Association of Diabetes Care & Education Specialists

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Featured Article:

Why I Attend AADE Annual Meetings

By Molly McElwee-Malloy, RN, CDE

Molly_McElweeAfter reading Tammi Boiko’s great write up on attending AADE annual meetings, I decided to also weigh in.

This is the biggest chance I get to catch up with educators who are shaping industry, creating educational opportunities and in general, painting the coming years of change. By attending sessions, I can gather important information on what is going on, from reimbursement to updates in care. I learn what works and what doesn’t and just like we update our computers, I update my brain on the challenges ahead facing diabetes educators.

I realize that it is challenging financially and with work to attend meetings. AADE has done a wonderful job illustrating the argument to employers for covering the cost and the burden of having you out of the office.

Here are the things I’ve weighed when deciding to attend an annual meeting:

Benefits. I attend sessions that other people have prepared and learn what they are teaching me. I don't have to prepare the slide deck, rehearse the presentation or do the research, I just get to attend! For those of us who have sat on the other side of that podium, attending is a breeze in comparison.

I get to wander the exhibit hall and talk to vendors and nonprofits about their products, communities and books - one on one. If you’re in an office or hospital setting, you don’t generally get to meet with representatives of companies to ask specific questions about their products. There are good reasons for this, but it can impede your ability to gain the latest and greatest info for your patients. It’s important and your patients count on you being the source for those answers.

Out of office. Nobody likes to do the catch up from being out of the office, but I tackle that by checking work email while away - you may choose otherwise. However, I promise that the time away from the office will rejuvenate you to answer those emails and return voicemails when you get back.

Cost. In order to attend the conference, I have previously had to count on the reimbursement from AADE for the volunteer work I do. Yes, there is money available to attend for leading an AADE Community of Interest group or being a member of the Member Affiliates Council. As leaders we know this, but your community may not. This money has helped me to attend almost every annual meeting since joining AADE (missed one year due to just returning from maternity leave and not having anything left). This has incentivized volunteering for me personally.

But, by far the largest benefit is meeting with YOU! I count on interacting with my peers to learn what’s working and what isn’t. The solutions you have provided to my problems in a simple conversation have been invaluable. The advice I offered may have been the same for you. We need to interact with each other in person to gain what we cannot online, and that’s comradery. A sense of community and understanding is worth its weight in gold.

If you haven’t attended AADE in years, I challenge you to meet me in sunny San Diego and share some wisdom. We learn from each other and together we will make a better future for ourselves and our patients by standing together and learning. Registration is open!

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​Trending Articles this Month

March is National Nutrition Month and National Kidney Month.

March 19 was National Nursing Certification Day

March 10 was World Kidney Day

March 22 is American Diabetes Alert Day

What You Should Know About Nutritional Deficiency and Diabetic Peripheral Neuropathy

Don't Look, Don't Know

Why You'll Thank Yourself For Visiting a Diabetes Educator

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Announcements

AADE a Partner in AMGF Campaign to Improve Diabetes Outcomes

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Earlier this month, the American Medical Group Foundation launched a second Chronic Care Challenge campaign; this one to advance quality improvement efforts in the diabetes arena. Titled Diabetes: Together 2 Goal, it seeks to guide participating medical groups and health systems in improving care for people with type 2 diabetes. It comes on the heels of a similar campaign, Measure Up/Pressure Down, centered around hypertension.

Together 2 Goal will focus on empowering patients, improving care delivery and leveraging information technology. Learn more about all 11 campaign planks.

AADE is joining many other healthcare groups, such as the American Association of Clinical Endocrinologists, American College of Physicians and the American Diabetes Association to support this campaign. We will be serving on their advisory committee and will help to promote the campaign. Stay tuned for more on this important initiative as it rolls out.

Learn more about Together 2 Goal.

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New Position Statement Released: Diabetes in School Settings

We recently published the Diabetes in the School Setting Position Statement. It outlines the role of diabetes educators, as they are well positioned to help optimize care of students at school with diabetes. It also discusses the legal framework, plans for diabetes management, how to apply the AADE7™ Self Care Behaviors in the school setting, and provides additional resources. Read the full position statement.

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Join the AADE Fellows

AADE Fellows are a distinguished group of diabetes educators who are recognized for outstanding contributions to diabetes education through clinical practice, research, education or health policy. Now is your chance to become one.

In addition to meeting the minimum requirements, the candidates must complete the 2016 application, a personal essay, two letters of recommendation (one of which should be from a current Fellow of a healthcare association), and supporting documents which show evidence of their outstanding service in the field of diabetes education. Apply today.

For any questions, please contact the Fellows Review Committee at FAADE@aadnet.org or call 800-338-3633, ext. 4822.

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Advocacy Update​

Flaws in Medicare's Competitive Bidding Program Continue to be Revealed

AADE has been looking at the impact of Medicare’s Competitive Bidding Program for some time now. In 2011, we initiated a “secret shopper” study looking at its effect on diabetes testing supplies. Then we followed that up with another study in 2014 that focused on insulin pumps.

The studies found that contract suppliers, on average, offered only 38 percent of the products listed on the Medicare website, and demonstrated that beneficiaries in competitive bidding areas did not have access to most brands available on the market, or to the brands most commonly prescribed by physicians and selected by beneficiaries. Learn more about both studies.

These results were widely shared with regulatory decision makers at the federal level. As a result, last month the Government Accounting Office reached out to AADE to learn more about the issues diabetes educators were seeing.

We are very encouraged that the National Minority Quality Forum has also been studying this issue and on March 18 released results of their study that continues to show the program to be deeply flawed. Read their press release and the study in Diabetes Care.

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More States to Move Forward with Diabetes Action Plans

As states continue to grapple with the severe human and financial toll of diabetes, many states have enacted a Diabetes Action Plan (DAP).

Overview

DAPs are a new way to help ensure legislators and other policymakers are thinking strategically about and taking steps toward reducing the prevalence of diabetes in their state. DAPs are often a result of legislation passed by both chambers of a state’s legislature, although they can also be mandated via an executive order from the governor. Currently, 18 states have passed a DAP and another 10 are considering passing one.

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The DAPs typically take the form of a report mandated by the enacting legislation. The legislation will often direct the various health-related departments in a state to work together (sometimes with non-governmental stakeholders), share data and create a plan to battle diabetes. These reports are often published biannually. Although not all reports are the same because each state generates their own reports, they do share some common characteristics.

Those who participated in writing the report

Each DAP includes a list of the state agencies and stakeholders who participated in writing and/or reviewing the report. For example, the DAP report released by Washington state in December of 2014 mentions that the Washington departments of Health, Social and Health Services, the Health Care Authority, the Office of Financial Management, and the Governor’s Office worked together on the report. In addition, Washington held a stakeholder summit in April of 2014 to “…discuss policy recommendations and actions they believed should be included in this report.” Fifty stakeholders representing 25 organizations attended the summit.

Introduction to scope of diabetes problem in state

All reports outline the scope of diabetes in their states. The Missouri DAP published on January 1, 2015 opens with the following lines:

It is estimated that more than 446,000 adult Missourians had doctor-diagnosed diabetes in 2013, with a prevalence of 9.6 percent (Table 1), similar to the national median prevalence of 9.7%.1. In Missouri, the prevalence increased with age and African Americans had a significantly higher prevalence than whites. Adults with a household income less than $15,000 had a significantly higher prevalence than those with a household income of $50,000 or greater.

Steps to address diabetes issue

All reports contain recommendations as to how the state can slow and manage the diabetes epidemic.

The Mississippi plan makes seven recommendations including:

  1. Raise public awareness of how to prevent and manage diabetes
  2. Unify diabetes prevention and management efforts
  3. Increase access to credible diabetes self-management education

As evidenced in the above recommendations, multiple states specifically mention greater access to Diabetes Self-Management Training (DSMT) as an integral part in a state’s strategy to combat diabetes.

What you can do

AADE members are the most important advocates for DSMT. It is important that you meet with your state representatives and senators to educate them on:

  1. What you do
  2. What DSMT is
  3. How DSMT can help the state fight diabetes
  4. How to include specific recommendations for DSMT in their state's DAP

For more information on how to get involved in your state's DAP, please contact AADE Director of Federal and State Advocacy, Kurt Anderson at kanderson@aadenet.org.

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Progress in Texas: New appointments on Diabetes Council

On March 2, 2016 Texas Governor Greg Abbott officially appointed four individuals to the Texas Diabetes Council for a five-year term. According to the official press release, the council “addresses issues affecting people with diabetes in Texas and advises the Texas Legislature on legislation that is needed to develop and maintain a statewide system of quality education services to all people with diabetes and health professionals who offer diabetes treatment and education.” On this newly appointed council sits active and local member of AADE, Joan Colgin, RN, CDE.

Texas is not the only state with an appointed diabetes council currently active – the Florida Diabetes Advisory Council has written into their mandate that a member of AADE have a spot on their council.

What does this mean for diabetes educators?

First and foremost, it means that your state legislators and decision-makers are listening and they rely on your expertise for diabetes prevention, diagnosis, education, care, treatment, impact and costs. More importantly it means that your voice – on behalf of people with diabetes and the work that we do – is being heard.

The AADE Advocacy team wants to thank and congratulate those members who have been appointed to their state-based diabetes councils. Feel free to reach out to us at advocacy@aadenet.org to tell us about ground-level issues and working together to push for diabetes education legislation.

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Professional Development

Boost Your Career in Diabetes Education

Prediabetes and diabetes are on the rise. Have you noticed that most of your day is spent managing the many complications affecting your clients or patients with diabetes? If so, it may be time to take your career in diabetes education to the next level with the BC-ADM certification.

The BC-ADM verifies your ability to skillfully manage complex patient needs and assist your patients with therapeutic problem-solving. Within a given scope of practice, BC-ADM professionals:

  • Adjust related medications
  • Treat and monitor chronic complications (diabetes comorbidities)
  • Counsel clients or patients with diabetes on lifestyle and behavior modification techniques
  • Address psychological issues
  • Participate in research and mentoring

To be eligible to sit for the BC-ADM exam you must:

  • Hold a current RN, RD, RPh/PharmD, PA or MD/DO licensure
  • Hold a graduate degree from an accredited program within 48 months prior to applying
  • Complete 500 clinical practice hours in advanced diabetes management

You meet the eligibility requirements. Check. Now it’s time to review our great resources to help you prepare for test day:

  • BC-ADM practice exam: you have 90 minutes to complete 75 multiple-choice questions from the BC-ADM exam bank. Results reflect the four domains of the actual exam to help you focus your studies.
  • Exam Preparation Toolkit (free!): study sheets and a reference list to help you study.
  • Candidate handbook (free!): download to see the additional resources available

The spring exam deadline is May 1st, or May 15th with an additional late fee. Join over 990 BC-ADM multidisciplinary colleagues and apply today!

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Learning on Your Own Schedule

recorded-webinarWhether you attend live, monthly webinars or you catch the recorded versions a few weeks later, they are a great way to stock up on continuing education credits in a short amount of time.

Some of the newest webinars available for purchase are the popular 2016 Trends, Insights and the Future of Diabetes Education, and Annual Reimbursement Update for 2016.

Have you taken advantage of any free recorded webinars? These are a perfect opportunity for you to capitalize on some of your membership benefits!

View the complete catalog for many more recorded webinars.

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Volunteer Opportunity: Continuing Education Reviewers Needed

get-involved-with-aadeWe are seeking volunteer peer reviewers for 2016 and beyond. AADE receives applications for live and self-study continuing professional education activities. The educational content of these conferences is related to diabetes and they need to be reviewed and approved.

As a volunteer peer reviewer you will ensure that these continuing education activities are of high quality and are in compliance with the standards of the organizations that accredit AADE to provide continuing education. Involvement as an AADE reviewer adds to your professional development, enables you to network with other AADE members, and provides you the opportunity to ensure the integrity of AADE education programs.

Prospective reviewers must meet established qualifications and submit an Application & Professional Expertise Form and a Biographical/COI Disclosure Form. CE Application reviewers may serve a term of one year and may nominate themselves to serve additional term(s). Training will be provided regarding the review of applications and the standards/criteria for continuing education specific to each discipline.

If you are interested in this volunteer opportunity, visit the AADE Get Involved page and click “I’m Interested” next to CE Application Reviewer.

Qualifications include:

Nurses Peer Reviewers

  • Member of AADE with active status
  • Current, valid license as RN and a baccalaureate degree or higher in nursing (or international equivalent)
  • Experience in nursing education. Certified Diabetes Educator (CDE) credential preferred
  • Knowledge in contemporary practices and pertinent issues & trends in diabetes care, treatment, research, and education/behavior changes
  • Ability to analyze/synthesize information related to meeting the criteria and key elements of ANCC’s educational design by engaging in reviewing the record of an activity to ensure all necessary components are present and compliant with the ANCC Accreditation program when reviewing applications
  • Willingness to learn and understand the policies/procedures of AADE’s Accredited Approver Unit
  • Knowledge of the Scope and Standards for Nursing Professional Development

Pharmacist Peer Reviewers

  • Member of AADE with active status
  • Health discipline professional preparation and credentialing as a Registered Pharmacist (RPh) required
  • Certified Diabetes Educator (CDE) preferred
  • Knowledge in contemporary practices and pertinent issues/trends in diabetes care, treatment, research, and education/behavior changes
  • Experience reviewing continuing education applications and knowledge of specific criteria/standards of ACPE preferred
  • Willingness to learn, and consistently apply standards/criteria for continuing education when reviewing applications.
Dietitian Peer Reviewers
  • Member of AADE with active status
  • Health discipline professional preparation and credentialing as a Registered Dietitian (RD) required
  • Certified Diabetes Educator (CDE) preferred
  • Knowledge in contemporary practices and pertinent issues/trends in diabetes care, treatment, research, and education/behavior changes
  • Experience reviewing continuing education applications and knowledge of specific criteria/standards of CDR preferred
  • Willingness to learn, and consistently apply standards/criteria for continuing education specific to nutrition and dietitians when reviewing applications.

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Membership News

Last Chance to Win a Free Membership

membership_champDon’t miss out on your chance to win a free AADE membership! Refer a friend to join by March 31 and you’ll have a chance to win one of five memberships offered through the Winter Member Referral Contest.

To enter, simply refer a friend or colleague by completing this brief online form. Contest winners can use the free membership to either extend their membership another year or gift it to a colleague or friend.

Student & Retired Member Categories
Do you know any students involved in diabetes education or know of any colleagues who are retired?

Keep in mind AADE has student memberships for only $50 and those that qualify for retired member status can join for $85. Learn more about the member types offered.

Join the more than 150 members who referred colleagues in 2015 and become a membership champion today!

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Discover New Career Opportunities

Are you looking to hire a diabetes educator? Or perhaps you're thinking about finding a new position? Regardless, turn to the AADE Career Network to help you with any staffing or job search needs.

If you’re an employer, there’s no better place to find a qualified diabetes educator. With more than 14,000 members with access to the site and thousands more who find the Career Network through online searches, AADE’s job board creates awareness of your opening like no other career resource can.

For diabetes educators looking for a new position, this is your starting point. The AADE Career Network is available at no cost and makes it easy to browse available jobs, post your resume confidentially and even create job alerts. The site also provides resources such as resume writing, reference checking and career coaching.

Check out the latest postings today.

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MY AADE NETWORK Update

It’s Almost Here: A New MY AADE NETWORK

In our January issue we announced the new look and feel for MY AADE NETWORK, then in February we previewed some of the mobile-friendly features of the new interface. Now we are excited to say that we are just weeks away from launch.

During the last week in March you will see all the updates to the site when you login, and members will receive an email the day it launches with tips for navigating the site.

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Popular Conversations on MY AADE NETWORK

AADE members are using MY AADE NETWORK to get their questions answered and reach out to other educators. Here are some of the conversations you may have missed this month.

MAN graphicInpatient Education Visits?
(Office & Clinic Based COI Discussions)

“With the new 2016 ADA standards just released, we are looking at how we manage our inpatient volume. We have the following questions:

  1. Do you have both a dietician and nurse see the inpatient patient for a diabetes education consult?
  2. Do you have a CDE educate patients for a diabetes education consult?”

Read more

MAN graphicBlood Sugar Testing During Hypoglycemia?
(Inpatient Management COI Discussions)

“I've read a lot about inpatient hypoglycemia treatment but nothing about treating patients in the outpatient department during a counselling session who become hypoglycemic. Does everyone have a hospital meter in their outpatient office and do you follow a similar policy for treating outpatients? Do you have a stat lab test verify that the patient's blood sugar is less than 50 or greater than 400 and if so who orders the test? Do you then refer the patient to the ER?”

Read more

As an AADE member, you can join one of these conversations, or start your own! Log in today to find out which topics are being discussed in AADE’s Communities of Interest, Practice Area Groups, and in discussion forums across the nation.

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March 2016

Events:

March 23 (webinar): Smartphone Apps for Diabetes

April 6 (webinar): Literacy and Numeracy in Diabetes Education



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