CDSMP Implementation

in Kalkaska
Rachel Soles, MSN, RN, NP-C

Kalkaska: State of the Community

County health ranking: 77 of 82 (75 in 2014, 66
in 2010)
2,451:1 ratio of residents to primary care
provider compared with 1,268:1 average in
Michigan
37% of Kalkaska residents reported that they
had no access to healthcare in the previous year
due to cost.
Cardiovascular disease mortality rate is 200 per
100,000 (Michigan rate is 178 and HP 2020 goal
rate is 160)
Diabetes and diabetes-related mortality rate is
124 per 100,000 (Michigan rate is 76 and HP
2020 goal rate is 66)

Physical Inactivity Rates

Adult Smoking Status

Unemployment

Uninsured

County Residents Reporting Poor

Physical Health

What is CDSMP?
Chronic Disease Self Management
Programs (CDSMP) are evidence-based
programs designed to improve
participant self-efficacy and chronic
disease self-management behaviors.
Stanford Universitys CDSMP has been
widely used in the U.S. and abroad.
In Michigan, Stanfords CDSMP has been
adopted as the Personal Action Towards
Health (PATH) Program

Locations of PATH Implementation

Why CDSMP?
Benefits for participants:
Better Health
Better Care
Lower costs?

Community benefits:
Reductions in healthcare expenditures:
more appropriate use of healthcare
resources

Plan
Implement PATH in Kalkaska County
Who?
Proposed partnership between KMHC,
DHD 10, Kalkaska County Commission
on Aging, and AAoANWM.
KMHC Outreach Registered Nurse to
attend PATH training with 1-2 additional
individuals TBD

Implementation: Proposed Timeline

Spring
2016
Summ
er
2016
Fall
2016

Winter
2017

MOUs
Planning Workgroup meetings
Identify Program Coordinator and Master Trainers

Grant Applications: HRSA/AoA plus Minigrants

PATH Training
Set dates for Workshops
Identify Lay Leaders
Identify potential participants and begin marketing

Begin PATH Workshops

Barriers
Grant funds insufficient to fully
implement program.
Concern about level of community
participation

Evaluation
Many tools exist for pre and post
workshop evaluation.
HRQOL-4
Chronic Disease Self-Efficacy
Self-Management: Communication with
Physicians
Social Role/Activities Limitations

Questions?

References
Basu, R. , Ory, M.G., Towne, S.D., Smith, M.L., Hochhalter, A.K., Ahn, S. (2015). Costeffectiveness of the chronic disease self management program: Implications for communitybased organizations. Frontiers in Public Health, 3(27), doi: 10.3389/fpubh.2015.00027
District Health Department Number 10. 2015. Kalkaska County Health Chartbook 2013.
Retrieved from: http://dhd10.org/chartbooks
District Health Department Number 10. 2015. Kalkaska County Health Profile Summary 2014.
Retrieved from: http://dhd10.org/chartbooks
Healthy Programs in Michigan.(2015). Personal Action Toward Health. Retrieved from:
http://www.mihealthyprograms.org/programs-path.aspx
National Commission on Aging. (2015). Chronic disease self-management program: Summary of
national and state translational research findings. Retrieved from: https://www.ncoa.org/wpcontent/uploads/Health-Outcomes-Evaluation-FINAL-DRAFT-022515.pdf
Robert Wood Johnson Foundation. (2015). County Health Rankings and Roadmap. Retrieved
from
http://www.countyhealthrankings.org/app/michigan/2015/rankings/kalkaska/county/outcomes/ove
rall/
snapshot
Stanford University Department of Medicine. (2015). Chronic disease self management
program. Retrieved from http://patienteducation.stanford.edu/programs/cdsmp.html
United States Census Bureau, (2015). State and County QuickFacts. Retrieved from:
http://quickfacts.census.gov/qfd/states/26/26079.html