My Account

Username :

Password :


Create New Account
Forgot Password?
     

Keyword Search


     

Speakers


Browse all AADE_CE_IN Speakers

     

Shopping Cart

You have (0) items
in your cart.



     

Contact Us


EMAIL US

     


* Not interested in Continuing Education Opportunities? CLICK HERE

*
Member Pricing 
    Contact us at customersupport@dcproviders.com to request a coupon code that entitles AADE members to a 20% discount. Be sure to include in your email your full name, member ID# and
    that your request is for the AADE member coupon. Once your member ship can be verified, you will receive the coupon code.
 

Event ID : AADE_CE_IN
American Association of Diabetes Educators
AADE 2012 Annual Meeting & Exhibition
Indianapolis, IN
August 1-4, 2012




Table of Contents
Individual Programs


August 1-4, 2012
Individual Programs
______________________

WKSHP01 Worksite Wellness Initiatives
Track: Business and Emerging Models

Speaker(s) :

  • Pamella Thomas, MD, MPH, FACOEM; Pamela Allweiss, MD, MPH; Rebecca K. Kelly, PhD, RD, CDE

  • Program Objective: "Implement effective community models of self management that facilitate lifestyle modification", "Establish innovative partnerships that promote chronic disease management through measurable outcomes"

  • Learning Objective: Discuss the landscape of employer health. Describe the benefits and framework of a workplace diabetes management program. State two workplace initiatives. Recognize partnerships and resources related to diabetes management at the workplace. Identify steps to begin a workplace initiative program.

  • Diabetes impacts over 8% of the adult working population and also creates employer productivity losses. In addition, diabetes and its complications account for 10% of all healthcare dollars spent. This problem will continue to escalate as the demographics of the U.S. workforce changes with more significant burdens of poor health and increases in prevalence diabetes with 35% of adult Americans aged 20 or older have pre-diabetes and a prediction that 1 in 3 Americans will have diabetes by 2050. The good news is that evidence has shown that formal intervention programs can decrease the progression to diabetes by almost 60%. Employers are in an unique position to provide workplace initiatives to prevent the devastating effect of this epidemic. Through screening, education, policy changes, environmental changes, and a healthy organizational culture, employees can be empowered to make behavior changes to behavior changes to decrease the progression.



Presentation Format(s) : MP3, MP4
$50.00


______________________

WKSHP02 Kaiser's Integrated Approach to Prevent Diabetes Complications Management
Track: Disease Management

Speaker(s) :

  • Cecilia Sauter, MS, RD, CDE; William H. Herman, MD, MPH; Jim Dudl, MD

  • Program Objective: "Establish innovative partnerships that promote chronic disease management through measurable outcomes", "Demonstrate how to enhance the role of the diabetes educator in a time of innovative change"

  • Learning Objective: Understand the tools available for use as accountable care organizations or managed care becomes available to them recognize the value of focus on patients at highest risk for complications with evidence based treatments and the titration, initiation and adherence barriers that can exist implement a script that will help patients uncover and problem solve their barriers to the treatments

  • This session will discuss the various health system approaches of the University of Michigan Health System, Kaiser Permanente, and the VA. This session will discuss the fee for system’s potential barriers to testing and treating due to lack of integrated pharmacy lab and diagnostic data, and the fact that it does not financially incentivize what it takes to improve care. We will describe how integrated systems like the VA and Kaiser can overcome those barriers. One part of the talk will address how Kaiser Permanente began to overcome barriers to screening and treating for complication prevention by combining a diabetic patients’ in-and out-patient diagnoses, laboratory test results and pharmacy data. It then discusses how it focuses first on what is most important to prevent morbidity and mortality for the patient. The next focus is on evidence based treatments proven to be preventative of the complication. Further, it focuses on barriers to Titration, Initiation or Adherence [the TIA’s] with systematic actions which cascades from inexpensive electronic reminders or medical assistants for proactive care, and outreach letters/calls.



Presentation Format(s) : MP3, MP4
$50.00


______________________

SP03 Updated National Standards
Track: Disease Management

Speaker(s) :

  • Donna Tomky, MSN, RN, C-NP, CDE; Melinda Maryniuk, RD, CDE

  • Program Objective: "Implement effective community models of self management that facilitate lifestyle modification"

  • Learning Objective: 1. Discuss the purpose of the National Standards 2. Describe the process of updating the Standards 3. Discuss each standard, including the evidence supporting each and changes made from the 2007 version 4. Summarize findings from the open comment period 5. Discuss how each revision might be interpreted for an AADE Accredited or an ADA Recognized program.

  • Abstract: The National Standards for Diabetes Self-Management Education (NSDSME)serve as the accepted guide for ensuring quality and consistency in the development and delivery of diabetes education. The Standards have recently been updated based on available scientific evidence over the past five years. A Task Force was jointly convened by the American Association of Diabetes Educators and the American Diabetes Association charged with reviewing the current Standards for their appropriateness, relevance, and scientific bases and updating them based on the available evidence and expert consensus. This presentation will review and discuss the significant revisions made based on current evidence supporting patient centered training, support and self-management in the diabetes education and care continuum. Presentation will clarify misunderstandings and differentiating between what they ARE and what they are NOT!



Presentation Format(s) : MP3, MP4
$50.00


______________________

WKSHP03 Minority Populations: Reducing Disparities in Diabetes
Track: Special Populations

Speaker(s) :

  • Betsy J. Rodriguez, BSN, MSN; Julia Dodge, MS, RN

  • Program Objective: "Implement effective community models of self management that facilitate lifestyle modification", "Demonstrate how to enhance the role of the diabetes educator in a time of innovative change"

  • Learning Objective: 1.Discuss challenges working in diabetes prevention and control with minority populations, with an emphasis on Latinos 2.Explain what a fotonovela is and how it is created; 3.List 3 ways that promotores de salud and diabetes educators can effectively use fotonovelas in their diabetes prevention outreach work; 4.Discuss the pros and cons of using fotonovelas; and, 5.Explain how fotonovelas can be adapted to particular communities

  • Diabetes is very prevalent in Latino populations. Acculturation of the general population of Latinos has been associated with suboptimal lifestyle choices, including a low intake of fruits and vegetables, a higher consumption of fats, and smoking; risk factors that are strongly linked to type 2 diabetes. Optimal lifestyle choices, as mentioned above, are associated with a substantial reduction in risk for diabetes. One key to improving Latinos’ knowledge, skills, and practices lies in implementing culturally appropriate health communication efforts. Another is to address issues of health literacy, which impacts diabetes complications by affecting health knowledge, health status, and access to health services. This presentation will discuss challenges of diabetes prevention and control among Latinos and effective culturally-appropriate ways to use educational approaches to addressing diabetes. It will use as an example, the fotonovela -- Do it for them! But for you too. developed by the National Diabetes Education Program.



Presentation Format(s) : MP3, MP4
$50.00


______________________

WKSHP04 Health Information Technology (IT)
Track: Technology

Speaker(s) :

  • Andrew VanZee, MHA, FACHE; Jeff Donnell

  • Program Objective: "Implement effective community models of self management that facilitate lifestyle modification", "Establish innovative partnerships that promote chronic disease management through measurable outcomes"

  • Learning Objective: Describe the current state of health information exchange activities. Demonstrate the value that Personal Health Records bring to diabetic care. Discuss possible strategies for engaging consumers for managing their diabetic care.

  • This session will give an overview of state and federal initiatives that are current progressing with respect to technology and health information exchange. The speakers will illustrate the parallels where patients with diabetes and caregivers fit within the emerging model. Once a base understanding of the market is established, the speakers will demonstrate the use of a personal health record to engage patients and their caregivers to improve diabetic outcomes. Multiple diabetic use cases and pilot projects will be showcased.



Presentation Format(s) : MP3, MP4
$50.00


______________________

W01 From Literature to Practice: Updates on Medication Taking and Monitoring
Track: Disease Management

Speaker(s) :

  • Kam L. Capoccia, PharmD, BCPS; Peggy Odegard, PharmD, CDE; Nancy Letassy, PharmD, CDE; Lisa McAndrew, PhD

  • Program Objective: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change

  • Learning Objective: 1. Identify outcomes associated with various interventions aimed at increasing medication adherence. 2. Describe the strategies proven in the recent literature to improve medication adherence. 3. Discuss the recent literature as it relates to blood glucose monitoring and HbA1c levels. 4. Translate evidence in the literature to specific patient populations as it relates to blood glucose monitoring.

  • This session provides an update and explanation of recent systematic literature reviews on medication taking and blood glucose monitoring. Each topic (medication taking and monitoring) will have a 30-minute slide presentation detailing the evidence found in the reviews. Following these presentations there will be a 20-minute session on the applications of these data and how it relates to the best practices of the presenters as well as the audience. The remaining 10 minutes will be available for questions and answers.



Presentation Format(s) : MP3, MP4
$50.00


______________________

W02 New Frontiers in the Prevention of Type 1 and Type 2: Diabetes Educators Needed
Track: Disease Management

Speaker(s) :

  • Beverly Dyck Thomassian, MPH, RN, CDE, BC-ADM

  • Program Objective: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change

  • Learning Objective: 1. Identify strategies that promote healthy communities and decrease risk of type 2 diabetes. 2. Describe the role of gut hormones and gut bacteria in the expression of type 1 and type 2 diabetes. 3. Discuss the current research on the prevention and cure of type 1 diabetes.

  • Diabetes educators’ clinical knowledge, combined with behavior change and teaching skills, perfectly position us to advocate for diabetes prevention into the future. To slow the diabetes epidemic, educators can promote change within a structured education program in their communities and by supporting legislation that promotes health. In addition, educators can keep clients and the community abreast on the latest research in diabetes prevention. This course highlights the current trends in diabetes prevention from the community to the laboratory. Topics include strategies to prevent not only Type 2 diabetes but the latest research on Type 1 prevention. An exploration of the emerging role of gut bacteria in the expression of Type 1 and Type 2 diabetes and an update on the role of gut hormones will be discussed. We will also take a glimpse at progress in discovering a cure for Type 1 along with a look into the future.



Presentation Format(s) : MP3, MP4
$50.00


______________________

W03a Research (A): Pharmacist-Managed Diabetes Service in a Rural Free Clinic
Track: Disease Management

Speaker(s) :

  • Julie M. Sease, PharmD, BCPS, CDE

  • Program Objective: Implement effective community models of self management that facilitate lifestyle modification, "Establish innovative partnerships that promote chronic disease management through measurable outcomes"

  • Learning Objective: Discuss the potential role of the pharmacist in diabetes education highlighting the need for such a service for rural, indigent populations. Demonstrate the importance of collaborative practice agreements that allow pharmacists and other qualified healthcare providers to institute medication changes in diabetes patients when needed. Restate the most pertinent findings of one pharmacist clinic serving rural, indigent diabetes patients that utilized AADE7 behavior change principles for diabetes education and collaborative agreements to institute change.

  • This session looks at the impact of pharmacist education, monitoring and management of patients with Type 2 diabetes mellitus (T2DM) enrolled in a free clinic that serves a rural indigent population.



Presentation Format(s) : MP3, MP4
$50.00


______________________

W03b Research (B): Finding Our "Footing": A Collaborative Practice Project for Foot Care
Track: Disease Management

Speaker(s) :

  • Bo Fusek, MEd, RN, BA, BEd, CDE; Gaya Amirthavasar, B. Kin, MSc Candidate

  • Program Objective: Implement effective community models of self management that facilitate lifestyle modification, "Establish innovative partnerships that promote chronic disease management through measurable outcomes"

  • Learning Objective: 1. Describe the process for implementation of this foot care project including the literature review results, challenges, lessons learned and outputs. 2. Identify the purpose, participants and background of this project. 3. Describe the tools that were developed for patient self care and provider education. 4. Demonstrate awareness of how to access the tools that were developed. 5. Describe the evaluation results that were used to direct decisions with regards to next steps with the project. 6. Describe the dissemination strategies that were used for this project. 7. Describe the current status of this project. 8. Identify possible ways in which these strategies and tools might be used to impact their practice.

  • The objective of this project was to provide a standardized and practical foot assessment tool that promotes self-care and prevention of foot ulcers as well as knowledge translation strategies to support care providers in the use of these tools to encourage broader dissemination. Outcome measures would include uptake of tools and enhanced knowledge for both patients and care providers.



Presentation Format(s) : MP3, MP4
$50.00


______________________

W03c Research (C): What Patients with No Fat Are Teaching Us About Obesity and the Metabolic Syndrome
Track: Special Populations

Speaker(s) :

  • Elaine K. Cochran, MSN, CRNP, BC-ADM

  • Program Objective: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change

  • Learning Objective: 1) Define what is lipodystrophy and know its physical and metabolic effects on patients. 2) Compare and contrast the metabolic abnormalities associated with lipodystrophy with obesity and the metabolic syndrome. 3) Learn how standard therapies for treating the metabolic abnormalities associated with lipodystrophy serve as a model in our treatment of obesity, the metabolic syndrome, and patients with high dose insulin requirements. 4) Learn about leptin, a hormone secreted by fat cells, and be able to state what effects this hormone has had in ameliorating these metabolic abnormalities in patients with lipodystrophy. 5) Gain knowledge about recombinant human leptin hormone therapy, its current availability, indication, handling, administration and treatment in children and adults with lipodystrophy

  • Ectopic fat accumulation in muscle and liver has been implicated as a contributing factor in the metabolic abnormalities associated with obesity. One human model of ectopic fat deposition is lipodystrophy, a rare disorder characterized by a profound deficiency of adipose tissue. Patients with lipodystrophy and low leptin levels often experience increased appetite. This excess fuel consumption, coupled with a lack of adipose tissue, contributes to insulin resistance, diabetes and hepatic steatosis. The long-term clinical efficacy of leptin replacement therapy is evaluated, and the role of the diabetes educator in the administration and treatment in patients is detailed and described.



Presentation Format(s) : MP3, MP4
$50.00


______________________

W04 Raise Your Patient's Diabetes Self-Esteem
Track: Disease Management

Speaker(s) :

  • Janis Roszler, MSFT, RD, CDE, LDN

  • Program Objective: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change

  • Learning Objective: List at least 3 ways negative personal beliefs can impact a patient's ability to participate in self-care management tasks. List at least 3 ways diabetes educators can help patients alter negative beliefs they have about their diabetes. Demonstrate at least one Family Therapy perspective-altering technique that can be employed immediately with patients.

  • Have you ever tried to instruct a patient who won't listen or one who breaks down in your office and cries? Learn how to do several simple Family Therapy techniques to help your most challenging patients become more receptive to your guidance and more confident about their personal diabetes care.



Presentation Format(s) : MP3, MP4
$50.00


______________________

W05 Intersection of Health and Community: Impacting Diabetes Care in High-Risk Populations
Track: Business and Emerging Models

Speaker(s) :

  • Karen L. Boyer, MSN, RN; Esteria Miller, MBA

  • Program Objective: Implement effective community models of self management that facilitate lifestyle modification

  • Learning Objective: 1. Discuss the current healthcare climate and the need for implosion of traditional care delivery. 2. Describe an innovative health equity model that focuses on primary, secondary and tertiary care 3. Identify specific roles and responsibilities within the team from an efficiency and cost effective perspective.

  • Changes in the health care landscape have forced health systems to rethink traditional methods of managing chronic disease. The shifting paradigm from a fee-for-service to an outcomes-driven model that is tailored to individual needs (precision medicine) has forced change in healthcare delivery. Today, more than ever, there is a need for creativity and innovation in delivery methods that focus on personalized and individualized care. Accountable Care Organizations are focusing on providing more efficient and coordinated care that is cost- effective.This presentation will describe an approach that has successfully managed diabetes in underserved African American/Latino communities. Presenters will also discuss the following: care coordination with a multidisciplinary team that includes all five levels described in AADE’s Guidelines for the Practice of Diabetes Education, lessons learned from a community based model, and clinical and behavioral outcomes.



Presentation Format(s) : MP3
$50.00


______________________

W06 Money Matters in DSME, MNT & Shared Medical Appointments (SMAs): Increase Your Insurance Reimbursement NOW!
Track: Business and Emerging Models

Speaker(s) :

  • Mary Ann Hodorowicz, MBA, RD, CEC, CDE, LDN

  • Program Objective: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change

  • Learning Objective: 1. Describe the beneficiary eligibility criteria for Medicare DSME and MNT. 2. List three of the Medicare coverage guidelines for telehealth MNT and DSME. 3. State the two distinct parts of a shared medical appointment that are each separately reimbursable by Medicare. 4. State which part of a shared medical appointment is billed as individual visits and which part as a group visit.

  • This jammed-packed, dynamic presentation is exactly what RDs, RNs, educators, physician and mid-levels need to pocket those Medicare and private payer MNT, DSME and SHARED MEDICAL APPOINTMENT (SMA) dollars! Medicare’s latest coverage guidelines are outlined, including those exceptionally tricky ones and who is eligible to bill Medicare for each benefit. An overview of SMAs is presented that includes the many benefits for patients, providers (physicians and mid-levels) and educators. SMAs combine a provider’s individual medical appointments in a group setting combined with group DSME or MNT. They offer increased productivity, efficiency and profit margin for the health care team and enhance patient outcomes. The key “must-know’s” of billing for SMAs for providers and educators will be detailed, along with a case study of the typical reimbursement that can be expected from Medicare and private payers. Providers will be amazed by what they can earn without any sacrifice in patient care quality.



Presentation Format(s) : MP3, MP4
$50.00


______________________

W07 At the Crossroads: How Do Diabetes and Cancer Intersect?
Track: Disease Management

Speaker(s) :

  • Karen Collins, MS, RD, CDN

  • Program Objective: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change

  • Learning Objective: 1. Describe four proposed metabolic mechanisms for the association of type 2 diabetes and cancer risk. 2. Identify the major nutrition recommendations to reduce risk of cancer or its recurrence, and explain how they intersect with strategies to reduce risk of or control type 2 diabetes. 3. Translate research related to nutrition and cancer risk into nutrition therapy strategies for type 2 Diabetes and prediabetes. 4. Describe how to meet recommendations regarding nutrition for cancer prevention and diabetes control and prevention using approaches selected to meet unique individual needs and preferences.

  • Numerous studies and a 2010 Census report highlight the association of diabetes with cancer incidence and prognosis. Research also provides clear evidence that a healthy diet and lifestyle can reduce cancer risk. Therefore it is important that as diabetes educators partner with patients to address overall chronic disease risk and management that they are comfortable including strategies to cut cancer risk. A large body of research shows several mechanisms that connect Type 2 diabetes and cancer. We will explore the intersection of evidence-based recommendations for reducing risk of Type 2 diabetes and cancer and developing a nutrition strategy that addresses both concerns. We will then discuss how this can be implemented in diabetes education, examine different overall eating patterns and specific food choices, and develop real-life take-away points diabetes educators can incorporate into their toolboxes.



Presentation Format(s) : MP3, MP4
$50.00


______________________

W08 Project Power: American Diabetes Association's Response to the Diabetes Epidemic in African Americans
Track: Special Populations

Speaker(s) :

  • Program Objective: Implement effective community models of self management that facilitate lifestyle modification

  • Learning Objective: 1. Describe how the American Diabetes Association's (ADA) Project Power program is making a difference for African Americans with diabetes. 2. Identify the steps taken by ADA to evaluate Project Power. 3. Describe next steps for reaching African Americans with diabetes.

  • More than 18.7% (or 4.9 million) African- Americans are living with diabetes. Project Power programs are offered through churches by lay health workers and have a five module curriculum. The Project Power curriculum has been delivered to 58,000 people in hundreds of churches across the United States. Pre-and post- tests focusing were completed by 4,620 individuals. Participant follow-up was conducted via phone interviews three and six months after completion to assess lifestyle changes related to long term impact. Results: Increases in knowledge ranged from 17% to 35% across the five modules. Fifty-one percent of the participants applied the information learned; 60% reported increasing their physical activity; and over 76% of the interviewees reported reducing their fried and fast food consumption and increasing fruit and vegetable intake. Conclusions: The evaluation of Project Power demonstrates its potential to make a difference in the African American population.



Presentation Format(s) : MP3, MP4
$50.00


______________________

W10 A Step-by-Step Guide: Building a Community Support System for Individuals With Diabetes
Track: Disease Management

Speaker(s) :

  • Kathleen Gold, MSN, RN, CDE; Pamela Geis, BA; Carol V. Carter, RD, CDE, BC-ADM, LDN; Meghan Jardine, MS, MBA, RD, CDE, LD

  • Program Objective: Implement effective community models of self management that facilitate lifestyle modification, "Establish innovative partnerships that promote chronic disease management through measurable outcomes"

  • Learning Objective: 1. Identify components in the development of the Diabetes Local implementation online training program. 2. Explain how to use the training program to build an effective community support system. 3. Describe methods for implementation of Diabetes Local in the community.

  • Funding from d-Life’s Innovative Media and Technology Award supported the development of a multimedia training program. The online, multi-media program has two objectives: • A step-by-step guide to building a local community support system using www.DiabetesLocal.org as the foundation of an online community resource guide. • And DiabetesLocal user training: Learn how we developed this training resource and how you may use DiabetesLocal as a tool to empower patients to better recognize the local community support systems that will allow them to engage in self-management behaviors. DiabetesLocal can benefit health systems as a useful tool for case managers, social workers and CDE’s. It may be a rallying project for a coalition or AADENet working group to develop a community support system. A panel discussion by three communities—the Wisconsin Diabetes Control Program, Wellmont Health System in eastern Tennessee and the Dallas Diabetes Coalition--will share their experiences implementing DiabetesLocal.



Presentation Format(s) : MP3, MP4
$50.00


______________________

W12 Institute for Family Health Diabetes Care Management Program
Track: Disease Management

Speaker(s) :

  • Christine McGeough, MPH, RD, CDE; Elizabeth I. Molina-Ortiz, MD, MPH

  • Program Objective: Implement effective community models of self management that facilitate lifestyle modification, "Establish innovative partnerships that promote chronic disease management through measurable outcomes"

  • Learning Objective: 1. Explain the rationale for developing the Diabetes Care Manager (DCM) position. 2. Discuss how to incorporate DCM in the health care team. 3. Describe at least 2 ways the diabetes registry is used to identify and target patients at greatest risk for diabetes complications. 4. Describe how assessment tools are used to assess barriers to successful diabetes self-management among patients with uncontrolled diabetes.

  • Due to its effectiveness and compatibility with our mission, the Institute’s diabetes care model was based on the Chronic Care Model. This approach goes beyond the traditional medical office visit in order to identify and overcome psychosocial barriers to effective self-management. The DCM position is an extension to traditional primary care services, and integrating this position into the healthcare team leads to improvement in outcomes for patients most at risk for complications.



Presentation Format(s) : MP3, MP4
$50.00


______________________

W13 Reducing Disparities and Improving Access to Diabetes Self-Management Education in Texas
Track: Disease Management

Speaker(s) :

  • Ardis Ann Reed, MPH, RD, LD, CDE

  • Program Objective: Implement effective community models of self management that facilitate lifestyle modification

  • Learning Objective: 1. Identify opportunities for regional and state partnerships to improve health disparities and health outcomes for people with diabetes. 2. Describe how community health workers can be utilized in diabetes self-management education programs. 3. Discuss how diabetes self-management education train-the-trainer programs can provide greater outreach and sustainability at the regional and state level.

  • The Centers for Medicare & Medicaid Services recently awarded contracts to improve health outcomes among Hispanic and Native Americans with diabetes due to the high health disparities in these populations. The primary focus of the contracts was to improve access to Diabetes Self-Management Education (DSME). This presentation will show how TMF’s strategies for accomplishing the goals of this project included development of region-specific, community-wide approaches that engaged the providers, patients, families and community health care stakeholders. To accomplish this important work, TMF developed numerous partnerships with key community stakeholders, identified and recruited physician practices, and engaged patients by providing them with information about the importance of DSME. A core concept to improve access to DSME in underserved areas of Texas was to increase the number of diabetes educators through DSME Train-the-Trainer programs. This provided sustainabilty in education programs after the contract concluded.



Presentation Format(s) : MP3, MP4
$50.00


______________________

W14 Cleos and Mios and Insets...Oh My! The Ins and Outs of Infusion Site Management
Track: Disease Management

Speaker(s) :

  • Roberta A. Silber, MSN, RN, CDE; Elizabeth A. Tursi, RN, BSN, CDE

  • Program Objective: Establish innovative partnerships that promote chronic disease management through measurable outcomes

  • Learning Objective: 1. Identify infusion site and set selection criteria. 2. Recognize pump users' appropriateness for use of various infusion sets. 3. Describe a plan of care for effective infusion site selection and management.

  • Successful use of an insulin pump is dependent upon several factors. Foremost among them is choosing the right infusion set for each individual. The majority of problems with glucose variability in insulin pump users can be related to infusion site issues. Careful attention to choosing the right infusion set, managing the site appropriatley and teaching the pump user to do the same can significantly reduce the incidence of infection, glucose variability and DKA.



Presentation Format(s) : MP3, MP4
$50.00


______________________

W15 Free Patient Education Resources for Self-Management of Kidney Disease and Dialysis
Track: Special Populations

Speaker(s) :

  • Dorian R. Schatell, MS

  • Program Objective: Implement effective community models of self management that facilitate lifestyle modification

  • Learning Objective: 1. Explain the importance of self-management education for patients with kidney disease or on dialysis. 2. List 3 free sources of kidney disease self-management education materials. 3. Identify two ways to incorporate kidney disease self-management education into diabetes education practice.

  • Type 2 diabetes is the leading cause of kidney failure and dialysis in the US,but the risk for kidney disease can get lost in the crush of critical topics people with diabetes must learn. This talk will describe the theoretical basis for kidney disease self-management, outline free, evidence-based resources available online from the non-profit Medical Education Institute, and help busy diabetes educators find creative and practical ways to incorporate kidney disease education into their day-to-day educational endeavors. With these tips, diabetes educators can help patients take steps to protect themselves from kidney damage due to diabetes, while providing an additional motivation for good diabetes and blood pressure management.



Presentation Format(s) : MP3, MP4
$50.00


______________________

W16 Developing a Community-Based DSME/T Program for the SMART™ Interactive White Board
Track: Technology

Speaker(s) :

  • Susan Riley, DNP, FNP-BC, CDE

  • Program Objective: Implement effective community models of self management that facilitate lifestyle modification

  • Learning Objective: 1. Summarize options to provide the rural person with diabetes access to interactive, high quality, engaging DSME/T that uses the latest technology and promotes self- care. 2. Describe how to partner with the local public schools to serve as the practice site for this program. 3. Apply the content of this session to implement a similar DSME/T program in the local community schools for adults with diabetes.

  • This presentation discusses and presents the findings of a newly developed community school based adult DSME/T program located in a rural area with no access to specially care or certified/recognized DSME. It uses a DSME/T curriculum for the interactive SMART™ that was created by the researcher. SMART™ Boards are available at all of public school systems in the country and in partnership with community school promoted community-based care. The Michigan Diabetes Research and Training Center Diabetes Empowerment Scale-Short Form and Diabetes Knowledge Test are used as a pre- and post- evaluation using the interactive SMART™ remote response system. The blood sugar logs of individual patients are copied/recorded as a measure of the glycemic control at each session as well as weight and blood pressure measured at each session. Improvement in the self-care behaviors of participants are presented in addition to the results for the other measurements.



Presentation Format(s) : MP3, MP4
$50.00


______________________

W17 Diabetes and Depression: A Progressive Approach to Improvement
Track: Special Populations

Speaker(s) :

  • Bridget R. Levich, MSN, RN, CDE; Anita C. Meyer, LCSW

  • Program Objective: Establish innovative partnerships that promote chronic disease management through measurable outcomes, "Demonstrate how to enhance the role of the diabetes educator in a time of innovative change"

  • Learning Objective: 1. Describe two diabetes self-care skills that are negatively impacted by depression. 2. Discuss the PHQ-9 as an assessment tool to measure depression. 3. Identify two key elements of the Depression Care Management Program.

  • It is well known that depression negatively impacts the management of chronic illness. Depression is a commonly seen co-morbidity of diabetes. Through the Depression Care Management Program at UC Davis we reach out to these patients utilizing a team based approach with LCSWs, a psychiatrist, and over 30 primary care physicians working collaboratively. The LCSWs utilize a telephonic care management intervention model. These phone sessions provide patients with psycho-education on depression, symptoms, etiology and treatments, assist with medication management, offer resources and emphasize the use of self-management tools. A Patient Health Questionnaire (PHQ-9), a validated tool to measure severity of depressive symptoms, is administered twice during the care management intervention to assess improvement. Additionally, the primary care physicans receive several educational sessions from an expert psychiatrist to enhance their knowledge of depression treatment. Data will be presented to show the impact of this progressive intervention on both diabetes and depression.



Presentation Format(s) : MP3, MP4
$50.00


______________________

W18 Successful In-Patient Diabetes Management With Room Service Dining Programs
Track: Business and Emerging Models

Speaker(s) :

  • Carol Manchester, MSN, ACNS, BC-ADM, CDE; Heidi Greenwaldt, MS, RD, CNSD, LD

  • Program Objective: Establish innovative partnerships that promote chronic disease management through measurable outcomes

  • Learning Objective: Describe the process of Room Service Dining in the hospital setting and how it can increase patient and nursing satisfaction. Identify strategies that will enhance collaborative relationships between the healthcare disciplines. Explain best practices related to patients with meal-time driven medication, specifically insulin requirements, within the Room Service model.

  • Room Service models for tray delivery are becoming more popular within healthcare facilities as organizations are moving towards patient-centered care. Allowing patients to order any type of food item that they want any time of the day can significantly improve patient satisfaction. Nurses can also benefit from this type of tray delivery model. Communication and collaboration with interdisciplinary staff is vital for the success of a Room Service model for tray delivery. Meal-time driven medication administration processes need to evolve with the implementation of Room Service in order to ensure patient safety and that high standards of care are maintained. A meal delivery and insulin administration process measure for Advanced Inpatient Diabetes Certification is used to help attain these goals.



Presentation Format(s) : MP3, MP4
$50.00


______________________

W19 Completing the Circle: Sustainable Health, Food, Environment and Culture
Track: Special Populations

Speaker(s) :

  • Caroline B. Trapp, MSN, APRN, BC-ADM, CDE; Marc Bowlegs Anderson, PE, CWRE

  • Program Objective: Implement effective community models of self management that facilitate lifestyle modification, "Establish innovative partnerships that promote chronic disease management through measurable outcomes"

  • Learning Objective: 1. Discuss health disparities among Native Americans related to diabetes. 2. Describe content and delivery of specific nutrition interventions for diabetes. 3. Describe needs for food and cultural sovereignty in the context of promoting diabetes education. 4. List at least three partnership opportunities between Native diabetes education programs and organizations that promote sustainable lifestyles.

  • Halting the alarming rate and progression of diabetes among Native Americans will require radical changes in lifestyle, with changes in diet at the forefront. This presentation focuses on breaking the cycle of rising medication requirements and progressive ailments associated with the disease; exercising sustainability in food and energy production while reaffirming Native American cultural practices; and reversing diabetes with a plant-based/ancestral-like diet approach. In order for healthy, nutritious food to be available locally, tribal nations must practice sustainable agriculture which strengthens ties to their heritage, promotes a clean environment, and ensures better public health for present and future generations. For this presentation, an environmental engineer and a diabetes educator have collaborated to offer a unique departure from typical diabetes prevention themes, exploring the critical, interconnected considerations for tribal communities facing a diabetes pandemic.



Presentation Format(s) : MP3, MP4
$50.00


______________________

W20 Specialty Care: Innovation and Collaboration in Home Health
Track: Disease Management

Speaker(s) :

  • Karen A. McKnight, RD, LD, CDE; Mary Teipen, RN, CDE

  • Program Objective: Establish innovative partnerships that promote chronic disease management through measurable outcomes, "Demonstrate how to enhance the role of the diabetes educator in a time of innovative change"

  • Learning Objective: 1. Describe the role of a diabetes educator in home health settings. 2. Discuss the impact of a diabetes disease management program on agency outcomes. 3. Identify the tools and processes needed for a successful diabetes disease management program.

  • As the population ages, the impact of chronic disease on the healthcare system and on quality of life is becoming frightening. Home health agencies are seeking ways to more efficiently and effectively meet these challenges. This presentation will discuss the journey of one privately-held, multi-state home health company to develop and execute specialty care programs. Practical tips will be shared and the results of specialty programs will be discussed. These programs are a must for anyone working in or thinking of entering the field of home health care.



Presentation Format(s) : MP3, MP4
$50.00


______________________

T01 New Patient Specific Approach to In-Patient Diabetes Education
Track: Business and Emerging Models

Speaker(s) :

  • Donna L. Jornsay, CPNP, RN, CDE; Nataliya Shaforost, MSN, RN, FNP

  • Program Objective: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change

  • Learning Objective: 1. Differentiate three different educational needs of the various patient populations with diabetes. 2. Propose one patient specific educational tool which could be implemented to achieve this education. 3. Summarize one way that this strategy will help empower bedside nurses to deliver diabetes education.

  • Diabetes has reached epidemic proportions. In New York State there are 4.3 million people with diabetes/pre-diabetes, and only 600 CDEs whose average age is 54, 68% of whom work less than 25 hours/week. In the metropolitan NYC area, 50% of our hospitalized patients have diabetes. Diabetes frequently goes undiagnosed until the time of admission. How can we meet this overwhelming in-patient need for survival skill education? We propose a new business model to design targeted patient-specific educational tools which can be implemented by the bedside nurse. Care models have been utilized in bedside nursing for some time. The development of six distinct care model categories of in-patients with diabetes and patient-specific educational tools will empower bedside nurses to educate the first five categories of in-patients, freeing the CDE to educate the most complex diabetes patients (e.g., those who are pregnant or on insulin pumps).



Presentation Format(s) : MP3, MP4
$50.00


______________________

T02 Stanford Self-Management Programs: Evidence-Based Solutions to DSME/T Challenges
Track: Disease Management

Speaker(s) :

  • Robin D. Edelman, MS, RD, CDE; Sandra A. Parker, RD, CDE; Paula Ackerman, MS, RD, CDE; Charlotte Hayes, MMSc, MS, RD, LD, CDE

  • Program Objective: Implement effective community models of self management that facilitate lifestyle modification, "Establish innovative partnerships that promote chronic disease management through measurable outcomes"

  • Learning Objective: 1. Recognize characteristics of Stanford community-based self-management programs. 2. Identify natural partners for CDEs among organizations offering and sponsoring Stanford programs. 3. Discuss outcomes of Stanford self-management programs and collaborative efforts. 4. Describe actual and potential cost-savings and system improvements. 5. Use web links for referring patients to online versions of the Stanford self-management programs. 6. Explain the differences between online and small group community-based Stanford programs.

  • This panel presentation by four experienced CDEs will remind participants about the growing prevalence and burden of diabetes and the need for multiple options for diabetes self-management support and education. Presenters will highlight the Stanford programs as the self-management programs supported by grants from the Administration on Aging to most states and territories during the past two years. Presenters will review the evidence base in building self-efficacy with benefical outcomes that complement traditional DSME/T. CDEs have unique opportunities in upcoming leadership roles by joining community-based partners offering Stanford programs, and by taking advantage of online self-management programs. The presenters will explain and discuss these topics and opportunities. They will address cost savings, system improvements, and the potential to enhance attendance and reimbursement for DSME/T in the context of current health care reform.



Presentation Format(s) : MP3, MP4
$50.00


______________________

T03 Food Habits and Diabetes Care of Burmese in the U.S.
Track: Special Populations

Speaker(s) :

  • AeNam St.Cyr, MS, RD, CDE; Omar Toutoungi, MD

  • Program Objective: Implement effective community models of self management that facilitate lifestyle modification

  • Learning Objective: 1. Describe food habits of the Burmese. 2. Discuss prevalence of diabetes in the Burmese. 3. Describe behavior changes among Burmese who are receiving diabetes care.

  • Objective: Little is known about the prevalence of diabetes and food-related behaviors among the Burmese. This study assess behavior changes among Burmese who are receving diabetes education and care. Subjects/setting: Every patient with diabetes who participated in diabetes education class and follow-up in Ft.Wayne, Ind. Statistical analysis: Sociodemographic charateristics of the Burmese: sex,age,education level,BMI and physical activity.



Presentation Format(s) : MP3, MP4
$50.00


______________________

T04 U-500 Insulin: Less is More
Track: Disease Management

Speaker(s) :

  • Paula M. Bergen, RN, BSN, CDE; Max R. Herrle, RN, CDE

  • Program Objective: Establish innovative partnerships that promote chronic disease management through measurable outcomes

  • Learning Objective: 1. Identify the criteria for patients to be switched to U-500 insulin. 2. Recognize the differences in U-100 and U-500 insulin. 3. List the advantages of using U-500 including patient perceptions and clinical outcomes. 4. List the disadvantages of U-500. 5. Discuss the protocol for diabetes educators train patients, initiate U-500, and make insulin dose adjustments. 6. Recognize the partnership components and responsibilities of the diabetes educator, physician, pharmacist, patient and family, and area hospitals to provide success and safety for patients taking U-500 insulin.

  • The number of Americans with diabetes is increasing and obesity is on the rise. The obesity and diabetes combination may contribute to an increase insulin need. Humulin R U-500 insulin use is increasing, and diabetes educators must partner with HCP's to provide the patient with the knowledge, tools and resources to make the transition from U-100 to U-500 safe and accurate. Developing protocols and standard procedures in conjunction with the physician, pharmacist and area hospital will meet this goal. This session looks at St. Elizabeth Regional Diabetes Center's successfully implemented protocols.



Presentation Format(s) : MP3, MP4
$50.00


______________________

T05 Shaping the Future of Diabetes Education Leadership
Track: Technology

Speaker(s) :

  • Jane K. Dickinson, PhD, RN, CDE

  • Program Objective: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change

  • Learning Objective: 1. Identify opportunities for graduate level education in diabetes education and management. 2. Describe the Master of Science Program in Diabetes Education and Management. 3. Review future possibilities of the role of a clinician with an advanced degree in diabetes education and management.

  • Diabetes educators have asked for an online masters program in their specialty area. In September 2011, the Teachers College at New York's Columbia University launched the nation's first inter-disciplinary online Master of Science in Diabetes Education and Management. This presentation provides a comparison of opportunities available for graduate study in diabetes education and management. It also highlights findings from the first year of the Teachers College program and reports on future possibilities for graduates with a Master of Science in Diabetes Education and Management.



Presentation Format(s) : MP3, MP4
$50.00


______________________

T06 Powerful Handouts: Engaging Participants in Active Learning
Track: Business and Emerging Models

Speaker(s) :

  • Barb Schreiner, PhD, RN, CPLP, CDE, BC-ADM; Susan LaRue, RD, CDE

  • Program Objective: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change

  • Learning Objective: 1. Differentiate the cognitive and design elements of a powerful handout. 2. Prepare engaging handouts for patient or professional audiences. 3. Critique sample handouts applying the “Building a Handout Checklist.”

  • You've planned the presentation. You've thought of your audience’s needs. Your slides are ready. What’s left to do? Why the handout, of course. But what should a powerful handout include? Do you even need one? This interactive session will explore the cognitive and design elements of an effective handout. Whether you are preparing your patient curriculum or readying for a podium presentation to your peers, an elegantly designed handout can be one of the most remembered parts. Effective handouts reflect the content and the teaching style of the presenter while attention-grabbing handouts honor the cognitive learning style of the participant. In this session, you will learn about the types and purposes of handouts, when to give the slides and when not to, and how your handout can effectively lead your listeners to personal action.



Presentation Format(s) : MP3, MP4
$50.00


______________________

T07 A New Approach to Using Insulin Pumps in the Hospital
Track: Disease Management

Speaker(s) :

  • Tammy DiMuzio, MS, RN, CDE; Jane Stock, BSN, RN, CDE; Nancy Morwessel, CNP, MSN, CDE

  • Program Objective: Establish innovative partnerships that promote chronic disease management through measurable outcomes, "Demonstrate how to enhance the role of the diabetes educator in a time of innovative change"

  • Learning Objective: 1. Describe how insulin pump therapy can be a more effective insulin therapy for patients with diabetes in the hospital. 2. Compare and contrast pros and cons to patients/families operating the insulin pump vs. the hospital staff operating the insulin pump 3. Identify the key components to a successful inpatient hospital pump program.

  • Is it safe practice for diabetes patients or their families to be totally responsible for insulin administration by home insulin pump while hospitalized? Is it important for hospital staff to be trained to operate the insulin pump? Can obstacles to staff administration of insulin by insulin pump to hospitalized patients be overcome? A thoughtful exploration of these questions will be presented, along with one pediatric hospital’s novel approach to insulin pump use in the hospital. Using a team approach and one insulin pump model owned, maintained, and operated by hospital staff, the obstacles can be overcome. The diabetes educator is pivotal in providing training and consultation to hospital staff and patients/families. This approach changes but does not lessen the role of the patient/family in managing insulin needs in the hospital, but makes it clear that hospital staff is responsible for the patient’s safety during their stay.



Presentation Format(s) : MP3, MP4
$50.00


______________________

T08 Including Diabetes Education With Shared Medical Appointments for Adolescents With Type 1 Diabetes
Track: Special Populations

Speaker(s) :

  • Becky Sulik, RD, LD, CDE; Chelsea Gruver, BS

  • Program Objective: Implement effective community models of self management that facilitate lifestyle modification, "Demonstrate how to enhance the role of the diabetes educator in a time of innovative change"

  • Learning Objective: Describe advantages and disadvantages of shared medical appointments for the type 1 pediatric population. List three strategies for including diabetes self-management education as part of the shared medical appointment model. Describe how shared medical appointments can increase patient and parent satisfaction and quality of life in the type 1 pediatric population. List challenges to diabetes self-management education for the pediatric population and ways shared medical appointments may address these challenges.

  • Shared Medical Appointments have proven effective in the management of many chronic diseases including Type 2 diabetes. The literature lists many benefits of shared medical appointments including improved patient satisfaction and glycemic control. Rocky Mountain Diabetes Center has implemented a model with pediatric patients who have Type 1 diabetes which includes diabetes self-management education as part of the model. The discussion will include how this was accomplished, satisfaction and quality of life evaluations, and strategies for diabetes educators and other clinicians who wish to try using this effective model.



Presentation Format(s) : MP3, MP4
$50.00


______________________

T09 Go Wild! From Diabetes and Exercise to Athlete
Track: Disease Management

Speaker(s) :

  • Marcey Robinson, MS, RD, CDE, BC-ADM; Jennifer Smith, RD, CD, CDE

  • Program Objective: Establish innovative partnerships that promote chronic disease management through measurable outcomes

  • Learning Objective: 1. Describe at least 2 issues important to diabetes management and preparing for an endurance athletic event. 2. Explain the importance of carbohydrate intake and apply proper fueling strategies for endurance exercise. 3. Identify at least 2 resources available for patients with diabetes to get support and education regarding diabetes and exercise.

  • In this presentation, participants will be provided with new skills and resources to better help their patients with diabetes and exercise (focusing on endurance sports). For those with diabetes, frustration arises when they are told they should exercise but are not given the proper resources to be successful when it comes to also managing their blood sugars. Often times, health care teams either lack the knowledge of exercise physiology or provide handouts with generalized guidelines leaving patients feeling more confused. Resources such as "Team WILD: We Inspire Life With Diabetes," offer an innovative model that integrates certified diabetes educators, sports dietitians, athletic and mental skills coaches into a system of training that is highly successful in empowering people with diabetes (Type 1 & 2) to take control of their health by way of becoming an athlete. This session is full of inspiration and practical information regarding diabetes and endurance exercise.



Presentation Format(s) : MP3, MP4
$50.00


______________________

T10 Make Patients A.D.O.P.T.E.E.S.: Ready-To-Go Easy Patient Empowerment and Motivational Interviewing Tools
Track: Disease Management

Speaker(s) :

  • Mary Ann Hodorowicz, MBA, RD, CDE, CEC, LDN

  • Program Objective: Establish innovative partnerships that promote chronic disease management through measurable outcomes, "Demonstrate how to enhance the role of the diabetes educator in a time of innovative change"

  • Learning Objective: 1. List 8 of the easy 24 patient empowerment/motivational interviewing tools diabetes professionals can use to change patient behaviors 2. State the most important empowerment tool for changing behavior. 3. Explain what is meant by “generate a gap”

  • The successful management of diabetes is almost entirely related to modifiable behaviors. The million dollar question is: “How can I get my patients to change their behavior?” The answer: by incorporating evidence-based patient empowerment (PE) and motivational interviewing (MI) tools. PE-MI counseling should replace the outdatedand ineffective ‘compliance’ approach to counseling. PE-MI tools are collaborative and ‘can-do’ strategies that help the busy diabetes professional to regain satisfaction with patient counseling. You will also measure your own mix of PE-MI vs. compliance. This session will present 24 ready-to-go, easy PE/MI tools that you can use the very next day with your patients, along with several forms to make their use ever easier. As “3-dimensionalizing” teaching is essential, the presenter will demonstrate many of her actual homemade 3-D teaching aids that make learning fun--a key to patient learning. Fun acronyms will be presented along with poems that summarize the spirit of PE-MI.



Presentation Format(s) : MP3, MP4
$50.00


______________________

T11 CDE Stands for "Chronic Disease Expert"
Track: Business and Emerging Models

Speaker(s) :

  • Lisa Clement-Bryant, BSN, RN, CDE; Peggy Blackburn, MSN, RN, NEA-BC, CCP

  • Program Objective: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change

  • Learning Objective: 1. Discuss the Chronic Care Model 2. Describe the central self-care behaviors for successful chronic disease management 3. Outline additional educational needs of the diabetes educator in transitioning to chronic disease expert 4. Identify examples of diverse chronic care settings in which the diabetes educator may work

  • The Chronic Care Model provides a theoretical framework for patient interaction for diabetes educators. The Chronic Care Model applies to the vast array of chronic conditions that plague the health and well-being of humans. In a time when healthcare system dollars spent on traditional outpatient diabetes education centers continues to dwindle, the diabetes educator’s expertise as Chronic Disease Expert can be leveraged to provide care and behavior change guidance to an ever-expanding circle of patients and collaborators. This presentation will explore the parallel nature of chronic disease self-care, no matter the disease state. This session will also provide current examples of an innovative and expansive use of the diabetes educator skill set.



Presentation Format(s) : MP3, MP4
$50.00


______________________

T12 Educating Patients About Dietary Supplements: Separating Facts From Fiction
Track: Disease Management

Speaker(s) :

  • Laura Shane-McWhorter, PharmD, BCPS, BC-ADM, CDE, FAADE

  • Program Objective: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change

  • Learning Objective: 1. Differentiate questions to ask patients in determining dietary supplement use. 2. Review appropriate references for dietary supplement information. 3. Describe the pharmacology of popular supplements for diabetes. 4. Apply evidence based information when guiding patients on appropriate supplement use.

  • Over half of Americans use dietary supplements to treat a variety of diseases. It is important for diabetes educators to understand ways to provide unbiased information to patients to help guide them in making decisions about supplement use. This session will provide educators with a list of evidence-based references to use in their everyday practice. It will also provide an overview of currently popular supplements that patients may be using to treat diabetes or its co-morbidities.



Presentation Format(s) : MP3, MP4
$50.00


______________________

T13a Research (A): Using Information Technology to Improve Glycemic Control in the Hospital
Track: Technology

Speaker(s) :

  • Jane Seley, DNP, MPH, BC-ADM, CDE

  • Program Objective: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change

  • Timely initiation and intensification of insulin therapy is an ongoing challenge in the hospital setting. Busy clinicians, and juggling competing patient needs and priorities, struggle with a lack of knowledge and comfort level with dosing insulin. A number of innovative strategies have been utilized to try to reduce clinical inertia and facilitate timely initiation and intensification of insulin therapy. The primary aim of this study is to implement and evaluate a computer-based provider order entry (CPOE) system to facilitate safe and effective initiation of insulin therapy and reduce clinical inertia for inpatients with hyperglycemia and/or diabetes.



Presentation Format(s) : MP3, MP4
$50.00


______________________

T13b Research (B): Diabetes Telehealth Self-Management Intervention for Urban Minorities
Track: Technology

Speaker(s) :

  • Susan Herbert, RN, CDE

  • Program Objective: Implement effective community models of self management that facilitate lifestyle modification, "Demonstrate how to enhance the role of the diabetes educator in a time of innovative change"

  • Learning Objective: 1. Discuss the impact of diabetes on the African American population. 2. Discuss the advances in telehealth and how it can be used to improve metabolic outcomes in a medically underserved African American population. 3. Describe how the electronic diabetes portal can be used to monitor the parameters as defined in the diabetes treatment plan. 4. Identify available web based resources which can be utilized to develop a diabetes self management support plan.

  • This study was conducted to determine if telehealth interventions can be used to promote effective chronic disease management in medically underserved communities.



Presentation Format(s) : MP3, MP4
$50.00


______________________

T13c Research (C): Evaluating the Feasibility of an Internet-Based Lifestyle Modification Program in a Diabetes Clinic
Track: Disease Management

Speaker(s) :

  • Diana Sherifali, PhD, RN, CDE

  • Program Objective: Implement effective community models of self management that facilitate lifestyle modification, "Demonstrate how to enhance the role of the diabetes educator in a time of innovative change"

  • Learning Objective: 1)Identify an evidence-based tools/technique to facilitate lifestyle modification in persons with diabetes. 2) Describe important interventions that facilitate weight loss in persons with diabetes. 3) Describe the impact of the VLM program on a diabetes clinic.

  • Physical activity and nutrition counselling are fundamental in any healthy lifestyle, and are the cornerstones of diabetes prevention and management. Furthermore, routine advice and feedback were also deemed as critical techniques in supporting change in such lifestyle programs. Growing familiarity and use of the Internet provides an opportunity to facilitate such behaviors without the burden of actual visits. The Virtual Lifestyle Management (VLM) service uses web-based education, online asynchronous coaching, and tracking to facilitate lifestyle modification and is based on proven interventions from the Diabetes Prevention Program. The purpose of this pilot study was to assess the feasibility and an Internet-delivered lifestyle modification program in a diabetes clinic setting as well as gain an understanding of the role of diabetes educators as co-coaches as part of a technology-enabled weight management service.



Presentation Format(s) : MP3, MP4
$50.00


______________________

T14 Racing to Control...Start to Finish: Glycemic Control in the Hospitalized Patient
Track: Disease Management

Speaker(s) :

  • Joan Carroll, MSN, RN, CDE; Mary Ellen Leppert, RN, BSN, CDE; Brian Ulmer, MD

  • Program Objective: Establish innovative partnerships that promote chronic disease management through measurable outcomes

  • Learning Objective: 1. Describe the benefits and methods of providing ongoing education, support and continued collaboration with the medical staff. 2. Identify barriers to education and support of the staff. 3. Discuss tools to implement a safe and effective basal/bolus insulin treatment program. 4. Discuss tools for optimal transition of care from hospital admission to discharge.

  • Educating medical staffs about system methods in an academic hospital setting presents unique challenges. Often up to half of the patient population in our academic medical centers, with a combined bed capacity of 1,000+, are being treated with insulin. We identified a lack of education for our new hospital staff, interns and residents regarding the basal/bolus approach to insulin management as well as the need for ongoing support of current staff. By providing education at entry to our system and maintaining a presence of support, we were able to increase awareness and understanding of safe and effective basal/bolus insulin management. Improved glycemic control with low hypoglycemia rates are goals for any hospital. Through standardizing our educational approach, and providing tools and guidelines for staff, we were able improve our glucose outcomes. A greater knowledge was also achieved for the importance of the continuum of care, from admission to discharge.



Presentation Format(s) : MP3, MP4
$50.00


______________________

T15 Adventures in Meaningful Use
Track: Technology

Speaker(s) :

  • Carol Rasmussen, NP, MSN, CDE

  • Program Objective: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change

  • Learning Objective: 1. Identify requirements for initiating a meaningful use program. 2. Summarize how implementing meaningful use will impact the diabetes educator and the work setting 3. Evaluate the objectives in the meaningful use program. 4. Apply knowledge to identify problems and goals of this CMS program.

  • In 2010, CMS (the Centers for Medicare & Medicaid Services) instituted a plan for healthcare organizations to begin participating in Stage 1 of the Meaningful Use Program. One of the benefits is incentive payments to the programs involved. This program uses electronic health records to improve patient care and outcomes in a practice. Exodus Clinic chose to participate, causing some very interesting concerns that will be identified. Most diabetes education programs are not stand-alone practices. They typically are incorporated into a healthcare system and will therefore be impacted. Medicare will have payment adjustments and reimbursement will be affected if Meaningful Use is not implemented by 2015. Medicaid is not planning adjustments at this time but expects that eligible facilities will be participating. The health care system and relevant staff need to make changes now to prepare for Meaningful Use implementation so they will be able to comply with issues that may occur with this impending program.



Presentation Format(s) : MP3, MP4
$50.00


______________________

T16 Polygladular Autoimmune Syndrome (PGA): More than Diabetes
Track: Disease Management

Speaker(s) :

  • Shari K. Liesch, APNP, RN, CDE

  • Program Objective: Implement effective community models of self management that facilitate lifestyle modification, "Establish innovative partnerships that promote chronic disease management through measurable outcomes"

  • Learning Objective: 1. Describe components of autoimmune polyglandular syndrome (APS). 2. Discuss treatment plan and management for APS. 3. Recognize when to implement screening for APS as indicated in the type 1 population.

  • Autoimmune polyglandular syndrome (APS) is defined as two or more organ-specific auto-immune disorders. Type 2 APS is characterized by the occurrence of Addison’s disease with Type 1 diabetes and/or thyroid autoimmunity. Diagnosis of Type 2 APS is often in the young adult population. This presentation will include the case study of a 14-year-old male who presented in adrenal crisis and diagnosed with Addison’s. At diagnosis he also had positive antibodies for thyroid (now hypothyroid on replacement), and positive antibodies for Type 1 diabetes (GAD 65 and ICA 512). This will include a review of incidence, onset, treatment, and follow up cares for each autoimmune syndromes within APS. A summary of the other types of APS will also be reviewed.



Presentation Format(s) : MP3, MP4
$50.00


______________________

T17 The Power of Partnerships: DSME/T and MNT Reimbursement
Track: Business and Emerging Models

Speaker(s) :

  • Peggy B. Bourgeois, APRN, MN, CNS, CDE, AACE-CEC, FAADE

  • Program Objective: Establish innovative partnerships that promote chronic disease management through measurable outcomes, "Demonstrate how to enhance the role of the diabetes educator in a time of innovative change"

  • Learning Objective: 1. Discuss reimbursement issues as related to coding and billing requirements for DSMT/E and MNT. 2. Identify opportunities to develop partnerships with facilities, outside the normal venues, to present DSMT/E and MNT. 3. Describe Insulin Pump, Continuous Glucose Monitoring codes and other billing codes.

  • Coding and reimbursement continue to be an issue for health care providers and diabetes educators. With continued closure of hospital programs, educators are looking "outside the box" to develop different perspectives in managing diabetes. DSMT/E programs outside the norm of hospitals and clinics contract with pharmacies and other non-traditional settings. Each will have their own unique challenges. This program will address the expanding role of diabetes educators as they re-evaluate their role and articulate the value of their program. It is crucial that CDE’s become providers for DSMT/E through legislative action being pursued by AADE.



Presentation Format(s) : MP3, MP4
$50.00


______________________

T18 Beyond Health Literacy: Cognitive Demands of Diabetes Self-Management
Track: Special Populations

Speaker(s) :

  • Kathy Stroh, MS, RD, CDE; Linda S. Gottfredson, PhD

  • Program Objective: Establish innovative partnerships that promote chronic disease management through measurable outcomes, "Demonstrate how to enhance the role of the diabetes educator in a time of innovative change"

  • Learning Objective: 1. Describe characteristics of patients with intellectual disabilities. 2. List levels of learning complexity, according to an established model. 3. Identify most critical and difficult tasks for patients with intellectual disabilities. 4. Describe characteristics of DSM educational materials that are suitable for patients with cognitive impairment.

  • Effective communication for health care providers includes knowledge of the cognitive complexity of diabetes self-management tasks. The authors used an established model for classifying levels of learning complexity, and applied the principles to diabetes self-management requirements. The project is a collaboration between a Certified Diabetes Educator and a renowned professor/researcher in human intelligence and functional literacy.



Presentation Format(s) : MP3, MP4
$50.00


______________________

T19 Multidisciplinary Comprehensive Approach to Inpatient Diabetes Management: From Pre-Admission Through Discharge
Track: Disease Management

Speaker(s) :

  • JoEllen E. Frawley, MSN, ANP, APNP, BC-ADM, CDE; Joyanne Pfeffer, RN, BSN; Lois Oswald, RN

  • Program Objective: Establish innovative partnerships that promote chronic disease management through measurable outcomes, "Demonstrate how to enhance the role of the diabetes educator in a time of innovative change"

  • Learning Objective: 1. Discuss the process for developing a comprehensive inpatient multidisciplinary diabetes management program. 2. Describe the role of the CDE in preparing patients for positive outcomes. 3. Apply diabetes management pathway to pre-op patients. 4 Describe patient/employee responsibility to synchronize care. 5. Illustrate the comprehensive inpatient program.

  • Abstract: Individuals with diabetes mellitus are responsible for 99% of self-care as outpatients. Autonomy for self-management is lost with inpatient status. Patients are exposed to a hospital setting with inconsistent care providers across several disciplines. As patients journey through their hospital stay, they are subjected to NPO status, post-op pain, changes in activity, meals and insulin delivery. Patients wearing insulin pumps are not willing to remove their pumps due to locus of control. Patients become dependent on the health care system to manage their diabetes. Sliding scale insulin is still being taught to residents due to ease of use despite it being ineffective. Insulin has been identified in the Top 5 high-alert medications by JCAH, IHI and ISMP. With the rapidly changing conditions of patients during the perioperative time period, it is more important than ever to work with a team in managing the care of individuals with diabetes.



Presentation Format(s) : MP3, MP4
$50.00


______________________

T20 Strategies for Creating Interactive and Age Specific Pediatric Diabetes Self-Management Education
Track: Special Populations

Speaker(s) :

  • Marcia Wonderly, BSN, RN, CDE; Sarah Gamm, MSSA, LSW; Kristen Wetherill, RD, LD, CDE

  • Program Objective: Establish innovative partnerships that promote chronic disease management through measurable outcomes, "Demonstrate how to enhance the role of the diabetes educator in a time of innovative change"

  • Learning Objective: 1. Discuss at least three guiding principles of diabetes self-management education for a pediatric population. 2. Identify at least two interactive and developmentally specific strategies for a pediatric diabetes education session. 3. Describe two methods of measuring pediatric DSME program outcomes.

  • Background: Ongoing Diabetes Self-Management Education is recommended by the American Diabetes Association. At Cincinnati Children's Hospital, patient appointments for annual DSME lacked a specific curriculum and structure. Patients saw their provider, but didn't think they needed to see an educator. Our multidisciplinary team of diabetes educators began a quality improvement initiative to change the outcome for annual DSME. Results: Creation of a mission statement provided direction for the diabetes education team. Lists of topics for education were created by each discipline and are developmentally and age specific. Supplementary handouts, interactive games and a teaching curriculum were developed to provide content and structure. Patients are encouraged to meet with an educator to talk about a DSME topic of their choice. Initial results have shown improved patient satisfaction with annual DSME appointments. Conclusions: Providing families with choices for annual DSME that is creative, interactive and relevant to their child has improved patient satisfaction.



Presentation Format(s) : MP3, MP4
$50.00


______________________

F01 Laboratory Review: Essential Tests for Understanding Diabetes Wellness
Track: Disease Management

Speaker(s) :

  • Program Objective: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change

  • Learning Objective: 1. Describe revised diabetes diagnostic standards. 2. State tests used to identify and monitor progression of type 2 diabetes, diabetes-related complications and accompanying co-morbid states. 3. Discuss the role of A1C compared to estimate average blood glucose values in diabetes care.

  • It is important to understand the results of the fasting blood glucose, oral glucose and the A1C tests for two reasons: diagnosis and monitoring of diabetes. In addition, these tests make the provider, the nurse and the patient aware of their progress. Due to the fact that there are now standardized methods of measurement for the A1C, consistency in the measurement of the A1C has made experts re-consider using the A1C not only as a diabetes screening tool but as diagnostic tool. Learn the importance of the A1C data and several other lab tests that are instrumental in managing diabetes patients.



Presentation Format(s) : MP3, MP4
$50.00


______________________

F02 Diabetes Educator/Employer Partnerships and Telephonic Delivery Shown to Improve Health and Reduce Costs
Track: Business and Emerging Models

Speaker(s) :

  • Jo-Anne Bushey, MSN, RN

  • Program Objective: Establish innovative partnerships that promote chronic disease management through measurable outcomes, "Demonstrate how to enhance the role of the diabetes educator in a time of innovative change"

  • Learning Objective: I.Identify at least 2 elements of partnerships between employers and diabetes educators that supports increasing participant engagement, strengthening self-management skills, improving health/health care and reducing medical care costs II. Describe how the telephonic modality offers a viable means to increase access to diabetes education and support III. Examine at least 3 measures for evaluating both program process and outcomes that support the partnership IV. Appraise models' for use nationwide

  • DSME is known to be effective in reducing the health impact of diabetes, but Healthy People 2010 reports only about 40% of people with diabetes attend the standard group intervention. In 2006, the Maine CDC found top barriers to participation included aversion to group classes, did not feel need, inconvenience, and transportation. MCD partnered with employers & DSME to offer Telephonic Diabetes Education & Support Programs©, resulting in 10% participation rate compared to 3% rate of Maine diabetics. Outcomes showed improved health and health care through increased access to DSME programs. Reported barriers were overcome using telephone-based modality and incentives in the form of waivers of co-pays for diabetes medication and supplies. An independent analysis estimated a return on investment (ROI) was an average of $1,300 per participant a year. The 2009 ROI found increased medication adherence and use of preventive care services. Participants and educators report high to very high satisfaction.



Presentation Format(s) : MP3, MP4
$50.00


______________________

F03 Updated National Standards
Track: Business and Emerging Models

Speaker(s) :

  • Donna Tomky, MSN, RN, C-NP, CDE, FAADE; Melinda Maryniuk, RD, CDE, LD

  • Program Objective: "Implement effective community models of self management that facilitate lifestyle modification"

  • Learning Objective: 1. Discuss the purpose of the National Standards 2. Describe the process of updating the Standards 3. Discuss each standard, including the evidence supporting each and changes made from the 2007 version 4. Summarize findings from the open comment period 5. Discuss how each revision might be interpreted for an AADE Accredited or an ADA Recognized program.

  • The National Standards for Diabetes Self-Management Education (NSDSME)serve as the accepted guide for ensuring quality and consistency in the development and delivery of diabetes education. The Standards have recently been updated based on available scientific evidence over the past five years. A Task Force was jointly convened by the American Association of Diabetes Educators and the American Diabetes Association charged with reviewing the current Standards for their appropriateness, relevance, and scientific bases and updating them based on the available evidence and expert consensus. This presentation will review and discuss the significant revisions made based on current evidence supporting patient centered training, support and self-management in the diabetes education and care continuum. Presentation will clarify misunderstandings and differentiating between what they ARE and what they are NOT!



Presentation Format(s) : MP3, MP4
$50.00


______________________

F04 Maximizing Diabetes Care-Alternative Models: Shared Medical Appointments
Track: Disease Management

Speaker(s) :

  • Elaine M. Massaro, MS, RN, CDE

  • Program Objective: Implement effective community models of self management that facilitate lifestyle modification, "Demonstrate how to enhance the role of the diabetes educator in a time of innovative change"

  • Learning Objective: 1. Compare and contrast current chronic disease management models. 2. Discuss research evidence on the effectiveness of Shared Medical Appointments (SMA) for patients with diabetes. 3. Summarize the implications of SMA for the certified diabetes educator (CDE). 4. Propose options related to implementation of the SMA Model.

  • Despite current efforts within the medical community, national outcomes of diabetes care remains suboptimal with only 48% at HbA1c goal, 33% at LDL and BP goals and only 7% at goal for all three combined. Diabetes has become an epidemic, and diabetes care inreasingly has become the target of pay-for-performance. Although diabetes self-management skills may improve glycemic control, diabetes self-management education is underutilized and associated with reimbursement issues. It has become clear that alternative approaches to diabetes care need to be explored. Shared Medical Appointments may be the alternative model that will maximize diabetes care. The diabetes educator can play a key role in the multidisciplinary team during shared medical appointments. The model is an example of a system redesign and chronic disease management strategy that may provide a more efficient, cost-effective option for patients and health care providers, with the potential to improve clinical and health status outcomes.



Presentation Format(s) : MP3, MP4
$50.00


______________________

F05 Eat, Pray, Love… Yourself! Nurturing the Caregiver
Track: Special Populations

Speaker(s) :

  • Shari K. Liesch, APNP, RN, CDE

  • Program Objective: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change

  • Learning Objective: 1. Recognize health risks to health care providers. 2. Discuss impact of emotional wellness in handling an ever changing work force 3. Discuss how personal and professional relationships impact quality of life/longevity 4. Recognize behaviors that impact role satisfaction

  • Eat, Pray, Love …Yourself is based on a book about life exploration and change. As health care providers, we spend a lot of time helping others, but do we care for ourselves? We have been challenged to lead by example in the ever- changing healthcare landscape of this nation. To do this, we must nurture the physical, emotional, and relationship part of our own life. We will discuss the risks of employment in health care (sharing personal stories and perceptions of the work place challenges). We will explore three core principals of self determination theory: competence, autonomy and relatedness, and learning how to apply these in enriching our own lives. Through empowerment, we will be able to offer nurturing care to one another and to those we serve. This session will explore perceptions of the workplace and personal factors that impact life satisfaction. The focus: living life to its fullest.



Presentation Format(s) : MP3, MP4
$50.00


______________________

F06 From the Mountains to the Ocean to Walt Disney World: Help Your Patients Stay Healthy on the Road
Track: Disease Management

Speaker(s) :

  • Karen Meadows, MA, MS, CDE

  • Program Objective: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change

  • Learning Objective: 1. Discuss common myths and fears about traveling with diabetes. 2. Relate patients’ current diabetes control and level of self-care to travel. 3. Describe the need for and scope of a comprehensive individualized travel plan.

  • Your patient has grandchildren and wants to take them to Walt Disney World. But he worries about checking his blood sugar and taking insulin away from home. Your adolescent patient wants to backpack in the Colorado Rockies. She has no fears—but you might—about diabetes control on the trail. We urge our patients to be active. We want them to live full satisfying lives. Where better than on vacation? Whether your patients plan to rock climb, scuba dive, or golf in the Magic Kingdom, good diabetes control at home translates to good control anywhere. The best vacations are relaxing, inspirational and beneficial for health. Investigate these three steps for guiding patients to plan and take part in healthy travel adventures.



Presentation Format(s) : MP3, MP4
$50.00


______________________

F07 New Updates in Hypertension and Lipid Therapy
Track: Disease Management

Speaker(s) :

  • Evan M. Sisson, PharmD, MHA, CDE; Cole Kildow, PharmD, MHA, CDE

  • Program Objective: Establish innovative partnerships that promote chronic disease management through measurable outcomes

  • Learning Objective: 1. Summarize the impact of recently published clinical trials on treatment guidelines related to cardiometabolic risk. 2. Evaluate the clinical importance of traditional lipoproteins and non-lipid disease markers in determining lipid-lowering goals of therapy. 3. Determine optimal therapeutic regimens for patients with diabetes to achieve individualized cardiometabolic goals. 4. Design evidence-based treatment plans for patients with hypertension.

  • Type 2 diabetes is often referred to as a cardiac disease, with hypertension and dyslipidemia being considered the principle drivers of risk. This presentation will discuss how recent clinical trial data and relevant consensus statements should be integrated in to clinical practice. Through the use of patient cases and audience response, the presenters will develop a cohesive approach to evaluation and management of patients with Type 2 diabetes at high risk for cardiovascular disease.



Presentation Format(s) : MP3, MP4
$50.00


______________________

F08 Project Turning Point: Improving Health Outcomes Through Regional Collaboration
Track: Business and Emerging Models

Speaker(s) :

  • Nikole M. Helvey, MS, HSA; Bernadette Gaon Overstreet, BSH

  • Program Objective: Establish innovative partnerships that promote chronic disease management through measurable outcomes

  • Learning Objective: 1. Describe collaborative partnerships that create economies of scale and increase access to critical health services. 2. Discuss the key components of a patient-centered medical home in conjunction with an evidence based disease management model. 3. Explain programmatic return on investment.

  • Project Turning Point is a comprehensive, high-quality, and evidence-based chronic disease management program that promotes the more efficient use of healthcare resources by substituting lower cost, community-based primary care and wrap-around support in the place of high cost, urgent and emergency hospital services. The Project incorporates all of the essential elements of a Primary Care Medical Home as defined by the National Committee on Quality Assurance in conjunction with the evidence-based Florida Academy of Family Physicians’ Diabetes Master Clinician Program, and includes the program’s web-based electronic diabetes registry. Project Turning Point ensures a comprehensive approach to chronic disease management through screening and eligibility determination with linkage to other available resources. It increased access to diagnostic services and immunizations; increased access to needed medications and supplies; increased access to disease-related specialty care and screenings; and increased both individual and group level disease self-management education and support.



Presentation Format(s) : MP3
$50.00


______________________

F09 Severe Reactive Hypoglycemia Associated with a History of Gastric Bypass Surgery
Track: Special Populations

Speaker(s) :

  • Kim Campbell, RD, CDE, LDN

  • Program Objective: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change

  • Learning Objective: 1. Recognize three signs and symptoms of late post gastric bypass hypoglycemic reactions. 2. Describe two methods of nutrition and lifestyle management to help improve the hypoglycemic reactions. 3. Discuss the need for medical management using treatment modalities, including acarbose therapy and continuous glucose monitoring.

  • A case review and discussion of the literature with management suggestions for late post-operative severe reactive hypoglycemia following gastric bypass surgery. Dizziness, weakness and sweating that develops soon after gastric bypass surgery is described as "dumping syndrome" and often is successfully managed with careful attention to food and fluid intake. This syndrome is not accompanied by glucose deficiency. Similar symptoms have been described in individuals who are usually one year or longer in post-surgery status. This phenomenon, characterized by severe neuroglycopenia, has been described as nesidioblastosis or noninsulinoma pancreatogenous hypoglycemia syndrome. In affected individuals, symptoms develop suddenly and severely, usually a few hours after eating. Fasting hypoglycemia is not reported. Research and reports are in progress at this time. Etiologies may include excess insulin production, altered nutrient delivery, or changes in incretin hormone levels. This complication is rare, however it may become more prevalent as the years progress.



Presentation Format(s) : MP3, MP4
$50.00


______________________

F10 Innovative Strategies for the Intensive Management of Diabetes in Pregnancy
Track: Disease Management

Speaker(s) :

  • Cathy J. Wielgus, MSN, BSN, RN, CDE; Lynne Spector Raphael, MMSc,RD,LD,CDE

  • Program Objective: Implement effective community models of self management that facilitate lifestyle modification

  • Learning Objective: 1)Review the incidence and the impact of diabetes in pregnacy. 2) Discuss the current practice trends for the management of diabetes in pregnancy. 3) Explain the need for & benefits of an intensive management program for women with a pregnancy complicated by diabetes. 4) List the components of the intensive management of diabetes in pregnancy program. 5) Identify 3 innovative strategies for the intensive management of diabetes in pregnancy and explain ways to implememt these strategies into daily practice. 6.)Identify ways in which the coordinated efforts of a multidisciplinary home care team can help prevent maternal and fetal complications and improve outcomes. 7.)Discuss current use of oral hypoglycemic medications to achieve glycemic control in women with GDM. 8.) State guidelines for insulin initiation and titration in pregnancy.

  • As a result of the increased incidence of GDM, the likely rise in the number of patients diagnosed due to ADA’s adoption of new diagnostic criteria in 2011, and higher prevalence of obesity rates in women of childbearing age, diabetes educators will need to navigate through changes in the management of diabetes in pregnancy. Also, many hospital and outpatient diabetes centers have either closed their doors or reduced the number of classes they offer. And, the focus of diabetes education has expanded from achievement of educational goals to demonstration of improved clinical outcomes. This shift will require more intensive management, challenging diabetes educators to provide innovative approaches to accomplish these goals. This informative session will address diabetes management techniques. The presenters will outline diagnostic and treatment guidelines and provide program details, including innovative "Timing/Technology/Touch" strategies to maintain optimal glycemic control.



Presentation Format(s) : MP3, MP4
$50.00


______________________

WKSHP05 Mobile Health Technology
Track: Technology

Speaker(s) :

  • Malinda Peeples, MS, RN, CDE; Donna Rice, MBA, BSN, RN, CDE; Pam Henry, BA, MEd

  • Program Objective: Establish innovative partnerships that promote chronic disease management through measurable outcomes", "Demonstrate how to enhance the role of the diabetes educator in a time of innovative change

  • Learning Objective: 1. Describe the mHealth landscape - clinical, regulatory, and behavioral. 2. Explore mHealth applications 3. Discuss mHealth evidence and outcomes

  • With over 91% mobile phone ownership in the US, over 100% in Europe, and up to 80% globally, mobile technology has the potential to support innovative approaches for diabetes and other chronic diseases. Mobile phone usage is also increasing among the traditionally harder to reach populations (rural, less education, and minorities), improving access and increasing the opportunities for exciting health care transformations. These communication technologies support real-time data capture, analysis, and feedback to patients and caregivers and enhance patient-provider communication. Expert systems connect patient data and evidence-based guidelines to provide clinical decision support. Diabetes educators can use these technology innovations to creatively connect with patients and providers to enhance their current care and education models. More importantly, these opportunities can be leveraged to expand the chronic disease care and education paradigm to deliver better health care, improve health outcomes, and reduce costs of care.



Presentation Format(s) : MP3, MP4
$50.00


______________________

WKSHP06 Welcome to the Patient Centered Medical Home: Coming to a Neighborhood Near You
Track: Business and Emerging Models

Speaker(s) :

  • David K. McCulloch, MD, FRCP; Robert Gabbay, MD, PhD

  • Program Objective: "Establish innovative partnerships that promote chronic disease management through measurable outcomes", "Demonstrate how to enhance the role of the diabetes educator in a time of innovative change"

  • Learning Objective: 1.Understand what is the Patient Centered Medical Home 2. Describe potential roles for diabetes educators under this new systme of care 3.Describe the key tranformaiton aspects inhereent in the Medical Home model

  • The Patient Centered Medical Home is emerging as a new model for primary care that promises to address the Triple Aim- better health at lower costs with better patient experiences. Diabetes has been a key target disease in many medical home initiatives nationally because of its high cost, increasing prevalence, and available evidence based clinical quality benchmarks. The presentation will outline key features of the Medical Home and summarize available data on its effectiveness to improve diabetes care. The broader concept of the Medical Neighborhood will be introduced and new opportunities for diabetes educators to engage in this dynamic model for innovative health care delivery will be highlighted for discussion.



Presentation Format(s) : MP3, MP4
$50.00


______________________

WKSHP07 Women Living with Diabetes — Success Stories
Track: Special Populations

Speaker(s) :

  • Beverly S. Adler, PhD, CDE; Carol Grafford, RD, CDE; Nicole Johnson, MA, MPH

  • Program Objective: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change

  • Learning Objective: 1. Discuss the patients' emotional progression, after diagnosis, from negative to positive. 2. Recognize the importance of successful role models for their female diabetes patients. 3. Utilize bibliotherapy (treatment via books) to support their female patients' ability to cope.

  • This panel of diverse and highly respected of women share their heartwarming stories and insights about finding balance between their personal and professional lives. These role models share their life lessons learned and how their experiences with diabetes helped to shape them into the successful women they are today. Follow the emotional progression, from negative to positive, on their journey to success. Learn how to empower and motivate your patients through these inspiring stories.



Presentation Format(s) : MP3, MP4
$50.00


______________________

WKSHP08 Migrant/Transitional Care
Track: Special Populations

Speaker(s) :

  • Dawn Weiler, PhD, APRN-ANP, BC

  • Program Objective: "Implement effective community models of self management that facilitate lifestyle modification", "Demonstrate how to enhance the role of the diabetes educator in a time of innovative change"

  • Learning Objective: 1. Describe the unique culture driven educational needs of the Latino Population 2. Identify educational approaches specific to the Latino population for enhanced diabetes management and prevention. 3. Analyze cost effective, efficient, and accurate use of Hgb A1c for diabetes status screening in the Latino population.

  • Migrants, the majority of whom would be classified as a subset of Hispanic Americans, experience even greater rates of diabetes and disease complications due to occupational, socioeconomic, cultural and political factors. Migration, causing discontinuity of care and unfamiliar health care systems, as well as special needs related to traveling long distances. This session will highlight effective education programs and provide strategies to work with this population.



Presentation Format(s) : MP3, MP4
$50.00


______________________

F12 New ADA/EASD Guidelines
Track: Disease Management

Speaker(s) :

  • Richard M. Bergenstal, MD

  • Program Objective: Establish innovative partnerships that promote chronic disease management through measurable outcomes

  • Learning Objective: 1. Discuss research trials of glycemic control in type 2 diabetes 2. Identify the key recommendations in the new ADA/EASD guidelines 3. Apply the current recommendations to provide patient-centered care for persons with type 2 diabetes.

  • In April 2012, the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD) issued a joint position statement on hyperglycemia management for type 2 diabetes which emphasizes a more patient-centered approach that allows for individual patient needs, preferences, and tolerances and takes into account differences in age and disease progression. During this session the key recommendations of the new guidelines will be discussed.



Presentation Format(s) : MP3, MP4
$50.00


______________________

F13a Effective and Safe Insulin Therapy with a New Affordable Patient-Friendly Tool
Track: Disease Management

Speaker(s) :

  • Israel Hodish, MD, PhD; Susan M. List, BSN, RN, CDE; Mary L. Johnson, RN, BS, CDE; Richard M. Bergenstal, MD

  • Program Objective: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change

  • Learning Objective: - Recognize the importance of routine insulin dosage adjustments between clinic visits. - Identify logistic limitations of the health care system in providing weekly insulin dosage adjustments (between clinic visits). - Understand the role of the Diabetes

  • Most insulin users do not achieve optimal glycemic control (A1C<7%) and are therefore susceptible to complications. Abundant clinical trials have shown that frequent insulin dosage titration is key for successful outcome. Unfortunately, implementation of such a paradigm has been hindered by a deficiency in medical experts, inadequate reimbursement, and fear of hypoglycemia. We hypothesize that the Diabetes Insulin Guidance System (DIGS TM), which automatically updates patients’ insulin dosage between clinic appointments, would independently improve glycemic control.



Presentation Format(s) : MP3
$50.00


______________________

F13b Prevalence and Impact of Insulin Omission in the T1D Exchange Clinic Network
Track: Disease Management

Speaker(s) :

  • Beth A. Olson, BAN, RN, CDE

  • Program Objective: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change

  • Learning Objective: 1.Define prevalence of missed insulin doses in a large group population participating in the T1D Exchange Clinic Network. 2.Identify association of missed insulin doses with glucose control in the T1D Exchange Clinic Network. 3.Describe the role of the diabetes educator in assessing frequency of and reasons for insulin omission in patient population.

  • This session looks at determining the prevalence and impact of missed insulin doses in a large group population with Type 1 diabetes.



Presentation Format(s) : MP3
$50.00


______________________

F14 Healthy Eating: What Persons with Diabetes Really Need to Know
Track: Disease Management

Speaker(s) :

  • Hope Warshaw, MMSc, RD, BC-ADM, CDE; Marion Franz, MS, RD, CDE

  • Program Objective: Implement effective community models of self management that facilitate lifestyle modification", "Establish innovative partnerships that promote chronic disease management through measurable outcomes

  • Learning Objective: 1. Define healthy eating as an AADE7 Self-Care Behavior and as defined by the 2010 Dietary Guidelines for Americans. 2. Discuss research on the role of healthy eating in diabetes management and education. 3. Articulate several key healthy eating messages to be given to people with diabetes by health professionals.

  • Healthy eating, an AADE7 self-care behavior, improves glycemia, lipids, blood pressure and assists in weight management. Dietary Guidelines 2010 defines healthy eating as emphasizing nutrient-dense foods, limiting intake of sodium, solid fats, added sugars, and refined grains, while controlling calorie intake. Research demonstrates that several different macronutrient distributions and eating patterns can lead to improvements in glycemic control and/or CVD risk factors. Healthy eating for insulin users focuses on adjusting insulin doses for planned CHO intake. For people with prediabetes and newly diagnosed T2DM healthy eating focuses on lifestyle changes that result in reduced energy intake and increased physical activity to achieve modest weight loss. For people with longer duration of T2DM healthy eating, paired with glucose, lipid, and blood pressure medications, continues to play an important role in diabetes management. To maintain healthy eating patterns that result in meaningful outcomes people with diabetes need frequent education and support.



Presentation Format(s) : MP3, MP4
$50.00


______________________

F15a Behavior Score Instrument: A Tool to Measure Ongoing Behavior Change
Track: Disease Management

Speaker(s) :

  • Amparo Gonzalez, RN, CDE, FAADE

  • Program Objective: Establish innovative partnerships that promote chronic disease management through measurable outcomes, "Demonstrate how to enhance the role of the diabetes educator in a time of innovative change"

  • Learning Objective: 1. Explain the Behavior Score Instrument (BSI) 2. Describe the methods of the study 3. Discuss the findings of the evaluation 4. Consider the value of the tool for DSME/T customization’

  • This session evaluates the utility of the BSI in DSME/T programs to monitor and effect behavior change. Specifically, the initial field test of the BSI to determine its validity as a measure of readiness for change in an underserved population with diabetes.



Presentation Format(s) : MP3, MP4
$50.00


______________________

F15b Improvements in Understanding Self-Efficacy and Distress from Individual Diabetes Education
Track: Disease Management

Speaker(s) :

  • JoAnn Sperl-Hillen, MD

  • Program Objective: Implement effective community models of self management that facilitate lifestyle modification, "Demonstrate how to enhance the role of the diabetes educator in a time of innovative change"

  • Learning Objective: 1. Summarize the short-term and long-term results of the IDEA study comparing individual and group diabetes education to usual care 2. Describe the “ingredients” that are common to several recent interventions studied that have demonstrated improved outcomes 3. Explain the limitations of recent studies on diabetes education 4. Describe some potential ways that educators can help patients better sustain outcomes achieved in the short-term from diabetes education

  • For patients with Type 2 diabetes of long duration, we evaluated whether improved short-term outcomes obtained through individual education were sustained.



Presentation Format(s) : MP3, MP4
$50.00


______________________

F16 Bariatric Surgery and the Person with Diabetes
Track: Disease Management

Speaker(s) :

  • Joan C. Temmerman, MD, MS, FAAFP, CNS

  • Program Objective: Establish innovative partnerships that promote chronic disease management through measurable outcomes

  • Learning Objective: 1. Describe the obesity epidemic and its impact on diabetes 2. Review various options for weight loss and expected results 3. Review diabetes weight management studies: Look AHEAD & Why WAIT 4. Distinguish among different bariatric surgical procedures 5. Summarize the IDF position statement on bariatric surgery in the treatment of obese patients with T2DM 6. Examine recommendations for pre-operative and post-operative diabetes care

  • The epidemic of type 2 diabetes is continuing to escalate, and is strongly linked with rising obesity. Weight loss is one of the most important therapeutic modalities for patients with T2DM. Comprehensive lifestyle intervention is the cornerstone of treatment. Recent lifestyle trials have shown evidence for clinically significant weight loss. However, metabolic bariatric surgeries (RYGB, VSG, BPD/DS) are the most effective intervention for sustainable weight loss and diabetes treatment. Metabolic adaptations occur after metabolic surgery. Gut hormones that are important in energy homeostasis and glucose metabolism are favorably altered, and glycemic control occurs rapidly. Approximately 80% of patients achieve resolution of diabetes after metabolic surgery. The International Diabetes Federation (IDF) supports bariatric surgery as a safe, effective, appropriate treatment for obese patients with T2DM. Discrimination and weight bias should not be a barrier to effective treatment. Bariatric surgery requires a comprehensive approach and ongoing multidisciplinary care, patient education, and longitudinal follow-up.



Presentation Format(s) : MP3
$50.00


______________________

F17 Diabetes Health Distress
Track: Disease Management

Speaker(s) :

  • Martha Funnell, MS, RN, CDE

  • Program Objective: Establish innovative partnerships that promote chronic disease management through measurable outcomes

  • Learning Objective: Define diabetes-related distress. List 3 strategies for addressing diabetes-related distress Describe skills for addressing diabetes-related distress Identify 1 change they will make in their practices

  • Diabetes is an unforgiving and relentless disease. The demands of self-management often lead to what is increasingly understood as diabetes-related distress - the daily anger, fear, frustration and guilt that many patients with both type 1 and type 2 diabetes experience. While depression and denial have received a great deal of attention by diabetes educators, diabetes-related distress has received less even though it has been identified as a major determinate of self-management behavior. This presentation will provide a review of the current evidence on this topic, offer strategies educators can use to assist patients to better deal with diabetes-related distress and include a skill-building activity for addressing emotional concerns as part of diabetes self-management education and on-going support.



Presentation Format(s) : MP3, MP4
$50.00


______________________

F18 DSME/T Team With Community Health Workers in Patient-Centered Medical Home Demonstration Project
Track: Business and Emerging Models

Speaker(s) :

  • Ruth D. Lipman, PhD

  • Program Objective: Implement effective community models of self management that facilitate lifestyle modification", "Demonstrate how to enhance the role of the diabetes educator in a time of innovative change

  • Learning Objective: 1. Define the patient centered medical home (PCMH)model; 2. Define multi-level DSME/T delivery; 3. Know how multi-level DSME/T can be integrated into the PCMH model; 4. Assess the value of engaging community health workers in DSME/T; 5. Recognize the challenges associated with community health worker engagement.

  • The patient-centered medical home (PCMH) is a model of care providing comprehensive primary care in a setting that facilitates collaborations and partnerships between clinicians and patients. Although Diabetes Self-Management Education and Training (DSME/T) teams have shown to improve clinical and behavioral outcomes and reduced health care costs, information about their effectiveness in the PCMH model is lacking. This study assesses the feasibility and clinical effectiveness of incorporating a multi-level DSME/T team that includes community health workers (level 1-2) in primary care clinics structured as PCMH. There is heterogeneity among the sites included in this study. There were sites where: a) community health workers were added into programs with existing DSME/T – PCMH partnerships; b) a multi-level DSME/T that included community health workers was developed and then integrated into an existing PCMH; and c) the PCMH and multi-level DSME/T that includes community health workers were developed and implemented simultaneously. The outcomes of this project should provide insight about whether and what community health workers contribute to efforts of DSME/T within the PCMH model.



Presentation Format(s) : MP3, MP4
$50.00


______________________

F19 Diabetes Education Accreditation Program (DEAP): "How to Become an Accredited Program with AADE"
Track: Business and Emerging Models

Speaker(s) :

  • Leslie Kolb, MBA, RN, BSN

  • Program Objective: "Implement effective community models of self-management that facilitate lifestyle modification"

  • Learning Objective: 1. Define the National Standards for Diabetes Self-Management and Support. 2. Identify the National Accrediting Organizations (NAO). 3. Explain the requirements and process to become an accredited diabetes education program. 3. Identify ways to help sustain your diabetes self-management education program. 4. List resources and locate contact information for AADE DEAP program requirements and staff.

  • By becoming an accrediting body for diabetes self-management education/training (DSME/T), AADE is striving to provide caregivers such as Nurses, dieticians, physicians, pharmacists and healthcare providers with a way to ensure that they are offering their patients comprehensive, effective diabetes self-management education and to achieve accreditation for their efforts. Join us If you are looking to get your DSME/T program accredited with AADE and understand the national standards for diabetes self-management and support.



Presentation Format(s) : MP3, MP4
$50.00


______________________

S01 Emerging Roles for Diabetes Educators

Speaker(s) :

  • Ann Constance, MA, RD, CDE

  • Learning Objective: 1. Describe ways that diabetes educators may be imbedded in Patient Centered Medical Homes. 2. Demonstrate importance of community based support. 3. Discuss roles for diabetes educators in providing or linking to support. 4. Discuss policy and environmental changes that support healthful behaviors and functions diabetes educators may fullfill.

  • Healthcare is changing and the numbers of people with diabetes and pre-diabetes is exploding. This session describes opportunities for diabetes educators to use their unique skills and advanced expertise in diabetes management in the health care arena. Some of the areas to be explored include patient centered medical homes, community based self-management support and how policy and environmental changes are critical parts of supporting diabetes care and healthful lifestyles.



Presentation Format(s) : MP3, MP4
$50.00


______________________

S02 The Nuts and Bolts of Implementing a Diabetes Prevention Program in the Community
Track: Disease Management

Speaker(s) :

  • M. Kaye Kramer, DrPH, MPH, RN, CCRC; Deborah Greenwood, MEd, RN, CNS, BC-ADM, CDE

  • Program Objective: Implement effective community models of self management that facilitate lifestyle modification

  • Learning Objective: 1. Define the need for diabetes prevention and CVD risk reduction programs in the community. 2. Explain the primary components of the Group Lifestyle Balance program. 3. Describe challenges to implementation of a diabetes prevention program in the community. 4. Discuss strategies to overcome these challenges in order to facilitate a successful diabetes prevention program in the community setting.

  • Purpose: The Group Lifestyle Balance Program (GLBP), an adaptation of the Diabetes Prevention Program lifestyle intervention, has been implemented in several community settings. The purpose of this presentation is to discuss challenges to implementation, and review practical lessons learned for primary prevention intervention in the community. Methods: The GLBP has been successfully implemented in several community settings including primary care practice, through out-patient diabetes education clinics, and within a large healthcare system. Results: Challenges to implementation in the community include: 1) adaptation of the DPP program for the local community setting, 2) training for program providers (coaches), 3) community site engagement, 4) definition and identification of those at risk, 5) participant recruitment, 6) program evaluation, 7) coach support for program delivery, and 8) program cost. Conclusions: Challenges to implementation of a diabetes prevention program in the community setting exist. However lessons learned may be useful to others in planning future primary prevention programs within the community.



Presentation Format(s) : MP3, MP4
$50.00


______________________

S03a Impact of Education on Glycemic Control with Type 2 Subjects Using Continuous Glucose Monitoring
Track: Technology

Speaker(s) :

  • Jean R. Halford, RD, CDE, LD; Becky Sulik, RD, CDE, LD ; JP Manning, BS, CRC

  • Program Objective: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change

  • Learning Objective: I.Utilize key aspects of CGM technology to help patients improve blood glucose control. II.Help less device saavy populations effectively perform operational proceedures associated with CGM usage. III.Identify ways diabetes education increases CGM efficacy.

  • This session shows how subjects using CGM technology are more likely to achieve improved blood glucose control.



Presentation Format(s) : MP3, MP4
$50.00


______________________

S03b Differences Between Perceived Versus Measured Blood Glucose Results in People with Type 2 Diabetes C
Track: Disease Management

Speaker(s) :

  • Steven Edelman, MD

  • Program Objective: Implement effective community models of self management that facilitate lifestyle modification Research suggests that some people with diabetes believe that they can accurately estimate their blood glucose (BG) without the use of a BG monitor and use these perceptions to make decisions about their diabetes management practices. The primary objective of the study was to assess the difference between self-reported, estimated BG values and BG values as measured on a BG meter. Another objective of the study was to obtain information via a questionnaire regarding the impact of individuals knowing their BG value on their diabetes management behaviors. 1.5 TBD TBD Steven Edelman MD S03 c Diabetes Care Model Based on GPs-SPs Cooperation Through Internet in Community: Wuliqiao Study 8/4/12 11:00 AM 11:30 AM Convention Center 116-117 Breakout Session Disease Management Research Competent 1. Know status of diabetes in community in Shanghai. 2. Know a new management and education model of diabetes care which based on internet and GPs-SPs team cooperation in Chinese community. Implement effective community models of self management that facilitate lifestyle modification", "Establish innovative partnerships that promote chronic disease management through measurable outcomes"

  • Learning Objective: • Understand the perceptions of people with diabetes regarding self-monitoring of blood glucose practices and their own blood glucose (BG). • Discuss differences between self-reported, estimated BG values and BG values as measured on a BG meter. • Explain the importance of BG testing to help people with diabetes to make informed decisions about managing their diabetes.

  • Research suggests that some people with diabetes believe that they can accurately estimate their blood glucose (BG) without the use of a BG monitor and use these perceptions to make decisions about their diabetes management practices. The primary objective of this study was to assess the difference between self-reported, estimated BG values and BG values as measured on a BG meter. Another objective of the study was to obtain information via a questionnaire regarding the impact of individuals knowing their BG value on their diabetes management behaviors.



Presentation Format(s) : MP3, MP4
$50.00


______________________

S03c Diabetes Care Model Based on GPs-SPs Cooperation Through Internet in Community: Wuliqiao Study
Track: Disease Management

Speaker(s) :

  • Zhao Liebin, MD, MPH

  • Program Objective: "Implement effective community models of self management that facilitate lifestyle modification", "Establish innovative partnerships that promote chronic disease management through measurable outcomes"

  • Learning Objective: 1. Know status of diabetes in community in Shanghai. 2. Know a new management and education model of diabetes care which based on internet and GPs-SPs team cooperation in Chinese community.

  • This study looked at the effects of a new model for diabetes care which is based on the Internet and the cooperation of GPs specialists in community.



Presentation Format(s) : MP3, MP4
$50.00


______________________

S04 A Painful Complication - A Pathophysiologic Approach to Managing Diabetic Peripheral Neuropathy
Track: Disease Management

Speaker(s) :

  • Jessica Kerr, PharmD, CDE; Chris Herndon, PharmD, BCPS, CPE

  • Program Objective: Implement effective community models of self management that facilitate lifestyle modification

  • Learning Objective: 1. Describe pathophysiologic mechanisms of diabetic peripheral neuropathy (DPN). 2. Identify treatment options used in the management of DPN. (Discussion of mechanism of action, safety, efficacy and clinic pearls will be provided). 3. Discuss clinical practice guidelines for DPN. 4. Translate evidence based medicine approaches for successful management of DPN. 5. Describe the diabetes educator's role for education regarding DPN.

  • Painful diabetic peripheral neuropathy (DPN) affects nearly 20% of all patients with diabetes and frequently is untreated. This complication has major implications on public health regarding morbidity, cost and quality of life. Current guidelines help to address the appropriate management of DPN in order.



Presentation Format(s) : MP3, MP4
$50.00


______________________

S05 DiabetesSisters®: Peer Support Model to Enhance DSME for Women With Diabetes
Track: Special Populations

Speaker(s) :

  • Claire M. Blum, MSEd, RN, CDE; Brandy Barnes, MSW; Connie Hanham-Cain, RN, CDE; Lorraine Porcaro, BS, RN, CDE

  • Program Objective: Implement effective community models of self management that facilitate lifestyle modification, "Demonstrate how to enhance the role of the diabetes educator in a time of innovative change"

  • Learning Objective: 1. Identify at least three unmet chronic care needs of women with diabetes in our current healthcare system. 2. Identify at least three unmet psychosocial needs of women with diabetes in our current healthcare system 3. Describe the significance of peer support in the overall health of women with diabetes. 4. Identify at least two peer support resources that are readily available to women with diabetes.

  • Women with diabetes face unique, and often unmet, physical and psychosocial challenges. In order to achieve optimal clinical outcomes, it is essential to develop more effective approaches to meet these special needs. DiabetesSisters® is a non profit 501(c)3 organization which provides an easily accessible peer mentoring model that offers supportive solutions for this special population. Within this model women with diabetes receive crucial psychosocial and emotional support, and enhanced self-care efficacy. Attendees will learn how: a) special challenges make the needs of women with diabetes unique, b) ways in which DiabetesSisters® brings women with diabetes together online, face-to-face, and worldwide, in a unique and robust way, and c) ways in which diabetes educators can utilize this resource to reinforce and augment DSME that supports the involvement of women in healthy diabetes self-care behaviors.



Presentation Format(s) : MP3, MP4
$50.00


______________________

S06 Indy U-500: Policy Development, Implementation and Monitoring for Concentrated Insulin Regular U-500
Track: Disease Management

Speaker(s) :

  • Melissa Allard, PharmD; Joan Carroll, MSN, RN, CDE; Brian Ulmer, MD; Mary Ellen Leppert, RN, BSN, CDE

  • Program Objective: Establish innovative partnerships that promote chronic disease management through measurable outcomes

  • Learning Objective: 1. Describe the pharmacology and benefits of Concentrated Insulin Regular U-500 2. Identify risks associated with Insulin Regular U-500 on formulary 3. Discuss strategies for risk mitigation prior to adding U-500 insulin to the hospital formulary.

  • Insulin is widely recognized as a high alert medication, one that bears a heightened risk of causing significant patient harm when used in error. The consequences of an error with insulin may be devastating to patients. Insulin Regular U-500 contains 500 units of insulin in each milliliter, five-times more concentrated than insulin regular U-100. Insulin regular U-500 drug labeling now includes a warning that extreme caution must be observed in the measurement of dosage because inadvertent overdose may result in serious adverse reaction or life-threatening hypoglycemia. However, insulin regular U-500 use is infrequent and clinicians are unfamiliar with the unique characteristics. Process flow mapping leads to identification of potential failure modes and cause which is scored for severity and probability. Monitoring outcome measures confirm policy adherence. Through a standard approach to the management of Insulin Regular U-500, we are able to reduce the risk of medication misadventures to patients.



Presentation Format(s) : MP3, MP4
$50.00


______________________

S07 Power Your Practice in Our Socially Networked World
Track: Technology

Speaker(s) :

  • Hope Warshaw, MMSc, RD, CDE, BC-ADM; David Edelman, BA; Manny Hernandez, M. Eng; Amy Tenderich, MA

  • Program Objective: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change

  • Learning Objective: 1. Describe three innovative ways diabetes educators are using social media vehicles to connect with and support clients; market programs and services, connect with educator colleagues. 2. List three future trends in social networking to monitor which will impact diabetes educators/education. 3. Identify three ways the diabetes educator can engage in social networking to further one’s career and/or business.

  • With numerous examples and the expertise of leading social networking experts from the diabetes online community, Power Your Practice in Our Socially Networked World will immerse participants on how people with diabetes and diabetes educators put social media and social networks into action locally and globally. Participants will become actively engaged with a kick-off self-assessment goal-setting activity in which they’ll determine the time they want to commit to social networking, and the actions they want to take to accomplish their goals. They'll have an opportunity to reflect and revise their goals by the end of the program. Participants will discover trends likely to drive the growth and expansion of social networking and how these trends will change the landscape of diabetes care and education. Participants will leave with the skills to get started and how to dive deeper into social networking to drive their practice.



Presentation Format(s) : MP3, MP4
$50.00


______________________

S08 Balanced Hormones and Cardiovascular Health: The Love Connection
Track: Disease Management

Speaker(s) :

  • Sanjay Kapur, PhD

  • Program Objective: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change

  • Learning Objective: 1. Describe the broad hormone systems that have been linked with heart health. 2. Discuss the interactions between hormone systems and the concept of “hormone balance”. 3. Explain how imbalances in each hormone system can lead to heart disease. 4. Describe the research on hormone supplementation and its impact on increasing or reducing risk. 5. Identify appropriate screening tests for hormonal imbalances and cardiometabolic risk that can help with treatment strategies to reduce risk.

  • Physiological hormone balance is a complex interaction of multiple hormone systems. Not only do hormone levels impact many indicators of cardiovascular disease risk, but lifestyle elements that increase risk such as dietary choices, sedentary behavior and obesity also affect hormone levels. Correcting hormone imbalances therefore involves looking at lifestyle factors that can help bring hormones back into balance as well as supplementation of some hormones to help restore balance, or treatment to reduce stress. This presentation outlines the serious consequences of hormone imbalance for long-term health and cardiovascular wellness. It also identifies appropriate screening strategies that can direct lifestyle changes, reduce stress and possible hormone supplementation to reduce risk of cardiovascular disease.



Presentation Format(s) : MP3, MP4
$50.00


______________________

S09 Are You Ready for Long-Term Care Consulting?
Track: Business and Emerging Models

Speaker(s) :

  • Karen Shields, MA, RD, CDE, BC-ADM, CD; John Velasquez, HFA, MA; Charmaine Holtsclaw, RN, ASN

  • Program Objective: Establish innovative partnerships that promote chronic disease management through measurable outcomes, "Demonstrate how to enhance the role of the diabetes educator in a time of innovative change"

  • Learning Objective: 1. Describe Federal Guidelines to review prior to consulting. 2. Identify Quality Indicators to review prior to accepting a consulting position to improve diabetes management. 3. State Dining Standards that should be in place to promote good diabetes management.

  • There are increasing opportunities for Certified Diabetes Educators to consult in long term care. Certified Diabetes Educators have for years practiced in acute and ambulatory care settings. As educators enter the long term care arena for work, it is important for educators to be aware of federal regulations, quality indicators and dining standards that are used in long term care. This session will review these, and provide resources for the diabetes educator.



Presentation Format(s) : MP3, MP4
$50.00


______________________

S10 Diabetes and Alzheimer's Disease: Evidence-Based Interventions for Prevention
Track: Disease Management

Speaker(s) :

  • Neal D. Barnard, MD

  • Program Objective: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change

  • Learning Objective: I. Identify populations at risk for developing Alzheimer’s disease. II. Describe the role of dietary fat in insulin resistance and dementia III. List five evidence-based lifestyle interventions that may decrease the risk.

  • We’ve seen the commercials: “This is your brain on drugs.” The accompanying image of scrambled eggs is striking. Research into brain health shows that many lifestyle choices, especially nutrition, impact the brain, and in some cases scramble critical neuronal connections. A growing epidemic, one in five Americans between the ages of 75 and 85 develops Alzheimer’s disease. Beyond age 85, it affects almost 50 percent of the population. Individuals who have insulin resistance and diabetes are at a higher risk of developing dementia. Five key lifestyle interventions hold promise for slowing the mental decline, and many overlap with currently recommended interventions for metabolic control.



Presentation Format(s) : MP3, MP4
$50.00


______________________

WKSHP09 Children and Type 2 Diabetes
Track: Special Populations

Speaker(s) :

  • Patricia Kringas, MA, RN, CDE; Joyce Lee, MD, MPH

  • Program Objective: "Establish innovative partnerships that promote chronic disease management through measurable outcomes"

  • Learning Objective: Describe the overall burden of type 2 diabetes in the pediatric population. Discuss the study design and results of the TODAY trial. Recognize teaching tools that may be helpful for managing children with type 2 diabetes.

  • Type 2 diabetes is a growing problem in the US pediatric population and a recent randomized controlled trial was just conducted in children with type 2 diabetes: the Treatment Options for Type 2 Diabetes in Adolescents and Youth (TODAY) study. The TODAY study tested how well and for how long each of three treatment approaches controlled blood glucose levels in youth enrolled from ages 10-17 with type 2 diabetes. The presenters will briefly review the overall burden of type 2 diabetes in the pediatric population, the study design and results of the TODAY trial. They will then create an interactive session in which they will share the unique teaching tools developed by the Today Study team of Certified Diabetes Educators. In addition, additional technology tools that may be helpful for managing children with type 2 diabetes will be shared, and participants will be encouraged to share their own strategies



Presentation Format(s) : MP3, MP4
$50.00


______________________

WKSHP10 Diabetes Education in a Rural State: Innovation in long Distance Insulin Management
Track: Disease Management

Speaker(s) :

  • Ann Walker, MS, RD, LD; Marshall H. Chin, MD, MPH

  • Program Objective: "Implement effective community models of self management that facilitate lifestyle modification", "Demonstrate how to enhance the role of the diabetes educator in a time of innovative change"

  • Learning Objective: The participant will understand the constraints of diabetes education facing the rural practitioner. Insulin therapy has many perceived barriers held by both patient and provider. Innovative mechanisms are needed to deliver education to patients who do not have ready access to education.

  • I-KAN is a NIH funded demonstration project to determine the safety and efficacy of insulin management via the internet. Patients who are new to insulin are taught to administer and titrate basal insulin at home through a 3-4 hour synchronous Internet course using WIMBA-Blackboard. The course is available to providers throughout the state, offering expert teaching without burdening the practice. Participants seem to benefit from peer support and the ability to interact with the diabetes educator through text and voice. It is hypothesized that providers will less reluctant to prescribe insulin if such courses are available.



Presentation Format(s) : MP3, MP4
$50.00


______________________

WKSHP11 A View from the Inside: Surviving and Thriving as a CDE Entrepreneur in Private Practice
Track: Business and Emerging Models

Speaker(s) :

  • Nan A. Borchardt, RD, LD, CDE; Gary Scheiner, MS, CDE

  • Program Objective: "Demonstrate how to enhance the role of the diabetes educator in a time of innovative change"

  • Learning Objective: 1. Articulate a definition of entrepreneurship. 2. Identify characteristics of people who tend to be successful entrepreneurs. 3. Discuss “lessons learned” from successful entrepreneurs in possibly two or three different areas of diabetes education 4. Assess their own potential as an entrepreneur.

  • If you've every considered "working outside the box" in our diabetes education world, learning about self employment from industry insiders may be right up your alley! This dynamic panel discussion could be what helps you to decide if being an entrepreneur is a viable employment option for you in your area of clinical expertise. A wide variety of topics will be discussed, including, special skill-sets to pursue, setting up your own private practice, corporate structure decisions, tips for keeping your clients connected to you for years to come, pricing considerations, marketing strategies and decisions about reimbursement. Self-employment is not a decision that should be taken lightly. It's a calculated risk that requires forethought and continuous critical thinking to evaluate the options and pitfalls as a project grows. Because it's challenging, succeeding as an entrepreneur can be one of the most satisfying accomplishments you will ever have as a CDE .



Presentation Format(s) : MP3, MP4
$50.00


______________________

WKSHP12 Glucose Buddy
Track: Technology

Speaker(s) :

  • Tom Xu; Eric Huynh; Jennifer Grenz

  • Program Objective: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change

  • Learning Objective: 1. Identify different diabetes applications and software 2. Review functions of GlucoseBuddy application 3. Describe strategies to successfully use diabetes apps with person with diabetes

  • With the growth of the smartphone and the demand for innovation from people with diabetes new software and applications are becoming more available via the iPhone. Glucose Buddy is a free app for persons with diabetes to help manage their disease. The founder of this company will discuss his app and mobile solutions in the diabetes market.



Presentation Format(s) : MP3, MP4
$50.00


______________________

S11 Implementing Insulin Pen Use in a Large Teaching Hospital: A Collaborative Effort
Track: Technology

Speaker(s) :

  • Renee M. Meehan, MA, RN, BSN, CDE

  • Program Objective: Establish innovative partnerships that promote chronic disease management through measurable outcomes

  • Learning Objective: List the benefits of utilizing insulin pens in the inpatient setting. Describe the collaborative effort between nursing and pharmacy. Discuss the obtacles in implementing pens in the hospital. Describe educational tools to assist nurses, physicians, and pharmacist with the implementation process.

  • The use of insulin pens and other injectable devices for inpatient subcutaneous adminstration has been slow to emerge in many hospitals throughout the United States. Insulin is considered a high-risk medication in the acute care setting where the use of the traditional vial and syringe method has been associated with a high rate of serious medication errors. Pen devices provide an easier, more accurate method for nurses to adminster scheduled and correctional insulin to their patients. The implementation process, the pros/cons, the perceived increase in cost, and safety concerns of pen needles will all be discussed.



Presentation Format(s) : MP3, MP4
$50.00


______________________

S12 Connecting the Dots: Diabetes, Depression and Psychotropic Drugs
Track: Disease Management

Speaker(s) :

  • Miriam Chan, PharmD, CDE

  • Program Objective: Establish innovative partnerships that promote chronic disease management through measurable outcomes, "Demonstrate how to enhance the role of the diabetes educator in a time of innovative change"

  • Learning Objective: 1. Describe the complex interaction of diabetes, depression, and psychotropic drugs. 2. Identify treatment options for depression. 3. Recognize the antipsychotic-related cardiovascular and metabolic adverse effects 4. Discuss the guidelines for monitoring antipsychotic therapy and preventing the progression to T2DM.

  • Depression is a common comorbidity condition in people with diabetes, yet it is often under-diagnosed and under-treated. Adequate treatment of depression has been shown to improve glycemic control, and improvements in glycemic control decrease depressive symptoms. People with mental illness are at increased risk for Type 2 diabetes. In addition, antipsychotic medications which are the mainstay of treatment for mental illness are associated with weight gain, atherogenic lipid profile, and diabetes. This presentation will expand your knowledge about depression and enhance your role as a diabetes educator. The risks and benefits of psychotropic drugs, as well as strategies in preventing serious adverse effects, will be discussed. Using case studies, you will learn how to optimize diabetes care in patients with comorbid mental illness.



Presentation Format(s) : MP3, MP4
$50.00


______________________

S13 Diabetes Care in Long Term Care: A Look at Diabetes Management in a Chain of Midwest Nursing Homes
Track: Special Populations

Speaker(s) :

  • Karen Shields, MA, RD, CDE, BC-ADM, CD; John Velasquez, HFA, MA; Charmaine Holtsclaw, RN, ASN

  • Program Objective: Establish innovative partnerships that promote chronic disease management through measurable outcomes, "Demonstrate how to enhance the role of the diabetes educator in a time of innovative change"

  • Learning Objective: 1. Describe the effect of Federal regulations on diabetes management in nursing homes. 2. Discuss Diabetes Care Quality Indicators for nursing homes. 3. List key components of dining standards for diabetes management. 4. Discuss the most common treatment strategies used in diabetes management in nursing homes.

  • Diabetes educators consulting or comtemplating consulting in nursing homes need to be aware of the current state of diabetes care in the facility. This session is designed to give the audience a better understanding of long term care regulations and their effect on diabetes care. It will share a snapshot of what is happening with diabetes management in this Midwest nursing home chain. Sharing this data will hopefully improve diabetes care in other nursing homes. This session can be a resource for diabetes educators.



Presentation Format(s) : MP3, MP4
$50.00


______________________

S15 Management of Diabetes in the Cardiopulmonary Rehabilitation Setting
Track: Disease Management

Speaker(s) :

  • Valerie J. Carroll Kramer, RN, CDE; Barbara A. Masters, BSN ; Patricia (Mickey) Stuart, MPH, MS, BS, CDE

  • Program Objective: Implement effective community models of self management that facilitate lifestyle modification, "Demonstrate how to enhance the role of the diabetes educator in a time of innovative change"

  • Learning Objective: 1. Identify risks for the patient with diabetes participating in a cardiac rehab program. 2. Discuss appropriate exercise guidelines for the patient with diabetes. 3. Describe components of a plan of action and support for the cardiopulmonary rehabilitation team and the diabetes educator.

  • In the CPR setting, DM presents cardiac rehab staff, CDEs and patients challenges in dealing with daily exercise progression. Recommendations for s pre- and post- exercise blood glucose levels, nutritional recommendations, medication review and identification, prevention of hypoglycemia, and risk reduction modification and follow up are all needed to provide a safe plan of care for the participant. Progression of intensity, mode and duration of an exercise program will be based on knowledge of the disease process and the individual’s glycemic response. DM education needs of PWD often exceed the scope of practice of CPR specialists or the limited resources available within a CPR program. It is imperative to have adequate resources available for this patient population. A cardiac rehab's focus on behavior change and self-efficacy correlates strongly with the AADE7 Self-Care Behaviors and presents an exciting opportunity for diabetes educators to intervene and support.



Presentation Format(s) : MP3, MP4
$50.00


______________________

S16 From Chaos to Connections and Inspiration: Using Social Media to Build Your Visibility and Practice
Track: Business and Emerging Models

Speaker(s) :

  • Susan Eno Collins, MS, RD, CHES

  • Program Objective: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change

  • Learning Objective: 1. Describe the role of Twitter, blogs, LinkedIn and Facebook in helping to promote one's expertise and business. 2. List common barriers to effective use of these social media tools and ways to overcome barriers. 3. List three steps for getting started using social media tools.

  • Health professionals often feel overwhelmed by the vast amount of fast-paced information shared via social media tools. Trying to use the tools can feel daunting. Just like learning a new language, using social media takes practice and patience. To be successful, CDEs need to first be clear on the purpose of each tool and how best to use the tools together to help increase your visibility and elevate your expertise. Two case studies demonstrate practical ways to use social media tools for promotion and teaching. The case studies also reveal common pitfalls and identify ways to prevent or overcome the obstalces.



Presentation Format(s) : MP3, MP4
$50.00


______________________

S17 Management Challenges Seen with Insulin Pump Therapy — Opportunities to Optimize Care
Track: Technology

Speaker(s) :

  • Justine Fierman, FNP-BC, MSN, BC-ADM, CDE

  • Program Objective: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change

  • Learning Objective: 1. Summarize clinical issues commonly seen in patients new to insulin pump therapy and those seen in experienced pump users. 2. Distinguish between equipment vs. user issues. 3. Identify solutions to equipment and user issues. 4. Summarize accompanying medical management issues such as reimbursement, supply and prescription issues. 5. Analyze Medical Management Provider Issues.

  • Utilization of insulin pump therapy technology for the medical management of diabetes requires personnel experienced in such technology. This presentation will provide education on how to identify clinical issues commonly seen in patients new to insulin pump therapy and those seen in experienced pump users. Solutions will be provided. The attendee will be able to distinguish between equipment -vs- user issues and identify solutions to each. Accompanying medical management issues such as reimbursment, supply and prescription issues will be discussed. Medical Management Provider Issues will be reviewed as well.



Presentation Format(s) : MP3, MP4
$50.00


______________________

S18 Will the Shots Ever End? An Update on Type 1 Prevention and Treatment Research
Track: Disease Management

Speaker(s) :

  • Anne W. Brown, MSN, RN, BCANP, BC-ADM; Margo Black, RN, BSN, CCRP

  • Program Objective: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change

  • Learning Objective: I. State how humans progress toward type 1 diabetes II. State methods for prediction of type 1 diabetes III.Describe current knowledge based on completed clinical trials in new onset type 1 diabetes IV. Describe theories of clinical trials for diabetes prevention V. Describe how CDEs can participate in research efforts in their own practices

  • Immunologic advances are augmenting our understanding of the etiology and progression of Type 1 diabetes and the populations most at risk. Clinical trials are proceeding at a rapid pace. A basic understanding of the physiology and trial results is required to interpret findings and put them into understandable terms for patients and their families. The opportunities to facilitate participation in research for family members as well as patients with Type 1 diabetes can be integrated into basic diabetes education practices.



Presentation Format(s) : MP3, MP4
$50.00


______________________

S19 Solutions for the Impact of High and Low Blood Sugar: Behavior and Cognition in Patients with Diabetes
Track: Disease Management

Speaker(s) :

  • Eliot Lebow, MSW, LCSW

  • Program Objective: Demonstrate how to enhance the role of the diabetes educator in a time of innovative change

  • Learning Objective: 1. Describe how blood glucose levels impact the diabetic's ability to learn, retain and utilize self-management skills. 2. Identify ways to reduce the immediate impact on cognitive and/or retention during an educational session or class when the student/client is hypoglycemic or hyperglycemic. 3. Discuss techniques to help patients who experience hyperglycemic and hypoglycemic reactions during educational group or individual sessions.

  • This presentation explores how high and low blood sugars impact a diabetic’s behavior and cognitive abilities as it pertains to their perception of home, school and work environments. It also addresses how blood sugar levels impact their ability to self-manage diabetes and to retain necessary information given to them during sessions with Certified Diabetic Educators. The discussion will include ways for educators to reduce the immediate impact on cognitive retention during an educational session or class when the student/client is hypoglycemic or hyperglycemic and provide guidance for determining the state of the student/client so as to quickly assess how their diabetes is impacting their engagement during the session.



Presentation Format(s) : MP3, MP4
$50.00


______________________

S20 WIN! WIN! Achieving Patient Safety AND Satisfaction With an Inpatient Insulin Pump Process
Track: Special Populations

Speaker(s) :

  • Beverly Reed, BSN, RN, CDE; Yvonne E. Ramey, RN, CDE

  • Program Objective: Implement effective community models of self management that facilitate lifestyle modification

  • Learning Objective: 1. Discuss process for determining the insulin pump patient's risk within the organization. 2. Describe implementation of a standardized process for safe use of insulin pumps in the inpatient setting. 3. Explain the rationale for continuing insulin pump use in the acute care setting utilizing the AADE position statement "Continuous Subcutaneous Insulin Therapy Using a Pump" for pump training.

  • What a long way we have come from being oblivious to the existence of insulin pumps in the hospital to our current policy which identifies all patients scheduled for admission, or already an inpatient using an insulin pump. Because a pump policy is utilized not only for patients in medical-surgical beds (but also in departments such as radiology, surgery and procedure areas), a robust communication and implementation process was developed to ensure patients throughout our organization are safe. Analysis of assessments regarding how pump training occurred showed a direct correlation in the ability to perform basic pump functions, thus indicating the benefits of use of the AADE position statement, "Continuous Subcutaneous Insulin Therapy Using a Pump." Stakeholders including patients, clinical staff, the legal department and risk management have expressed confidence in this safe and effective process that ensures patient safety and satisfaction.



Presentation Format(s) : MP3, MP4
$50.00



Contact Us : customersupport@dcproviders.com
Digital Conference Providers, Inc. - 100 S. Cass Ave. Ste 200 - Westmont, IL 60559
Phone (630) 963-8311 - Fax (630) 963-8312