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Grant and care manager

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The care manager concept we're going to explore in the grant is an

individual who supports more than one practice. This individual

will not be on-site.

Gordon

At 06:53 AM 10/28/2005, you wrote:

Our CDEs do not make med

changes such as adding meds. But they will

suggest adjusting insulin up or down after a close review of the home

BGs.

Also, they will come to us, or at least leave the chart for review, if

the

numbers are not improving enough and it is time to add new meds or

consider significant changes. All along they are spending the

time

educating about diet and exercise as well as keeping track of whether

the

patient has had an eye exam, etc. Partly I like them because they

keep me

aware of the recent improvements in glucometer models -- it's

frustrating

if the patient asks me something and I can't advise about benefits of

this

model or that.

I do think a review of the note is a good idea though we only see the

note

if they are alerting us to problems that might need to be addressed. If

a

patient is seen at an outside center we may, or may not, see any report.

But honestly that is mostly just for my insulin pump patients. 90+%

are

seen in-house I'd estimate.

I'll try to ask about coding. Unfortunately I don't know how that works

--

recall I'm still in a traditional office and have been shielded from

such

details.

This list is not just important but it is timely. I'm evaluating

space in

my town for a possible office in the spring. This week I saw a

725sqft

office that is bare and can be shaped into whatever I want it to be

(not

yet started negotiation of prices/build out, etc). My wife, kids

and I

have been sketching out ideas and then Gordon announced the grant

which

might include a chronic care nurse manager. So I had to think of space

--

where might she see patients if I'm in the office at the same time?

So I

made a smaller waiting area, took a few sqft from my main space and

made

an additional 8x10 " extra " room. Now you mention the

CDE... hmm, I've got

11% of my space available... hmm, later, could I have a chronic care

manager there a bit, a CDE there some half days, a mental health

counselor

there some half days, a social worker there some half days, etc,

etc?. I

really wonder if I could use that space like that -- I won't need it

for

clinical care. And perhaps those people could bill/charge for

their

services themselves, not be hired by me... and perhaps I could wave

any

space usage charge, it could be a " value added " service for

patients which

would help me by helping them.

So, new question, is that a pipedream that would have too many hassles

to

want to consider? A reasonable idea that would help all involved?

Or

worthy of a Nobel prize? (I'm only sipping my first coffee of the

AM, so

this brain ain't working yet. I need help with eval of this idea)

Thanks

Tim

> Do your CDEs make medication adjustments? Do you think there should

be

> some sort of process whereby I review what t he CDE does after the

visit

> vs. my reviewing things at a follow up visit with the pt? Also, are

you

> familiar with how to code for the visits?

>

>

>

> Lowell

>

>

>

> _____

>

> From:

>

[

mailto: ] On Behalf Of

> Malia, MD Sent: Thursday, October 27, 2005 9:21 PM

> To:

> Subject: Re: Certified Diabetes Educator

>

>

>

> I agree with you about the office being an epicenter for care.

In my

> current multispecialty office we have CDEs and they really help in

the

> care of the patients. That's especially true early after diagnosis.

I'll

> meet with patient to discuss the labs that made the diagnosis and

spend

> 20-30 minutes reviewing a variety of issues and outlining

recommended

> plans. Then I give prescriptions for lancets and test strips and

the

> patient follows up with the CDE to learn glucometer use (CDE give a

free

> model and writes in the name on Rx so patient gets correct TS

and

> lancets). They then continue seeing the patient and pass the

general

> info to me until I see the patient in about 2-3 months. I know

this

> procedure well... had two newly diagnosed diabetics today, total

of

> three this week!

>

> Overall, CDEs are great in my mind. And, even after I leave for a

new

> office, I'll likely be sending my patients back to my current office

for

> CDE work.

>

>> I called the local diabetes education center to see how they

ran

>> things. They do groups for basic education and 1:1 for labs,

med

>> changes, etc. I put an ad in the local Certified Diabetes

Educator

>> chapter and am going to start with 1 day to see how this will

all work

>> out. The good CDEs are able to handle the labs, the nutritional

issues

>> and the medication management. Some are RNs, some are RDs and

some are

>> CDE without other degrees.

>>

>>

>>

>> Interestingly, the center asked why I wanted to do this in my

office

>> vs. send the patients to them. I think the main reason is that I

see

>> the office as the epicenter of care. It's the office where we

best

>> know the patients and their families and it's where they go for

their

>> other care needs. In other words, the relationship patients have

with

>> their docs seems to be additional leverage for improving DM

care.plus

>> I think we can do a better job locally vs. outsourcing.

>>

>>

>>

>> Thought?

>>

>>

>>

>> Lowell

>

>

>

>

>

>

>

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