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Core Elements: Case Management
Recruitment
Yvette Roubideaux, MD, MPH
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The CVD Risk Reduction Demonstration Project
We know “what” but we don’t know “how”
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The CVD Risk Reduction Demonstration Project
Core elements – “what” Development of intensive
intervention– “how” (details) Collaborative process
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The CVD Risk Reduction Demonstration Project
8 Core elements - Intensive Intervention – “the what”
Identify eligible individuals with Diabetes Recruit individuals with diabetes to participate Initial physical exam and baseline measures Case Management approach to clinic visits
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The CVD Risk Reduction Demonstration Project
8 Core elements – Intensive Intervention – “the what”
Treat CVD risk factors to recommended target levels Education on diabetes and CVD risk reduction – group or
individual Gather data on required evaluation measures Target number of participants per year (minimum) = 50
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Core Elements: Collaborative Process
Determining the “how” – so far: Planning Meeting Presentations/Training Sessions Grantee Panel Discussions/Questions Breakout Sessions/Input Comments during breaks, email communication Homework follow-up questions Idea maps IHS Advisory Committees - notes CGP Steering Committee IHS programmatic issues/direction
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Core Elements: Collaborative Process – Big
Picture
Initial Presentations Training
Input, Breakout Sessions, Grantee PanelsIdea Maps
Draft Protoc
olReview
Committees Refine,
Clarify
Final ReviewGrantee
s
Final Decision
IHS DDTP
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Core Elements: Draft Draft Protocol/Required
Activities Review the 1st Draft today
• Questions
Breakout Session• Identify strengths, challenges
• Potential training needs
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Core Elements: Draft Case Management - components
Case Management Team• Membership, Meetings
Intensive Activities• Screening for Individuals with Diabetes• Eligible Participants - Diabetes• Individual Case Management – assessment, care plans• Disease Management – standards/goals, treatment, tracking• Self-Management Education - components• Motivational Activities• Monitoring/Follow-up of CVD Risk Factors
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Core Elements: Draft Recruitment - components
Recruitment Goals• Minimum numbers
Recruitment Activities• Recruitment Team• Settings for Recruitment
• Community, Clinical• Methods of Recruiting individuals to participate• Materials for Recruitment• Process to help individuals participate in screening• Invitation for eligible to participate – informed consent process• Entry process – instructions, appointments• Tracking of recruitment activities
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Core Elements: Draft Draft Protocol/Required
Activities Review the 1st Draft today
• Questions
Breakout Session• Identify strengths, challenges
• Potential training needs