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7th edition application checklist - American Diabetes Association

7th edition application checklist - American Diabetes Association

7th edition application checklist - American Diabetes

7 TH EDITION APPLICATION CHECKLIST DOCUMENTATION  Evidence of Administrative Support  Coordinator’s Professional License/Registration/Certification (if applicable) and/or Proof of CEUs  Instructor(s)’ Professional License/Registration/Certification/Degree (as applicable) and/or Proof of CEUs  Paper Audit Item (Original [new] Applicants must submit all five paper audits) • Coordinator’s Job Description and Resume • CQI Process and/or Project • Section of the Curriculum • Evidence of Advisory Group Input • Copy of a De-Identified Patient Education Chart INFORMATION TO GATHER  Data:  # of participants: Comprehensive/Initial and Post Program  Average Number of hours participants spend in DSME  Participants by Age  Participants by Type of DM and Age  Auxiliary Staff Type # hours per week  Statistics # of years the program has provided DSME # of participants seen in one year Other services provided at site  Ethnic/Racial Groups Served  Special Needs and Unique Program Features Identified  Behavioral Outcomes and Other Outcomes Target and Actual Outcomes by %

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