![]() ![]() These efforts are needed to increase the focus on achieving treatment targets early and maintaining them throughout a person’s lifetime. Key stakeholders can use this Consensus Report and the current Standards of Medical Care in Diabetes from the American Diabetes Association (ADA) ( 8) to develop action plans for increased referral to and utilization of DSMES. Financial support for DSMES services is available yet requires special attention (see reimbursement). Solutions begin with an organizational commitment to the value of access to, and participation in, DSMES. Current utilization is quite low because of a variety of barriers, yet solutions are available (see providing dsmes and identifying and addressing barriers). DSMES improves health outcomes and quality of life and is cost effective (see benefits associated with dsmes). DSMES is identified as one of the essential elements of comprehensive diabetes medical care, along with medical nutrition therapy (MNT) (see medical nutrition therapy as a core component of quality diabetes care). This Consensus Report focuses on a component of diabetes care that is often not accessed or utilized effectively-DSMES. Facilitate reimbursement processes and other means of financial support in consideration of cost savings related to the benefits of DSMES services. Identify and address barriers influencing providers’ referrals to DSMES services.ħ. ![]() ![]() Expand awareness, access, and utilization of innovative and nontraditional DSMES services.Ħ. Health policy, payers, health systems, providers, and health care teamsĥ. Identify and address barriers affecting participation with DSMES services following referral. Ensure coordination of the medical nutrition therapy plan with the overall management strategy, including the DSMES plan, medications, and physical activity on an ongoing basis.Ĥ. Initiate referral to and facilitate participation in DSMES at the 4 critical times: 1) at diagnosis, 2) annually and/or when not meeting treatment targets, 3) when complicating factors develop, and 4) when transitions in life and care occur.ģ. Discuss with all persons with diabetes the benefits and value of initial and ongoing DSMES.Ģ. The Consensus Report’s recommendations are listed in Table 1.ĭSMES improves health outcomes, quality of life, and is cost effective, and people with diabetes deserve the right to DSMES services. This report provides guidance to others as well: health systems and organizations can use this report to anticipate and address the needs of persons with diabetes and create access to DSMES services persons with diabetes can increase their awareness of DSMES services as part of quality care and can advocate for self-management education and support and payers and policy makers can work to design reimbursement processes that support participation in DSMES. 1), proposes how to locate DSMES-related resources, and discusses potential solutions to access and utilization barriers. This article is specifically directed toward health care providers (physicians, nurse practitioners, physician assistants ), referred to herein as providers, as it outlines the benefits of DSMES, defines four critical times to provide and modify DSMES (see Fig. The goals of this Consensus Report are to improve clinical care and education services, to improve the health of individuals and populations, and to reduce diabetes-associated per capita health care costs ( 1, 7). ![]()
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