March 19, 2018

In This Issue
President Proposes Cutting Opioid Rx by 1/3, Death Penalty for Sellers, Other Measures
Congress Confronts Another Must-Pass Spending Bill Deadline: March 23rd
New AMA Survey: Patient Clinical Outcomes Shortchanged by Prior Authorization
RWJ Foundation Releases County Health Rankings & Roadmaps Report
Maine Quality Counts Publishes new "Choosing Wisely" Toolkit for Employers
Diabetes Alert Day - March 27: 3 Strategies that Change the Conversation You Have with Patients on Type 2 Diabetes Prevention
MMA Board Approves Climate Change Resolution
Bipartisan Group of Senators Propose Bill to Ban “Gag Clauses” on Prescription Savings
Do you hold a DEA X-waiver to prescribe buprenorphine?
Legislative Call This Tuesday, March 20th
Legislative Report: Female Genital Cutting, Medical Marijuana, and More
Med Student/MMA Board Member Knowland Testifies on Student Loan Bill
Governor Approves Meningococcal Vaccine Rule
QC2018: Building Communities of Practice through Innovation - Wednesday, April 4, 2018
MMA and Jackson Laboratory Seeking Volunteers to Assist with 2018 Maine Cancer Genomics Initiative Forum - April 6-8
FREE 8-Hr. MAT Waiver Training Being Offered in Dover, NH - Friday, April 27th
Introduction to Lean in Healthcare Full-Day Workshop on Tuesday, May 8
New Free CME on Alzheimer's Risk, Detection, and Management
Peer Navigation Program from Facing Our Risk of Cancer Empowered (FORCE)
Online Learning Opportunities Offering CME Credits - from the Northern New England Practice Transformation Network
Medical Board Physician
Outpatient Only - Internal Medicine with Loan Repayment & Sign-on Bonus
Family Practice Physician - Bucksport Regional Health Center
Hospice Physician – Lewiston, ME
Internal Medicine Outpatient Physician
Operations Director
Outpatient Internal Medicine Physician – Bangor, Maine
Relocate to Beautiful Southwestern Maine - Medical Director/Family Practice Physician
Clinical Cardiology Opportunity
Opportunities at the VA for Volunteer Physicians

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Diabetes Alert Day - March 27: 3 Strategies that Change the Conversation You Have with Patients on Type 2 Diabetes Prevention

In the current medical system, managing and preventing chronic disease requires a strong partnership between patients and doctors. Consider the statistics around prediabetes: 84 million U.S. adults have prediabetes and 9 out of 10 don’t know it.

Part of this partnership involves having conversations with patients about their lifestyle and risk factors for chronic disease. Patients may be unaware of their risk level, and many patients have never had a physician discuss prediabetes with them.  

An effective and easy tool to help patients determine their risk of prediabetes and type 2 diabetes is theprediabetes online risk test. This one-minute screening tool quickly determines if a patient needs further testing and encourages at-risk patients to join the National Diabetes Prevention Program (DPP).

The DPP addresses lifestyle changes that can significantly empower patients to take control of their own health. In the case of prediabetes, it can be a reversible condition and the DPP helps prevent or delay type 2 diabetes through lifestyle modifications.

Here are three ways to have productive conversations about prediabetes and help encourage patients to take an active role in managing their health.

Let the patients tell you their concerns

By asking what matters to the patient, you and the patient are both engaged, and the conversation shifts so that you can identify the key issues that are important to your patients.

Once you identify those things, then you can best create a care plan to help patients successfully prevent type 2 diabetes.

One tool that may help how you have these conversations is offered on a new podcast from the American Medical Association (AMA) called AMA Doc Talk. Episode 3, “Coping with chronic disease,” dives into how care teams’ relationships with their patients play a role in management of chronic disease such as type 2 diabetes.

In addition to improving conversations with patients, it’s important that you’re armed with tools that help you have these conversations.

Another useful tool to  educate your patients about the importance of diabetes prevention is the Prevent Diabetes STAT toolkit. This toolkit, developed by the AMA with the Centers for Disease Control and Prevention (CDC), provides resources to remind physicians to screen, test and refer patients with prediabetes to an in-person or online DPP.

Involve the entire care team

The care team plays a key role in helping patients prevent and manage type 2 diabetes and other chronic disease. Developing a team-based approach allows everyone to become actively involved and share responsibility for improved patient care, and the entire practice becomes better equipped to address patients’ questions and needs.

Engaging the care team can help identify patients who may need screening for diabetes, or referral to a diabetes prevention program. The AMA has developed a STEPS forward module for preventing type 2 diabetes in practice, which includes resources to help you and your team determine roles and responsibilities regarding diabetes prevention and your practice workflow.

Thepre-visit planning component of the STEPS  forward module can also help improve the efficiency of care given in order to identify all patients at risk for chronic disease who come into your office.

Consider using a health coach

A key part of patients taking an active role in their health is ensuring that they understand their care plans and how to achieve their health goals. It’s important for patients to understand that physicians and care teams are best suited to help them actively self-manage chronic disease, such as type 2 diabetes, or prevent it from developing.

Health coaches can be great support systems that help educate patients and give them the skills and knowledge they need to participate in their own care. Making use of health coaches is also another way to continue to build strong relationships and improve the conversations you have with patients.

As a part of its STEPS forward program, the AMA has developed a module for health coaching that explains how it can be incorporated into a practice that includes case studies of how it’s been done successfully along with downloadable tools and implementation support.

The health coach may be even be part of your practice’s own diabetes prevention program or may help connect patients who have prediabetes to a National DPP in your nearby community or online. However health coaches are integrated into a practice, they can help bridge a gap between you and your patients and help engage them in actively participating in their own health.

Implementing these three strategies can help make the precious time you have with patients to discuss type 2 diabetes and other chronic disease prevention more effective, and the conversations you have more constructive and beneficial.



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