graphs (contd)

32. Alerts and Reminders

33. Patient Snapshot

34. Patient Snapshot (contd)

35. Visit Summary

36. Reports Screen

37. Sample Report Labs Due

38. Sample Report Behavior Goals

39. Sample Report Behavior Goals (contd)

40. Sample Report Vaccinations Outcomes

41. Schedule

42. Admin Screen & Customization

43. Limitations and Future enhancements There is No interface with EMR, PHR or Home devices However within the few years Oneemr will be working on interfacing eDRMS with the following open source 1- Open Vista EMR 2- Indivo X PHR 3- Oneemr Kiosk 4- OpenEMR and OpenMRS 5- Android Phones

44. Use cases and Applications In addition to routine use in your practice you can use the eDRMS in the following: 1- MTM ( Medication Therapy Management) 2- PCMH (Patient Centered Medical Home) 3- Worksite metrics and initiatives 4- Prevention and screening initiatives

45. How Can You Help? If you are a health care provider, or health care organization, please consider using the eDRMS for your practice or get involved in MTM, PCMH, Worksite and prevention initiatives. If you are a Payer, an Insurance company, or an employer, please consider paying incentives for our providers in the form of p4p( pay for performance) If you are a pharmaceutical company or device manufacturer, please spread the word out about the benefits of our eDRMS If you are a researcher or an educator , please consider using our outcome data to identify gaps and to improve education and care.

46. Discussion Groups Please Choose One for further discussion of todays topics: Data Collection/Sharing: Conference Call Melanie Smith MBA, RD, CDE Chiron Data Systems, Inc. Director of Operations Community Partnerships: Kathy Gold VDC Feb 2011

47. Lunch Presentation Chesapeake Public Schools Maryland P3 Diabetes Program Update and Outcomes James Ward Director of Financial Services & Risk Management Chesapeake Public Schools VDC Feb 2011


49. MOVING FORWARD Next Meetings: Friday, May 6, 2010 Mary Washington Hospital Fredericksburg, VA Friday, September 9, 2011 Roanoke/Lynchburg? Thursday, October 27, 2011 (Tentative) Joint Meeting with Heart Disease & Stroke Alliance Henrico/Richmond VDC Feb 2011

50. Workgroup Breakouts 1:15 pm 3:00pm Access to Care - Lana King Advocacy - Ann Forburger/ Joyce Green-Pastors/ Hope Warshaw Education & Empowerment Debbie Suave Prevention - Vacant Quality of Care - Susan DeAbate Research Vacant Surveillance Shamly Abdelfattah If you are new to our group or have not joined a workgroup, we invite you to become involved in one of these groups. VDC Feb 2011

51. WORKGROUP FOCUS Workgroup Breakout Overview: Welcome & Introductions Designate Co-Chair and or scribe for meeting Review upcoming schedule for meetings/conferencing Review goals/objectives related to worksite initiatives What ideas or information did you get from todays meeting that you can use? What do you need to tackle worksite initiatives for your workgroup? Identify a worksite initiative for focus for 2010-2011 (if applicable for your group) Review of Current Projects (minutes from last meeting) Todays Focus Whats Next? Agree upon 1-2 things that you can accomplish by May 2011 Develop Timeline/Assignments/Next Meeting or Conference Call Funding Needs Membership/Stakeholders recruit new members (Who do you need to get your target projects done? Assign who will contact/invite.) VDC Feb 2011

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