We are committed to helping you find ways to understand and interpret the standards to better serve your unique program/service. We are aware of your time restraints and that is why you can access these short videos anytime and learn at your own pace. The practical solutions that are offered for each standard are shared and presented by fellow ADA Recognized programs/services. Following the Standards templates you will find a wide variety of educational tools and resources for your DSMES Service.
Below you will find recordings and samples and templates for the National Standards for DSMES.
Standard #1: Support for DSMES Services
The Diabetes Self-Management Education and Support (DSMES) team will seek leadership support for implementation and sustainability of DSMES services.
Standard #1: Editable Samples & Templates:
Standard #2: Population and Service Assessment
The DSMES service will evaluate their chosen target population to determine, develop, and enhance the resources, design, and delivery methods that align with the target populations’ needs and preferences.
Standard #2: Editable Samples & Templates
Standard #3: DSMES Team
All members of a DSMES team will uphold the National Standards and implement collaborative DSMES services, including evidence-based service design, delivery, evaluation, and continuous quality improvement. At least one team member will be identified as the DSMES quality coordinator and will oversee effective implementation, evaluation, tracking, and reporting of DSMES service outcomes. Other members of the DSMES team must have proper qualifications to provide DSMES services.
Standard #3: Editable Samples & Templates
- Quality Coordinator Position Description
- DSMES Team List and Tracker
- Diabetes Community Care Coordinators(DCCC) Training Tracker
Standard #4: Delivery and Design of DSMES Services
DSMES services will utilize a curriculum to guide evidence-based content and delivery, to ensure consistency of teaching concepts, methods, and strategies within the team, and to serve as a resource for the team. Providers of DSMES will have knowledge of and be responsive to emerging evidence, advances in education strategies, pharmacotherapeutics, technology-enabled treatment, local and online peer support, psychosocial resources, and delivery strategies relevant to the population they serve.
Standard #4: Editable Samples & Templates
- Design and Delivery Annual Review/Revision Form
- Sample of Completed Form
- Out of Scope Policy
- Curriculum
- Navigating Future Practice: Disaster Preparedness
Standard #5: Person-Centered DSMES
Person-centered DSMES is a recurring process over the life span for a PWD. Each person’s DSMES plan will be unique, based on their concerns, needs, and priorities collaboratively determined as part of a DSMES assessment. The DSMES team will monitor and communicate the outcomes of the DSMES services to the diabetes care team and/or referring provider.
Standard #5: Editable Samples & Templates
- Initial Comprehensive DSMES Cycle
- Short Referral Form
- DSMES & MNT Referral Form
- 2022 One Page DSME Assessment
- Pediatric Diabetes Assessment Form
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
DSMES services will have ongoing continuous quality improvement (CQI) strategies in place that measure the impact of the DSMES services. Systematic evaluation of process and outcome data will be conducted to identify areas for improvement and to guide services redesign and optimization.
Standard #6: Editable Samples & Templates