PILL Podcast: Diabetes Self-management Education and Support (DSMES)

PILL Podcast: Diabetes Self-management Education and Support (DSMES)

Cohosts Brent McKune and Stephen Williams of Kentucky REC introduce Episode 9 of Kentucky REC’s PILL Podcast. This episode explores the success of Diabetes Self Management and Education Support, also known as DSMES. This episode includes an interview between registered dietician Lynnett Renner and patient Samuel Stidham. Dr. Kristen Stakelin of UK HealthCare shares insights on making DSMES a success with your patients.

Diabetes self-management education and support (DSMES) can help you learn to manage your diabetes as part of your daily life. DSMES is proven to:
• Improve blood sugar control leading to decreased risk for diabetes complications
• Increase self-confidence about taking care of your diabetes
• Increase healthy eating and physical activity
• Improve quality of life


Dr. Kristen Stakelin is currently an Associate Professor of Medicine and Medical Director at the University of Kentucky Barnstable Brown Diabetes Center.

She attended the University of Louisville, School of Medicine and completed her residency at the University of Kentucky. After residency she was in private practice with an Internal Medicine group in Georgetown, KY. There she also served as medical director of a diabetes education center. She returned to the University of Kentucky Internal Medicine Group in 2007, and then joined the division of Endocrinology in 2010. She completed the University of KY Healthcare Executive Leadership and Management Program in 2018. Dr. Stakelin is certified with the American Board of Internal Medicine, a longstanding member of the ADA, and is a Master’s Licensed Diabetes Educator and a certified diabetes care and education specialist. Her areas of interest include diabetes education, and diabetes technology as well as ambulatory operations and quality improvement.

Lynnett Renner is a Registered Dietitian and Licensed Diabetes Educator with over 30 years of experience.

She works with the Laurel County Health Department to implement the Healthy Living With Diabetes Program (HLWD). HLWD is a nationally accredited program that is administered by the Kentucky Diabetes Prevention and Control Program and is recognized by the American Diabetes Association and Association of Diabetes Care and Education Specialists.

Samuel Stidham

Samuel was referred to HLWD by his primary care health provider from a Grace Health clinic located in Manchester, KY. Samuel was originally referred to the Kentucky River Health Department District HLWD Program. He was the connected to the Laurel County Health Department for HLWD that was offered by telehealth in the evening hours to better fit his schedule. Samuel shared that he had been struggling with his diabetes diagnosis for 10 years, and decided that he wanted to receive more diabetes education. His goal was to not only improve his health and feel better, but also to ensure that he could prevent complications often associated with diabetes.

Listen to our podcast on Buzzsprout, or Spotify and Apple Podcasts. All previous episodes are available.

If you need assistance with chronic disease quality improvement, contact the Kentucky REC at 859-323-3090 or by email.


Join us Wednesday June 10 for an informational webinar as we review the Stage 3 Medicare Promoting Interoperability (Meaningful Use) requirements for Program Year 2020, for both Eligible Hospitals and Critical Access Hospitals. The Kentucky REC has been providing advice and guidance across the Commonwealth for over 10 years, helping Kentucky hospitals small and large, comply with regulations and avoid penalties. We look forwarding to sharing how our team of experts can help your organization achieve its goals.

Webinar – Medicare Promoting Interoperability for Hospitals
Wednesday June 10, 12:00 p.m. – 1:00 p.m. ET

Contact us at Kentucky REC with your questions about Promoting Interoperability for hospitals. Our experts are here to help: 859-323-3090




Kentucky Health Information Exchange Incentive Opportunity Announced!

In collaboration with the Department for Medicaid Services (DMS) and the Kentucky Health Information Exchange (KHIE), Anthem Blue Cross and Blue Shield Medicaid (Anthem) is offering participating Anthem providers the opportunity to apply for assistance to help offset the costs associated with connecting to KHIE. If approved, providers may be awarded up to $2,000, per tax identification number (TIN) and/or business entity, until all funds up to $100,000 are depleted. Approved providers will be notified using the email address provided on the Application.

Applications will be accepted through June 30, 2020 (may be extended due to COVID-19 national emergency).

More information and the application can be found HERE.

Contact us at Kentucky REC with your questions. We’re here to help and are available at 859-323-3090.

“This effort was made possible by Grant Number PON2 746 2000001660 from KY CHFS and US DHHS. The project described was supported by Grant Number PON2 746 2000001660 from KY CHFS and US DHHS.”



4/30/2020 at 8 pm EST is the Deadline for Eligible Clinicians and/or Practices to submit their 2019 Quality Payment Program performance data. CMS has also extended the deadline to submit for an Extreme & Uncontrollable Circumstances Hardship.

While CMS has afforded flexibility to automatically apply this Hardship for ECs that have not submitted any data by the deadline, it is best to apply for the Hardship if you have submitted any data for 2019 or in the past, or if you are participating as a group. The automatic hardship has provisions to protect individual ECs at this time.

The good news is that these changes provide those participating in the Quality Payment Program extensive flexibility.

You can access CMS information and the application HERE.

Contact your advisor, or email the experts at Kentucky REC with your questions. We’re here to help: 859-323-3090.


Nearly half of Kentucky adults have either diabetes or prediabetes.
But far too many don’t know it.

In a new documentary, KET shines a light on the alarming number of people with undiagnosed diabetes or prediabetes and show how Kentuckians are working to reduce those rates. There is good news to share – with lifestyle changes and proper care and support, diabetes can be managed and in many cases, type 2 diabetes can be prevented or delayed.

Make plans now to watch KET on Monday, February 24 at 9PM EST. You might see some familiar Kentucky faces, as well as Dr. Ann Albright, Director for the Division of Diabetes Translation at the Centers for Disease Control and Prevention (CDC). This program is funded in part by a grant from the Foundation for a Healthy Kentucky.

Additional Airing Times:
Sunday February 23, 2020 2:00 am EST
Sunday February 23, 2020 10:30 am EST
Sunday February 23, 2020 7:00 pm EST
Wednesday February 26, 2020 12:00 am EST
Wednesday February 26, 2020 2:00 am EST
Wednesday February 26, 2020 8:30 am EST
Wednesday February 26, 2020 5:00 pm EST

You can read an in-depth interview with Dr. Albright here.

Kentucky REC advisors work with the Kentucky Department of Public Health on initiatives to address chronic disease issues in Kentucky. You can read about some of our work here.

Contact our experts at Kentucky REC for all your quality improvement questions. We’re here to help: 859-323-3090.


The QPP Resource Center for CMS designated small practices (fewer than 15 clinicians) now offers a Qualified Registry to users of the Resource Center Portal. Eligible clinicians can use MIPScast® Qualified Registry to submit their data to CMS.

Read through the 2019 Participation Guide for an overview, explanation, and reasons to consider using MIPScast® as a Qualified Registry for reporting to CMS. It also includes registration steps, how to access the necessary consent forms through the portal, and important dates to keep in mind.

Reasons to Consider Using MIPScast® QR for Reporting to CMS:
You may want to use the MIPScast® QR reporting option simply for the convenience of having a trusted partner do the submission work for you, and skip HARP account access requests and connecting to providers to submit data. Perhaps you want the confidence of knowing your data has been reviewed to check for completeness, catch potential validation issues earlier, and that it includes any available reporting options/bonuses that can boost your total score.

Many clinicians are still without the functionality and updated reports from their EHR technology to get the performance data they need for eCQMs and Promoting Interoperability measures. Some will need an alternative to reporting eCQMs from the EHR due to vendor issues including:

  • Vendor having difficulty attaining 2015 certification or using de-certified EHR technology
  • Unable to upgrade and implement 2015 technology in a timely manner due to vendor issues or delays
  • Reporting/data issues (e.g. limited eCQM availability, invalid QRDA 3 reports, inability to produce group-level aggregated reports)
  • Having to acquire and implement additional 3rd party technology to support your functional needs and reporting requirements
  • Cost barriers (e.g. additional costs for eCQM report access, eCQM access bundled with costly data submission services)
  • Difficult eCQM workflows, system configuration, and clinical documentation requirements leading to low performance results

Claims-based reporting for the Quality Performance Category is one alternative, but you have to submit Quality Data Codes (aka “G-codes”) on your Medicare claims throughout the 12-month performance period to get credit. Another alternative is to report through a QR such as MIPScast® , which provides the option to report MIPS CQMs (formerly referred to as “Registry measures”) which can only be collected and submitted by QRs and QCDRs.

Contact the experts at Kentucky REC for all your QPP, MIPS, and APM questions. We’re here to help: 859-323-3090.