STANDARD 2: STAKEHOLDER INPUT ABC DSMES Services STANDARD 2: STAKEHOLDER INPUT

Program updates

List of Stakeholders Internal or External stakeholder? Name Role/Title

Responsibilities of Stakeholders Provide input on DSMES services and outcomes Ideas to promote value Ideas to promote access Ideas to increase utilization of the services Ideas to help sustain the services Review CQI project results from previous year and make recommendations Recommend CQI plan for coming year

Target population Reference for published demographics Published demographic data for ABC county Population Prevalence of diabetes % Caucasian and other ethnic groups Gender Income/% poverty level Schooling/literacy other

Current allocation of resources Equipment Staffing Interpreters/translated materials Patient education materials Space/classroom Charting/EMR/goal tracking database Accommodations for visual or hearing impaired

Current referral sources, marketing efforts

Participant stats Total number unique participants seen in past year= Demographics (examples: race/ethnicity, gender, age, health literacy, insurance, income, education) How does that compare to population wish to serve? Attendance stats (examples: % referred who attended at least one session, % who completed as defined, % no shows and cancellations, average # class participants, # classes offered/ month

Behavioral Goal Data

Clinical Outcomes data

Curriculum Using  AADE 7 2nd edition  Michigan’s Life with Diabetes  ADA’s Living Well with Type 2 Diabetes  Conversation Maps  Creative Pharmacist Sweet Spot Evolution  Other ________________________ Updated curriculum with new handouts for new classes of medications, information on immunizations, diabetes supply management in a crisis

Community resource list Healthy Eating Resources Cooking classes at ABC community center Grocery store tours at Xgrocery store XX Food shelf nutrition related books in the ADA online bookstore Reducing Risk Resources sliding scale fee dentist at X free exams at X dental school local podiatrist, eye dr list of places to get vaccinations Being Active Resources Silver Sneakers at X YMCA Tai Chi classes at X senior center Walking trails map… Mall walking group meets at X

Financials Operating: break even, in the red, in the black Denials?

CQI project and results from the past year

CQI plan for the coming year