core elements: case management recruitment yvette roubideaux, md, mph
Post on 21-Dec-2015
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Core Elements: Case Management
Recruitment
Yvette Roubideaux, MD, MPH
The CVD Risk Reduction Demonstration Project
We know “what” but we don’t know “how”
The CVD Risk Reduction Demonstration Project
Core elements – “what” Development of intensive
intervention– “how” (details) Collaborative process
The CVD Risk Reduction Demonstration Project
8 Core elements - Intensive Intervention – “the what”
Identify eligible individuals with Diabetes Recruit individuals with diabetes to participate Initial physical exam and baseline measures Case Management approach to clinic visits
The CVD Risk Reduction Demonstration Project
8 Core elements – Intensive Intervention – “the what”
Treat CVD risk factors to recommended target levels Education on diabetes and CVD risk reduction – group or
individual Gather data on required evaluation measures Target number of participants per year (minimum) = 50
Core Elements: Collaborative Process
Determining the “how” – so far: Planning Meeting Presentations/Training Sessions Grantee Panel Discussions/Questions Breakout Sessions/Input Comments during breaks, email communication Homework follow-up questions Idea maps IHS Advisory Committees - notes CGP Steering Committee IHS programmatic issues/direction
Core Elements: Collaborative Process – Big
Picture
Initial Presentations Training
Input, Breakout Sessions, Grantee PanelsIdea Maps
Draft Protoc
olReview
Committees Refine,
Clarify
Final ReviewGrantee
s
Final Decision
IHS DDTP
Core Elements: Draft Draft Protocol/Required
Activities Review the 1st Draft today
• Questions
Breakout Session• Identify strengths, challenges
• Potential training needs
Core Elements: Draft Case Management - components
Case Management Team• Membership, Meetings
Intensive Activities• Screening for Individuals with Diabetes• Eligible Participants - Diabetes• Individual Case Management – assessment, care plans• Disease Management – standards/goals, treatment, tracking• Self-Management Education - components• Motivational Activities• Monitoring/Follow-up of CVD Risk Factors
Core Elements: Draft Recruitment - components
Recruitment Goals• Minimum numbers
Recruitment Activities• Recruitment Team• Settings for Recruitment
• Community, Clinical• Methods of Recruiting individuals to participate• Materials for Recruitment• Process to help individuals participate in screening• Invitation for eligible to participate – informed consent process• Entry process – instructions, appointments• Tracking of recruitment activities
Core Elements: Draft Draft Protocol/Required
Activities Review the 1st Draft today
• Questions
Breakout Session• Identify strengths, challenges
• Potential training needs