Raising the Bar: Rating and Improving Diabetes Quality of Care in Daily Interactions

Endocrinology
Curriculum:
Raising the Bar: Rating and Improving Diabetes Quality of Care in Daily Interactions
Credits:
1 AAFP Prescribed Credit(s) 1 CA-BRN Credit(s) 1 AMA PRA Category 1 Credit(s)™
Launch Date:
January 26, 2017
Expiration Date:
The accreditation for this activity has expired.

Primary Audience:

Primary Care Providers

Relevant Terms:

Type 2 Diabetes

Raul Ayala, MD

Raul Ayala, MD
Associate Medical Director
Adventist Health
Medical Director
Adventist Health Community Center Primary Care and Specialty Clinic
Hanford, CA

Raul Ayala, MD is a board-certified family physician in practice at Adventist Health Central Valley Network in Selma & Hanford, CA. He serves as Chief Medical Officer Community Care, Director of House Calls and Director of Complex Care Clinics- Central Valley Network.
 
Dr. Ayala obtained his Bachelors of Science degree in Biochemistry from The University of Texas-San Antonio. Completed his Medical Degree at New York Medical College Fifth Pathway Program in Valhalla, N.Y and Universidad de Montemorelos.  He then went on to complete a Family Medicine residency at University of California San Francisco-Fresno in Fresno, CA where he was a chief resident. He is a board member of California Academy of Family Physicians serving as District VI – Fresno-Kings-Madera, Merced-Mariposa, San Luis Obispo, Santa Barbara and Ventura. Dr. Ayala is also a graduate from the California Academy of Family Physician’s CME Leaders Institute.

​William Woo, MD

William Woo, MD
Assistant Chief of Family Medicine
Southern California Permanente Medical Group
Voluntreer Faculty
University of CA Irvine School of Medicine
Department of Family Medicine
Orange County, CA

William Woo, MD is a board-certified family physician in practice at Kaiser Permanente in Anaheim, CA. He obtained his associates of science degree from Cypress College, followed by his undergraduate training at the University of Southern California.
 
Dr. Woo attended medical school at Drexel University College of Medicine in Philadelphia, PA. He then went on to complete a Family Medicine residency at Kaiser Permanente in Orange County, CA where he was a chief resident. Dr. Woo is an assistant chief of Family Medicine at his medical group. He is also volunteer faculty at the University of CA, Irvine School of Medicine, Department of Family Medicine. Dr. Woo is a graduate from the inaugural class of the California Academy of Family Physician’s CME Leaders Institute and is now serving on both the CAFP Board of Directors and Committee on Continuing Professional Development.
1. Summarize updated guideline recommendations for T2DM.
2. Describe common misperceptions between providers and their T2DM patients.
3. Empower patients to improve diabetes self-care by effectively communicating in a culturally competent matter.
4. Implement evidence-based strategies to improve T2DM patient care by addressing common patient behaviors and barriers to change.
5. Address physician and patient barriers to initiation of insulin therapy in T2DM.

Conflict of Interest Statements 
The CAFP Committee on Continuing Professional Development is responsible for management and resolution of conflict for any individual who may have influence on content, who have served as faculty, or who may produce CME/CPD content for the CAFP. Management/ Resolution may include learner notification, peer review of content before presentation, requirement of EB-CME, changing topics, or even dismissing a potential planning or faculty member. 
 
It is the policy of the CAFP to ensure independence, balance, objectivity, scientific rigor, and integrity in all of their continuing education activities. All individuals with potential to influence the content of this program have submitted Conflict of Interest declarations that have been reviewed according to policy. Learner notification of declarations is below. All individuals with potential conflicts have been contacted by CAFP staff or CCPD members, and issues of conflict have been discussed, managed, and resolved.
 
Disclosures
  • Raul Ayala, MD, declares in the past 12 months neither he nor any member of his immediate family have a financial interest/arrangement or affiliation with one or more organizations that could be perceived as a real or apparent conflict of interest in the context of the subject of this continuing education program.
  • William Woo, MD, declares in the past 12 months neither he nor any member of his immediate family have a financial interest/arrangement or affiliation with one or more organizations that could be perceived as a real or apparent conflict of interest in the context of the subject of this continuing education program.
  • Jerri Davis, CCMEP, declares in the past 12 months neither she nor any member of her immediate family have a financial interest/arrangement or affiliation with one or more organizations that could be perceived as a real or apparent conflict of interest in the context of the subject of this continuing education program.
Instructions for Participation and Credit
Learners must register to participate in and receive credit for this online educational activity. For information on applicability and acceptance of continuing education credit for this activity, please consult your professional licensing board.
 
This activity is designed to be completed within the time designated on the title page; physicians should claim only those credits that reflect the time actually spent in the activity. To successfully earn credit, participants must complete the activity online during the valid credit period that is noted on the title page. To receive AMA PRA Category 1 Credit™ or AAFP Prescribed Credit, you must receive a minimum score of 65% on the post-test. Upon successful completion of the post-test, the learner will receive a certificate of participation that can be used to claim CME credit.

Steps to Earn CME/CE credit
Read the target audience, learning objectives, and author disclosures. Study the educational content online. Online, choose the best answer to each post-test question. To receive a certificate, you must receive a passing score as designated at the top of the test and complete the activity evaluation.
 
Your certificate will be emailed to the address you provided when registering. You may print the certificate, but you cannot alter it. 

Questions?
For questions regarding the content of this activity or for technical assistance, contact cafp@familydocs.org.
 
The CAFP has made all reasonable efforts to ensure that information contained herein is accurate in accordance with the latest available scientific knowledge at the time of accreditation of this continuing education program. Information regarding drugs (e.g., their administration, dosages, contraindications, adverse reactions, interactions, special warnings, and precautions) and drug delivery systems is subject to change, however, and the learner is advised to check the manufacturer's package insert for information concerning recommended dosage and potential problems or cautions prior to dispensing or administering the drug or using the drug delivery systems.
 
Approval of credit for this continuing education program does not imply endorsement by CAFP of any product or manufacturer identified.
 
Any medications or treatment methods suggested in this CME activity should not be used by the practitioner without evaluation of their patient's condition(s) and possible contraindication(s) or danger(s) of use of any specific medication.

Unlabeled Use Disclosure
This activity will not include discussions of products or devices that are not currently approved for use by the Food and Drug Administration (FDA), and the curriculum clearly indicates this fact.
 
Support grant/s       
This activity is supported by an unrestricted grant from Merck.

Needs Statement
We all know that Diabetes is a national epidemic with an increasing prevalence in the United States. The majority of individuals with diabetes in the U.S. receive care for the condition from primary care physicians (PCPs). Glycemic control for patients with type 2 diabetes is suboptimal. Significant gaps exist in diabetes-related knowledge and decision making among practicing physicians. It is imperative that physicians be familiar with the currently recommended guidelines and standards of care regarding the prevention, diagnosis and treatment of T2DM in order to appropriately manage patients with the disease and reduce the public health impact of diabetes and its complications on society. Keeping up with new guidelines and recommendations, much less the pharmacological options that now include 15+ classes of antihyperglycemic agents, is challenging to busy primary care physicians. 
 
In addition, guidelines continue to place the patient's condition, desires, abilities, and tolerances at the center of the decision-making process. As patients become more engaged in their care, they also need to know that their providers are following the latest evidence based guidelines and practices for improving care. Providers should articulate current science and provide patients with these resources in a culturally competent manner. The widespread availability of information (and misinformation) to patients via the internet speaks to the need for clinicians to have these important conversations.

Fee
There is no charge for this activity.
 
Cultural/Linguistic Competency
CAFP policy and California state law requires that each learning activity have elements of cultural and linguistic proficiency included in the content. This activity includes these elements.
 
Course Viewing Requirements
Supported Browsers:
Internet Explorer 9.0+ for Windows 2003, Vista, XP, Windows 7, Windows 8.1
Google Chrome 28.0+ for Windows, Mac OS, or Linux
Mozilla Firefox 23.0+ for Windows, Mac OS, or Linux
Safari 6.0+ for Mac OSX 10.7 and above
 
Supported Phones & Tablets:
Android 4.0.3 and above
iPhone/iPad with iOS 6.1 or above.