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WEBINAR | Working with the HRSA Diabetes Quality Improvement Initiative


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Doctor takes blood pressure of agricultural worker

DATE: May 22, 2019 @ 10am (PST) / 1pm (EST)



The HRSA Diabetes Quality Improvement Initiative is an agency-wide effort to improve diabetes outcomes and lower health care costs.  MCN is working in support of the Improvement Initiative by assisting you to access resources and develop performance improvement skills that will enable you to address diabetes care in your mobile and agricultural worker populations. Diabetes care is a complex mix that includes medication, as well as education, self-care behaviors and continuity of care. Adding the factors of mobility, immigration status and culture takes the challenge to another level.

This webinar will include the following:  

  • Overview of the HRSA Diabetes Quality Improvement Initiative goals
  • Description of the elements Diabetes Performance Analysis process that is part of HRSA’s Operational Site Visit (OSV) process—root cause analysis, restricting and contributing factors, action steps
  • Relevant approaches to diabetes care for mobile populations and agricultural workers
  • Relevant data metrics for monitoring diabetes performance
  • Resources available for diabetes performance improvement


Michael Parchman
Michael Parchman, MD, MPH
Senior Investigator Michael Parchman, MD, MPH, is a nationally recognized scholar in chronic illness care research at Kaiser Permanente Washington Health Research Institute’s MacColl Center for Health Care Innovation. A family practitioner and health services researcher, Dr. Parchman previously served as the director of the Agency for Healthcare Research and Quality’s Practice-Based Research Network Initiative and senior advisor for primary care. 
Dr. Parchman’s research focuses on using complexity science to explore how diverse health care teams can work together to achieve high-quality care. He leads Healthy Hearts Northwest, a three-year project for primary care practices in Washington, Oregon, and Idaho that is funded as part of the Agency for Healthcare Research and Quality (AHRQ)’s EvidenceNOW initiative. The project aims to help practices improve their patients’ cardiovascular health by expanding their existing quality improvement capacity.
Learning Objectives:  
Participants will be able to describe current challenges to managing opioid medications for individuals with chronic pain in a primary care setting. 
Participants will examine the six building blocks needed to build a quality improvement roadmaps to help primary care teams become effective.
Participants will identify at least 2 tools or strategies that can be applied in a primary care setting to address opioid use for long-term pain management.


Candace Kugel
Candace Kugel, CNM, CRNP, RN

Candace Kugel, FNP, CNM, MS, has over 30 years’ experience in health care for the underserved. She is a Family Nurse Practitioner and Certified Nurse-Midwife with extensive expertise in training and technical assistance to under-resourced communities and working to provide health services to farmworkers, immigrant workers and their families, and other underserved populations. She has worked in various clinical settings, including family planning, migrant health, community health centers, and private practice. She currently works as a Clinical Specialist for Migrant Clinicians Network and as a Clinical Consultant for the HRSA Bureau of Primary Health Care.

Ms. Kugel has extensive experience in the US and internationally with training of community health workers and health education using popular education methodology. She has written and provided continuing education on cultural competency, women’s health access and services in under-resourced settings, and many other topics.


Dr. Ed Zuroweste

Edward Zuroweste, MD

Dr. Zuroweste began his work with migrants as a partner in a private practice in Chambersburg, PA. He later became the Medical Director of Keystone Health Center, a large Migrant and Community Health Center in Chambersburg, Pennsylvania. While attending to his administrative responsibilities, Dr. Zuroweste also maintained a full-time clinical practice in family practice and obstetrics, including full hospital privileges in Pediatrics, Adult Medicine, and Obstetrics.

In addition to his work with MCN, Dr. Zuroweste is an Assistant Professor of Medicine at Johns Hopkins School of Medicine where he directs an International Rural Health Elective in Honduras. Dr. Zuroweste is also the staff physician for seven County Health Department tuberculosis clinics, Pennsylvania Department of Health and he currently acts as the Tuberculosis Medical Consultant for the PA Dept. of Health ; a Clinical Consultant for three separate consulting firms; and serves as a Locum Tenem family physician for multiple sites. Dr. Zuroweste has worked for the World Health Organization (WHO) on two separate short term assignments; the first in 2009-2010 as a Special Medical Consultant during the H1N1 influenza pandemic, and in 2014 as a Special Medical Consultant with the Ebola Response Team in Guinea and Sierra Leone, West Africa.

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