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DSMT Toolkit

Chapter 27: Sample AADE Application

Standard 1

The DSME entity will have documentation of its organizational structure, mission statement, and goals and will recognize and support quality DSME as an integral component of diabetes care. Essential Elements Checklist:

  • Documentation of organizational chart of DSME/DSMT program
  • Documentation of program mission and goals
  • Policies and procedures are available
  • Job descriptions for all positions relating to the DSME/DSMT program

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Program Description (Standard 1):

The DSMT program is an eight-week intervention, which begins with each participant undergoing a detailed individual assessment. The program primary qualified instructor (PQI) [registered nurse, registered dietitian, or registered pharmacist] conducts an initial individual assessment. Based on the results of the individual assessment, the PQI develops a comprehensive education plan. A key component of the individual assessment and education plan is the establishment of individualized goals and self- management support strategies. Upon completion of the individual assessment and education plan, each consumer will participate in the six (6) week Stanford Diabetes Self-Management Training program (group). Two trained Group Leaders, under the supervision of the PQI, facilitate the group workshops from a highly detailed manual. Participants, in the group education sessions, will make weekly action plans, share experiences, and help each other solve problems they encounter in creating and carrying out their individualized self-management program. The primary qualified instructor directs the material covered during the group sessions. In addition, the group instruction occurs in a setting that allows for interaction between the participants and the trained group leaders. However, the licensed instructor will maintain responsibility for providing direct supervision of the educational process in the least obtrusive manner possible. Physicians and other health professionals both at Stanford and in the community have reviewed all materials in the course. In addition, the instructional materials have been provided to our program advisory board as part of our continual quality improvement review process. Classes are conducted in a manner to encourage full participation by all members as the group works to learn improved self-management capability for their disease. Group participation in the learning process provides the opportunity for mutual support and enables participants to build on the success of their peers.

Here is a link to more information about the Stanford program: http://patienteducation.stanford.edu/programs/diabeteseng.html

At the completion of the group training sessions, each participant will participate in follow up assessments with the PQI to review effectiveness of their ability to achieve the goals of their individualized education plan. This review provides the PQI with an opportunity to augment and modify the participant’s disease self-management plan, if necessary. All follow up is communicated by PQI to participant and the referring primary care manager.

Mission Statement:

Our mission is to empower our clients with the self-care management skills necessary to improve their quality of life, using what they have learned through diabetes education and disease management strategies.

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Job Description

TITLE: Diabetes Educator/Professional Diabetes Program Instructor (PQI)

REPORTS TO: DSME/T Program Coordinator

SUPERVISES: Professional and Non-professional instructional staff

POSITION OVERVIEW:

  • Provides individualized diabetes self-management education/ training to individuals and groups according to the Scope of Practice, Standards of Practice, and Standards of Professional performance for Diabetes Educators (AADE, 2005).
  • Provides direct supervision of the participating non-professional instructional staff and group leaders (i.e., community health workers) that assist in delivering the diabetes self-management education program to class participants. The primary qualified instructor is responsible for selecting community health workers, monitoring their performance, and assuring that they are properly trained. Direct supervision occurs during program instruction and entails: 1) oversight of the instructional material, 2) fidelity checks to ensure that approved material is being delivered as intended, 3) direct observation of community health worker-led instruction, and 4) constant physical availability to assist and answer questions that arise during community health worker led instruction periods.

DUTIES AND RESPONSIBILITIES:

80% (Instruction of program participants):

  • Collects DSME/T program participant assessment data, using the AADE7 framework, in a collaborative and ongoing manner.
  • Collaboratively develops educational goals, learning objectives and a plan for educational content and teaching methods with DSME/T program participants.
  • Provides educational interventions that utilize primarily interactive, collaborative, skill based training methods and maximizes the use of interactive training methods.
  • Collaboratively develops an individualized follow-up plan with each program participant.
  • Evaluates effectiveness of educational services provided by measuring attainment of learning objectives.
  • Conducts a follow-up assessment upon completion of DSME/T program services, using outcome measures from the AADE7 Continuum of Outcomes Framework.
  • Documents assessment data, educational plan, educational services provided and evaluation results in each participant's educational records.
  • Utilizes a team approach to provide services and collaborates and communicates with team members when needed. Identifies when a program participant's needs are outside the scope of the instructor's practice and expertise, plus arranges for additional services to meet needs.

20% of the time:

  • Participates in the development of training materials.
  • Contributes to, and participates in, a continuous quality improvement process to measure DSME/T program and to identify and address opportunities for improvement.
  • Appraises his/her performance to identify areas of strength and areas for improvement and to develop a plan for improvement and growth.
  • Participates in peer review process to evaluate performance of other professional instructional staff.
  • Maintain education annually specific to diabetes, diabetes related topics and behavior change and self-management education strategies.

KNOWLEDGE, SKILLS AND ABILITIES:

  • In-depth knowledge about current diabetes treatment management.
  • Able to lead and effectively manage groups.
  • Ability to develop a collaborative, therapeutic alliance with individuals.
  • Basic computer skills (use of Internet and e-mail).

EXPERIENCE/EDUCATION:

  • A healthcare professional who is also a certified diabetes educator, or who is eligible to become a certified diabetes educator.
  • Credentialed as a diabetes education specialist or diabetes clinical management specialist preferred.
  • Minimum of 6 months experience (preferably more) providing diabetes education and/or 15 contact hours within past year in diabetes and diabetes clinical and educational subjects.

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Job Description

TITLE: Group Leader

REPORTS TO: PQI

SUPERVISES: Non-Supervisory Position

POSITION OVERVIEW:

  • Provides individualized diabetes self-management education/ training to individuals and groups according to the Scope of Practice, Standards of Practice, and Standards of Professional performance for Diabetes Educators (AADE, 2005). Maintains a non-technical role in providing instruction to program participants.

DUTIES AND RESPONSIBILITIES:

80% (Instruction of program participants):

  • Under the supervision of the program instructor, collects DSME/T program participant assessment data, using the AADE7 framework, in a collaborative and ongoing manner.
  • Under the supervision of the program instructor, collaboratively develops educational goals, learning objectives and a plan for educational content and teaching methods with DSME/T program participants.
  • Provides non-technical educational interventions that utilize primarily interactive, collaborative, skill based training methods and maximizes the use of interactive training methods.
  • Collaboratively with the PQI, develops an individualized follow-up plan with each program participant.
  • Collaboratively with the PQI, Evaluates effectiveness of educational services provided by measuring the attainment of learning objectives.
  • Collaboratively with the PQI, Conducts a follow-up assessment upon completion of DSME/T program services, using outcome measures from the AADE7 Continuum of Outcomes Framework.
  • Documents assessment data of the PQI developed educational plan, educational services provided, and evaluation results in each participant's educational records.
  • Utilizes a team approach to provide services and collaborates and communicates with team members when needed. Identifies when a program participant's needs are outside the scope of the instructor's practice and expertise, plus arranges for additional services to meet needs.

20% OF THE TIME:

  • Contributes to the development of training materials.
  • Contributes to, and participates in, a continuous quality improvement process to measure DSME/T program and to identify and address opportunities for improvement.
  • Appraises his/her performance to identify areas of strength and areas for improvement and to develop a plan for improvement and growth.
  • Participates in peer review process to evaluate performance of other non-professional instructional staff.
  • Maintain 15 hours of continuing education annually specific to diabetes, diabetes related topics and behavior change and self-management education strategies.

KNOWLEDGE, SKILLS AND ABILITIES:

  • In-depth knowledge about current diabetes treatment management.
  • Able to lead and effectively manage groups.
  • Ability to develop a collaborative, therapeutic alliance with individuals.
  • Basic computer skills (use of Internet and e-mail).

EXPERIENCE/EDUCATION:

  • Experience working with community based groups and providing outreach to seniors
  • Minimum of 6 months experience (preferably more) providing diabetes education and/or 15 contact hours within past year in diabetes and diabetes clinical and educational subjects.
  • Experience making oral presentations on health topics in community settings

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Job Description

TITLE: DSME/T Program Coordinator

REPORTS TO: Program Director

SUPERVISES: DSME/T program staff

POSITION OVERVIEW:

Provides oversight for planning, implementation and evaluation of the DSME/T program and ensures the systematic and coordinated delivery of diabetes educational services.

DUTIES AND RESPONSIBILITIES:

  • Provides direction for the selection, and ongoing review, of the curriculum and educational materials to ensure they meet the needs of the population targeted.
  • Directs marketing activities
  • Develops and directs the implementation of an annual program evaluation plan and performance improvement activities, including CQI projects.
  • Ensures that DSME/T program accreditation requirements are met and maintained.
  • Oversees the diabetes educational process and ensures that services are provided in an individualized and fiscally feasible manner.
  • Develops and maintains relationships and partnerships with community groups, payers and potential referral sources.
  • Interfaces with the Volunteer Accreditation Advisory Group.
  • Maintain 15 hours of continuing education annually as it relates to the profession.

KNOWLEDGE, SKILLS AND ABILITIES:

  • Knowledge about chronic disease management and disease self-management educational processes
  • Supervisory abilities
  • Knowledge about program management
  • Proficient in various computer applications, including spreadsheets
  • Marketing skills

EXPERIENCE/EDUCATION:

  • Education and/or experience in program management (specific extent of education or experience specified according to size/scope of program).
  • Education in, and/or experience with, chronic diseases and disease self-management

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Last Modified: 12/31/1600