Our DM QIIP Journey:A Story of Two Units in Two

Minutes

Michele Macdonald-Werstuck

Anne Barber

Inge Schabort

Mary Park

Michelle Parkin

Shelly House

Mike Spoljar

Glenda Pauw

Jane Jurcic-Vrataric

Juan Munoz

ACKNOWLEDGEMENTS:

Our Successes• Both units:

– Significant improvements in process measures (screening for retinopathy, nephropathy, foot care, Self Management documentation)

– Integration of learners into care models– Scheduled team meetings including case reviews

allow increased coordination of care– Standard patient education materials and strategies

for documentation identified (e.g., DM flowsheet)

Our Successes

• MFP– Increased capacity

and comfort of our clinicians with insulin starts and adjustments

– Outcome Measure:• Significant

improvement in patients at A1c targets

• Stonechurch– Group Medical Visits

• Endless possibilities!

– Self-management paradigm shift

– The Prepared Patient

Key Learnings

• Clinician awareness and buy-in central for success

• Embrace group visits!• Consistent use of EMR by providers needed for

clean data• Sustainability strategies with frequently changing

team members (new learners) requires creativity