Diabetes Fair Kay Nelsen, MD; Tom Balsbaugh, MD; Shelly Henderson, PhD UC Davis Family & Community Medicine

Diabetes Fair Experiential Resident – patient dyad Interprofessional care

Diabetes Fair 3 goals Patient – Resident team Patient Care Resident Education Patient Self Management Patient – Resident team

Diabetes Fair – Patient Care Population Management Identify patients using registry list Target high risk patients Planned visits Immunizations Foot exams Eye exams

Diabetes Fair – Resident Education Population Management Planned visits Diabetes management

Diabetes Fair – Self Management skills Nutrition Monitoring Medication Management Stress management

Nutrition

Meters and Monitoring

Medication Management

Stress Management

Diabetes Fair - Structure Self Management stations Passports Planned Visits Nursing Flu shots Retinal camera

Diabetes Fair Passport

Diabetes Fair Passport Survey

Diabetes Fair – Logistics Clinic Space

Diabetes Fair - Logistics Clinic space Patient scheduling Staffing Resident Education

Diabetes Fair – Logistics Time Line 3 months – determine date External Staffing needs Clinic Templates 2 months - scheduling Announce dates to residents Update registries and distribute

Diabetes Fair – Logistics Time Line 6 weeks Scheduling reminders Reminders on computers Announcements 1- 2 weeks Clinic signage Patient passports Schedule check

Diabetes Fair – Logistics Staffing Clinic staff MA participation Nursing Allied Health Professionals Diabetic educator Nutritionist Psychologist Pharmacist Podiatrist Orthotics

Diabetes Fair – Logistics Staffing Other Health Professionals Sports Medicine

Diabetes Fair – Logistics Patient Scheduling Schedule Patient selection Issues Advanced preparation Resident – patient dyad No show rate

Diabetes Fair – Logistics Clinic Space Check in Self Management stations Group visit Individual counseling Planned Visits Precepting Maximizing resident education

Diabetes Fair – Logistics Resident Education Patient interaction Pairing dyads Precepting

Diabetes Fair and the Patient Centered Medical Home 6 C’s of the Medical Home Continuity Collaboration Comprehensive Care Coordination Cutting Edge Continuous Improvement

Diabetes Fair and the Patient Centered Medical Home Continuity Patient-resident dyad Collaboration Interdisciplinary care Comprehensive Care Cutting Edge Retinal camera Group visits Planned visits Continuous Improvement

Diabetes Fair Questions