The NC Diabetes Education Recognition Program will meet all of the standards established by the American Diabetes Association in the current National Standards for Diabetes Self-Management Education. One component of these standards is establishing a method to measure the effectiveness of the education processes and determine opportunities for improvement using a written continuous quality improvement plan that describes and documents a systematic review of the process and outcome data. Continuous Quality Improvement (CQI) is a formal process/plan that is a cyclic series of steps designed to enhance DSME processes leading to improved participant and DSME outcomes. The N.C. Division of Public Health has adopted the PDSA (Plan, Do, Study, Act) methodology for quality improvement.
PDSA steps include:
- Select the problem/process that will be addressed first and describe the improvement opportunity.
- Describe the current process surrounding the improvement opportunity.
- Describe all of the possible causes of the problem and agree on the root cause.
- Develop an effective and workable solution and action plan including targets for improvement.
- Implement the solution or process change.
- Review and evaluate the result of the change.
- Reflect and act on learnings.
All sites may be asked to complete a documentation chart audit to assure that ADA standards are being met. Audit sheets will be sent to the sites, and the sites will be asked to audit 10 charts, or 10%, whichever is greater. Sites will be given 30 days to complete the audit forms and return components, and will follow up with theindividual/family with each site to discuss any necessary action. In addition, during each site visit, the Instructional Team will conduct a random chart audit of 10% of charts (maximum of 10) to confirm that standards are being met. While chart audits are not a quality improvement method alone, the purpose of the audits is to identify and address any issues of documentation. Information gleaned from the audits may be incorporated into a quality improvement opportunity. Results of all performance improvement activities will be reported during the annual meeting of the Advisory Committee, and recommendations for action will be made. The results obtained will be used as part of the PDSA process to improve the diabetes self-management education program offered at the sites to ensure that all ADA Standards are met.