Diabetes self-management education (DSME) is critical to successful re for all people with type 1 and type 2 diabetes. National standards for DSME are regularly updated by the American Diabetes Association d are reviewed and approved by key organizations with involvement diabetes care.
The 10 national standards for DSME are comprehensive and fully de-ibed in the Clinical Practice Recommendations of the American Diabetes Association. The ADA has a recognition program for hospitals, nics, and other health care sites that develop programs in accord with ;se guidelines. Reimbursement for DSME from Medicare is linked to  ADA recognition. The 10 standards can be summarized as follows: . Documentation of organizational structure, mission and goals, and recognition of quality DSME as an integral component of diabetes
• Definition of target population, its educational needs, and necessary resources.
•Oversight by a representative advisory body, including planning, ongoing review of outcomes, and consideration of community concerns.
• Designation of a qualified coordinator.
• Interaction of the patient with diabetes with a multifaceted education instructional team, which should include at least a registered dietician and a registered nurse who are certified diabetes educators (or eligible to become a CDE).
•Regular continuing education for the instructors.
• A written curriculum, with criteria for successful learning outcomes.
• Individualized assessment, development of an educational plan, and reassessment of participants.
• Documentation of step 8 in a confidential education record. Development of a continuous quality improvement process. care.
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