UTAH DPCP Utah Department of Health

1
UTAH DPCPUtah Department of Health

• Nancy C. Neff, MS
• Program Director
• nneff_at_utah.gov
• www.health.utah.gov/diabetes

2
Health Center Partners

• Bear Lake
• Carbon Medical Center
• (2 sites)
• Community Health Centers Inc (4 sites)
• Enterprise Valley
• Green River Medical Center
• Midtown CHC

• Mountainlands CHC
• Southwest CHC
• Utah Farmworker Health Program
• Utah Navajo Health Systems (2 sites soon to be
  3)
• Wayne County Medical Clinic

3
Overall Role with Teams and the Collaborative
Process

• Funding to clinics through the PCA (AUCH)
• Computers to individual clinics for PECS registry
• Polycom Via Video equipment to clinics for
  telemedicine
• Two day training annually for non-medically
  trained staff and Americorps workers
• Educational materials developed, produced and
  provided at no cost per their request (i.e.
  education curriculum for non CDE see sample)
• Participate in Learning Sessions develop
  relationships
• Clinic site visits by Program Director
• Data analysis and report generation from registry

4
Self Management

• Technical Support
• Training and curriculum in self-management ed
• Scholarships for CHC staff to attend annual
  diabetes ed update

• Resources
• Patient ed manuals in various languages
• Target brochures for ed and tracking
• Funding for outreach program

• Linkages
• Diabetes Educators
• Websites
• Local Health Fairs

5
Community

• Technical Support
• Linked CHC and CBO to enhance both
• Media campaign targeted to Hispanic, Pacific
  Islanders

• Resources
• Provided resource manuals for professionals and
  consumers
• Annual diabetes EXPO with translators, free
  supplies, seminars

• Linkages
• ADA
• Utah Telehealth Network
• Utah State University Extension

6
Delivery System Design

• Technical Support
• Train medical providers on Utah Practice
  Recommendations
• Training for office staff on diabetes
• Offered ideas to expand MAs duties with patients

• Resources
• Provided sources for waiting room videos
• Foot exam poster in Spanish and English
• Sample documentation forms
• Sample patient reminder systems

• Linkages
• Utah Diabetes Center (U of U)
• Forward ideas from other CHCs to ones with
  problems

7
Decision Support

• Technical Support
• Provide funding for pharmacist CDE to review
  charts and inservice providers
• Continuing education monthly thru telehealth
• Developed treatment algorithms

• Resources
• Practice recommendations (general, prenatal)
• Monofilaments provided
• Foot exam posters

• Linkages
• 1. Consultation available from endocrinologist at
  DPCP request

8
Organization of Healthcare

• Technical Support
• Provide data analysis and reports for senior
  management to validate worth of collaborative
• Technical and educational support

• Resources
• Provide computers and Polycom via videos for
  registry development and continuing education on
  site
• Provide resource manuals for providers and
  consumers

• Linkages
• To other funding opportunities
• To CDEs for educational assistance

9
Clinical Information Systems

• Technical Support
• Data analysis and reports per CHC request
• Facilitated meeting to spread to CVH
• Site visits for assistance

• Resources
• Funded computers for each CHC for registry
  development and data collection
• Fund staff for registry data input
• Sample reminder systems

• Linkages
• Share HDC data and progress with community
  coalitions and MCOs