Learning Session I Materials
•Welcome Slides - “Welcome and Learning Objectives”
•Planned Care Slides - “Planned Care at Every Visit”
•Process Redesign Slides - “Process Redesign”
•Diabetes Slides - “Getting to Goal: Practice Tricks of the Trade & How to Achieve the ABCs”
•Aim Statement Slides - “Review of the Aim Statement”
•PDSA Slides - “More on PDSAs”
•Next Step Slides - “Next Steps and Checklist”
•Learning Session 1 Agenda
•PDSA Worksheet
Learning Session 2 Materials
•Welcome Slides – “Welcome and Learning Objectives”
•Self Management Support – “Self Management Support, 5 A’s”
•NCQA PCMH Standards – “NCQA Standards including ‘Must Pass’ Elements”
•Next Steps Slides – “Next Steps and Checklist”
•Learning Session 2 Agenda
•My Personal Action Plan – Specific Action Plan with Confidence Measurement
•Self Management Goals – Broad Self Management Goals with an Action Plan
•Diabetes Report Card – Report Card with Measures and Action Plan
Learning Session 3 Materieals
•Learning Session 3 Agenda
•Welcome Slides - “Welcome and Learning Objectives”
•Risk Stratification - “Risk Stratification Within Your Population”
•Spread and Sustainability - “How to Spread and Sustain the Changes You Have Made”
•Community Resources - “Resources in Your Community”
•Closing & Next Steps - “Next Steps and Checklist”
Webinars
• Webinar 1 Slides - “Developing an Aim Statement & Understanding Empanelment”
•Webinar 2 Slides - “Data Collection & Diabetes Measures”
•Webinar 3 Slides – “Implementing the Models to Improve Patient Care”
•June Webinar – Guest Speaker Dr. Jorge Scheirer & PDSAs
•July Webinar - Guest Speaker Mary Beth Brynes & PDSAs
•August Webinar - PDSA discussion
•September Webinar – Guest Speaker Cathleen Drozdiak & Clinical Inertia
•October Webinar – Motivational Interviewing & PDSA discussion
•November Webinar – Risk Stratification and Working with Specialists
•December Webinar – PDSA Sharing
•January Webinar - Provider Webinar – focus on ABC’s of Diabetes
•February Webinar- Provider Webinar – focus on ABC’s of Diabetes…continuation
Webinar & Audio
•February Webinar
Reporting Resources
•PCMH-Assessment - Baseline assessment for measuring ‘patient-centeredness’ in a practice
•Data Reporting Form - Monthly reporting form *To be used with Office 2007 and newer
•Data Reporting Form2 - Monthly reporting form *To be used with Office 2003
•Measure Specifications - Detailed instructions on the PA SPREAD/Meaningful Use diabetes measures
•Look Back & Due Dates - Due dates for the monthly reports and a depiction of the rolling 12-month reporting periods
•PDSA Worksheet - Worksheet template for PDSA reporting
