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Everyone With Diabetes Counts Program for Providers

Idaho and Washington practices please contact:

Jamie Hunter-Mitchell
Quality Improvement Consultant
Send an email


Learn more about our team members.

Read our Diabetes Community Reports on Medicare claims data for Idaho and Washington!

Self-management—a patient’s day-to-day decision making about their chronic health condition-- is an essential component in an integrated healthcare model.  Evidence shows that building self-management skills is good for all of us:

  • Providers enjoy a more collaborative partnership with informed, activated patients.
  • Patients benefit from improved symptom management, less depression and better quality of life.
  • Health outcomes include fewer unnecessary trips to the emergency room that translates to lower health care costs.
  • With self-management skills, people with diabetes can reduce their risk of serious complications like blindness, kidney failure, amputations, heart disease and stroke and premature death.

We are working with providers in Idaho and Washington to improve care for people with diabetes by: expanding access to Stanford University’s evidence-based Diabetes Self-Management Program (DSMP), reaching out to underserved Medicare populations with higher rates of diabetes; and optimizing technology and clinical workflows to improve population health management.

Expanding access and increasing referrals to Stanford University’s Diabetes Self-Management Program

Stanford’s suite of chronic disease self-management workshops has taken root in both Idaho and Washington thanks to multiple state and local efforts to offer these programs.  Qualis Health supports efforts to expand workshops in diverse areas of the state and help identify, engage and recruit Medicare beneficiaries with diabetes or pre-diabetes to complete DSMP workshops.

Qualis Health partners with community organizations, health care systems, Area Agencies on Aging, state departments, and other groups to provide workshops and leader trainings throughout Idaho and Washington.

Providing Technical Assistance for implementing DSMP workshops

Qualis Health can help partners implement their self-management program with best practices for project management including workshop scheduling, promotion, participant attraction and retention, budget, program sustainability, and evaluation.

Using Health Information Technology (HIT) and Optimizing Workflows to Improve Performance Measures and Maximize Reimbursement

Technical assistance is available for:

  • data collection; quality measure reporting for the diabetes measures of HbA1c, blood pressure, lipids, weight, eye exam and foot exam
  • improving documentation and workflow
  • addressing health disparities
  • assistance with understanding requirements for chronic care management and other codes supporting care coordination available through the Medicare Physician Fee Schedule
  • identifying strategies to improve diabetes care and prevention that will help improve scores under the Medicare Access and CHIP Reauthorization Act (MACRA)

Please visit our Selected Resources page for information and tools that help with diabetes care and quality improvement.