Iowa Diabetes + Wellness Summit

Ankeny, IA US
November 14, 2019

Registration


The cost to attend is $50 and includes lunch, summit facilitation and materials. 

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Once you're logged in, please select the "REGISTER" tab to process your payment and complete your registration.
 

Purpose

The summit will provide an engaging forum to discuss latest practices, opportunities, resources, and tools for addressing diabetes prevention, control and management. National, state and local experts will share innovative and best practice strategies for reducing the burden of diabetes and empowering patients and their families to live healthier lives.

Target Audience

Public health professionals, physicians, podiatrists, nurses, advance practice nurses, chiropractors, physical therapists, health coaches, certified diabetes educators, dietitians, pharmacists, diabetes prevention program facilitators, diabetes self-management education coordinators, and third-party payers.

Sharing Table

We are going to provide a sharing table again this year at the conference.  Sharing tables allow for conference attendees to bring information/flyers about what they are doing in the area of diabetes prevention and management and share with other attendees. Feel free to share!

Agenda

8 amRegistration and Breakfast
9 amOpening Remarks
9:15 am

Patient Testimonials

Tiffanney Learn and Jennifer Calderon-Gwenigale

9:30 am

Engaging the Disengaged: Strategies for Promoting Behavior Change in Diabetes

William Polonsky, PhD, CDE, President and Founder of the Behavioral Diabetes Institute

  • Discuss the latest research findings concerning poor motivation in diabetes and how psychosocial factors influence adherence to diabetes self-care behaviors. 
  • Describe brief techniques for assessing diabetes self-management obstacles.
  • Identify practical behavioral methods for promoting greater patient engagement and encouraging more effective self-care in diabetes clinical practice.
11 amBreak
11:30 am

Breakout Session 1A - Health Inequities for People with Disabilities and Diabetes    

Anne Crotty, MPH, UIHC Center for Disabilities and Development, University of Iowa
Maggie Ferguson, MS, CRC, CBIS, Program Manager, Inclusive Health and Wellness Initiative for Iowans with Disabilities, Iowa Department of Public Health
Mike Hoenig, MA, Program Coordinator, State and Community Projects; UIHC Center for Disabilities and Development, University of Iowa 

People with intellectual disabilities are five times more likely to have diabetes than the general population. Despite a greater need for health care, people with disabilities are also less likely to receive preventative care, more likely to delay treatment, and tend to receive less adequate care in managing their diabetes. A collaboration between Iowa Department of Public Health and Iowa’s University Center for Excellence on Developmental Disabilities, Iowa is leading the way promote the inclusion of people with disabilities in public health and health care initiatives. This presentation will describe the multiple factors contributing to health inequities for people with disabilities and diabetes, as well as Iowa initiatives to address inequities, and examples of innovative community-based projects that are promoting inclusive health and wellness. 

  • Explain underlying reasons for health inequities among people with disabilities and diabetes.
  • Describe Iowa initiatives to address health inequities for people with disabilities as they relate to diabetes.
  • List three community-based examples that are promoting inclusive health and wellness for people with disabilities and diabetes.

Breakout Session 1B - Legalizing Eating with Diabetes: An Intuitive Approach 

Alison St. Germain, MS, RD, LD, Iowa Academy of Nutrition & Dietetics    

Learn how weight stigma and bias hinders communication and causes patient harm. Explore the framework of Health at Every Size® and Intuitive eating and how to apply in diabetes education. Presenter will provide examples and handouts for practitioners to use with patients. Specific activities will be demonstrated to use with clients.

  • Deconstruct weight stigma and learn how it hinders clinician-patient communication and how it increases the likelihood of poor health outcomes.
  • Explore non-diet weight neutral approaches to well-being as an alternative to weight centered interventions with specific application to diabetes.

Breakout Session 1C - Iowa’s Innovative Dental, Medical, and Community Integration Activities

Katie McBurney, BSHM, RDH, Lifelong Smiles Coalition
Kate LaFollette, RN, Care Coordinator, Telligen
Joy Laudick, RN, CDP, Director of Clinical Quality Management, Senior Housing Management, Inc.

Health care transformation is changing the patient/client care landscape in Iowa. State and federal agencies, and public and private payers point to elements that guide providers from volume to value-based practices. Better care, better outcomes, and affordable cost is the goal and expectation. Iowa is becoming a leader in integrated oral and clinical care. Public health, community service organizations and clinicians are thoughtfully integrating and coordinating care practice. Evidence shows oral and dental care as preventing diabetes and other serious illness, containing costs and improving overall health. Partners in the LIFELONG SMILES Coalition are executing innovative programs. Their experiences and stories can provide your organization directions needed for integrated sustainable community health.

  • Recognize the importance of oral care as part of a diabetes prevention and treatment plan while discussing the need to advance coordinated care among health disciplines.
  • List two impacts of Mouth Care Matters training for healthcare professionals.
  • Examine how social determinants of health (including access to oral care) impact overall quality of life and hospital re-admissions.
12:30 pmLunch (Provided)
1 pmTED-Style Summary Presentations
  • Everyone with Diabetes Counts: Strategies and Accomplishments, Telligen
  • Walk with Ease Program – A Diabetes Prevention and Control Intervention, Community Health Partners
1:30 pm

Breakout Session 2A - The Med Talk: Strategies to Help People with Type 2 Diabetes Start and Stick to Their Diabetes Medications

Megan Muñoz, RN, MSN, CMSRN, CDE, Diabetes Educator, UnityPoint Clinic
Cynthia J. Fiester, RN, BSN, Linn County Public Health    

Medication safety and adherence have a well-recognized impact on medical outcomes, costs, productivity and quality of life for people living with Type 2 Diabetes. Medication safety and adherence was a Linn County Diabetes Subcommitte area of focus for the SIM grant (2017-19). This presentation builds on Linn County’s findings, and aligns with Iowa’s Diabetes Statewide Strategic Plan, and national movements by the American Diabetes Association, to close the gap between ideal diabetes outcomes and the current state. The presentation will highlight differences between practitioner and patient perceptions of Type 2 diabetes. A discussion on strategies for engaging and empowering patients to initiate and adhere to their medications will be included. The audience will walk away with tools and “real-world” methods to help them discuss new diabetes medications, maximize current regimens, modify glucose checking techniques, and overcome patient resistance to changes in care. All of these components address patient reported barriers to medication adherence and support public health efforts to improve diabetes outcomes.

  • Identify the depth of the medication adherence problem in T2D.
  • Overcome barriers to medication adherence in T2D.
  • List two techniques that can be applied to practice to improve medication adherence.
  • Identify one resource that can impact medication adherence outcomes.
 

Breakout Session 2B - Dental and Diabetes: A Bi-Directional Dilemma

Mary Kelly, MS, RDH, CDP, Trainer, Oral Health Connections

The relationship between dental and diabetes is well-documented and supported by research and data. By simply brushing one’s teeth a person with diabetes can realize improved glycemic control and oral health especially with periodontal disease which may eventually lead to tooth loss. This presentation will discuss opportunities for diabetes educators, clinicians and dietitians to understand the bidirectional relationship between oral health and glucose control, create shared outcomes through interprofessional practice, set oral health management goals that assist with diabetes management and create shared outcomes.

  • Define the relationship between glycemic control and oral health.
  • Perform an oral health screening.
  • List common oral health diseases.
  • Suggest oral hygiene management goals for their clients.
  • Create shared overall health improvement goals through interprofessional practice.

Breakout Session 2C - A Collaborative Approach to Designing, Implementing, and Evaluating “Diabetes Management and Prevention at the Iowa City Free Medical Clinic”  

Mara Cheney, MPH, Johnson County Public Health
Estefany Guido, Iowa City Free Medical & Dental Clinic
Barbara Vinograde, Iowa City Free Medical & Dental Clinic

Johnson County Public Health (JCPH) and the Iowa City Free Medical Clinic (FMC) have a long-standing partnership to address the health needs of Johnson County’s uninsured and underinsured residents. FMC serves a population considered at high risk for diabetes, and while having offered a chronic disease Case Management Clinic for many years, FMC experienced barriers to sustained diabetes educational services due to reliance on volunteers. In order to address patient needs as an objective of the countywide Health Improvement Plan priority of Diabetes Screening and Education, JCPH and FMC collaborated to apply for grant funding through the American Medical Association Foundation (AMAF) to increase the scope of Case Management programming offered by the clinic. Utilizing AMAF funding, FMC has contracted a bilingual Community Health Worker (CHW) through JCPH to lead culturally relevant Motivational Interviewing-based diabetes management and prevention programming since May 2018. Participating patients receive quarterly on-site educational services, health metric checks, and guidance with goal setting. JCPH provided technical assistance to expand the previous programming utilized at the clinic and develop a program evaluation plan. To date, the CHW has worked with 85 patients (82.3% diabetic, 17.6% pre-diabetic) and data will continue to be tracked to determine patient retention and program sustainability. 

  • Provide a framework for collaborative methods of developing, implementing, and evaluating diabetes prevention and management programming.
2:30 pmBreak
2:45 pm

Breakout Session 3A - Treating Obesity in the Setting of Diabetes

Jamie Pitlick, PharmD, Associate Professor of Pharmacy Practice, Drake University and MercyOne Des Moines Diabetes and Endocrinology Care
Christine Langel, ARNP, MercyOne Des Moines Diabetes and Endocrinology Care 

Overweight and obese individuals should be encouraged to participate in a comprehensive lifestyle program with emphasis on adherence to a lower calorie diet, increasing physical activity, and behavioral modification as first-line weight loss strategies. Motivating and encouraging patients to participate in these lifestyle programs is a challenge. MercyOne Des Moines Diabetes & Endocrinology has an interprofessional collaboration of doctors, advanced nurse practitioners, dieticians, and pharmacists working to develop a comprehensive program for the treatment of obesity. The purpose of the presentation will be to review the treatment of obesity as a disease, and discuss the results (breakthroughs and barriers) of the clinic initiative.

  • Describe the treatment of obesity as a disease, including evidence-based comprehensive lifestyle programs.
  • Compare and contrast medical treatment options for patients with diabetes and obesity.
  • Discuss the results(breakthroughs and barriers) of the interprofessional obesity clinic initiative.

Breakout Session 3B - Increased Access and Patient Success in a DPP Through Innovative Community Partnerships

Erin Raftery, RN, BSN, MPH, Care Manager, Eastern Iowa Health Center
Emmaly Fenton Renshaw, Certified Diabetes Prevention Lifestyle Coach and Chronic Disease Program Coordinator, YMCA of the Cedar Rapids Metropolitan Area

YMCA and Eastern Iowa Health Center in Cedar Rapids Iowa have worked together to refine and improve the referral process for primary care patients who are pre-diabetic to the YMCA Diabetes Prevention Program. Through staff education, motivational interviewing, patient education, working to reduce patient barriers, and building a model for referring outside the primary provider organization has both increased access and patient success in the program. With the addition of an electronic community referral option and the current trends of decreasing grant funding we will also discuss how we are tackling new opportunities and barriers in continuing to improve and enhance patient’s access to the diabetes prevention program.

  • Apply innovative ways to reduce barriers for low income patients to the YMCA Diabetes Prevention Program.
  • Prepare patients prior to DPP program enrollment for increased engagement and successful outcomes.

Breakout Session 3C - Reducing Health Disparities in the Pacific Island Culture: A Targeted Diabetes Intervention    

Heather Rickertsen, PharmD, Director of Clinical Pharmacy Services, Crescent Community Health Center 
Emma Kraayenbrink, PharmD, Infocus Pharmacy Services

Our presentation will briefly outline the history of the Pacific Island culture, emphasizing the prevalence for diabetes. We will share the structure of our program highlighting achieved successes through the use of a community health worker model. Lastly, we will share outcomes related to diabetes, ER use, visit compliance and more.

  • Highlight the benefits of a community health worker model.
  • Demonstrate how reducing barriers to healthcare can improve health outcomes.
  • Emphasize how cultural sensitivity can enhance patient-provider relationships.
  • Identify how community partnerships can contribute to healthier communities.
3:45 pmClosing Remarks
4 pm Adjourn

Sponsors

  
  
  
     
  
    Course summary
    Available credit: 
    • 5.25 AMA PRA Category 1 Credits
    • 5.25 AOA Category 2­A
    • 5.25 CPME
    • 5.25 IBON
    Course opens: 
    08/20/2019
    Course expires: 
    11/14/2019
    Event starts: 
    11/14/2019 - 8:00am CST
    Event ends: 
    11/14/2019 - 4:00pm CST
    Cost:
    $50.00
    Rating: 
    0
    FFA Enrichment Center
    1055 SW Prairie Trail Parkway
    Ankeny, IA 50023
    United States
    +1 (515) 965-7372

    The FFA Enrichment Center is a beautiful and convenient meeting and conference center adjoining the Des Moines Area Community College campus in Ankeny, Iowa.

    Travel


    From Interstate 35 (I-35)

    Take I-35 either North or South to Ankeny.
    Take the Oralabor Road exit (same as airport) & Go West
    If you are coming from the north, this is a right turn
    If you are coming from the south, this is a left turn.
    After driving about 2 miles, you will run into South Ankeny Blvd.
    Turn right onto South Ankeny Blvd.
    Turn left on DMACC Blvd.
    Turn right on SW Campus Court

    From Interstate 80 (I-80) in Des Moines

    Take the 2nd Avenue exit north (Highway 415).
    Drive to Oralabor Road in Ankeny.
    Turn right on Oralabor Road.
    Turn left at the first stoplight—DMACC Blvd. 
    Turn left on SW Campus Court

    Keynote Speaker

    William Polonsky, PhD, CDE is President and Founder of the Behavioral Diabetes Institute, the world's first organization wholly dedicated to studying and addressing the unmet psychological needs of people with diabetes. He is also Associate Clinical Professor in Psychiatry at the University of California, San Diego. Dr. Polonsky received his PhD in clinical psychology from Yale University and has served as Senior Psychologist at the Joslin Diabetes Center in Boston, faculty member at Harvard Medical School and Chairman of the National Certification Board for Diabetes Educators.  

    An active researcher in the field of behavioral diabetes, Dr. Polonsky has served on the editorial boards of Diabetes Care, Diabetes Forecast, Clinical Diabetes, Diabetes Self-Management and Diabetes Health. His most recent research projects have focused on quality of life in diabetes, diabetes-related distress and depression, hypoglycemic fear, adherence to cardiometabolic medications, glucose monitoring behavior and attitudes in people living with diabetes, physician and patient attitudes towards insulin and oral medications, group-based behavior change programs, group-based behavior change programs, the influence of continuous glucose monitoring on quality of life, and emotional and behavioral responses to the diagnosis of diabetes.  

    A licensed clinical psychologist and certified diabetes educator, Dr. Polonsky has also authored several books for the lay audience (e.g., Diabetes Burnout: What to Do When You Can’t Take it Anymore) and co-edited several others for health care professionals (e.g., A CORE Curriculum for Diabetes Education).

      Accreditation Statements

      • MD: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Iowa Medical Society (IMS). Des Moines University (DMU) is accredited by the IMS to provide continuing medical education for physicians. DMU designates this live activity for 5.25 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
      • DO: Des Moines University (DMU) is accredited by the American Osteopathic Association (AOA) to provide osteopathic continuing medical education for physicians. DMU designates this program for a maximum of 5.25 AOA Category 2-A credits and will report CME and specialty credits commensurate with the extent of the physician’s participation in this activity.
      • Nurse: Des Moines University is Iowa Board of Nursing approved provider #112. This live activity has been reviewed and approved for 5.25 continuing education contact hour(s). Nurses must attend the entire session within each day to receive credit. Partial session credit is prohibited and will be forfeited. 
      • DPM: Des Moines University (DMU) is approved by the Council on Podiatric Medical Education as a provider of continuing education in podiatric medicine. DMU has approved this live activity for a maximum of 5.25 continuing education contact hour(s).
      • CHES: 4.5 Entry Level CHES Category 1 continuing education hours (CECH) has been approved by the National Commission for Health Education Credentialing, Inc. (NCHEC). If you are seeking CHES/MCHES CECH, it will be FREE for all IA SOPHE members.  For non-IA SOPHE members, the costs for the CHES/MCHES CECH is $25.00.  For payment for CHES credits, please visit https://www.iowasophe.org/membership and click on "CHES - Diabetes Summit”.
      • Other healthcare providers: This live activity is designated for 5.25 AMA PRA Category 1 Credit(s)™.

      EDUCATIONAL GRANTS

      No commercial interest company provided financial support for this continuing education activity.

      DISCLOSURE

      The speaker(s) will disclose if any pharmaceuticals or medical procedures and devices discussed are investigational or unapproved for use by the U.S. Food and Drug Administration (FDA). Determination of educational content and the selection of speakers is the responsibility of the activity director. Firms providing financial support did not have input in these areas.

      Relevant to the content of this educational activity, the following individual(s) have no conflict(s) with commercial interest companies to disclose.

      • Ami Bolles, Planning Committee Member
      • Jennifer Calderon-Gwenigale, RMA, Speaker
      • Mara Cheney, MPH, Speaker
      • Karen Crimmings, RN, CIC, Activity Director and Planning Committee Member
      • Anne Crotty, MPH, Speaker
      • Emmaly Fenton Renshaw, Speaker
      • Maggie Ferguson, MS, CRC, CBIS, Speaker
      • Cynthia J. Fiester, RN, BSN, Speaker
      • Vanessa Gray, MHA, CMP, CHCP, Planning Committee Member
      • Estefany Guido, Speaker
      • Laurene Hendricks, Planning Committee Member
      • Carol Hibbs, Planning Committee Member
      • Mike Hoenig, MA, Speaker
      • Mary Kelly, MS, RDH, CDP, Speaker
      • Emma Kraayenbrink, PharmD, Speaker
      • Kathy Kunath, RN, Planning Committee Member
      • Kate LaFollette, RN, Speaker
      • Christine Langel, ARNP, Speaker
      • Joy Laudick, RN, CDP, Speaker
      • Katie McBurney, BSHM, RDH, Speaker
      • Andrew Minear, Activity Coordinator and Planning Committee Member
      • Wendy Mobley-Bukstein, PharmD, BCACP, CDE, CHWC, FAPhA, Planning Committee Member
      • Jamie Pitlick, PharmD, Speaker
      • Trina Radske-Suchan, PT, CSCS, FMSC, Planning Committee Member
      • Erin Raftery, RN, BSN, MPH, Speaker
      • Kady Reese, Planning Committee Member
      • Heather Rickertsen, PharmD, Speaker
      • Cari Seddon, MA, RD, CDE, Planning Committee Member
      • Hannah Shultz, Planning Committee Member
      • Alison St. Germain, MS, RD, LD, Speaker
      • Barbara Vinograde, Speaker
      • Laurie Walkner, RN, MA, Planning Committee Member
      • Kathy Wisgerhof, RN, MA, CPHQ, Planning Committee Member

      Relevant to the content of this educational activity, the following individual(s) have a conflict(s) with commercial interest companies to disclose.

      • Megan Muñoz, RN, MSN, CMSRN, CDE, Speaker - Self-Managed Stock Shareholder, Dexcom and Tandem
      • William Polonsky, PhD, CDE, Speaker - Consultant for Livongo, Sanofi, Servier, Insulet, Lifescan, Abbott, Lilly, Roche, Xeris, Novo Nordisk, Mannkind, and Ascensia

      Disclaimer

      The information provided at this activity is for continuing education purposes only and is not meant to substitute for the independent medical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition. The content of each presentation does not necessarily reflect the views of Des Moines University.

      Available Credit

      • 5.25 AMA PRA Category 1 Credits
      • 5.25 AOA Category 2­A
      • 5.25 CPME
      • 5.25 IBON

      Price

      Cost:
      $50.00
      Please login or Create an Account to take this course.

      The cost to attend is $50 and cover lunch, summit facilitation and materials. 

      CANCELLATION POLICY

      • All cancellations must be received in writing at cme@dmu.edu.
      • A nonrefundable administrative fee of $20 will be charged for all cancellations.
      • No refunds will be given three (3) business days prior to the activity start date.
      • Cancelled registrations can be transferred to another individual for the same activity.
      • Individuals who fail to attend the activity (no-shows) will not receive any refund. Forfeited fees may not be applied to any other activity.