Diabetes Care Quality Improvement: A Workbook for State Action

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Module 4: Action — Learning From Activities Currently Underway

Learning Objectives

Upon completion of Module 4, the user(s) will be able to:

Identify tools and resources to build a quality improvement program.(Knowing what resources are already available saves time and money.)
Identify various State approaches to diabetes quality improvement and best practices. (Many existing program models can be modified to accommodate State-specific needs.)
Create an inventory of your State's quality improvement actions and resources. (You can build upon the resources and partnerships that already exist and identify where your State needs to develop activities.)

1. Identify tools and resources to build a quality improvement program.

Review Module 4, Selected Public/Private Quality Improvement Initiatives of the Resource Guide for selected public/private quality improvement initiatives as well as Federal programs and resources.

a. Is your State currently using any of these tools and resources?

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b. If so, how well are they working?

c. Visit some Web sites listed below and jot down ideas to help you build, implement, and evaluate a diabetes care quality improvement program. (Note: additional quality improvement initiatives are located in Appendix G, of the Resource Guide.)

National Diabetes Quality Improvement Alliance
http://www.nationaldiabetesalliance.org/

Ideas:
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Chronic Care Model
http://www.improvingchroniccare.org a>

IHI Breakthrough Series Collaborative

Institute for Healthcare Improvement (IHI) Breakthrough Collaboratives general information:
http://www.ihi.org/IHI/Programs/CollaborativeLearning/
Ideas:
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Improving care for people with chronic conditions - diabetes:
http://www.ihi.org/IHI/Topics/ChronicConditions/Diabetes/HowToImprove/a>

Ideas:
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Report from the Health Disparities Collaborative on Diabetes:
http://www.healthdisparities.net/Diabetes_Apr2002.pdf

Ideas:
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Disease Management Programs

Disease Management Association of America
http://www.dmaa.org

Ideas:
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Council of State Governments
http://www.csg.org/CSG/Policy/health/chronic+illness/default.htm

Ideas:
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Self-Management Programs

Chronic Disease Self-management Program at Stanford University
http://patienteducation.stanford.edu/programs/a>

Ideas:
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Federal Programs and Resources for Diabetes Quality Improvement

CDC Diabetes Prevention and Control Program (the State's DPCP)
http://www.cdc.gov/diabetes/states/index.htm

Ideas:
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Diabetes Detection Initiative and Steps to a Healthier US Initiative
http://www.ndep.nih.gov/ddi and http://www.healthierus.gov/steps/index.html

Ideas:
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Health Resources and Services Administration, Bureau of Primary Health Care, Health Disparities Collaboratives
http://www.hrsa.gov/servicedelivery/default.htm and http://www.healthdisparities.net/

Ideas:
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National Diabetes Education Program (NDEP)
http://ndep.nih.gov and http://www.betterdiabetescare.org

Ideas:
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Centers for Medicare & Medicaid Services Quality Improvement Organizations
http://medqic.org/dcs/ContentServer?pagename=Medqic/MQPage/Homepage

Ideas:
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2. Identify various State approaches to diabetes quality improvement and best practices.

Read Module 4, State Approaches to Diabetes Care Quality Improvement of the Resource Guide on partnership/planning activities, program development activities, and dissemination activities and for examples of State diabetes care quality improvement programs and best practices.

a. What do other States' leaders indicate are keys to success (i.e., best practices)? For example, Wisconsin, California, and Minnesota indicate that setting up strategic partnerships was very effective for their programs.

b. What State approaches and examples do you think might be useful in your State?

c. What partnerships should you seek?

3. Create an inventory of your State's quality improvement actions and resources.

a. Inventory your own State's activities. Note in the chart below the stage of development for each activity. Also note if your State has not yet begun undertaking an activity or if the activity is complete.

State Diabetes Quality Improvement Inventory

State Quality Improvement Action	Stage of Development
State Quality Improvement Action	Planning	Implementation	Evaluation
Partnership/Planning Activities
Coalition/Advisory Board
Collaborative
Cross-Agency Initiatives
Program Development Activities
Diabetes Care Guidelines
Data Measurement and Reporting
Information Technology
Patient Education/Self Management
Provider Training
Collaborative
Disease Management
Dissemination Activities
Raising Awareness
Minority and Rural Outreach
*Other Quality Improvement Action in My State*
Non-Governmental Initiatives
Federal Initiatives
Local Initiatives

b. Review Appendix H of the Resource Guide. In the table below, write down your State's level of funding for diabetes from the CDC, the State's general fund, and State in-kind resources. Compare these levels with two or three other States in your region or locality.

Levels	CDC funding	State general fund	State in-kind	Total
Your State
Comparable State
Comparable State
Comparable State

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