diabetes population management

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Diabetes Population Management

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Diabetes Population Management

MVH

C Di

abet

es In

clus

ive

Prog

ram

sWith support from Senior Leadership and Medical Staff, MVHC has been able to implement programs over the last 2 years to better manage our diabetic population. These programs include the following:

Patient Wellness Program Individual Health Coaching

DEEP Group Medical Visits

These programs assist patients in creating the behavior change needed to better manage their diabetes.

Diabetes Empowerment Education Program™ (DEEP ™)

o Offered to Pre-diabetics and Type 2 Diabetics

o Patients referred by their Provider

o Cost covered by Patient Care Charitable Fund

o 6-week class lead by MVHC trained staff

o Covers a variety of topics such as: Understanding the

Human Body, Understanding Risk Factors, Physical

Activity, Diabetes and Nutrition, Learning about

Medications and Living with Diabetes.

o Fresh produce - seasonal

o Average class size is 10 patients

o Class length is 2 hours

o Mornings and afternoons classes available

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Bridgette Emmy Linda Douglas Shannon Kelly Marvin Ron Carl

A1C

DEEP™ Patients Before and After A1C

Pre DEEP A1C Post DEEP A1C*Sample over 12 month period

Patient WellnessProgram

o Patients referred by their Provider

o 12 Week Program

o 3 days per week

o Includes fitness/nutrition classes

o Cost covered by Patient Care Charitable

Fund

o Offered in 4 Counties

o Patients are incentivized for attendance and

% weight loss

o Option to continue for an additional 12

weeks

o Class size ranges from 10-20 participants

Patient Wellness Program

Individual Health Coaching

o 1 on 1 Health Coaching

o Patients are referred to health coaching by their

Provider

o Identify health concerns of the patient

o Discuss actions/behaviors patient is ready to change

o Identify barriers

o Set long-term and short-term goals

o 30-60 minute sessions

o 12 sessions offered

Group Medical Visits

o Continue education after graduating from DEEP™

o Patients continue education as a group and see PA for

medical management of their diabetes

o Frequency – every 3 months (diabetic office visit)

o During the visit, the patient receives their routine

diabetes exam, education, and activity/socialization.

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Misty Mark Shirley Deborah Kathy Sue

A1C

1 on 1 Healthy Coaching

Before A1C Post A1C*Sample over 12 month period

Jeanie Blake Chief Quality OfficerMuskingum Valley Health [email protected]