Table 2

National Standards for DSME/S: 10 standards

1. Internal structure. The organizational structure or system that supports self-management education; necessary for sustainability and ongoing self-management education and support.
2. External input. Ensures that providers of DSME will seek input from external stakeholders and experts to promote program quality.
3. Access. A system of assuring periodic reassessment of the population or community receiving self-management education to ensure that identified barriers to education are addressed.
4. Program coordination. The designation of an individual with responsibility for coordinating all aspects of self-management education (even if that person is the solo instructor).
5. Instructional staff. Identifies who can participate in the delivery of self-management education, recognizing the unique skill set of all potential providers of self-management education.
6. Curriculum. A set of written guidelines, including topics, methods, and tools to facilitate education for all people with diabetes; exactly what is taught will be based on patient’s needs, preferences, and readiness.
7. Individualization. Instructor(s) will assess the patient to determine an individualized education and support plan focused on behavior change.
8. Ongoing support. A follow-up plan for ongoing support will be developed by the patient and instructor; communication among the team regarding goals, outcomes, and ongoing needs is essential.
9. Participant progress. Ongoing measurement of patient self-efficacy and success in self-management and achievement of goals; designed to continually assess needed support.
10. Quality improvement. Incorporation of systems to continuously look for ways to evaluate DSME/S effectiveness and to identify areas for improvement.
  • Adapted with permission from Haas et al. (35).