DOR Report_2010 - Diabetes Outreach

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Diabetes Outreach in 2010 Whole-of-population approach The continuum of diabetes care and education requires a whole-of-population approach and regional planning based on local resources. Diabetes Outreach utilises data from the Population Research and Outcomes Studies Unit of SA Health, in developing and providing population profiles. Other sources of data include the Pregnancy Outcomes Unit (SA Health), Australia Institute of Health and Welfare and the National Diabetes Service Scheme National Register. The profiles contain specific diabetes epidemiological and service data including prevalence and incidence rates for diabetes, prevalence of those with risk factors for complications, hospital admissions, etc. The profiles are available at www.diabetesoutreach.org.au. Data about gestational diabetes, type 1, and paediatric diabetes is somewhat limited and is identified as a gap. A profile based on all types of diabetes and not simply type 2 diabetes will enable services to effectively plan for reorientation to meet current and changing needs. Diabetes Outreach has so far assisted the Northern Yorke Peninsula and Ceduna area in developing a local population profile of diabetes. Standards of care Diabetes Outreach continues to incorporate evidence based professional standards of diabetes care into all education, support and consultative activities. The service also contributes to the development and updating of these standards in the medical, nursing and allied health professional arenas. Diabetes Outreach staff are working with CHSA in identifying issues related to consistency and safety of care in rural hospitals. The lack of constant protocols to guide care of inpatients has been highlighted as an area of concern. Consultation with key stakeholders about best options has commenced. The Diabetes Outreach - Diabetes Self Care Program is now freely available online. http://www.diabetesoutreach.org.au/7Steps/default.asp Underpinned by work undertaken by the American Association of Diabetes Educators the program supports behavioural & clinical outcomes. Rural diabetes educators can now have access to program outlines and tools that support the delivery of an evidenced based approach to self care education in either a group or Diabetes Outreach Report 2010 Page 12 of 44
individual format. Template documents and flow charts, such as those found in the Diabetes Management Portfolio and the Diabetes Manual continue to support evidence standards of care. These resources can be adapted and used to support quality and safety in all health services as well as a seamless patient journey between public and private services. Role definition In 2010, Diabetes Outreach has continued to work with all areas to incorporate accepted national professional standards and guidelines for diabetes using local diabetes pathways. Guidelines and standards are necessary but not sufficient on their own. Application in everyday practice requires agreed clinical and educational pathways. The ‘what should be done’ by ‘whom’, ‘when’ and for ‘how long’ are all aspects of local service delivery which can only be agreed at a local level. These pathways need to be developed for, and by, each individual area since needs, priorities and available resources vary. As the number of credentialled diabetes educators (CDEs) grow in rural and remote areas it becomes necessary to clearly articulate roles and responsibilities. CDEs are advanced practice registered nurses who are well placed to provide specialist diabetes education and care as well as a level of professional support to general nurses and allied health professionals. The Australian Diabetes Educators Association, The Credentialled Diabetes Educator in Australia: Role and Scope of Practice document is being used to benchmark professional practice and service delivery. Diabetes Outreach provides education and support re the integration of services as well as an understanding of role definition and specialist practice. Training and support Training and support is core business for Diabetes Outreach. Rural and remote colleagues need ready access to initial training and orientation as well as continuing education and practice development. Training and support is also integrated into the clinical networks and clinical governance activities. Initial training Diabetes Fundamentals has been available as a workbook since 2003. The workbook was reviewed and updated in 2007, and was offered as a self directed learning model for reviewing and updating diabetes clinical and educative information. It also provides resources for service provision and professional practice. The workbook is used together with the Diabetes Manual and peer/professional support through the diabetes clinical networks and Diabetes Outreach. During 2010 the package was requested by 59 registered nurses (Attachment D). The workbook has also been modified for use in The Queen Elizabeth Hospital, Diabetes Resource Nurse training program. In 2010 the material underwent a significant review and has been converted to an online program to increase access. Other changes included greater emphasis on the interdisciplinary approach to the material enabling access for dietitians, podiatrists and other allied health professionals. The online program will be available early in 2001. Introduction to diabetes program: provides diabetes professional development in a distance education model utilising a combination of audio conferencing and workbook. The program suits health care providers who wish to undertake basic up-skilling but are unable to take on a university commitment at that time. An external package of material includes 7 topic sessions with topic discussion, case activities and extra reading. Seven 1 hour telephone tutorials offer group discussion for each of the topics. In 2010 the program attracted 37 participants from a range of rural areas (Attachment E). A new program specifically for Aboriginal health workers was also developed. Evaluations stated that the program had a positive impact on the way they provided information to and cared for people with diabetes (Attachment F). Three programs are planned for 2011. One for general health professionals, one specifically for Aboriginal health workers and Diabetes Outreach Report 2010 Page 13 of 44
Page 1 and 2: Diabetes Outreach Service Report 20
Page 3 and 4: Contents page 1. Acknowledgements 5
Page 5 and 6: Acknowledgements Diabetes Outreach
Page 7 and 8: 235 health professionals are regist
Page 9 and 10: workers, that supports an integrate
Page 11: Diabetes is one of the fastest grow
Page 15 and 16: Regional Support Scheme Grant award
Page 17 and 18: Network collaboration Diabetes Outr
Page 19 and 20: Attachment A Diabetes Outreach - Pr
Page 21 and 22: Attachment C Extract from last Serv
Page 23 and 24: Attachment E Introduction to diabet
Page 25 and 26: Attachment F > Reinforcement as wel
Page 27 and 28: Attachment G Regional Education Ser
Page 29 and 30: Pt Augusta Fellowship Learning Grou
Page 31 and 32: Attachment H Regional Education Ser
Page 33 and 34: Attachment J Videoconferencing Seri
Page 35 and 36: Attachment K Session 7 Type 1 diabe
Page 37 and 38: Diabetes Outreach Report 2010 Page
Page 39 and 40: Diabetes Outreach Report 2010 Page
Page 41 and 42: Attachment N Diabetes Education Fac
Page 43 and 44: Attachment O > Participate in the c

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