Hands On Webinar | Organizing Team-Based Care for Diabetes in Primary Care-Hands On: Organizing Team-Based Care for Diabetes in Primary Care

Video Transcription

Video Summary

In this webinar, the panel discusses experiences and tips for organizing team-based care for individuals with diabetes in primary care settings. The panelists share their expertise and programs that have been successful in improving diabetes care. One program mentioned is the Advanced Comprehensive Diabetes Care (ACDC) program, which combines telemonitoring, self-management support, and medication management to improve outcomes for patients with persistently poor diabetes control. The program has been implemented within the VA system and has resulted in significant improvements in patient outcomes. Another program highlighted is the Michigan Collaborative for Type 2 Diabetes, which focuses on preventing and slowing disease progression of type 2 diabetes. The program offers value-based reimbursements to participating healthcare providers and aims to disseminate evidence-based strategies to improve care. The panelists also emphasize the importance of involving all members of the healthcare team and utilizing telehealth to deliver intensive team-based care. They acknowledge the challenges of implementing such programs, including obtaining grant funding and navigating reimbursement processes, but stress the importance of leveraging available resources and infrastructure. Overall, the panel provides valuable insights and recommendations for improving diabetes care through team-based approaches and telehealth.

Keywords

team-based care

diabetes

primary care

ACDC program

telemonitoring

self-management support

medication management

patient outcomes

telehealth

recommendations