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ForwardPCMH 2026 Diabetes Care & Health Equity Sprint Session #2 - JHF
Members of the care team will learn about evidence based strategies for addressing diabetes care in primary care settings, with an emphasis on care team roles in supporting diabetes care. The session will also include peer-to-peer learning related to implementation of PDSA cycles for diabetes care improvements and guidance on PDSA implementation.
Agenda:
9:00 a.m. to 9:15 a.m. – Welcome & Presentation -- Suzanne Cohen, MPH, Senior Director of Population Health, Health Federation of Philadelphia
9:15 a.m. to 9:45 a.m. – – Panel Discussion: Care Team Roles Supporting Diabetes Care
Facilitator: Suzanne Cohen, MPH, Senior Director of Population Health, Health Federation of Philadelphia
Panelists include:
- Ashley Boschi, LPN, CCHW, Nurse Care Manager, River Valley Health
- Melissa Egan, BSN, RN, BSPH, Quality and Risk Manager, East Liberty Family Health Care Center
- Shelby Ezzo, Pay for Value Manager, and Briana Ondic, Certified Medical Assistant, Primary Health Network
Questions include:
- What does your care team look like for supporting diabetes care?
- How do the different care team members work to support patients with diabetes?
- How does this care team approach impact patient engagement in their own diabetes care?
- Are there other care team members that could be added to increase patient engagement? What, if any, are the barriers to including these roles on the team?
9:45 a.m. to 10:15 a.m. – Breakouts: Review PDSAs with sprint session participants
- Reducing A1(c) <9
- Related needs: Behavioral Health, Retinopathy and Kidney testing
10:15 a.m. to 10:30 a.m. – Sprint Timeline, Next Steps & Evaluation
Target Audience
- Nurse
- Physician
- Social Worker
Learning Objectives
- Describe strategies that are effective in providing comprehensive diabetes care within primary care.
- Describe progress in planning quality improvement activities across participating PCMH practices.
- Identify potential approaches to implement quality improvement interventions.
Additional Information
| Attachment | Size |
|---|---|
 Audience Disclosure slides (001.5).pptx | 459.28 KB |
 Agenda_April 9_Diabetes PCMH Learning Network.docx | 58.56 KB |
 PCMH LN - Diabetes Session 2 - 9 April 2026.pdf | 520.59 KB |
Members of the care team will learn about evidence based strategies for addressing diabetes care in primary care settings, with an emphasis on care team roles in supporting diabetes care. The session will also include peer-to-peer learning related to implementation of PDSA cycles for diabetes care improvements and guidance on PDSA implementation.
Agenda:
9:00 a.m. to 9:15 a.m. – Welcome & Presentation -- Suzanne Cohen, MPH, Senior Director of Population Health, Health Federation of Philadelphia
9:15 a.m. to 9:45 a.m. – – Panel Discussion: Care Team Roles Supporting Diabetes Care
Facilitator: Suzanne Cohen, MPH, Senior Director of Population Health, Health Federation of Philadelphia
Panelists include:
- Ashley Boschi, LPN, CCHW, Nurse Care Manager, River Valley Health
- Melissa Egan, BSN, RN, BSPH, Quality and Risk Manager, East Liberty Family Health Care Center
- Shelby Ezzo, Pay for Value Manager, and Briana Ondic, Certified Medical Assistant, Primary Health Network
Questions include:
- What does your care team look like for supporting diabetes care?
- How do the different care team members work to support patients with diabetes?
- How does this care team approach impact patient engagement in their own diabetes care?
- Are there other care team members that could be added to increase patient engagement? What, if any, are the barriers to including these roles on the team?
9:45 a.m. to 10:15 a.m. – Breakouts: Review PDSAs with sprint session participants
- Reducing A1(c) <9
- Related needs: Behavioral Health, Retinopathy and Kidney testing
10:15 a.m. to 10:30 a.m. – Sprint Timeline, Next Steps & Evaluation
Suzanne Cohen, MPH, Senior Director of Population Health, Health Federation of Philadelphia
Ashley Boschi, LPN, CCHW, Nurse Care Manager, River Valley Health
Melissa Egan, BSN, RN, BSPH, Quality and Risk Manager, East Liberty Family Health Care Center
Shelby Ezzo, Pay for Value Manager, and Briana Ondic, Certified Medical Assistant, Primary Health Network
In support of improving patient care, this activity has been planned and implemented by the University of Pittsburgh and The Jewish Healthcare Foundation. The University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
As a Jointly Accredited Organization, University of Pittsburgh is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. University of Pittsburgh maintains responsibility for this course. Social workers completing this course receive 1.50 continuing education credits.
Physician (CME)
The University of Pittsburgh designates this live activity for a maximum of 1.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nursing (CNE)
The maximum number of hours awarded for this Continuing Nursing Education activity is 1.50 contact hours.
Social Work (ASWB)
The maximum number of hours awarded for this Continuing Social Work Education activity is 1.5 contact hours.
Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity.
Available Credit
- 1.50 AMA PRA Category 1 Credit™The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
- 1.50 ANCCUPMC Provider Unit is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation
- 1.50 ASWB
- 1.50 Attendance