© 2013 sanofi-aventis U.S. LLC, A SANOFI COMPANY All rights reserved Printed in the USA...

© 2013 sanofi-aventis U.S. LLC, A SANOFI COMPANY All rights reserved Printed in the USA US.NMH.13.01.045 Do not copy. Do not distribute. Do not leave behind.

Dedicated to Addressing

Diabetes In Skilled Nursing Facilities© 2013 sanofi-aventis U.S. LLC, A SANOFI COMPANY All rights reserved Printed in the USA US.NMH.13.01.045


Today’s Presentation

• Update on the impact of diabetes on residents

• How to enhance diabetes management

• Introduce healthFORWARD in terms of its focus, objectives, resources, and benefit for you

• Getting started with healthFORWARD

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The Impact of Diabetes

• More than 1 out of every 5 people aged 60 and older has type 2 diabetes.1

• Diabetes is solely responsible for over half of nursing home admissions among adults with diabetes 45 to 74 years old.1

• Residents with diabetes in long-term care are likely to need to stay longer than 90 days and have additional comorbidities such as cardiovascular issues, depression, and pain.1

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1. American Medical Directors Association. Diabetes Management in the Long-Term Care Setting Clinical Practice Guideline. Columbia, MD: AMDA 2008,revised 2010


Enhancing Diabetes Management • AMDA recommends a systematic approach that addresses

the entire interdisciplinary team:– Medical director – Nursing staff – Dietitians– Director of nursing – Nursing assistants – Consultant pharmacist– Physicians – Therapists

• Includes an interdisciplinary care model1

• Involves patients, families, and caregivers in diabetes awareness and self-management1

• Reviews glycemic control on an ongoing basis and intervenes when necessary1

• Individualizes long-term care diabetes therapy by accounting for factors such as mental and physical abilities, disease severity, and coexisting conditions1

1. American Medical Directors Association. Diabetes Management in the Long-Term Care Setting Clinical Practice Guideline. Columbia, MD: AMDA 2008, revised 2010.

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Introducing healthFORWARD Diabetes

• Addressing needs

• Raising awareness

• Encouraging involvement

• Engaging residents

• Offering innovative resources

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healthFORWARD Implementation Components Overview

• Program Overview

– Resource Index

• Facilitator Handbook

– In-Service Program

– Special Event

• Quality-Improvement Forms

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Facilitator Guide


Staff In-Service Program

• Staff In-Service Program includes:

– Facilitator’s Handbook

– Slide Presentation with Assessment Quiz

– Certificate

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Provider Resources

• Announcement Letter Template

• Provider Information Fact Sheets

• Connections in Care Fact Sheets

• Blood Glucose Monitoring Equipment

• Diabetes and Associated Complications Articles

• Looking After Your Residents Poster

• When to Contact a Physician Tip Sheet

• Discharge Instructions

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Taking Care of Your DiabetesSpecial Event

• Taking Care of Your DiabetesSpecial Family Event

– Facilitator’s Guide

– Banner

– Slide Presentation

– Invitation/Poster Template

– Certificates

– Evaluation Form

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Patient Resources

• Blood Sugar Diary

• Nutrition Know-How

• Be Active For a Healthier You

• Living a Healthier Life

• Self-Management Instructions

• So You Need to Take Insulin

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Getting Started

• Familiarize yourself with the program resources.

• Confer with your physicians and nursing managers to select the appropriate resources to incorporate into your current program.

• Update your current policies and procedures.

• Distribute template letters to announce the initiative.

• Schedule an in-service program for staff.

• Schedule a family event for residents, families, and caregivers.

• Plan to audit and review changes to program.

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healthFORWARD Benefits

• Improve awareness and recognition of diabetes among your staff and residents.

• Engage staff and residents in day-to-day management of diabetes.

• Motivate residents to adhere to appropriate treatment regimens.

• Help reduce medical costs for appropriate patients in your facility.

• Increase cooperation between staff and residents.

• Enhance your ongoing quality-management process.

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Thank you!

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© 2013 sanofi-aventis U.S. LLC, A SANOFI COMPANY All rights reserved Printed in the USA...

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