2. Participants will identify specific programs offered locally to assist patients prevent or manage a chronic disease.

Transcription

1 Bridging the Gap through the PTN Learning Objectives 1. Participants will recognize that counties have infrastructure to support patient referrals to local self management and lifestyle change programs. 2. Participants will identify specific programs offered locally to assist patients prevent or manage a chronic disease. 1

2 Health Impact Pyramid Population Impact Chronic Care Model Resources, Systems & Environments Informed, Activated & Connected Patient Self Management Productive Interactions Health System Health Care Organization Delivery System Design Decision Clinical Information Systems Prepared Proactive Practice Team Population Health Outcomes / Clinical Outcomes 2

3 Connect to s and Tools Thrive in Value Based Care Pharmacists Local Health Departments Health Care Providers Build Networks Payers Worksites Organizations Chronic Care Model Resources, Systems & Environments Informed, Activated & Connected Patient Self Management Productive Interactions Health System Health Care Organization Delivery System Design Decision Clinical Information Systems Prepared Proactive Practice Team Population Health Outcomes / Clinical Outcomes 3

4 Leverage Existing Resources & Networks Pharmacists Local Health Departments Build Networks Health Care Providers Worksites Payers Organizations Leverage Resources Resources, Systems & Environments Chronic Disease Self Management Program Diabetes Self Management Program Diabetes Prevention Program Walk with Ease Enhance Fitness Stepping On Fall Prevention Kansas Tobacco Quitline Payer Provided Patient s Health System Health Care Organization 4

5 Leverage Resources Local Health Departme nts Communit y Pharmaci sts Health Care Providers Worksites Bridging the Gap through the PTN Organizations Payer s 5

6 Brandon Skidmore - Director Bureau of Health Promotion Kansas Department of Health and Environment bskidmore@kdheks.gov References: Slide 3: Chronic Care Model Created by: Care of North Carolina Adapted from: Wagner EH. Chronic disease management: What will it take to improve care for chronic illness? Effective Clinical Practice. 1998;1(1):2-4. Slide 5: KDHE ed Programs with local networks to connect with health care providers Chronic Disease Self Management Program (CDSMP) Diabetes Self Management Program (DSMP) Diabetes Prevention Program (DPP) Accessed online at Slide 6: KDHE ed Programs with local networks to connect with health care providers Walk With Ease Enhance Fitness Stepping On Tobacco Quitline Accessed online at Slide 7: County map of KDHE ed Programs 1422 Communities CDRR CDRR and CDSME Notes: Counties in green receive Chronic Disease Risk Reduction (CDRR) funding. Counties with cross hatching are 1422 communities. Chronic Disease Self-Management Education Program (CDSME) are geocoded to the street address of the facility. Source: KDHE. Chronic Disease Risk Reduction Grantees. Accessed on January 25, Created by: Cynthia Snyder, KDHE Bureau of Health Promotion, January 25,