Diabetes PI PDSA form

Diabetes Self-Management Education Performance Improvement

The Illinois Academy of Family Physicians (IAFP) oversees and manages the Diabetes Self-Management Education Performance Improvement project. This initiative aligns with the American Board of Family Medicine (ABFM) Performance Improvement standards and fulfills Meaningful Participation requirements.

To receive completion credit and for IAFP to report your participation to the ABFM, you must answer all questions in the project.

ABFM Approval: This activity end date is January 14, 2027. All PI cycles must be submitted by this date.

CME Credit: The AAFP has reviewed Diabetes Self-Management Education Performance Improvement and deemed it acceptable for up to 20.00 Performance Improvement AAFP Prescribed credit(s). Term of Approval is from 01/15/2025 to 01/14/2027. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn twenty (20) Performance Improvement points in the American Board of Family Medicine (ABFM) Family Medicine Certification program.

Questions? Please contact Kate Valentine at kvalentine@iafp.com

Name *

Enter your name exactly as it is within the ABFM Physician Portfolio

ABFM Board ID *

ABFM Board IDs are 6 digits and being with a 1 or zero

AAFP Member #*

Needed to submit CME Credits to the AAFP

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email Address*

example@example.com

Start Date of Participation*

Date

End Date of Participation*

Date

Each individual physician must truthfully respond to the following questions:*

I was engaged in planning and executing the project.I was involved in the changes implemented during this project.I regularly reviewed data in keeping with the project's measurement plan.I participated in team meetings for the project.

Describe your individual involvement in the project:*

PLAN

Example: Implement diabetes self-management education with at least one modification (nutrition therapy, physical activity, and psychosocial care)

AIM - What is the goal of this project?*

Example: Elevated A1c levels in persons with diabetes are associated with a higher risk of developing diabetes-related complications such as cardiovascular disease, chronic kidney disease, and neuropathy. Most people with diabetes should have an A1c level of < 7%. Participants will aim to decrease A1c levels among patients in their practice within 90 days.

Objectives - What quality gap is the project addressing, and what are its primary objectives?*

Example: Diabetes self-management and education improve diabetes knowledge and self-care behaviors, which have proven to lower A1C. Control of diabetes includes not only the optimization of medication but also the incorporation of self-care behaviors. Participants will choose medication optimization and one or more self-care behaviors (nutrition therapy, physical activity, psychosocial care) to help improve A1c levels among patients.

Plan - What measures will be used to assess progress? What changes or improvements will be tested? How does this plan align with broader organizational or project goals?*

These measures should align with the aim statement and indicate whether the implemented changes are leading to improvements.

Stakeholder Engagement - Who are the key stakeholders, and how were they involved in developing this plan? How will their feedback be incorporated?

Anticipated Challenges - What potential barriers or challenges might arise during implementation? How will these challenges be addressed?

Team - Who is involved in the plan, and what are their roles?*

Improvement Results – What are the baseline and follow-up percentages or numbers that reflect performance on the statedmeasures?.*

Measures of success - How will you know the change is an improvement?

DO

Example: Deliver targeted diabetes self-management interventions using SMART goals and lifestyle prescription formats.

Examples of recommended diabetes self-management education and support per the 2024 American Diabetes Association Standards of Care:

Medical nutrition therapy
Physical activity
Smoking cessation
Support for positive health behaviors (e.g., medication adherence)
Psychosocial care (e.g., addressing diabetes, distress, anxiety, depression, sleep health, and available resources)
Sleep at least seven hours on most nights of the week.
Engage in moderate physical activity (e.g., can talk but not sing) for at least 150 minutes per week, including 2-3 days of resistance training.
Incorporate fiber-rich foods into the diet daily.

Interventions Implemented - What actions or interventions were undertaken during the project?*

Patient/Participant Involvement - How were patients or participants informed or educated about the interventions? Were there specific strategies to encourage participation?*

Observations - What happened during implementation? How were the implemented changes documented or tracked?*

STUDY

Example: Evaluate patient adherence and A1C levels after prescribing at least one diabetes self-management intervention.

Results - Compare the outcomes to the measures of success.*

Analysis of Variance - Were there any unexpected outcomes, both positive and negative? How did these outcomes compare to the expected results?*

Impact on Equity - Did the interventions affect different groups of participants differently? How were equity considerations addressed?

Date - Attach de-identified aggregate results data

Summary of Lessons Learned - What insights or reflections were gained from the implementation process?*

ACT

Example: Develop strategies to address barriers impacting adherence and refine the approach for improved outcomes.

Next Steps - What actions will be taken based on the findings and lessons learned? How can the approach be adjusted for better outcomes next time?*

Example: Adopt: Fully implement the change. Adapt: Make modifications and test again. Abandon: Discontinue the change

Sustainability - What steps will ensure the improvements are maintained over time? Are there plans for ongoing monitoring?

Scalability - Can this approach be expanded to other groups, settings, or regions? What adjustments would be necessary for broader implementation?

Feedback Incorporation -How will lessons learned be shared with the team or stakeholders? How will feedback inform future PDSA cycles?

Notes:

Optional information: Attach any additional files or references relevant to the project.