New Jersey success stories

NJ Local Success Stories
Quality improvement endeavors can often feel overwhelming, but chances are, you can learn from the experiences that another physician, hospital or nursing home has had in a similar situation. Coupled with support from Quality Insights Quality Innovation Network, learning what has worked for others — and what didn't — is a valuable strategic planning component. 

A Combined Clinical and Community Approach Helps to Improve Outcomes for Diabetes Patients in Sussex County

EDC PHA Photo for NJSince August of 2016, over 150 people with diabetes have participated in the Everyone with Diabetes Counts (EDC) in Sussex County through a valuable partnership between Quality Insights and Premier Health Associates (PHA).
EDC is a national initiative that strives to improve the health of individuals with diabetes by offering free diabetes self-management education (DSME) through evidence-based workshops that take place in community-based settings. In Sussex County, Quality Insights uses the Diabetes Self-Management Program (DSMP) model, which was originally developed at the Stanford University School of Medicine.

EDC Logo Picture 7Approximately two years ago, Quality Insights identified a need for diabetes education in Sussex County, which is considered a rural county with at least 3,702 Medicare patients with diabetes. Thanks to the support of PHA, a multi-specialty practice with a diverse provider landscape, Quality Insights piloted its Physician Practice Model (PPM), which consists of a direct referral model using a population health approach.
With over 35 health care providers in 12 locations, PHA was the ideal partner due to their large patient population and presence within the community. 
“Our patients are benefiting from our collaboration with Quality Insights and EDC program,” Paula Manning, Value Based Program Manager at PHA, said. “They continue to participate enthusiastically with the classes offered and their health goals are being achieved by learning about diabetes and using that knowledge to make healthful lifestyle changes.” 
PHA has observed improved clinical outcomes among patients who participated in EDC. For example, six months after EDC, medical records exhibited weight loss, reduced blood pressure, A1C, and cholesterol, and an increase in diabetic eye exams among those patients. 
Quality Insights will be training staff members of PHA as peer leaders, which will provide sustainability in diabetes self-management throughout Sussex County.
Success at Sussex County Main Library: Carol and Evelyn
The most recent diabetes workshop took place at Sussex County Main Library in Newton. Two sisters who both have prediabetes, Carol and Evelyn, attended together.
“You think you know it all, but you don’t until you come to the class,” Evelyn said.
Carol and Evelyn pointed out that it was eye-opening to learn how much of an impact exercise has on diabetes. 
The sisters also benefitted greatly from the information they received on nutrition. They like to plan menus together and share recipes. The workshop not only helped them, but also positively influenced their families because they are able to cook healthier meals.
“You make friends, get to share experiences and learn from others,” Evelyn said.
NJ Proclamation
A Special Proclamation
On September 24, 2018, Quality Insights and PHA were awarded for their tireless work in the community with a signed proclamation from the Governor of New Jersey.
The New Jersey Office of Primary Care and Rural Health collaborates with partners and stakeholders for New Jersey’s Rural Health Week, a statewide event in September. Each year, events are held throughout the week and a signed proclamation is given to rural stakeholders for coordinating activities and forming new partnerships to leverage resources and bring awareness to the unique health and wellness needs of rural residents.  
Quality Insights and PHA continue to collaborate on free diabetes education throughout Sussex County. 
About Everyone with Diabetes Counts
EDC is a national initiative funded by the Centers for Medicare & Medicaid Services (CMS) and offers free self-management workshops to people with Medicare who have diabetes, their family members and caregivers. Quality Insights Quality Innovation Network, supported locally by HQSI, offers the free workshops throughout New Jersey. Workshops are designed to educate individuals about diabetes and help them learn how to manage it and take control of their health through various tools, behavior modification and coping techniques. Participants learn about diabetes and its risks, preventing complications, healthy eating, exercise, how to deal with stress and difficult emotions, managing medications and much more.
To learn more or find an upcoming workshop in your area, contact Christina Destro at or check out our class listing page