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Diabetes Collaborative. Learning Session 2 October 31 st , 2016. Bader Drive. Introduction. Team Dr Nua Tupai (GP) Grace Lino/Joe Rasmussen (PN) Lesina Miller (CHW/Health Coach) AH+ PHO Facilitator Anna Mastrovich. Care Bundle Data. What does the data say?. What does it mean for you
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Diabetes Collaborative Learning Session 2October 31st, 2016 Bader Drive
Introduction • Team Dr Nua Tupai (GP) Grace Lino/Joe Rasmussen (PN) Lesina Miller (CHW/Health Coach) AH+ PHO Facilitator Anna Mastrovich
What does the data say? • What does it mean for you Suboptimal diabetes care? Cohort • What does it mean for your patient Dis Engaged Poor outcome • What does it mean for the work within your practice Engage Patient TEAM approach Streamline process
Changes currently being tested • Describe the changes you are testing based on the learning's from the Care Bundle / Practice / PHO or DHB data Patient Voice/Experience Current model of diabetes care Strengths Opportunities Suggestion for improvement – future model for Diabetes Care Streamline process Guidelines Care management support/intervention BPAC Common Form Repeat Rx Medication Reconciliation
COHORT • Age • FH+ • Complications • No functional limitation
Eating healthy TIME For exercise CHILDREN Work What matters to me… FAMILY Religion Support group Language Emotional support VALUES
Empowered ‘I am not alone’ The Power of the Group I was able to talk about my story Sharing STORIES Whanau Engagement Sharing EXPERIENCES There were others like me Positive relationships Peer Support