Community Programs Linked to Clinical Services

Resources for Diabetes and Hypertension

STRATEGY LIST

1305 Enhanced

Strategy 4: Increase use of chronic disease self-management programs in community settings

Intervention: Increase access to and use of Chronic Disease Self-Management programs(CDSMP)

Short-term:

Number of CDSMP workshops offered during the funding year

The purpose of this performance measure is to measure the number of CDSMP workshops in community settings. Participation in CDSMPs leads to increased self-efficacy, which, in turn, results in improved health status and reduced health care use. (Lorig, 1999, 2001a, 2001b). A recent meta-analysis suggested that the Stanford ASMP and CDSMP contribute to improvements in psychological health status, self-efficacy, and select health behaviors, and that many of those improvements are maintained over 12 months (USDHHS, 2011).

Proportion of counties with CDSMP workshops

The purpose of this performance measure is to measure the number of counties, within a given state, with CDSMP workshops. Participation in CDSMPs leads to increased self-efficacy, which, in turn, results in improved health status and reduced health care use. (Lorig, 1999, 2001a, 2001b). A recent meta-analysis suggested that the Stanford ASMP and CDSMP contribute to improvements in psychological health status, self-efficacy, and select health behaviors, and that many of those improvements are maintained over 12 months (USDHHS, 2011).

Intermediate:

Number of CDSMP program participants who self-report having diabetes and complete at least 4 out of 6 workshop sessions, as a proportion of the total number of people with diabetes in the state

The purpose of this performance measure is to measure the number of participants completing 4 out of 6 CDSMP workshop sessions. Participation in CDSMPs leads to increased self-efficacy, which, in turn, results in improved health status and reduced health care use. (Lorig, 1999, 2001a, 2001b). A recent meta-analysis suggested that the Stanford ASMP and CDSMP contribute to improvements in psychological health status, self-efficacy, and select health behaviors, and that many of those improvements are maintained over 12 months (USDHHS, 2011).

Long-term:

Age-adjusted hospital discharge rate for diabetes as any-listed diagnosis per 1,000 persons with diabetes

The purpose of this performance measure is to assess the prevalence of diabetes-related hospital discharges in the population of people with diabetes, as a long term effect of interventions to increase implementation of quality improvement processes, team-based care in health systems, and the use of diabetes and chronic disease self-management programs in community settings.