Education Recognition Program

We are excited to bring you the new 11^th Edition National Standards for Diabetes Self-Management Education and Support (NSDSMES) Interpretive Guidance and Checklist along with the 2022 Quality Coordinator Guide! 
 

• 11th Edition ERP Quality Coordinator Guide
• 11th Edition Interpretive Guidance and Checklist 

Recent Updates: 

• All online samples, templates and resources have all been updated to align with the 2022 11th Edition National Standards for DSMES
• All open (started but not submitted) and submitted ERP applications will be held to the 2022 National Standards for DSMES. 
• All audits taking place in 2022 will be held to the 2022 National Standards   
• Click here to see the outline of key changes from the 2017 National Standards to the 2022 National Standards  

2022 11th Edition National Standards for DSMES Presentation (Recorded 3/8/2022)

During this presentation we discuss the changes from the 2017 Standards to the 2022 Standards and when the Standards will need to be operationalized. 

• Recorded Webinar
• Access Passcode:  438639

The complete Standards have been published online in Diabetes Care.  The Supplementary Materials can be downloaded here

This Symposium is an accredited healthcare provider continuing education program that will award physicians, physician assistants, nurses, dietitians, pharmacists and certified diabetes care and education specialists that attend 4.5 CEUs.

• When: October 20, 2023
• Where: Zoom
• Time: 11:00AM – 4:00PM EST
• Cost: $150.00
• CEU Opportunity: 4.5 CEUs
• Registration Coming Soon

Session 1: Diabetes Remission & Lifestyle Update: What Every Clinician Needs to Know - Susan Weiner, MS, RDN, CDN, CDCES, FADCES

Objectives

1. Define criteria to evaluate remission in type 2 diabetes.
2. Discuss 3 tools or strategies for eating pattern education for people living with diabetes.
3. Describe the clinical impact of physical behaviors in the cardiometabolic health in people with type 2 diabetes. 
4. Describe strategies to improve sleep quality for people with diabetes.

Session 2: Diabetes Technology in 2023 - Celia Levesque APRN, FNP, CNS-BC, CDCES, BC-ADM

Objectives

1. Discuss advantages and disadvantages of CGM. 
2. Differentiate CGM systems in US market. 
3. Interpret CGM report to adjust therapy and bill correctly for CGM training/interpretation.
4. Discuss smart insulin pens in the US market.
5. Discuss use of insulin pumps in the US
6. Differentiate insulin pumps on US market.
7. Calculate initial insulin pump settings.
8. Discuss strategies for successful insulin pump tx

Session 3: Achieving Diabetes Health Equity: Evidence, Challenges, Opportunities, and Resources - Lorena Drago MS, RDN, CDN, CDCES

Objectives

1. Define the concept of health equity, emphasizing the importance of equal access to healthcare.
2. Explain how various social determinants social determinants of health (SDOH) significantly influence individual health outcomes.
3. Apply concepts of health equity and SDOH and use data and evidence to identify and prioritize health needs and gaps.

On-Demand: ERP Medicare Diabetes Services Reimbursement Symposium - From Guidance to Multi Practice Models

This Symposium is an accredited healthcare provider continuing education program that will award physicians, physician assistants, nurses, dietitians, pharmacists and certified diabetes care and education specialists that attend 5.5 CEUs.   The program’s goal is to increase participant access to quality, evidence-based, and sustainable Diabetes Self-Management Education and Support services.   

This course will take a deep dive into billing for DSMT, MNT and other services that are provided to people with diabetes at various locations such as hospitals, physician offices, RD private practice, FQHC, state health departments and pharmacy. Current information on delivery of DSMT via Telehealth will also be discussed.  The program is designed for adult learners, is interactive, and promotes networking and best practice sharing.    

Additional Resources that can be viewed and downloaded with the on-demand symposium purchase:

• Symposium slide deck
• FAQ from the live meeting
• Exclusive FAQ recordings from the presenters  

Medicare Diabetes Services Reimbursement Symposium Information: 

• On-demand recording length: 5 hours 15minues
• Cost: $150.00
• CEU Opportunity: 5.5 CEUs
• Where: On-Demand
• Register Now
• Deadline: The on-demand symposium will be available until December 31, 2023

Symposium Objectives: 

• Identify which NPI should be used to bill for DSMT, MNT, CGM Pro and RPM.
• Describe the difference between billing for DSMT at the following locations:  outpatient hospital, physician office, RD private practice, FQHC, and pharmacy.  The pharmacy is one of the sites under a state division of public health DSMT program.
• Understand steps required by pharmacies to become Medicare DSMT provider and DSMT billing.
• Be able to navigate the Medicare physician fee schedule and interpret the reimbursement language on it.
• Describe current and post pandemic DSMT and MNT reimbursement telehealth Medicare coverage guidelines in practice at the following DSMES service sites: outpatient hospital, physician office, RD private practice, FQHC, and pharmacy.
• Identify DSMT service sustainability practice pearls.
• Know how to track DSMT and MNT hours as well as when a new referral is required.
• Describe what an E/M code is and become familiarized with billing and coding terminology.
• Locate resource to search licensure and telehealth guidelines for Registered Dietitians providing MNT.
• Locate resource to look up policy on Medicaid and private payer telehealth.

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At ERP University (ERPU), you can choose from a selection of videos that cover each of the 6 National Standards of Diabetes Self- Management Education and Support as well as videos on navigating the ERP Portal and the ERP website. We are committed to helping you find ways to understand and interpret the standards to better serve your unique program/service. Each video is followed by editable samples and templates for that specific standard. 

New! Recorded webinars that align with the 2022 National Standards have been added to ERP University.

ERPU is a new free benefit of Recognition and is only available to Quality Coordinators and staff members of Recognized services as well as services that plan on applying for Recognition.

Following the Standards section you will also find recorded webinars on the following topics: 

• Antihyperglycemic Medication Update - Presented by Heather P. Whitley, PharmD, BCPS, CDCES (Added 3/14/22) 
• Focus on Diabetes - Diabetes and Eye Health Resources for Educators and Participants
• Know Diabetes by Heart - Cutting-Edge Resources for Providers, including Case-based Learning App and Webinars
• Recorded Ask the ERP Experts Q/A Webinars
• Benefits of Education Recognition 
• Navigating the ERP Website 
• Navigating the ERP Portal 

Please Note: 

• If you are not the Quality Coordinator for your service and would like access to ERPU, please contact your Quality Coordinator for access.  
• If you are the Quality Coordinator and do not have the password, please email ERP@diabetes.org 
• If your service plans on applying for Recognition within the next 6 months and would like access to ERPU, please complete an onboarding form to be setup within the system and have access granted. 

Login to ERP University

Please email ERP@diabetes.org(link sends e-mail)(link sends e-mail) or call 1.888.232.0822 to reach an Education Recognition Program staff member

A program will need to meet the following criteria prior to applying for Recognition: 

• The DSME program must have fully implemented the National Standards for Diabetes Self-Management Education and Support 

The fee for an original application is $1100 for a 4 year Recognition cycle.  Original applications: $1,100 for the main site. $100 for each additional multi site.  Please note: There is no fee for expansion sites. Programs may add unlimited number of expansion sites with no additional fee. 

Ready to Apply?

If your service plans on submitting an application for Recognition within the next six months, please submit an ERP onboarding form.  The Quality Coordinator will receive an email containing the ERP Portal login credentials along with the application instructions within 24-48 hours.

ERP Meet and Greet! 

If your Service is in the process of applying for ADA Education Recogntion and have questions, you can now schedule a meet and greet with the ERP team.   Please email ERP@diabetes.org for more information and to schedule a meeting. 

Application Resources

• Recognition Requirements
• 11th Edition ERP Quality Coordinator Guide
• 11th Edition National Standards Interpretive Guidance and Checklist 
• New Program Application Checklist  
• Support Documentation Checklist
• How to Choose a Reporting Period for the Application (5 minute recorded webinar) 
  • Access Passcode: 816518
• Assistant Coordinator Setup Instructions 
• Application Fees  
• For information on National Virtual Recognition please email ERP@diabetes.org 
• Invoice Request Instructions 
• ERP Portal Walkthrough 
• New Quality Coordinator Recorded Webinar(link is external) 
• Access Passcode: 772081
• Recorded Application & Annual Status Q/A Webinar
  • Access Passcode: 473646

Application Templates

• Original application template

Recognition Toolkits 

• Virtual Audit Preparation Toolkit (All audits are now virtual) 
• Continuous Quality Improvement Toolkit 

Policies & Procedures 

• ADA Education Recognition Program Logo Use Policy 
• Logo Request Form
• Out of Scope Policy 
• Transfer of Recognition
• Sample Policy Defining Fields for DSME Assessment

View the upcoming Ask the ERP Experts Webinar Schedule and Register 

Benefits of being an ADA recognized education program include:

• Access to ERP University (ERPU) At ERP University (ERPU), you can choose from a selection of videos that cover each of the 6 National Standards of Diabetes Self- Management Education and Support as well as videos on navigating the ERP Portal and the ERP website.  ERPU is a new free benefit of Recognition and is only available to Quality Coordinators and staff members of Recognized services as well as services that plan on applying for Recognition.
• Access to the ERP Networking Community where you can network with over 7K Diabetes Educators 
• Assign multiple assistant Coordinators to assist with functions within the ERP Portal such as application and annual status reports 
• Referrals from local ADA offices and through our Center for Information(link is external) 
• 40 percent discount on American Diabetes Association's publications and books
• Free access to Chronicle Diabetes – a HIPAA and HITECH compliant web based system that provides healthcare professionals tools to facilitate diabetes education documentation.
• Ability to request an invitation to ERP's monthly Ask the ERP Experts Q/A webinar for new quality coordinators as well as programs that will be submitting an application or an annual status report. Register Now
• Quarterly newsletter that provide recognition tips and updates
• Traditional Programs may add unlimited number of expansion sites with no additional fee 
• Free DSME and MNT Reimbursement Guide
• Recognition Application processed in under 30 business days
• Ability to speak with an ERP Staff member Monday through Friday between the hours of 8:30AM to 5:00PM EST. All emails and phone calls received outside of business hours are responded to within 1 business day.
• Free Audit Preparation Toolkit
• Free Continuous Quality Improvement Process Toolkit

Free Resources to Promote your Program:

• New! 2022 ERP National Benchmarks 
• Enhanced marketing through use of the ADA Education Recognition logo and listing on the ADA website zip code search(link is external)
• Free DSME benefits and Cost Savings Guide 

Benefits of ADA Education Recognition   (PDF)
 

Programs have access to all of the Recognition benefits including access to Chronicle Diabetes prior to Applying for Recognition. 

Ready to Apply?

If your service plans on submitting an application for Recognition within the next six months, please submit an ERP onboarding form.  The Quality Coordinator will receive an email containing the ERP Portal login credentials along with the application instructions within 24-48 hours.

ERP 11th Edition Sample Forms, Templates and Resources   

Editable samples and templates can be found at ERP University 

Standard 1: Support for DSMES Services

• Annual Service Support Review/Revision Form  (Example of completed form can be found at ERP University) 

Standard 2: Population and Service Assessment

• Annual Population Assessment Review/Revision Form (Example of completed form can be found at ERP University) 

Standard 3: DSMES Team

• Quality Coordinator Position Description 
• DSMES Team List and Tracker 
• Diabetes Community Care Coordinators(DCCC) Training Tracker 

Standard 4: Delivery and Design of DSMES Services

•  Design and Delivery Annual Review/Revision Form   (Example of completed form can be found at ERP University) 
•  Out of Scope Policy 
•  Curriculum 

Standard 5: Person-Centered DSMES 

• Initial Comprehensive DSMES Cycle 
• Short Referral Form 
• DSMES & MNT Referral Form 
• New! 2022 One Page DSME Assessment 
• New! Pediatric Assessment Form 
• New! Diabetes and Pregnancy Assessment Form 
• Sample DSMES Assessment Form 
• DSME Assessment Example 1 - English 
• DSME Assessment Example 2 - Spanish
• Patient Education Record 
• Behavioral Goals and Outcomes 
• Communication to HCP 
• Participant Chart Review Form 
• Sample Participant DSMES Assessment Data Collection and Review Policy

Standard 6: Measuring and Demonstrating Outcomes of DSMES Services

• Continuous Quality Improvement Toolkit 
• Continouous Quality Improvement Worksheet 

View the upcoming Ask the ERP Experts Webinar Schedule and Register 

FEES:  Renewal applications: $1,100 for the main site. $100 for each additional multi site.  Please note: There is no fee for expansion sites. Programs may add unlimited number of expansion sites with no additional fee. The application will calculate the fee based on the type of application you choose and/or the number of sites 

Application Resources

• Recognition Requirements
•  11th Edition ERP Quality Coordinator Guide
• 11th Edition National Standards Interpretive Guidance and Checklist  
• How to Choose a Reporting Period for the Application (5 minute recorded webinar) 
  • Access Passcode: 816518
• Assistant Coordinator Setup Instructions 
• Application Fees 
• Invoice Request Instructions
• Support Documentation Checklist 
• New Quality Coordinator Recorded Webinar(link is external) 
• Access Passcode: 772081
• Application & ASR Recorded Webinar (link is external)
• Access Passcode: 019776

Application Templates

• Renewal application template
• Expansion application template
• Multi-site application template

Recognition Toolkits 

• Virtual Audit Preparation Toolkit (All audits are now virtual)
• Continuous Quality Improvement Toolkit 

Policies & Procedures 

• ADA Education Recognition Program Logo Use Policy 
• Logo Request Form
• Out of Scope Policy 
• Transfer of Recognition
• Sample Policy Defining Fields for DSME Assessment

 Please email ERP@diabetes.org or call 1.888.232.0822 to reach an Education Recognition Program staff member.

View the upcoming Ask the ERP Experts Webinar Schedule and Register 

Annual Status Report (ASR)

(ERP) requires all recognized programs to complete an ASR during the anniversary month of their ADA Recognition.   The ASR becomes available to the program coordinator 30 days prior to the programs anniversary date and remains available 60 days after. 

ASR Resources: 

• Annual Status Report FAQ
• Annual Status Report template
• Recorded Application & Annual Status Q/A Webinar
  • Access Passcode: 473646
• Assistant Coordinator Setup Instructions 

Audit Preparation 

An audit is a randomly selected onsite visit that allows the Education Recognition Program to verify a Recognized entity was compliant with the National Standard’s criteria at the time of most recent application and has remained compliant during the current recognition cycle. 

Audit Preparation Resources 

• Virtual Audit Preparation Toolkit
• Audit Documentation Check List
• 11th Edition ERP Quality Coordinator Guide
• 11th Edition National Standards Interpretive Guidance and Checklist  
• DSMES Team List and Tracker 
• Diabetes Community Care Coordinators(DCCC) Training Tracke
• Complete DSMES Cycle 
• Chart Review Form 
• Chart Tracker 
• Complete Patient Chart Audits 

Recorded ADA and CMS Audit Preparation Q/A Webinar

ERP services can be randomly chosen for an audit by ADA or CMS (Centers of Medicare and Medicaid) If you are chosen by CMS for an audit: CRW is the contracting organization that will contact you via email.  There are very specific ways to get ready for CMS audits.

• Recorded Webinar (link is external)
• Access Passcode: 659139 

Policies & Procedures 

• ADA Education Recognition Program Logo Use Policy 
• Logo Request Form
• Out of Scope Policy 
• Transfer of Recognition 
• Sample Policy Defining Fields for DSME Assessment

The Changes below can all be made through the ERP Portal (https://erp.diabetes.org) by the Quality Coordinator or the Assistant Coordinator:

• Sponsoring Organization Name and/or Program Name Change
• Change in Program Coordinator Email Address
• Change in Administrative Officer
• Address Change
• Phone Number Change
• Fax Number Change

The ADA ERP Office must be notified of a change in Quality Coordinator via the Change of Quality Coordinator Form within 30 days.

If there has been a substantive change in the program such as a site closing, site moving to another sponsor or changes in sponsor relationship please email ERP@diabetes.org and include your program ID# in the message. (Depending on the change, you may be sent an Interim Status Report which will allow you to provide additional details about the program change.)

Change of Quality Coordinator Form 

A program may add an additional site(s) at any time during the programs Recognition cycle.  Each DSME program has a primary multi-site. Other sites can be added to the primary multi-site as multi-sites or expansion sites. Expansion sites can extend from any of the programs multi sites.  It is crucial to review the addition of program sites with your hospital or practice compliance office prior to submitting an application. 

For assistance with submitting an additional site application within the portal please download the Additional Site Instructions

Expansion Sites

Expansion sites are additional locations that offer the same program as the parent site they are expanding from.

Each component below must be the same as the parent site:

• Instructional Staff
• Curriculum
• CQI
• Policies & Procedures
• Forms
• Billing must go through the parent site

Expansion Site FAQ:

• No fee for expansion sites
• Programs can begin seeing patients as soon as the expansion site application is submitted
• Paper Audit Item can be from the parent site
• Expansion sites do not receive a certificate and are not listed on the website
• Programs can have an unlimited number of expansion sites

Multi-Sites

Multi-Sites are additional locations that are able to operate semi-independently from the primary site. 

Each component below can be different or the same as the parent site:

• Instructional Staff
• Curriculum
• CQI
• Policies & Procedures
• Forms
• Billing

Multi-Site FAQ:

• $100 fee per multi-site
• Program must have a minimum of 1 participant completethe entire program prior to submitting an application.
• Multi-Sites receive a certificate and are listed on the website

Additional Site Application Resources 

• Expansion Site Vs. Multi-Site 
• New! How to Choose a Reporting Period for the Application (5 minute recorded webinar) 
  • Access Passcode: 816518
• Additional Expansion Site Template
• Additional Multi-Site Application Template 
• Additional Site Instructions (Within the ERP Portal) 

Note: The definition for additional sites includes the following statement: one sponsoring organization that supports diabetes education services at multiple sites (more than one address) within a state or within 100 miles of neighboring states.

 If your Recognized DSMES service has multiple sites that go beyond the state borders and you would like this/these sites to be considered for recognition, please complete the Additional Site Exception Form. Return this form electronically by email to erp@diabetes.org or by fax to (703)991-9120.  Once approved the form will be sent back to the Quality Coordinator to upload within the additional site application. 

Diabetes and Eye Health Resources for Educators  

• Diabetes and Eye Health: An Overview for Clinicians (link is external) – a series of 3 Non-CE educational videos targeting Primary Care Providers, including MDs, DOs, NPs, PAs, Diabetes Educators, and others. The videos discuss the connection between Eye Health and diabetes and total 1 hour. 
  • Video 1: Overview of Diabetes and Eye Health, presented by Dr. Paul Chous
  • Video 2: Ocular Manifestations of Diabetes, presented by Dr. Thomas Gardner
  • Video 3: Supporting Patients and Fostering Collaborative Care, presented by Dr. Jeffry Gerson     

• American Society of Retina Specialists podcast (link is external)

Diabetes and Eye Health Resources for Participants 

• Shareable Patient Resources – a series of PDFs for health care providers to download, print, and share with your patients with diabetes before they visit an eye doctor.
  • Preparing for a Visit to your Eye Doctor(link is external) 
  • Common Diabetic Eye Diseases (link is external) 
  • Focus on Diabetes Pocket Guide

• Ask the Experts Podcast Series on Eye Health

Stay focused on your diabetes and your eye health care with our podcast series. Experts in different medical specialties and other authorities in the subject of Diabetes and Eye health care answer questions, give advice and share their knowledge.

Professional Resources on Diabetes and Eye Health

• Practice Toolkit Material
• A Practical Guide to Diabetes-Related Eye Care
• Special Podcast Series: Focus on Diabetes

For more eye health resources for patients and health professionals visit the Focus on Diabetes website at: www.diabetes.org/eyehealth

Living with Diabetes: Ask the Experts Q&A Series

Encourage your patients to join a FREE, educational Ask the Experts Q&A series created to help tackle issues commonly faced by people living with diabetes and wondering about the relationship between diabetes, heart disease, stroke, and heart failure. Participants ask questions —online or on the phone—in a live Q&A with ADA diabetes experts. All events start at 2:00 P.M. ET and last about an hour. Learn more and direct your patients to register at diabetes.org/experts4ERP. You can also encourage your patients to listen to recordings of past events on their own time at diabetes.org/experts4ERP.

• Preferred Language for Weight-Inclusive Conversations with Youth and Their Families 
• Our 60-Second Type 2 Diabetes Risk Test 
• Participant Education Library - Download free, reproducible handouts in a variety of languages.
• Free Program for Your Participants - Order free booklets for our program for newly diagnosed type 2 diabetes participants and encourage your patients to enroll in this free year-long program.

The Consumer Guide - New!

Consider the ADA Consumer Guide your comprehensive guide to diabetes products. From insulin pens and continuous glucose monitors to insulin pumps and medications and so much more, this guide allows you to easily compare across various brands of diabetes products so you can decide what works best for you and your lifestyle. View the Guide 

“How to Thrive: A Guide for Your Journey with Diabetes” now available

We are happy to announce the “How to Thrive: A Guide for Your Journey with Diabetes” booklets are now available for purchase in packets of 25 at the ERP 40% discounted rate of less than $10!  As we mentioned in previous communications, this booklet has replaced the highly popular “Take Control Guide”. 

Please visit shopdiabetes.org/journey for more information and to purchase.

Please Note: You will need to log into your account as an ERP member in order to receive the discount when purchasing online.

Please follow the steps below if you have not already registered as an ERP at ShopDiabetes: 

• Step 1: Register for Shop Diabetes as an Recognized Education Program member: https://shopdiabetes.org/account/register 
• Step 2: Indicate that you are a Recognized Education Program member under Membership Type section 
• Step 3: Provide your program ID# under the Membership Number section 
• Step 4: Begin Shopping! 

Nutrition Resources:

Diabetes Food Hub is the new cooking and recipe platform from the American Diabetes Association. Includes an interactive Meal Planner that calculates nutrition facts, a customizable Grocery List generator, and hundreds of diabetes-friendly recipes.
 

• Preferred Language for Weight-Inclusive Conversations with Youth and Their Families 

The Consumer Guide - New!

Consider the ADA Consumer Guide your comprehensive guide to diabetes products. From insulin pens and continuous glucose monitors to insulin pumps and medications and so much more, this guide allows you to easily compare across various brands of diabetes products so you can decide what works best for you and your lifestyle. View the Guide 

Nutrition Scientific Review Committee 

In 2018, the American Diabetes Association selected 12 nutrition experts to identify, rigorously review and debate current research to inform the Association in best practices for medical nutrition therapy and nutrition education as it relates to diabetes. This group will update the 2013 Nutrition Therapy Recommendations for the Management of Adults with Diabetes to reflect the latest research findings. Updates to the statement will be released early 2019. 

View the 2013 Nutrition Therapy Recommendations for the Management of Adults with Diabetes.  
View the 2018 Standards of Medical Care in Diabetes.

Diabetes Food Hub

Explore ADA’s new one-stop-shop for recipes, advice, and more for healthy living with diabetes. Features include: 

• Easy-to-make recipes that meet ADA’s nutrition guidelines
• Healthy eating and living tips from food and nutrition experts
• Interactive Meal Planner
• Grocery List generator

Visit diabetesfoodhub.org 

Diabetes Placemats 

The placemat is a simple guide to planning meals and managing portions. The front features full-color photos of actual-sized plates and portions (½ plate non-starchy vegetables, ¼ plate protein, and ¼ plate starchy vegetable or grain) along with examples of foods in each category. The back side of the placemat provides simple tools for estimating portions and choosing healthy fats. The placemat is now available in seven different versions to accommodate different cultures and cuisine preferences: Classic, Southern, Hispanic, Vegetarian, Asian, Indian, and Pacific Islander. 

Order Diabetes Placemats

Other Professional Resources: 

• Clinical Diabetes(link is external) - Read about the latest trends and innovations in diabetes care and treatment.
• Diabetes Spectrum(link is external) - Translate current research findings into practical clinical applications.  
• Online and Live Programs - Check out our other continuing education opportunities.  
• DiabetesPro SmartBrief(link is external) - Receive your daily diabetes briefing on what is going on in the clinical diabetes community.
• DiabetesPro Career Center - your premier resource for employment opportunities and career development tools for clinicians or scientists working in the field of diabetes.
• Books on ShopDiabetes.org(link is external) - Fill your library with resources written by leading diabetes experts.
• Diabetes Core Update(link is external)(link is external) - Our podcast features the latest clinically relevant articles published in our four scholarly journals. 

Standards of Medical Care in Diabetes - The American Diabetes Association publishes the Standards of Medical Care in Diabetes annually. These rigorously reviewed recommendations provide clinicians with guidance to prevent and treat diabetes and its complications. In addition to the full Standards of Care, an abridged version edited by primary care providers for primary care providers, is available.