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Team Care Guide Now Available! TeamCare. Developed by the National Diabetes Education Program (NDEP) NDEP is a joint partnership of the NIH, the CDC, and more than 200 partner organizations . The Need – Diabetes .

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team care guide now available www yourdiabetesinfo org teamcare
Team Care GuideNow Available!
  • Developed by the National Diabetes Education Program (NDEP)
  • NDEP is a joint partnership of the NIH, the CDC, and more than 200 partner organizations
the need diabetes
The Need – Diabetes
  • 25.8 million Americans — 8.3% of the U.S. population — have diabetes
  • Of those with diabetes, 7 million are undiagnosed
  • 79 million adults have pre-diabetes
  • Diabetes is the seventh leading cause of death

Adapted from the Centers for Disease Control and Prevention. National Diabetes Fact Sheet: national estimates and general information on diabetes and pre-diabetes in the United States, 2011. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 2011.

the need for team care
The Need for Team Care
  • Diabetes management requires expertise from many disciplines for optimal care
  • Team care is integral to health care reform initiatives such as the Medical Home
  • Demonstration projects are assessing new payment structures with positive results
  • Improved quality and costs for diabetes care
benefits of team care
Benefits of Team Care
  • reduced risk factors for diabetes
  • improved diabetes management
  • lowered risk for complications
  • efficient patient education
  • improved glycemic control
  • increased patient follow-up
  • higher patient satisfaction
  • improved quality of life
  • reduced hospitalizations
  • decreased health care costs
purpose topics of the team care guide
Purpose & Topics of the Team Care Guide
  • Purpose: To provide a practical resource to help health care professionals and organizations implement collaborative, multidisciplinary team care for adults and children with diabetes in a variety of settings
  • Topics:
      • Chronic Disease & the Health Care Delivery System
      • What Makes a Successful Team?
      • Nontraditional Team Care Approaches
      • Payment & Cost-Effectiveness Data for Diabetes Education & Services
      • Collaborative Care in Practice
      • Real-World Case Studies
      • Appendices
      • Related Resources and References
team care content advisory group
Team Care Content Advisory Group
  • W. Lee Ball, Jr., O.D., F.A.A.O. of the American Optometric Association
  • Mary Jo Goolsby, Ed.D., M.S.N., N.P-C, F.A.A.N.P. of the American Academy of Nurse Practitioners
  • Amy Nicholas, Pharm.D. of the American Pharmacists Association
  • Amparo Gonzalez, R.N., C.D.E., F.A.A.D.E. of the American Association of Diabetes Educators
  • M. Sue Kirkman, M.D. of the American Diabetes Association
  • Patti Urbanski, M.Ed., R.D., L.D., C.D.E. of the American Dietetic Association
the basics of team care
The Basics of Team Care
  • Select a key person to coordinate
  • Vary team according to patients’ needs/load, organizational constraints, resources, clinical setting, geographic location and professional skills
  • Augment team with community resources and support
  • Expand access to team care via nontraditional approaches
what makes a successful team
What Makes a Successful Team?
  • Commitment/support of organizational leadership
  • Active patient and health care professional participation
  • Information tracking system
  • Adequate resources
  • Payment mechanisms for team care services
  • Coordinated communication system
  • Documentation and evaluation of outcomes and adjustment of services
nontraditional team care approaches
Nontraditional Team Care Approaches

Telehealth – team care without walls:

  • Uses secure, high-speed Internet real-time video conferencing
  • Expands access to health care and education
  • Increases delivery of evidence-based medicine
  • Improves consistency of care

Shared medical appointments and group education:

  • Eight to 10 patients
  • Longer sessions include 20+ patients
  • Team members with different expertise see patients individually
  • Group education sessions
  • One to two hour appointments
helpful materials
Helpful Materials
  • Appendices:
    • Stratifying Care According to Patient Population Needs
    • Scope of Practice for Diabetes Educators & Board-Certified Advanced Diabetes Management Practitioners
    • Quality Improvement Indicators for Diabetes Care
    • Medicare for People with Diabetes
  • Related resources from 17 NDEP partners
  • 109 useful references
promote promote promote
Promote, Promote, Promote!
  • Use promotional tools available on the NDEP website at
  • Link to Team Care
  • Distribute the e-newsletter announcement through your newsletter or your listserv
  • Print and distribute the promotional flyer
  • Download these presentation slides from the NDEP website and give your own talks about Team Care