Welcome Please keep phones and computers muted while

Welcome! • Please keep phones and computers muted while not speaking to eliminate background noise. • Do not place calls on hold, so we don’t hear hold music. • Use the chat box features if you have any questions that come up during the presentation. • Please complete the opening poll now. • Please complete the evaluation poll before the end of the meeting. • Note, this meeting will be recorded and shared with peers.

Focus on Quality Prevention of Diabetes & Strategies to Improve Diabetes Outcomes September 12, 2018 Indiana Primary Health Care Association

Meet the IPHCA Team • • • Angela Boyer, IQIN Director Pia Meyers, Training Program Director Carla Chance, CHC Programs Manager Funke Oladele, Quality Improvement Coordinator Jasmine Page, Quality and Data Coordinator Laura Totten, IQIN Administrative Specialist

Introductions and Polls Everyone please complete the opening poll so we can capture accurate attendance and the impact of our previous Focus on Quality meeting. • If you only called in please state your name and health center • If there are multiple people in the room, enter their names and email into poll

Agenda • Welcome and Overview of Objectives • Pre-Diabetes Presentation- Susie King, Diabetes Prevention Coordinator, ISDH. • Peer Sharing of Promising Practices – Maple City’s Lifestyle Groups- Dr. James Gingerich, CEO. – Greene County- Corianne Vanderkolk, PA-C (CEO) and Megan Crowe (Site Manager) – Open Discussion • QI Tools for your Tool Box- Angela Boyer, IQIN Director, IPHCA • Announcements and Upcoming Events

Measures of Focus Colorectal Cancer Screening Behavioral Health Screening Cervical Cancer Screening Clinical Quality Metrics Diabetes Control Hypertension Control Childhood Immunization

Today’s Objectives After this session I will be able to: • Define prediabetes. • Describe the CDC’s National Diabetes Prevention Program. • Assess how your health center may implement one or more of the strategies presented on today’s webinar. • List tools that are found in the QI toolbox.

Focus on Diabetes DIABETES PREVENTION OVERVIEW

Today’s Guest Presenters Susie King, Diabetes Prevention Coordinator Indiana State Health Department Dr. James Gingerich, CEO Maple City Health Care Center Corianne Vanderkolk, PA-C (CEO) & Megan Crowe (Site Manager) Greene County Health

C C om m om un Fa m ity m ily Esk uni He ty a e H H lth. N ea na e lth zi H al e H e th C t C G ea re en alt ar h lth e t Li ne ers Ce e nc C n o C oun f So ters om t u m y H the un ea r ity lth. . . , H H ea Inc ea lth. rt C C H e In ity e al. . . di H an ea th N a l H th C et ea lth ent M C er ap Ja en le te n C ity Ma e P rs d M Hea iso aule er n lt y N ei idia h C Cou gh ar n H e nty b N orh eal Ce or t o th od h S nte r Sh Pu e H O rd pe or ea rvic e ue lt e n /N D He h C s al or oo l th inic th r s C C He en en al R t t tr h e ig gs Ra al N Se rs p r Sh Co ha urs vic es el in m a Va lom mu He g C a n li lle y Hea ity H lth C n. . . Pr e e of lth es Ca alth nte r si W on re C Ce ay n al ne s ent ter e C C om r, ou In nt W mu c. y a n W in Hea bas ity. . . d. R h l os th D Va e ep lle H ea art y lth me n N et t w or k O H EC Promising Practices from Peers Diabetes >9 or Untested Quarter 2 2018 Diabetes Result HP 2020 Target=16% VIEW THE INTERACTIVE DASHBOARD ON OUR WEBSITE!!! 60. 0% 50. 0% 40. 0% 30. 0% 20. 0% 10. 0% IN Average Q 2=34. 9%

QI Tools What’s in your Quality Toolbox? • • • PDSA Project Charter Generating Ideas Defining the Problem Describing the Process Identifying Root Causes Decision-Making Developing Action Plans Studying Results Controlling Processes Storytelling

Plan, Do, Study, Act

Generating Ideas Brainstorming Affinity Diagram

Defining the Problem Benchmarking Pareto Chart

Describing the Process Flowchart Spaghetti Diagram

Identifying Root Cause Fishbone Diagram Five Whys

Decision-Making Failure Mode Effects Analysis (FMEA) Prioritization Matrix

Developing Action Plans Gantt Chart Responsibility Matrix

Studying Results Run Chart Control Chart

Controlling Processes Quality Scorecard Radar (Spider) Chart

Storytelling

Announcements & Events • Improving Children’s Health: Integrating Dental and Medical Services – Saturday, September 29 th, 2018 • IQIN Face to Face Meeting – Candace Chitty, Keynote – October 4 th, 2018, Indianapolis • Clinical Leadership Conference – Keynote Speaker: Paul Batalden, MD; IHI Founding Board Member October 5, 2018, Indianapolis