If you attended ADCES21, you likely noticed that many sessions focused on the implementation of the Identify, Configure, Collaborate (ICC) framework. This framework has been recently adopted by ADCES as the standardized approach to integrate any technology tool into clinical practice as to help address technology disparities in underserved communities.
Following this model, all individuals with diabetes, regardless of their background, gender, or socioeconomic status, are informed of diabetes technology choices and guided in making informed choices that are best for them. This discussion can address both inequities in technology adoption as well as therapeutic inertia.
But how does the ICC framework work? We know each person with diabetes is different and that the “one size fits all” approach does not hold true when it comes to diabetes and technology. Through shared decision making, the care team can help every person with diabetes make informed decisions regarding their technology choices; this is the Identify pillar. Next is the Configure pillar which is helping the person with diabetes get off to a strong start with their chosen technology tools in order to match their care plan to their lifestyle. And finally, the Collaborate pillar is your collaboration with the person with diabetes on an ongoing basis along with the use of the resulting data to help optimize their care plan.
© 2021. Reproduced with permission of the Association of Diabetes Care & Education Specialists. All rights reserved. May not be reproduced or distributed without written approval of ADCES.
You can see why the ICC framework has garnered so much attention in the world of diabetes management and education. In fact, ADCES conference coverage from Close Concerns noted how “this is the most actionable data in the conference hands down.”1 It’s the solution-oriented approach to address many major problems in diabetes care which includes diabetes disparities as well as therapeutic inertia.
Continuing this call-to-action, later this month ADCES will publish the recommendation for Certified Diabetes Care and Education Specialists (CDCES) to lead in implementing the ICC framework in their places of practice to address both technology disparities and therapeutic inertia. CDCES plays an important role in providing the education and support needed to enable individuals to self-manage their diabetes. As such, they’re perfectly positioned to help identify gaps in care and empower people to ask the right questions in order to understand different management options.2
As a part of this call-to-action, Medtronic also sponsored and led in the development of an ADCES Diabetes Technology Decision Aid for use by the care team with their patients to help facilitate the discussion around diabetes technology. A much-needed resource, this tool will be instrumental in helping to initiate these invaluable conversations between people living with diabetes and their healthcare providers.
This won’t be the last time you hear about the ICC model. In fact, we hope you’ll click here to learn more from past Insulin Insights articles. While this framework was first introduced last year3, now is the time when many diabetes experts are embracing the tool and learning to apply the concepts into their day-to-day practices. We hope you’ll find it useful as well.
Top 10 from ADCES Day #3: Innovative and cool tech approach, powerhouse talk on SGLT-2s for HF, precision med w/NIH’s Dr. Will Cefalu. Close Concerns website. August 15, 2021. Accessed September 2021.
Greenwood DA, Howell F, Scher L, et al. A Framework for Optimizing Technology-Enabled Diabetes and Cardiometabolic Care and Education: The Role of the Diabetes Care and Education Specialist. Diabetes Educ. 2020;46(4):315-322.
MacLeod J; Baker M. What is the role of educators in driving health equity? Diabetes Spectrum. October 2021.