Definitions/Glossary
Every Diabetic Counts is a program designed to
bring together the community, medical, and public health partnerships
and resources that can improve diabetes outcomes among Medicare
beneficiaries. Through diabetes self-management education, the
program seeks to create a greater awareness among diabetics and
their families. Medicare Quality Improvement Organizations (QIOs)
in the following states and jurisdictions are designated to work on
this initiative: District of Columbia, Georgia, Louisiana,
Maryland, New York and the U.S. Virgin Islands.
Diabetes Self-Management Education (DSME) is a structured
health education program for people diagnosed with diabetes. The
program offers evidence-based information and standards in
health, nutrition, fitness and medication monitoring. Exposure
to a DSME program can provide people with opportunities
to improve their quality of life.
A Certified Diabetes Educator (CDE) is a hospital
based health care professional (nurse or dietician) who is
certified to teach people with diabetes how to
manage their disease. This individual must have met eligibility
requirements and successfully completed a certification
examination.
A Community Health Worker (CHW) is an individual that uses
his or her natural communication skills to improve the health of
people with diabetes at the community level. They are
knowledgeable about the healthcare of the community they live
in, act as a liaison between the community and the health system
and serve as trusted sources providing supervised health
education in the community.
A Medicare beneficiary is a person with Medicare health
insurance age 65 or older, or under age 65 with certain
disabilities. For purposes of the Every Diabetic Counts program,
the Medicare beneficiary must be diagnosed with diabetes and
enrolled in the Medicare Part B program.
Practice Site is defined as the single place (office or site)
where 50% or more of the full-time physicians provide care.
Federally-qualified health centers (FQHCs) and Rural Health Centers (RHCs) may qualify to participate in the
Every Diabetic Counts program. Primary specialty designations
are self-attested by the physician(s). A participating practice
site shall sign a consent form that meets CMS requirements for
these forms. |
