Practice Resources

Understanding Population Health

man and woman discussing healthcare

As the U.S. healthcare system continues to undergo transformation, population health provides a mechanism to improve the health outcomes of a group of individuals while providing high-quality, efficient and cost-effective care. Diabetes educators are perfectly positioned to manage population health services, offering a broad spectrum of services which have the potential to reduce the overall economic burden of diabetes to both the individual and healthcare system.


New Practice Guidance

Population Health: The Diabetes Educator’s Evolving Role

Published in The Diabetes Educator, August 2019: By using the population health approach, tapping into the quality improvement infrastructure at their respective organizations, and becoming aware of their organizations’ performance of the population level diabetes measures, diabetes educators can identify and position themselves as the experts who can help improve the system’s diabetes quality measures.

Population Health paper

Key points addressed in this paper:

1) Diabetes educators are essential clinical diabetes specialists and they must be active policy-makers and providers in order to support the population health model.

2) The focus on the Quadruple Aim and the shift away from fee-for-service to value-based care is intended to have a positive impact on a person’s quality of care and satisfaction. It is also  creating an opportunity for diabetes educators to re-evaluate and expand their services to demonstrate their value. 

3) Diabetes educators must stay informed. By using the population health approach, tapping into the quality improvement infrastructure at their respective organizations, and becoming aware of their organizations’ performance relating to population-level diabetes measures, they can identify and position themselves as the experts who can help improve the system’s diabetes quality measures.

4) Diabetes educators are at a turning point. They have an opportunity to position themselves as diabetes specialists for diabetes management, education, and care delivery.

5) While the term population health may be new to many diabetes educators, it is something that many are already immersed in and using to show their value to employers and health systems.


PROJECT VISION & Population Health

Diabetes educators should be addressing both the clinical and self-management aspect of care, providing the person with diabetes a more holistic and seamless experience. This is at the heart of PROJECT VISION, AADE’s new vision for the specialty of diabetes education.


Karen Kemmis headshot

Population Health: What, Why and How? 

What can you do to integrate population health into the future of your practice? 2019 AADE President Karen Kemmis looks at each PROJECT VISION pillar through a population health lens.


AADE19 Conference Sessions

AADE19 Logo_text 400 

AADE’s Vision of the Future for the Specialty Offers Opportunities to Ride the Population Health Wave demonstrates how embracing the population health framework can help diabetes educators to better define and expand their roles, as well as drive positive disease outcomes.
Friday, August 9 at 9:45-10:45am

Articulating Your Program’s Value in Evolving Models of Care will give you the tools to demonstrate how you improve outcomes and save money.
Friday, August 9 at 2:00-3:00pm 

Leveraging Digital Health to Expand Diabetes Health Services for Value-based Care will show how using digital tools at the population health level provides patient-generated health data to support the care team members working at the top of their license and also ease provider burden.
Saturday, August 10 at 11:00-11:30am 

Population Health: Putting it into Practice offers a framework and case studies demonstrating how diabetes educators have changed their practice to thrive in a value-based care landscape.
Sunday, August 11 at 1:30-2:30pm


Additional Tools

Pathways to Population Health logo

Understand the key concepts of population health, find out how to implement it in your health system and find ways to improve upon existing programs in this robust toolkit from The American Hospital Association, The Public Health Institute and others.


AADE in Practice ArticlesA I P cover

Population Health: A New Frontier for Diabetes Educators
Miriam Tucker
First Published July 1, 2019

Population Health: Integration of Diabetes Educators and Care Coordinators in Addressing the Care Gap
Sara Reece, PharmD, CDE, BC-ADM, BCACP, FAADE; Cheryl Williams, RN, CDE; Victoria Trusty, LPN; Ektaa Brahmbhatt, PharmD Candidate 2019
First Published July 1, 2019

Population Health: It’s What We Do! An Educator’s Perspective
Kellie Rodriguez, RN, MSN, MBA, CDE
First Published July 1, 2019

A Patient-Centered DSME Model of Care Incorporating the Triple Aim
Jana Beckering, RN; Dawn McCarter, MS, RN, CDE
First Published July 1, 2019

Population Health: Embrace It or Risk Losing Your Job
Teresa Pearson, MS, RN, CDE, FAADE
First Published July 1, 2019

Population Health: What, Why and How
Karen Kemmis, PT, RN, DPT, MS, GCS, CDE, FAADE
First Published July 1, 2019

Population Health: Lean Into it
Teresa Pearson, MS, RN, CDE, FAADE
First Published June 25, 2018


AADE Educational Programs

Recorded Webinar:
Innovative Approaches to Population Health: What Diabetes Educators Need to Know About Working with Employers, Pharmacists and Payers

With a focus on a multi-disciplinary team-based approach, this webinar provides participants with knowledge critical for improving care and outcomes beyond the traditional system to ensure best practices, intervention success, and sustainability. It will also arm them with insights to help drive needed change in their respective health care environments.

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