9/20/16 Addressing Depression and Disease Distress in Patients with Diabetes in FQHCs: The EPiC-4DM Project

Course Information

Overview: Diabetes distress (DD) refers to the often hidden emotional burdens, stresses, and worries that are part of managing a demanding, progressive, chronic disease like diabetes. DD is a critical, yet often neglected component of comprehensive diabetes care (Fisher, 2013).  It is imperative, therefore, that providers who care for patients already experiencing disparities must have high clinical suspicion of DD and be equipped to screen and manage.  Please join the University Of Colorado School Of Medicine and the Metro Community Provider Network as they discuss evidence-based approaches to intervention for DD in primary care settings and share lessons learned in the EPiC-4DM Project.

Original Release Date: September 20, 2016 (2:00pm to 3:00pm)

Objectives: Participants in this webinar will be able to:

  1.     Describe Diabetes Distress and its effects on patients with disparities
  2.     Discuss overlap and distinctions between distress and depression, and     evidence-based approaches to intervention in primary care settings
  3.     Distinguish screening tools and appropriate use in FQHC setting
  4.     Explore the EPiC-4DM project implementation story

The Morehouse School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Morehouse School of Medicine designates this live educational activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

This course should take approximately 1 hour to complete.

Presenters

Headshot Allison Draayer

Allison Draayer

Title: MCPN Patient Navigation Manager

Metro Community Provider Network (MCPN) is a Federally Qualified Community Health Center (FQHC) that has been providing health-related services to the Denver community for 27 years. With 21 clinics and over 300 employees, MCPN has the largest patient population base of any FQHC in Colorado. Metro Community Provider Network clinics provide a variety of services including primary medical care, dental care, pharmacy and laboratory services, and behavioral health services; these clinics provide a safety net for Denver metro residents who would otherwise not have access to quality health care. Allison Drayer, MSW, LSW, has been the Patient Navigation and Reproductive Health Manager at MCPN since January 2015. She oversees all of the patient navigators throughout the MCPN system as well as the adolescent reproductive health and maternal and child health programs. The best part about her job is that she gets to work with a variety of teams to improve patient care. She has her MSW from University of Denver, a post-graduate certificate in Marriage and Family therapy and just finished all of her requirements for her LCSW!

Headshot Bethany Kwan

Dr. Bethany Kwan

Title: Social Health Psychologist and Assistant Professor in the Department of Family Medicine, University of Colorado School of Medicine

Dr. Kwan is a social health psychologist and an Assistant Professor in the Department of Family Medicine at the University of Colorado School of Medicine. She serves as the Assistant Director of the Scalable Architecture for Federated Translational Inquires Network (SAFTINet), one of the Practice-Based Research Networks. Dr. Kwan has doctoral training in social psychology and behavior theory as it applies to health and quantitative research methods and statistics, and post-doctoral experience in patient-centered outcomes research, comparative effectiveness research, qualitative methods and health informatics. Her research primarily concerns the application of health behavior theory and health information technology (HIT) to the study of chronic disease self-management and health behavior change in primary care settings. Dr. Kwan is currently leading a project involving engaging patients and practices in the design and implementation of a HIT-based patient-centered diabetes and distress self-management support intervention.

Shandra Brown Levey

Shandra Brown Levey, PhD, Clinical Psychologist & Epic-4DM Depression and Distress Intervention Expert

Dr. Brown Levey is a clinical psychologist in the Department of Family Medicine at the University of Colorado where she serves as the Director of Integrated Sciences. Through her work, Dr. Brown Levey strives to implement integrated programs and support their development over time with regard to clinical, educational, research, policy, HIT, and financial needs for growth and sustainability. Dr. Brown Levey’s research focuses on translational science for integrated behavioral health and primary care with a special emphasis on health information technology. She is the Primary Investigator on three grants related to this research, and collaborates with other researchers, clinicians, educators, and administrators to support achievement of the quadruple aim (enhancing patient experience, improving population health, reducing costs, and improving the work life of health care providers).

Headshot Sophia Alires

Sophia Alires

Title: MCPN Director of Community Health Services Department

Metro Community Provider Network (MCPN) is a Federally Qualified Community Health Center (FQHC) that has been providing health-related services to the Denver community for 27 years. With 21 clinics and over 300 employees, MCPN has the largest patient population base of any FQHC in Colorado. Metro Community Provider Network clinics provide a variety of services including primary medical care, dental care, pharmacy and laboratory services, and behavioral health services. MCPN clinics provide a safety net for Denver metro residents who would otherwise not have access to quality health care. Sophia Alires is the Director of Community Service Programs, including Health Education, Patient Navigation, and Reproductive Health. Sophia began her career with Community Health Center’s 21 years ago in Clinical and Operations, with supervision of clinical support staff, financial screening processes, billing & coding, the state immunization program, as well as with cancer screening prevention programs. She also worked in health coaching as a Promatora as part of the Diabetes management program. She obtained her certification as a Certified Addiction Counselor, to better understand the population Community Health Centers serve. She has worked in Clinic Operations management for multiple clinic locations consisting of a multidisciplinary and integrated team approach to care. In her most recent role in Community Services, she was instrumental in developing and managing the Accountable Care and Bridges to Care programs at MCPN, which identifies gaps in care and connects patients to resources based off their social determinants of health, as well as decreasing hospital over-utilization and lowering healthcare cost. Sophia is now the Director of several community service programs that works to promote whole person care, through education and navigation services. She is passionate about the mission of MCPN, which is committed to partnering with the community to provide excellent, culturally sensitive health services to meet the needs of each individual.

Video - Addressing Depression and Disease Distress in Patients with Diabetes in FQHCs: The EPiC-4DM Project