housekeeping tips microphones will be muted by the host please note the audio and video controls in...
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W W W. D I A B E T E S H E A LT H E Q U I T Y. O R G
HOUSEKEEPING TIPS•Microphones will be muted by the host•Please note the audio and video controls in the top left corner•If you would like to ask questions during the question and answer session, please type them in the chat box at the bottom right hand of your screen as pictured below
Chat Box
Audio & Video controls
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W W W. D I A B E T E S H E A LT H E Q U I T Y. O R GW W W. D I A B E T E S H E A LT H E Q U I T Y. O R G
TYING IT ALL TOGETHER – THE 3-ELEMENT MODEL REALIZED
“ A Virtual Exploration of the 3-Element Approach for Achieving Diabetes Health Equity”
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W W W. D I A B E T E S H E A LT H E Q U I T Y. O R G
TYING IT ALL TOGETHER – THE 3-ELEMENT MODEL REALIZED
“ A Virtual Exploration of the 3-Element Approach for Achieving Diabetes Health Equity”
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W W W. D I A B E T E S H E A LT H E Q U I T Y. O R G
TYING IT ALL TOGETHER IN A RAPID-CYCLE IMPROVEMENT PROCESS
How Do We Tie it All Together? Can we do rapid-cycle feedback on outcomes and continuously improve interventions in each domain and in the spaces in-between the patient and the practice, or between the practice and the community or between the hospital and home, with a health equity coalition all working together to keep improving connections and processes and outcomes until we eliminate disparities?
Clinic (PCMH)
Home & Community
Outcomes (Hospital Bed-
Days, Disability, Death)
1 2
3
4
576
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W W W. D I A B E T E S H E A LT H E Q U I T Y. O R G
MODERATOR
GEORGE RUST, MD, MPHCO-DIRECTOR,
NATIONAL CENTER FOR PRIMARY CARE
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W W W. D I A B E T E S H E A LT H E Q U I T Y. O R G
Tying It All Together – The 3-Element Model RealizedWhat: Serving as the best practice, the Southcentral Foundation and the Camden Coalition will share their parellel experiences and success stores in using the3-Element Model of integrating clinic, community and data driven interventionsTo change the health system and improve the overall health of two underserved cities.
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W W W. D I A B E T E S H E A LT H E Q U I T Y. O R G
STEVEN KAUFMAN, MDSTAFF ENDOCRINOLOGIST,
CAMDEN COALITION OF HEALTHCARE PROVIDERS
DEPUTY MEDICAL DIRECTOR, URBAN HEALTH INSTITUTE
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W W W. D I A B E T E S H E A LT H E Q U I T Y. O R G
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W W W. D I A B E T E S H E A LT H E Q U I T Y. O R G
Camden CityMedian Family Income: $29,11836% below Federal Poverty Level48% Black, 47% Hispanic
Camden CountyMedian Family Income: $57,42911% below the Federal Poverty Level21% Black, 14% Hispanic
NEED FOR LOCAL DATA
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W W W. D I A B E T E S H E A LT H E Q U I T Y. O R G
CAMDEN HIE
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W W W. D I A B E T E S H E A LT H E Q U I T Y. O R G
CAMDEN RESIDENTS ARE TWICE AS LIKELY TO USE THE EMERGENCY DEPARTMENT
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W W W. D I A B E T E S H E A LT H E Q U I T Y. O R G
COST ARE CONCENTRATED BY GEOGRAPHY AS WELL
6% of city blocks account for 18% of the patients, 27% of the visits, and 37% of receipts.
Several buildings in the city are responsible for between $1 and $3 million in hospital costs each year.
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W W W. D I A B E T E S H E A LT H E Q U I T Y. O R G
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W W W. D I A B E T E S H E A LT H E Q U I T Y. O R G
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W W W. D I A B E T E S H E A LT H E Q U I T Y. O R G
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W W W. D I A B E T E S H E A LT H E Q U I T Y. O R G
STEVE TIERNEY, MD, CMIOMEDICAL DIRECTOR OF QUALITY
IMPROVEMENT SOUTHCENTRAL FOUNDATION
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W W W. D I A B E T E S H E A LT H E Q U I T Y. O R G
Alaska Native People Shaping Health Care
Southcentral FoundationNuka System of Care
New Directions in the Assessment of Community Health and Organizational Redesign
Copyright © 2011 Southcentral Foundation. All Rights Reserved.NOTICE: Unless otherwise indicated, this work represents copyrighted material protected by United States and international law. This work may not be used, reproduced, downloaded, disseminated, published, transferred or transmitted, in whole or in part, in any form or by any means, electronic or mechanical, including photocopying, recording or information storage and retrieval, except with the express written permission of the publisher. This work may not be edited, altered, or otherwise modified, in whole or in part, except with the express written permission of the publisher.
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W W W. D I A B E T E S H E A LT H E Q U I T Y. O R G
APPROACH TO CHANGE IS INFLUENCED BY PROSPECTIVE
Copyright © 2011 Southcentral Foundation. All Rights Reserved.
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W W W. D I A B E T E S H E A LT H E Q U I T Y. O R G
CHANGING PROSPECTIVE CAN ALTER APPROACHTO CHANGE
Copyright © 2011 Southcentral Foundation. All Rights Reserved.
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W W W. D I A B E T E S H E A LT H E Q U I T Y. O R G
INTERACTIVE CONDITION CENTERED ACTION LISTS FOR ALL METRICS
Fictitious Customer Owner Info
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W W W. D I A B E T E S H E A LT H E Q U I T Y. O R G
Copyright © 2011 Southcentral Foundation. All Rights Reserved.
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W W W. D I A B E T E S H E A LT H E Q U I T Y. O R G
Copyright © 2011 Southcentral Foundation. All Rights Reserved.
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W W W. D I A B E T E S H E A LT H E Q U I T Y. O R G
Copyright © 2011 Southcentral Foundation. All Rights Reserved.
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W W W. D I A B E T E S H E A LT H E Q U I T Y. O R G
Copyright © 2011 Southcentral Foundation. All Rights Reserved.
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W W W. D I A B E T E S H E A LT H E Q U I T Y. O R G
Copyright © 2011 Southcentral Foundation. All Rights Reserved.
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W W W. D I A B E T E S H E A LT H E Q U I T Y. O R G
WHAT DOES THIS MAKE YOU WANT TO KNOW?
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W W W. D I A B E T E S H E A LT H E Q U I T Y. O R G
Copyright © 2011 Southcentral Foundation. All Rights Reserved.
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W W W. D I A B E T E S H E A LT H E Q U I T Y. O R G
CDR PROFILE
Copyright © 2011 Southcentral Foundation. All Rights Reserved.
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W W W. D I A B E T E S H E A LT H E Q U I T Y. O R G
DISCUSSION
Please use your chat box in the bottom right hand corner
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W W W. D I A B E T E S H E A LT H E Q U I T Y. O R G
COMMERCIAL BREAK&
ANNOUNCENMENTS
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W W W. D I A B E T E S H E A LT H E Q U I T Y. O R G
QUESTIONS FROM THE AUDIENCE
Please use your chat box in the bottom right hand corner.Mic will be enabled when moderator calls on you.
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W W W. D I A B E T E S H E A LT H E Q U I T Y. O R G
THANK YOU FOR PARTICIPATING
Please assist us by completing the post survey for this training. The link is located in the chat box to the bottom right of your screen.
This webinar series is funded by Bristol-Myers Squibb Foundation Partnership for Diabetes Health Equity.