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        Diabetes Self-Management Education and Support (DSMES) Toolkit
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          * About the Diabetes Self-Management Education and Support (DSMES) Toolkit
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          * DSMES Health Literacy Tool
          * Patient Success With DSMES Through Telehealth
          * DSMES Promotion Playbook Resources
          * Terminology and Glossary
          * How to Increase Referrals and Overcome Barriers to Participation Resources
          * Who Provides DSMES Services: Staffing and Delivery Models
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          * Building the Business Case for DSMES
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              Public Health
                  * About the Diabetes Self-Management Education and Support (DSMES) Toolkit
                  * Participate
                  * DSMES Health Literacy Tool
                  * Patient Success With DSMES Through Telehealth
                  * DSMES Promotion Playbook Resources
                  * Terminology and Glossary
                  * How to Increase Referrals and Overcome Barriers to Participation Resources
                  * Who Provides DSMES Services: Staffing and Delivery Models
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        View All Diabetes Self-Management Education and Support (DSMES) Toolkit
    About the Diabetes Self-Management Education and Support (DSMES) Toolkit Participate DSMES Health Literacy Tool Patient Success With DSMES Through Telehealth DSMES Promotion Playbook Resources Terminology and Glossary How to Increase Referrals and Overcome Barriers to Participation Resources Who Provides DSMES Services: Staffing and Delivery Models View All
May 15, 2024
  Overall Value and ROI of DSMES
          What to know
          DSMES is an evidence-based approach shown to improve health outcomes for people with diabetes. DSMES can increase the quality of health care services while lowering the cost. Health care organizations and payers are more likely to invest in interventions when they see a likely financial return on investment.
        DSMES value
        With a wide range of benefits, DSMES services can do the following:
        Support health care providers, people with diabetes, and community members in addressing diabetes-related needs.
        Increase the quality of health care services and decrease the cost of delivering those services.
        Increase indirect revenue, such as from lab tests related to the DSMES service.
        Help health care organizations and providers adhere to standards and goals for health care reform.
        Help meet the National Committee for Quality Assurance (NCQA) standards for a patient-centered medical home or an accountable care organization.
        Return on investment
        Return on investment (ROI) is the benefit or return of an investment that's greater than the cost of the investment. Organizations can achieve a positive ROI in several ways, including increasing profits, reducing losses, and avoiding costs.
        Health care entities and third-party payers are more likely to invest in interventions when a positive ROI is likely.
        Economic burden of diabetes
        In 2022, the total cost of diagnosed diabetes in the United States was estimated at $413 billion. By 2050, 1 in 3 people are projected to develop type 2 diabetes.
        Medical costs for people with diabetes are approximately 2.6 times higher than medical costs for people without diabetes.
        On average, a person with diabetes incurs $19,736 in medical expenditures each year. Of that annual expense, $12,022 is related to diabetes.
        Improving outcomes, lowering costs
        DSMES services can help lower these costs. DSMES has been shown to reduce hospital admissions/readmissions and estimated lifetime health care costs related to a lower risk for complications.
        A systematic review of DSMES interventions1 found that people with type 2 diabetes who received DSMES services had an average decrease in hemoglobin A1C of 0.55%. This decrease was in comparison to those who received routine treatment instead of DSMES. Other studies indicated that DSMES could improve A1C by as much as 1% in people with type 2 diabetes.
        Additional benefits to DSMES participation include:
          * Reduced onset or progression of diabetes complications.
          * Improved quality of life.
          * Long-term lifestyle behavior change.
          * Enhanced self-efficacy and empowerment.
          * Increased healthy coping.
          * Decreased diabetes-related depression.
        Related clinical outcomes may include improvements in lipid profiles, weight, and blood pressure. These improvements have been shown to reduce costs and lead to a positive ROI.
        Additional resources
        DSMES value
        Diabetes Self-Management Education for Adults With Type 2 Diabetes Mellitus: A Systematic Review of the Effect on Glycemic Control
        Reducing the Risks of Diabetes Complications Through DSMES
        DSMES ROI
        Diabetes State Burden Toolkit
        Building the Case for Diabetes Self-Management - A Handbook for Program Managers
        Diabetes Self-management Education and Support in Adults with Type 2 Diabetes: A Consensus Report
        On This Page
            * DSMES value
            * Return on investment
            * Additional resources
          Related PagesBuilding the Business Case for DSMES
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            * Building the Business Case for DSMES
            * Resources for Quality Measures
            * DSMES Coverage Policies: Reimbursement and Sustainability
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            * About the Diabetes Self-Management Education and Support (DSMES) Toolkit
            * Participate
            * View All
          View All Diabetes Self-Management Education and Support (DSMES) Toolkit
 
    Resources for Quality Measures
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  May 15, 2024
  May 14, 2024
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          Content Source:
        National Center for Chronic Disease Prevention and Health Promotion; Diabetes
        References
         1. Steinsbekk A, Rygg LO, Lisulo M, Rise MB, Fretheim A. Group based diabetes self-management education compared to routine treatment for people with type 2 diabetes mellitus. A systematic review with meta-analysis. BMC Health Serv Res. 2012;12:213.
      Related PagesBuilding the Business Case for DSMES
      Related Pages
    * 
 
        * Building the Business Case for DSMES
        * Resources for Quality Measures
        * DSMES Coverage Policies: Reimbursement and Sustainability
    * 
        * About the Diabetes Self-Management Education and Support (DSMES) Toolkit
        * Participate
        * View All
      View All Diabetes Self-Management Education and Support (DSMES) Toolkit
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    Diabetes Self-Management Education and Support (DSMES) Toolkit
    The DSMES Toolkit is a comprehensive resource for achieving success in diabetes self-management education and support (DSMES) services.
    View All
          * About the Diabetes Self-Management Education and Support (DSMES) Toolkit
          * Participate
          * DSMES Health Literacy Tool
          * Patient Success With DSMES Through Telehealth
          * DSMES Promotion Playbook Resources
          * Terminology and Glossary
          * How to Increase Referrals and Overcome Barriers to Participation Resources
          * Who Provides DSMES Services: Staffing and Delivery Models
          * DSMES Coverage Policies: Reimbursement and Sustainability
          * Building the Business Case for DSMES
          * View All
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