Kathi Murray MS, RDN, CDECecilia Butler MS, RDN, CDE

Learner Objectives

1. Utilize program planning techniques to implement their selected Best Practice and be able to report the RKM.

2. Implement strategies to effectively utilize their selected Best Practice required key measure (RKM) and improve patient outcomes.

3. Network with other grant programs and participate in conference sessions to obtain further information on implementing the Education-based Best Practices.

These Reports to Congress tell the stories of your success

What is a Best Practice?

A Best practice is a working:• Method (s)• Technique(s)• Procedure(s)• Guideline (s)

• Shows results• Accepted as the Best or as the Standard

Education Based Best Practices

• Required Key Measure (RKM)• Number and percent of individuals in your Target Group who receive

education on any diabetes topic*, either in a group or individual setting. • Includes nutrition education, physical activity education, and any

other diabetes education.

• Target Group Guidance• Select your Target Group from adults and/or youth with diabetes and/or

at risk for developing diabetes.

Best Practice Requirements

• Emphasis is on providing data to show that improvements are being made.

• Required Key Measure (RKM)§ RKM is tied to the Diabetes Audit. § RKM data will be collected for the selected Target Group.§ RKM data must be submitted using the SDPI Outcomes System

(SOS).

• Note: Only people who have diabetes are included in the annual diabetes audit.

Grantees Select a Best Practice and Decide:

•How they will improve their RKM •Who the target group will be•Where they will do it

Required Key Measure (RKM) is NotRequired for “Other Activities”

RKM or SOS data is not required: • Other diabetes--related activities and target group (not

related to Best Practice) selected in Part G of the Project Narrative.

• But you need to keep track of these activities, target group(s), and outcomes locally.

Where do you start?

Use the FY18 Application as a Planning Tool to

Already, you have:• Assessed the needs in your community and/or clinic.• Reviewed the FY 2017:

• Progress of your grant program, including RKM results. • Annual Diabetes Audit for your local clinic.

• Determined available resources (both SDPI and others).• Selected BP and planned activities for your identified target

group.

Strategies to Improve Patient Outcomes

•Targetgroup•Planningactivities•Educationmessages•Stayconnected

Selecting a Target Group

• The number in your Target Group:– Is the number of people you actually think you can serve– Is not (for many grantees) the total number of people who you might serve

• For example: Your program wants to provide nutrition education to community members at the local fitness center.

– Total number of community members = 10,000➢ Very large number➢ Is it realistic?

– Consider: resources, planned activities/services, RKM data collection– Determine estimated Target Group number = 200

Target Group Q&A

Q: What if I realize my target group number is unrealistic after submitting my application?

A: Contact your ADC or SDPI Support Team to discuss options.Q: Can I change the target group number.

A: Yes.Q: Should I continue to report on the unrealistic number?

A: Continue to report on the unrealistic number until told otherwise. Q: Who should I contact for guidance?

A: ADC, SDPI Support TeamQ: Is there a breakout session during the conference addressing target groups?

A: Save our Sanity (SOS Level 1), SOS Level 2 on Sept 20th with Karen Sheff

Examples of Activities to

Nutrition Education• Cooking classes: Each class

can focus on a different food group such as:

• Carbohydrates • Fats• Vegetables • High sodium (salt) foods

• Ask participants to identify at least one change they can make.

Examples of Activities to

Nutrition EducationTraditional plants program: Promote the use of local plants for food and medicine.

• Educate participants on how to identify, grow, and use local indigenous plants.

• Invite community members such as elders to share their knowledge and wisdom.

• Hands-on activities (indoor or outdoor)• Ask participants to share at least one

thing they learned.

Examples of Activities to

Diabetes Related EducationFoot care education: Educate participants on foot care and importance of foot exams.

• Work with your local clinic to identify people who need a foot exam.

• Assist participants in getting a foot exam by Health care provider.

• Partner with local businesses or organizations to facilitate proper footwear

• Ask participants to share at least one thing they will do to keep feet healthy.

Examples of Activities to

Diabetes Related EducationEye Care: Educate participants on the importance of eye exams.

• Work with local clinic to identify people who need an eye exam.

• Assist participants in getting an eye exam.

• Partner with local business or organizations for discounts on frames.

• Ask participants to share at least one thing they learned.

Examples of Activities to

Physical ActivityTribal youth fitness programs: Educate participants on the benefits of physical activity to prevent diabetes.

• Rapid Assessment of Physical Activity Tool

• Engage youth in organizing fitness activities and buddy support groups

• Ask participants to identify how to overcome potential barriers to physical activity.

Examples of Activities to

Physical Activity Physical Activity Challenge:Educate participants on the benefits of physical activity to manage or prevent diabetes.

• Plan seasonal events (Spring, Fall, and Winter)

• Encourage participants to track physical activity minutes and keep food logs.

• Pre and post participant survey to measure goals.

Education

• Handing out education materials alone cannot be counted as education.

• Education materials should be used to promote discussion not replace it.

• Review the information with the participant.• Use larger font and easy to understand messages.

Physical Activity Education

https://www.ihs.gov/diabetes/patient-education/online-catalog1/

Diabetes Related Education

https://www.ihs.gov/diabetes/patient-education/online-catalog1/

Nutrition Education

https://www.ihs.gov/diabetes/patient-education/online-catalog1/

Stay Connected

• Stay connected with your Area Diabetes Consultant (ADC)for Area-specific resources and trainings.

• Contact the SDPI team for assistance at any timeihsddtpsdpicommunity@ihs.gov

• Visit the SDPI website regularly. https://www.ihs.gov/sdpi/about/community-directed-programs/