Fall 2009 Hod Presentation Ebp And Health Reform

Fall 2009 House of Delegates MeetingDialogue SessionsADA & TDA: Building Future Practice Today

Evidence-based PracticeHealth Reform

Linda Farr, RD/LD

Current Issues with TDA and ADA

1. TDA Awards – Due 11/2 -NEW! Outstanding Nutrition Education

Award2. TDA Leadership Opportunities3. TDA Strategic Plan4. TDA Meetings w/ TMA President5. ADA FNCE Denver, CO Oct 17 – 20, 20096. All ADA members can participate in

HOD7. New ADA Code of Ethics!

Why a House of Delegates?

“The House of Delegates, as the voice of members, governs the profession and develops policy on major professional issues.”

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What Is A Mega Issue?

-Something of strategic importance

-Asks key questions ????????

-These questions need to be asked and answered in the next 5-10 years so we can direct our profession NOW!

-”Our future is now”

Fall 2009 HOD Meeting

Mega Issues – CPEs for Backgrounders

o Evidence-Based Practice

o Health Reform

Evidence-based Practice

Mega Issue Questions

• How can delegates, members and ADA organizational units foster the incorporation of evidence-based practice in all areas of dietetics?

• What opportunities exist that would encourage incorporation by members?

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Evidence-based Practice

Expected Outcome

• RDs and DTRs in all areas of dietetics will employ evidence-based practice to position the profession for improved reimbursement, recognition, and quality services when appropriate.

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Evidence-based Practice (EBP)

“is an approach to health care wherein

health practitioners use the best evidence

possible, i.e. the most appropriate

information available, to make decisions

for individual patients”.

Systematically reviewed scientific

evidence

Why is evidence-based practice important?

• Explosion of literature

• Unmet information needs

• Implementation delays

• Standardization of practice

ADA and Evidence-based Practice

• Association Position Papers

• Dietetic Practice Groups Newsletters

• The Journal of the American Dietetic Association

• ADA Foundation

ADA and Evidence-based Practice (continued)

• Book Publishing

• Evidence-based Practice Committee (EBPC)

• Evidence-based Practice Guidelines & Tool Kits– Products/tools:

www.adaevidencelibrary.com/store.cfm

Everything that can be counted does not necessarily count; everything that counts cannot necessarily be counted.

Albert Einstein

Questions

1. What sources do you use to solve problems in practice (i.e. EAL)?

2. What types of questions do you have regarding evidence-based practicethat is not answered inthe Backgrounder?

Health Crisis

• 47 million Americans without health care coverage

• Access dependent on the insurance status and policy.

• Not flexible enough

• American companies non-competitive

• Both Medicare and Medicaid are fiscally unsustainable.

• Dissatisfaction

Uninsured Texans

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Health Reform

Discussion Question

• What needs to happen to engage ADA members as an integral part of future health care models?

Health Reform

Expected Outcomes

Attendees will:• Collectively better understand what is

going on at the state level.• Better understand ADA’s legislative

efforts.• Link state level activities with national

activities.• Develop strategies that can be utilized in

your own state or area of practice.

ADA Tenets of Health Reform

• Health should improve

• Access

• Nutrition services are essentialto comprehensive health care

• Stable, sufficient, and reliable funding

• Patient-centered

Patient-Centered Medical Home Model

… a model for care provided by physician practices

that seeks to strengthen the physician-patient

relationship by replacing episodic care based on

illnesses and patient complaints with coordinated

care and a long-term healing relationship. Each

patient has an ongoing relationship with a personal

physician who leads a team that takes collective

responsibility for patient care. The physician-led

care team is responsible for providing all the patient’s

health care needs and, when needed, arranges for

appropriate care with other qualified physicians.

PCMH Strategic Plan

Goal #1: Current and future RDs are empowered to advocate for inclusion in the patient centered PCMH and other health care models as the preferred provider for food and nutrition services.

Goal #2: The PCMH providers value and choose RDs as preferred providers for food and nutrition services.

ADA Infrastructure

• Public Policy Coordinators• State Policy Representatives• Public Policy Panels• DPG Legislative Chairs or Public Policy

Liaisons• ADAPAC• Legislative and Public Policy Committee• Policy Initiatives and Advocacy Team staff• ADA Communications

Information Needed

What is going on in Texas in regards to the role of the RD in health reform?

Next Steps

Provide responses to your delegate by Friday, October 9, 2009.

Where to send feedback…

• Evidence-based [email protected]

• DelegateLinda Farr [email protected] 210-735-2402

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Thank You!

Questions?