252238 GDM quality improvement strategies: Lessons learned from the Chickasaw Nation Comprehensive Diabetes Center

Monday, October 31, 2011: 3:10 PM

Adeline Meismer Yerkes, BSN, MPH , National Assn of Chronic Disease Directors, Edmond, OK
Gestational diabetes (GDM) affects 2-10% of pregnancies in the US. Up to one-third of affected women will have impaired glucose metabolism at postpartum screening, and an estimated 15-50% will develop diabetes in the decades following the affected pregnancies. With more emphasis on the importance of chronic disease prevention and reduction of risk factors in women of child bearing age, especially related to diabetes, obesity, hypertension, and tobacco use, collaboration of chronic disease and maternal and child health (MCH) programs has become a vital issue. Seven states have established collaborative teams to address GDM improvement of data collection, documentation of care, increasing postpartum glucose testing, and provision of long-term follow-up. These collaborations have the potential for more efficient use of staff, funds, surveillance and intervention efforts.

One state has partnered with an Indian Tribe, the Chickasaw Nation Comprehensive Diabetes Center to conduct quality improvement strategies which have resulted in improve processes for follow-up and long-term care. This collaborative process is multi-disciplinary,multi-centered and multi-partnered.

This presentation describes barriers, enablers, strategies, and outcomes as experienced by the collaborating states.

Learning Areas:
Administer health education strategies, interventions and programs

Learning Objectives:
Explain Indian Health Services Best Practices for Gestational Diabetes as translated by the Chickasaw Nation Comprehensive Diabetes Center. Describe a GDM quality improvement process using a multi-disciplinary, multi-center and multi-partner approach for improving the care of women with Gestational Diabetes by the Chickasaw Nation Comprehensive Diabetes Center.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present on Gestational Diabetes due to my experience as the Women’s Health Liaison from OK to the Region VI Alliance on Women’s Health for 12 years where public health issues were our priority, serving 25 years as the director of the Chronic Disease Service of the OK State Department of Health in which planning, implementing, and evaluating chronic disease prevention programs was our responsibility, serving as a member of the Public Health Agenda on Women and Diabetes and serving as a consultant with states and Indian tribes on GDM for 4 years.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.