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Reducing Disparities in Diabetes Care

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Nearly one-third of adults 65 years and older in the United States have diabetes, according to the National Institutes of Health. It is the most common cause of blindness, kidney failure and amputations in adults and a leading cause of heart disease and stroke. Medical practices include large percentages of patients with diabetes.

Ethnic and racial minorities have a higher prevalence of diabetes than Caucasians.

Diabetes self- management education (DSME) is a proven intervention for empowering persons with diabetes to acquire the knowledge and skills necessary to improve the quality of their lives. DSME prevents/lessens the severity of complications resulting from diabetes such as kidney failure, amputations, loss of vision, heart failure and stroke.

Using lessons learned from the Everyone with Diabetes Counts program, atom Alliance works with providers to educate them on the Medicare DSMT (diabetes self-management training) and MNT (medical nutrition therapy) benefits. In the states we serve, train-the-trainer programs increase the numbers of certified diabetes educators (CDEs) and community health workers (CHWs).

Our goals are to work with providers to:

  • Improve clinical outcomes of HbA1c, lipids, blood pressure and weight control for people with diabetes;
  • Decrease the number of patients who require lower extremity amputation due to complications resulting from poorly controlled diabetes;
  • Improve health literacy of Medicare and dual-eligible patients with diabetes in targeted populations by providing and facilitating DSME training classes;
  • Increase adherence to clinical guidelines by participating practitioners for appropriate use of utilization measures for HbA1c, lipids, and eye exams.

Which initiatives are right for you?

Several atom Alliance initiatives compliment each other. See how other atom Alliance improvement initiatives allign with this one. How many fit your practice’s needs?

Learn more about these initiatives: Cardiac Health, Diabetes, MU & HIT, VBP & PQRS, Immunizations, Behavioral Health

DSME Classes

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Featured Resources


CMS Equity Plan
CMS Equity Plan

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433.40 KB | Last Updated: January 26, 2016

American Diabetes Association: Standards of Medical Care in Diabetes – 2015
American Diabetes Association: Standards of Medical Care in Diabetes – 2015

Contact Us

For general inquiries complete the form below, or go here for a list of associates dedicated to each state’s initiative.
You can also search our comprehensive library of online resources, where you can sort by atom Alliance state, initiative, patient or provider focus or simply type in a keyword for quick access to the tools and resources you need.

Diabetes Self-Management Education and Support for Adults with Type 2 Diabetes: ALGORITHM of CARE

KY DSME Testimonials Booklet
KY DSME Testimonials Booklet

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1.13 MB | Last Updated: October 14, 2016

DSME Toolkit for Providers (Nevada’s Department of Public and Behavioral Health)
DSME Toolkit for Providers (Nevada’s Department of Public and Behavioral Health)
Shared Medical Appointments Tips Sheet
Shared Medical Appointments Tips Sheet

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258.51 KB | Last Updated: June 16, 2016

National Mail Order Partner Article
National Mail Order Partner Article

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106.06 KB | Last Updated: June 15, 2016

atom Alliance Launches Diabetes Education in Alabama
atom Alliance Launches Diabetes Education in Alabama

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1.10 MB | Last Updated: June 14, 2016

Improving Diabetes Outcomes in Kentucky
Improving Diabetes Outcomes in Kentucky

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727.50 KB | Last Updated: March 16, 2016

Screening for Diabetes and Prediabetes - Tip Sheet
Screening for Diabetes and Prediabetes - Tip Sheet

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237.72 KB | Last Updated: March 3, 2016

Medicare DSMT and MNT Requirements for Reimbursement
Medicare DSMT and MNT Requirements for Reimbursement

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273.45 KB | Last Updated: March 3, 2016

Initial Preventive Physical Exam - Tip Sheet
Initial Preventive Physical Exam - Tip Sheet

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216.81 KB | Last Updated: March 3, 2016

IBT for Cardiovascular Risk Reduction - Tip Sheet
IBT for Cardiovascular Risk Reduction - Tip Sheet

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230.77 KB | Last Updated: March 3, 2016

Chronic Care Management - Tip Sheet
Chronic Care Management - Tip Sheet

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195.50 KB | Last Updated: March 3, 2016

Annual Wellness Visit - Tip Sheet
Annual Wellness Visit - Tip Sheet

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242.07 KB | Last Updated: March 3, 2016

Diabetes Self-Management Training
Diabetes Self-Management Training

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273.45 KB | Last Updated: February 26, 2016

IBT for Obesity Tip Sheet
IBT for Obesity Tip Sheet

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187.48 KB | Last Updated: February 26, 2016

2017 Standard of Diabetes Care
2017 Standard of Diabetes Care

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5.79 MB | Last Updated: January 31, 2017

Diabetes Screening Tip Sheet
Diabetes Screening Tip Sheet

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233.72 KB | Last Updated: February 3, 2016

Chronic Care Management Toolkit
Chronic Care Management Toolkit

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473.92 KB | Last Updated: October 6, 2015

3 Minute Foot Exam
3 Minute Foot Exam

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216.89 KB | Last Updated: March 27, 2017

Chronic Care Management Fact Sheet
Chronic Care Management Fact Sheet

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831.46 KB | Last Updated: May 14, 2015

Chronic Care Management FAQ’s
Chronic Care Management FAQ’s

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170.73 KB | Last Updated: May 14, 2015

EDC Participating Partners
EDC Participating Partners

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1.00 MB | Last Updated: March 15, 2016

American Diabetes Association: Standards of Medical Care in Diabetes – 2015
American Diabetes Association: Standards of Medical Care in Diabetes – 2015
Be Smart with Sharps
Be Smart with Sharps

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986.50 KB | Last Updated: February 9, 2015

No Loose Sharps Poster
No Loose Sharps Poster

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926.41 KB | Last Updated: February 9, 2015

AHRQ Health Literacy Universal Precautions Toolkit, 2nd edition
AHRQ Health Literacy Universal Precautions Toolkit, 2nd edition

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404.69 KB | Last Updated: February 9, 2015

Business Case for DSME
Business Case for DSME

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988.55 KB | Last Updated: February 5, 2015

National Quality Strategy Toolkit
National Quality Strategy Toolkit

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1.95 MB | Last Updated: February 5, 2015

National Quality Strategy Lever Fact Sheet
National Quality Strategy Lever Fact Sheet

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304.38 KB | Last Updated: August 21, 2015

National Quality Strategy Fact Sheet
National Quality Strategy Fact Sheet

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343.86 KB | Last Updated: February 5, 2015

QIO Program Progress Infographic 2011-2014
QIO Program Progress Infographic 2011-2014

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1.68 MB | Last Updated: February 5, 2015

EDC - Fact Sheet
EDC - Fact Sheet

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1.35 MB | Last Updated: February 5, 2015

Diabetes Fact Sheet
Diabetes Fact Sheet

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573.77 KB | Last Updated: February 5, 2015

DSME Toolkit
DSME Toolkit

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1.73 MB | Last Updated: August 19, 2014

Coding, Coverage, Compensation for MNT
Coding, Coverage, Compensation for MNT

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91.82 KB | Last Updated: August 19, 2014

Step-by-Step Guide to Medicare MNT
Step-by-Step Guide to Medicare MNT

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1.56 MB | Last Updated: August 19, 2014

Annual Diabetic Foot Exam, June 2017
An eight-minute video demonstrating the three-minute comprehensive foot exam done by a primary care physician on one of his type 2 diabetes patients.
Act On Diabetes. Now.
Diabetes: Protect Our Future
What is a Diabetes Educator?
Take the Prediabetes Risk Test
Bacon Lovers | Type 2 Diabetes Prevention
Busy Moms | Type 2 Diabetes Prevention
Mama Ocupada | Type 2 Diabetes Prevention
Living with Diabetes
“I’ll pass my knowledge on to others” Diabetes Self-Management Education (DSME)
Nearly one-third of persons 65 years and older have diabetes. It is the most common cause of blindness, kidney failure, and amputations in adults. In this two-minute video, one Mississippi man shares how he learned the importance of taking an active role in controlling the disease. Hear how he got the knowledge and skills to improve his quality of life by participating in a free Diabetes Self-Management Education (DSME) class.

Patient Education
Patient Insight: Depression and Diabetes

CMS Equity Plan
CMS Equity Plan

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433.40 KB | Last Updated: January 26, 2016

Logic Models
The QIO Program helps you embrace data in your healthcare setting
Failure Modes & Effects Analysis (FMEA)
The QIO Program shares 5 steps in the Failure Modes and Effects Analysis (FMEA) to anticipate potential problems before they occur
Root Cause Analysis (RCA)
The QIO Program demonstrates how to identify the root cause of a problem using The 5 Whys
QIO Documentary
Learn about the history of the QIO Program, from 1966 through today.
IHI Whiteboard: Model for Improvement, Clip 1
IHI Whiteboard: Model for Improvement, Clip 2
IHI Whiteboard: PDSA Cycles, Part 1
IHI Whiteboard: PDSA Cycles, Part 2
IHI Whiteboard: Cause & Effect Diagrams

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