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2. Ensure the incorporation of insulin resistance related disorders. 3. Establish common therapeutic goals and referral points in the DecisionPaths for each type of diabetes. 4. Share the customized DecisionPaths with all providers and patients. 5. Ensure that every patient’s progress is documented. 6. Adopt an ongoing method for assessing outcomes. Establish goals Once the care team and the working group are comfortable with the concept of SDM and want to implement a program tailored to their community, the next step is to set both long- and short-term goals.
S. S. D. M. Bergenstal 28 THE IMPLEMENTATION OF STAGED DIABETES MANAGEMENT assessment of the current state of diabetes care (and may be expanded to include metabolic syndrome). This assessment provides the foundation for understanding the needs and demands of a community and its resources, and how these contribute to medical outcomes. The process also serves as the baseline against which changes in outcomes are measured. Measurements of epidemiological data, personnel, facilities, current level of metabolic control, and complications surveillance need to be obtained to complete an analysis of care processes in any community.
16. Centers for Disease Control and Prevention. National diabetes fact sheet: general information and national estimates on diabetes in the United States, 2000. Atlanta, GA: US Departments of Health and Human Services, Centers for Disease Control and Prevention, 2002. 17. The Expert Committee on the Diagnosis and Classification of Diabetes Mellitus. Report of the Expert Committee on the Diagnosis and Classification of Diabetes Mellitus. Diabetes Care 1997; 20: 1183–1197. 18. National Committee for Quality Assurance (NCQA) Diabetes Physician Recognition Program.
