Association of Diabetes Care & Education Specialists

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Featured Article:

Final Rule for 2017 Physician Fee Schedule Released

Diabetes Prevention Covered in 2018

In November, the Centers for Medicare and Medicaid Services (CMS) 2017 Physician Fee schedule was released with responses on diabetes prevention and diabetes self-management training (DSTM). AADE is pleased to see Medicare’s continued focus on ensuring that the National Diabetes Prevention Program (National DPP) will be a reimbursable benefit starting January 2018.

The DPP section of the final rule included many responses to the specific comments we submitted in September 2016. In this ruling, Medicare stated they will begin Medicare Diabetes Prevention Program (MDPP) supplier enrollment for eligible programs after the next round of rulemaking is completed in late 2017. AADE is currently preparing services to assist programs through the process of CDC Recognition and DPP implementation as well as CMS application to become an MDPP supplier.

In the DSMT section, CMS did not address our concerns on changes to the DSMT benefit. While this was not what we hoped to see, we are encouraged that CMS wants to continue to examine barriers to DSMT into 2017. AADE will continue conversations with CMS to reduce barriers and hope to see movement in the near future.

Learn more about the 2017 Physician Fee Schedule at diabeteseducator.org/cms.

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Health Observances and ​Trending Articles

National Health Observances

December: 4-12: National Influenza Vaccination Week

Trending Articles

A Healthier Medicare: Focusing on Primary Care, Mental Health, and Diabetes Prevention

Five Tips for Healthy Holiday Feet

How Can I Pay for Diabetes Medications and Care?

Presidential Proclamation: National Diabetes Month, 2016

AADE blog: Continuous Glucose Monitors: Where are we now?

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Announcements

National Diabetes Education Week Offered Wealth of Resources

As November and National Diabetes Month comes to a close, let's take a moment to look back at all that took place during this busy month!

We always carve out the first week of November as National Diabetes Education Week (NDEW), where we celebrate diabetes educators and all their work for people with diabetes. This year we released new resources each day of the week.

We started the week with the release of a new animated video which highlights the four key times people should see a diabetes educator. The video is based on our joint position statement with ADA and AND.

We also released three sets of tip sheets:

  • Infusion Set ThumbnailInsulin Infusion Sets: We've designed three tip sheets to help you prepare for conversations with your patients about this complicated topic.
  • Heart Disease and Diabetes: Use these four tip sheets to help understand the link, risk factors, and the preventative measures people with diabetes can take to reduce their risk of heart disease.
  • Mental Health and Diabetes: These tip sheets discuss ways to manage the variety of emotions that can emerge when someone is diagnosed with diabetes, including sadness, guilt, fear, anger and others.

Check out everything we released for NDEW and all of our other patient resources.

Thank you to everyone who let us know why they were proud to be a diabetes educator. The winner was James D. Read why he's a #ProudDE:

"I am proud to be a diabetes educator because of the joy I feel in helping people live better with this disease, view it in a different light, and have a better quality of life. I still have a letter from the wife of a patient who thanked me for being his only caregiver who offered encouragement and support during his last year of life."

-James D.

Though we recognize November as National Diabetes Month, we know diabetes is a year-round condition. Let's keep the conversation going and growing.

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Share Your Knowledge at AADE17

The AADE Annual Conference Planning Committee invites you to submit a research abstract to be considered for presentation at AADE17 in Indianapolis. Presenting at the conference is an excellent opportunity for you to share your knowledge, experiences and expertise with the diabetes education community.

More than 3,500 diabetes educators and other healthcare professionals are expected to gather at AADE17 in Indianapolis, Friday, August 4 through Monday, August 7, 2017.

The deadline to complete a research abstract is Wednesday, January 11 (11:59 CST).

Submit a proposal today.

Want to get a feel for the annual conference? Watch AADE16 highlights:

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New FDA Blood Glucose Monitoring Guidance Documents

The Food and Drug Administration (FDA) recently released two guidance documents on blood glucose monitoring test systems. They detail the agency’s recommendations for manufacturers to improve blood glucose meters in professional healthcare and home use settings.

The FDA created these separate guidance documents because it “believes each of the devices can be better designed to meet the needs of their intended use populations, thereby providing greater safety and efficacy.”

Read Blood Glucose Monitoring Test Systems for Prescription Point-of-Care Use and Self-Monitoring Blood Glucose Test Systems for Over-the-Counter Use.

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Professional Development

Don't Miss These Sessions (Again)

AADE16 sessions on demand-f8facdebFor those who couldn’t make the trip to AADE16 in San Diego, here is another chance to take advantage of many great education sessions that were missed: AADE16 Sessions On Demand. Two packages are now available, bundling together the most popular sessions from AADE16.

AADED16 Sessions On Demand: Most Popular Sessions (22 CE): This package includes 20 popular sessions spanning all six educational tracks. Learn how to strengthen diabetes prevention and self-management education programs. Explore obesity, insulin resistance and gut microbiota. Learn about eHealth and how it affects patients. Plus much more!

Digital Technology & Connected Health Sessions (17 CE): Access 16 educational sessions from the AADE16 track, "Pioneer Diabetes Technologies and Connected Health Modalities to Deliver Cost-Effective Care.”

These sessions do not expire until July 2017.

Get the best of this year’s annual meeting on your own schedule. Buy now.


The following sessions on demand are available to you free of charge thanks to the support of independent educational grants from BD Medical and Novo Nordisk.

The Art & Science of Safe and Effective Insulin Injections: What we Learned at the FITTER Congress in Rome
Explore the three main aspects of insulin delivery; proper technique for subcutaneous injections; identification, treatment and prevention of lipohypertrophy; and recommendations for optimal use of insulin pump catheters and infusion sets.

The Evolving Landscape of Glycemic Control
Tune in as a panel of thought leaders provide guidance on the pathophysiology and pharmacology for patients with type 2 diabetes.

Access all AADE recorded webinars.

These recorded sessions are not included in the AADE16 Sessions on Demand package and require separate registration.

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New CDE Test Prep Self-Assessment Tool

CPCP2-ceb36ff0Focus your study prep for the CDE© exam with our new online self-assessment tool.

This tool, made up of 200 multiple-choice questions, will help you identify areas where you may require additional study. It includes an overview of the CDE© exam, test preparation strategies and, most importantly, feedback on each of your answers! It’s also a perfect complement to the Review Guide for the CDE© Exam.

The member price is just $29! Learn more.

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Advocacy Update

The Elections Are Over…Now What?

By: Kurt Anderson, Director of Federal and State Advocacy

This election cycle was an interesting one to watch, with many changes in both the federal and state legislative races.

Federal elections

  • Donald Trump won the Presidency.
  • Republicans maintained control of both the House and the Senate, but yielded six seats to Democrats in the House of Representatives, and two seats in the Senate.

ThinkstockPhotos-537851030State legislative races

In state legislative races, the Republicans have maintained a substantial number of legislative chambers in state capitols.

    Three chambers switched from Democratic to Republican control:

    • Kentucky House
    • Iowa Senate
    • Minnesota Senate

    Four chambers switched from Republican to Democratic control:

    • New Mexico House
    • Nevada Assembly
    • Nevada Senate
    • Washington Senate (Republicans, however, will have functional control as one Democrat will caucus with the Republicans)

    The Connecticut chamber is tied.

    Take a look at your state legislature's post-election composition.

    We can't tell the future

    While no one can predict the next four years, one thing is certain: these will be challenging times for diabetes education.

    Affordable Care Act

    Congressional leaders are already promising to repeal the Affordable Care Act (ACA). "It’s a pretty high item on our agenda," Senate Majority Leader Mitch McConnell told reporters at a press conference after the election. However, these statements raise more questions than answers:

    • Will the ACA be repealed in total or in part?
    • How will it be repealed?
    • Will it be fully funded?
    • What will replace it, if anything?MAN-graphic-1
    • When will this happen?
    • What happens to the millions of people who have healthcare via the ACA?
    • What will happen to the Diabetes Prevention Program and its expansion?

    Medicare and Medicaid changes

    In addition to possible changes to the ACA, some in Washington are considering converting the Medicare system from a government-run insurance program into a voucher system. Again, this possibility raises questions such as:

    • How would major changes to the Medicare system impact patients and their access to diabetes education?
    • If the Medicaid system is substantially altered, what will that mean for millions of people whose only link to basic health care is via Medicaid?

    What is certain

    What we do know is that diabetes educators will need to have a strong voice in any conversations about these possible changes, and AADE members are the most important voice for diabetes educators and their patients.

    462402295In the coming months and years, our goal is for our members to actively advocate that diabetes education must not only remain a key service, but also must meet the growing need of the US population. Diabetes educators will need to speak with policymakers in their respective states and with their federal representatives in Congress. These actions will educate policymakers about the lives and money diabetes educators save through their work.

    We have the best chance of achieving our goals with the support of actively engaged members who are passionate about their work.

    Adversaries may change, but the issue is the same

    This sage advice is a hallmark of good advocacy. No matter a legislator’s party affiliation or positions on other issues, diabetes educators will need to lobby the issues of importance to their own profession. A legislator who does not currently support our position, may one day change his or her mind because of your consistent and persistent communication. As long as you have a good relationship with a legislator, you have his or her ear.

    AADE will keep you abreast of proposed policy changes and let you know how you can lend your voice.

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    AADE Diabetes Prevention Program Update

    AADE DPP Expanding Diabetes Prevention Services

    AADE has been working with CDC since 2012 to develop and scale the AADE DPP model of delivering the National Diabetes Prevention Program (National DPP) within accredited/recognized DSME programs. This model has proven quite successful. Therefore in 2017, we will offer the following opportunities for DSME programs and diabetes educators to become more involved in the prevention space to support programs as they become recognized and reimbursable DPP providers.

    Workshops and training offerings throughout 2017

    • Building Your Diabetes Education and Prevention Fundamentals Workshop: This workshop will help you understand the essential elements required for a comprehensive DSME and CDC Recognized Diabetes Prevention Program.
    • Reimbursement Boot Camp: This session will be geared towards policies and procedures, coverage, billable services, marketing to payers, and recruitment of participants that have DSME/DPP as a covered benefit- both employer, private insurers and public payers (Medicare and Medicaid).
    • AADE DPP Lifestyle Coach Training: As a CDC-approved Training Entity, AADE offers a Lifestyle Coach Training to provide attendees with the knowledge, skills and ability to deliver the PreventT2 curriculum- the approved CDC curriculum for the National DPP.

    Opportunity for additional and ongoing support for DPP programs

    The AADE DPP Network is coming spring 2017! We are offering qualifying programs the opportunity to apply to be part of our “AADE DPP Network,” which will give you access to tools and resources, marketing templates, educational opportunities, and payer opportunities. We will also give organizations the option to access a web-based performance database platform specifically for DPP data entry, providing real-time analytics and CDC Diabetes Prevention Recognition Program reports, as well as access to specific coverage information and guidance. All tools and materials are developed to provide programs with the necessary components to maintain a successful CDC-recognized program.

    Look for more information and pricing to come in spring of 2017.

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    Membership Update

    Complimentary Learning Opportunities

    One of your most valuable member benefits is access to more than 20 hours of free CE. Don’t miss out on this great opportunity to earn CE through a full offering of archived webinars and courses. The value you receive more than pays for the cost of membership.

    A sample of webinars available include:

    Check out the full list of free CE opportunities.

    Looking for additional CE opportunities? Don’t forget that AADE members also receive substantial discounts on other webinars and online courses, along with publications and events.

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    Refer and Win

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    With the holiday season rapidly approaching, who wouldn’t want an extra $200 to spend? Participate in the Year-End Member Referral Contest, and you could win a $200 gift card.

    To enter, refer a colleague to AADE by completing this brief form and encouraging them to join. Once they’ve joined, you’ll receive an entry into the drawing. Better yet, refer multiple colleagues to join and increase your chances to win. To be entered, your referral(s) must join by December 31.

    This is your chance to start the year with an extra $200 in your pocket. Learn more.

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    Show Your Member Pride

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    Show your pride in AADE and proudly display your member logo. Members have access to four different logos to choose from. We encourage you to use the logos in your email signature and on your website!

    Download the logos today.

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    Top Commenters: Recognizing Exceptional Insight

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    Each quarter the most helpful, insightful and/or eye-opening comments are voted on by our team of Online Community Contributors (volunteer members dedicated to facilitating conversations on MY AADE NETWORK) who pick two comments that truly stand out.

    Congratulations to this quarter’s winners, Molly McElwee-Malloy, RN, CDE and Suzanne Povinelli, RN, BSN, CDE!

    Commenter: Molly McElwee-Malloy, RN, CDE
    Thread: Petition to FDA to Expand Intended Use of CGMs to Include Dosing Insulin
    Topic: Diabetes Technology COI Discussions

    “Although I understand the trepidation here on dosing off CGM, I think it’s important to look at the evidence the FDA reviewed. I’ve attached links below to both the study design from clinicaltrials.gov and the summary for the FDA. In my conversations with FDA peeps, it’s agreed that they came to the conclusion that you 'COULD' dose, they haven’t issued a final approval. So I guess that’s to say, it’s looking positive, but it’s not a done deal yet.

    One thing to consider that may be very beneficial to our Medicare patients. Currently, CGM isn’t reimbursed because it requires another device (BG meter) in order to use it and isn’t labeled for dosing insulin. With a new product label that COULD eliminate fingersticks, this could open the door for Medicare to reimburse CGM. Let’s say that the new product label reads that it’s factory calibrated (like the freestyle libre) and doesn’t require fingersticks for use. This could be the thing that requires Medicare to use it over fingersticks, which – in my opinion – should be the gold standard of care for all persons on MDI/ pump therapy.”

    Read the full thread.

    Commenter: Suzanne Povinelli, RN, BSN, CDE
    Thread: Help with Unusual Bolus Situation
    Topic: Office & Clinic Based COI Discussions

    “I have seen patients that do this but in my opinion it is dangerous. What about the person who happens to not test and has a BG less than 100 (or possibly even higher) and doses rapid acting insulin without eating and knowing BG. There is of course, a real possibility of hypoglycemia even though this client has not apparently experienced this. Considering the possibility of hypoglycemia unawareness, maybe the person has been hypoglycemic but luckily not low enough to cause them to pass out or have a seizure! Possibly this client feels hungry due to dropping BG and happens to eat, but who knows? In another scenario possibly the client has a higher pre-meal BG from snacking or drinking carbohydrate containing beverages… and then the insulin dosed covers it. It is impossible to know why this is working for the client unless you know what the person’s typical day looks like including food intake (diet history), medications and timing, physical activity and BG testing schedule. To say from one client’s experience that this method of insulin dosing can be extrapolated to a broader population of people with diabetes seems irresponsible. It seems that the researcher should complete a scientific research study to verify this method. However, based on current practice and knowledge this would seem to put participant’s health and lives at risk! Or is the researcher actually the patient and has played this roller coaster for a while w/o adverse effects?”

    Read the full thread.

    The top commenter contest continues in 2017, so if you know of someone who gives exceptional advice, insight or help on MY AADE NETWORK, send us a tip! That member’s comment will be entered into the contest for the quarter in which it was posted.

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    November 2016

    Events

    December 14: Annual Reimbursement Update for 2017 (webinar)



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