EasyPI: Diabetes
Welcome to the diabetes track page. Here you will find all of the information you need to complete a self-guided performance improvement (PI) project focused on diabetes in practice that will earn you American Board of Family Medicine (ABFM) PI and continuing medical education (CME) credits.
As a new initiative for the OAFP, we would love your feedback on your current comfort in completing a PI activity for ABFM credit. In order to gauge effectiveness of this new tool, EasyPI, please take a few moments to share initial feedback before diving in by completing a quick survey.
And, once you’ve reviewed the content and/or submitted a project for credit, please let us know how it went by completing the post-survey.
- As needed, review the background information and guidelines for diabetes care.
- Determine what factor in diabetes care you want to address – you may already know gaps in care, may have identified change in guidelines that need to be implemented, may identify gaps by doing process mapping, or may use your EHR to review data to find opportunities for improvement.
- Review the Performance Improvement Process Materials, do process mapping, determine your quality measures, and create a quality improvement plan.
- Collect preliminary data.
- Implement your change. Note: you select the length of the PI activity (at least seven (7) days, but not more than 12 months).
- Collect post-intervention data.
- Submit your project for ABFM credit. See the ABFM Performance Improvement Activity section for detailed directions.
The resources provided below can be used prior to and during your PI project. Resources with indicate there may be additional CME credit available.
Resources with indicate materials that include tools, education, support, etc. on health equity topics to consider.
Background Information
Utilize all or some of these resources to get you ready for your project.
Overview
- Diabetes: Clinical Guidance and Practice Resources (American Academy of Family Physicians {AAFP})
- Clinical Guidance for Diabetes (Centers for Disease Control and Prevention {CDC})
- Knowledge Self-Assessment Topic: Diabetes (American Board of Family Medicine) Note: to access, you’ll need to log into your MyAFBM portfolio and search for the Diabetes KSA in the list of activities
Prevention
- Prevention or Delay of Type 2 Diabetes Mellitus: Recommendations From the American Diabetes Association (American Family Physician)
- National Diabetes Prevention Program (CDC)
- Prevention or Delay of Type 2 Diabetes and Associated Comorbidities (American Diabetes Association {ADA})
- Metformin for Prevention/Delay of Type 2 Diabetes Mellitus (T2DM) and Associated Complications in Persons at Increased Risk for Development of T2DM (Cochrane)
- Diabetes: Advancing Health Equity (CDC)
Screening/Diagnosis
- Clinical Preventive Service Recommendation Diabetes Screening, Adults (AAFP)
- Prediabetes and Type 2 Diabetes: Screening (United States Preventive Services Task Force (USPSTF))
- Prediabetes and Type 2 Diabetes in Children and Adolescents: Screening (USPSTF)
- Prediabetes Diagnosis: Helpful or Harmful? (American Family Physician)
Assessment/Treatment
- Guidelines for When to Consider Mortality-Reducing Treatments for Patients With Type 2 Diabetes Mellitus (American Family Physician)
- Type 2 Diabetes Mellitus: Outpatient Insulin Management (American Family Physician)
- Pharmacologic Approaches to Glycemic Treatment (ADA)
- SGLT-2 Inhibitors for Cardiovascular Outcomes in Heart Failure with Preserved Ejection Fraction (American Family Physician)
- DPP-4 Inhibitors, GLP-1 Receptor Agonists, and SGLT-2 Inhibitors for People With Cardiovascular Disease (American Family Physician)
- SGLT-2 Inhibitors and GLP-1 Receptor Agonists in Type 2 Diabetes: BMJ Rapid Recommendation (American Family Physician)
- Exercise/Physical Activity in Individuals with Type 2 Diabetes: A Consensus Statement from the American College of Sports Medicine (Medicine & Science in Sports & Exercise)
- Newer Pharmacologic Treatments in Adults with Type 2 Diabetes: A Clinical Guideline From the American College of Physicians (Annals of Internal Medicine)
- Diabetes.org: #HealthEquityNow (American Diabetes Association)
- Diabetes Control Strategies for Health Centers (National Association of Community Health Centers)
- Management of Type 2 Diabetes Mellitus with Noninsulin Pharmacotherapy (American Family Physician)
- Disparities in the Use of New Diabetes Medications: Widening Treatment Inequality by Race and Insurance Coverage (The Commonwealth Fund)
Diabetes Education/Self-Management
- Diabetes Self-Management Education and Support in Adults with Type 2 Diabetes (SAGE Journals)
- Physical Activity in Patients with Type 2 Diabetes Mellitus: Updated Consensus Statement From the ACSM (American Family Physician)
- Flash Continuous Glucose Monitoring (FreeStyle Libre 14-Day System) for Self-Management of Diabetes Mellitus (American Family Physician)
- Medicare Coverage of Continuous Glucose Monitoring — 2023 Updates (American Family Physician)
- Patient Education Interventions Improve A1C Values (American Family Physician)
- Understanding the Impact of Health Inequities (Association of Diabetes Care & Education Specialists)
- When you go to this webpage, click on “equity and access” in the list of topics on the left to see a listing of resources, articles, etc.
Complications of Diabetes
- Chronic Kidney Disease in Diabetes: Guidelines from KDIGO (Kidney International)
- Diabetes-Related Foot Infections: Diagnosis and Treatment (American Family Physician)
- Treating Painful Diabetic Peripheral Neuropathy: An Update (American Family Physician)
Practice Management
- Telemedicine in Diabetes Care (American Family Physician)
- Implementing Continuous Glucose Monitoring in Clinical Practice (Family Practice Management (FPM))
Guidelines
- Clinical Practice Guideline: Developing a Diabetes Mellitus Comprehensive Care Plan (American Association of Clinical Endocrinology)
- Standards of Care in Diabetes-2024 (American Diabetes Association)
- Standards of Care in Diabetes-2024 Abridged for Primary Care Providers (American Diabetes Association)
Point of Care Tools/Clinical Decision Support
- Continuous Glucose Monitoring Clinical Tools (Danatech)
- Treatment Algorithm from ADA standards (American Diabetes Association)
- American Diabetes Association Risk Calculator (MDCalc)
- Hypoglycemia Risk Score (MDCalc)
Resources for Patients
- Living with Diabetes (CDC)
- Patient Education Library (American Diabetes Association)
- embassador™ Companion 24/7 App (Android | Apple)
Performance Improvement Process Materials
- Improve patient outcomes and help meet quality metrics
- Achieve team-based practice change
- Make your practice more efficient
- Boost team morale
- Improve revenue.
These materials will guide you through identifying areas for improvement, understanding and using data, planning and making changes, and tracking performance over time.
- Quality Improvement Essentials Toolkit (Institute for Healthcare Improvement)
- Quality and Safety Topic Collection (Family Practice Management)
- Quality Measures (AAFP)
Quality Measures & Intervention Selection
Process Mapping
Workflow & process mapping creates a visual map of the steps your practice currently uses for a specific patient care or administrative task.
Benefits of process mapping include allowing the entire team to visualize and appreciate what role/contribution they and their colleagues play in the care of patients; gives an overview of the current processes that allows the team to plan for change; identifies unintended variations in care, inefficient procedures, and opportunities to involve other team members in care; improves communication between team members; gives team members increased ownership in patient care; and can increase employee job satisfaction.
View an outline of the mapping process and the following instructional video on the process:
Data Collection
Health Equity/Population Health Resource
ABFM Performance Improvement Activity
Now that you’ve collected data, implemented change, and have your outcomes, it’s time to submit your project for credit! Family physicians will use the ABFM’s Self-Directed Performance Improvement (PI) Project pathway to do so.
- You may report a project conducted alone or within a single practice group, an ACO, or other larger group practices
- You can use this pathway whether you see patients in a continuity setting, or if you are providing non-continuity episodic care (e.g., hospitalist, telemedicine, locums, urgent care, emergency department, etc.).
Log into your MyABFM Portfolio to access this PI activity. To help you through the process of applying for credit, below you will find links to a blank application to review to make sure you have all of the information you will need; a completed sample application for an “Improving Diabetic Retinopathy Screening” project with helpful notes; and a video guide that walks you through each step.
Once you’ve submitted your application and it has been approved (may take up to 10 days for approval), you will fulfill an ABFM certification requirement and you will have earned 20 ABFM points and 20 American Academy of Family Physicians Prescribed CME credits. We’d love to hear how this process was for you and what impact you had on patient care by completing your PI activity. Let us know in a post-survey. If you have any questions regarding your PI activity requirement for the ABFM or if you have any issues with your application, please contact Ann Williamson at the ABFM. You can also visit the OAFP’s ABFM Certification webpage for more information on all things ABFM! |
Questions
If you have any questions regarding materials on this page or the PI process in general, please contact Deputy Executive Vice President Kaitlin McGuffie or call 800.742.7327.
Sponsor
Funding support for this EasyPI track was provided by Novo Nordisk, a proud Partner in Health of the OAFP.