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Projects of the Network of Ethnic Physician Organizations
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California
Medical Association Foundation
Network of Ethnic Physician Organizations
Project
Diabetes Health Disparities Convening Report
June 19, 2004
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Breakout
Sessions
Disease Management
Breakout Group Report
Two priorities for action identified by the Disease Management
Breakout Group were -
- Patient Self Management
- Quality Improvement
Patient Self-Management
Areas of that NEPO could most effectively address regarding
patient self-management included -
- Access to culturally appropriate information/resources.
- Expanding the model of team care to include trained
community members as well as expanding the availability
of culturally competent certified diabetes educators
[CDEs] and dieticians.
- It was acknowledged that we don't have to start with
CDEs because this will be both an expensive and long
term process. We can start with other staff members,
including medical assistants. These individuals will
need to be part of a mentoring program and ethnic physicians
can serve as mentors to the diabetes care team.
- We should also look at the Promotore model as another
way to bring the community into the care team. Again,
ethnic physicians could serve as mentors and trainers.
The group felt that there are existing models related to
team care and patient self-management that we could look
into. These included -
- Private Disease Management Companies. Many of these
have not worked with ethnic physicians and so we would
need create this relationship.
- Medicare - It was shared with the group that Medicare
currently reimburses for 10 hours of patient self-management
and five hours of nutritional education.
- California Primary Care Association - Diabetes Collaborative
We are suggesting that in order to strengthen patient self-management,
we need a Community-Based Care approach. Some key partners
in the community will be mothers who are often the healthcare
decision makers for their families. We will also need to
work with the pediatric community in our efforts to reach
children, youth and their families.
Quality
Improvement
The group felt that the Network needed to be involved in
quality improvement efforts related to addressing health
disparities and the ability to track and measure changes.
This will require the access to technology so that ethnic
physicians have the ability to track -
- Hemoglobin A1c Levels
- Foot Exams
- Eye Exams
- Self-management Process
- Training in Self-management
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