Building Competency in Diabetes Education THE ESSENTIALS

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6. They plan office visits on outcomes and outcome-related processes. 7. They use clinical information systems, such as diabetes registries and electronic medical records. Despite the wide adoption of the CCM, Glasgow, Peebles and Skovlund noted and lamented the lack of the “patient” in the early national diabetes performance measures (82). Measures used initially in the National Committee for Quality Assurance/American Diabetes Association include A1C, blood pressure and lipids, and foot and eye exams. However, recognizing the need to evaluate self-management concepts, the following indicators have been added in the ensuing years (5). • Diabetes self-management goals. • Indices of patient-provider interaction. • Measurement of satisfaction with patient-provider interactions. • Quality of life. • Measures of health-care use. Diabetes Canada Standards Recognition Program The Diabetes Education Standards Recognition Program (SRP) developed by Diabetes Canada offers a comprehensive quality-improvement framework which can be applied in a variety of practice settings (83). A structured format is used to evaluate all aspects of a program and the interventions against the Standards for Diabetes Education in Canada (83). The process requires reporting the assessment, planning implementation and evaluation of all of the center’s activities. These are categorized via: Structure Standards: Describing the personnel, resources and physical structure that is in place to support the provision of diabetes education and support services. Process Standards : Describing the performance expectations of those who provide education, which leads to desired client outcomes. Outcome Standards : Reporting observable, verifiable effects which indicate that specified intentions or action strategies have been achieved or implemented. Obtaining patient perspectives is a key part of Diabetes Canada’s recognition program, offering questionnaires that evaluate patient-centered outcomes of SME and SMS interventions (83). Various tools are used to evaluate not only the program standards, but how these interventions have impacted the receiver. These self-assessment tools can serve as a