Building Competency in Diabetes Education THE ESSENTIALS

FOUNDATIONS OF DIABETES SELF-MANAGEMENT EDUCATION AND SUPPORT| 2-9

Viewing the comprehensive design of the CCM, diabetes educators can understand that SME alone is not sufficient to ensure success. However, we can also see that this is an excellent starting point where we can use our knowledge, skills and collaborative practice approach to engage our patients to become active agents in their own health (28).

Table 1. Core elements of the expanded chronic care management model

1. Delivery-system design/reorient health services

• Multidisciplinary teams, expanding roles of educators, case management, system navigators • Cluster visits, shared care linking providers • Technology support, telehealth, reminder systems

2. Self-management/ develop person skills

• “Behaviorally sophisticated self-management support that gives priority to developing patients’ confidence and skills so that they can be the ultimate

manager of their condition” (7) • Delivery focused around SME • Individual portals, websites, interactive technology

3. Decision support

• Prompted access to clinical practice guidelines, decision algorithms

4. Information systems

• Shared clinical information among all care providers through electronic medical records, registries • Reminders, tracking systems

5. Health system organization of health care

• Provincial strategies, funding policies • Outcome evaluation systems, accreditation • Standards

6. Strengthen

• Resources available • Community supporters • Community partnerships

community action

7. Build healthy public policy

• Provincial strategies, funding policies • Outcome evaluation systems, accreditation • Standards

8. Create supportive environments

• Parks available with bicycle paths • Green space for safe walking

Adapted from Barr et al. (15)