national nurse-led care consortium - leveraging diabetes prevention program … · 2018-11-30 ·...

LeveragingNationalDiabetesPreventionProgrammingforYourHealthCenterThursday,November29th2:00pmET– 3:30pmET

Presenters

MiriamBell,MPHTeamLeadNationalDiabetesPreventionProgramCentersforDiseaseControl

GinaTrignani,MS,RD,LDNDirector,TrainingandCapacityBuildingHealthPromotionCouncil

Presenters(cont.)

Nena TolenoaExecutiveDirectorKosrae CommunityHealthCenter

ChairAAPCHOPacificIslanderCenterofExcellenceinPrimaryCare

NeighborhoodHealthCentersofTheLehighValley

AliciaRivera,BSHealthEducator

DonnaB.WinstonMSN,RNDirector,ClinicalOperations

NationalNurse-LedCareConsortium

TheNationalNurse-LedCareConsortium(NNCC)isamembershiporganizationthatsupportsnurse-ledcareandnursesatthefrontlinesofcare.

NNCCprovidesexpertisetosupportcomprehensive,community-basedprimarycare.

– Policyresearchandadvocacy– Technicalassistanceandsupport– Direct,nurse-ledhealthcareservices

QuestionsWelcomed

Toaskaquestionormakeacommentforourpanelists,typeitintotheQuestionspaneintheGoToWebinarcontrolpanel.

We’lladdressallaudiencequestionsduringQ&A!

• UnderstandtheNationalDiabetesPreventionProgram

administeredbytheCDC

• Identifyopportunitiestoincorporatediabetesprevention

programminginahealthcentersetting

• Describetheavailabilityofreimbursementandtechnical

supportforpreventionprogramming

LearningObjectives

Whichofthefollowingbestdescribesyourorganization?

• Communityhealthcenter(FQHC,Look-Alike,orother)

• Academicinstitution

• Federalagency

• Local/statedepartmentofhealth

• Community-basednonprofit/technicalassistance

provider

PollQuestion#1

DoesyourorganizationoffertheNationalDiabetesPrevention

Program?

• Yes,throughapartnershipwithanexternalprovider

• Yes,wehavestaffonsite(trainedlifestylecoaches)

• No,wecurrentlydonotoffertheprogram

• Notsure/notapplicable

PollQuestion#2

CentersforDiseaseControlandPrevention

TheNationalDiabetesPreventionProgram

MiriamT.Bell,MPH

TeamLead,NationalDiabetesPreventionProgram

DivisionofDiabetesTranslation

NationalCenterforChronicDiseasePreventionandHealthPromotion

CentersforDiseaseControlandPrevention

OurPublicHealthChallenge

30 million Americans have diabetes

84 million adult Americans have

prediabetes

9 out of 10 adults with prediabetes don’t know they have it

CentersforDiseaseControlandPrevention.Nationaldiabetesstatisticsreport:estimatesofdiabetesanditsburdenintheUnitedStates,2014.Atlanta,GA;USDepartmentofHealthandHumanServices,CentersforDiseaseControlandPrevention,2014.https://www.cdc.gov/diabetes/data/statistics/2014StatisticsReport.html

Largestnationalefforttomobilizeandbringeffectivelifestylechangeprogramstocommunitiesacrossthecountry!

NationalDiabetesPreventionProgram

TYPE 2 DIABETES PREVENTION EVIDENCE SUMMARY

Randomized ClinicalControlTrials:• TheDiabetesPreventionProgramResearchGroup.Reductionintheincidenceof

type2diabeteswithlifestyleinterventionormetformin.NEnglJMed.2002;346:393–403.

• The DiabetesPreventionProgramOutcomesStudy.Lancet.2015Subsequent TranslationStudies Various

Evidence-basedRecommendations

• USPSTFObesity IntensiveBehavioralCounseling July2012

• CommunityGuideReview July2014

• USPSTFCVD RiskReductionIntensiveBehavioralCounseling August 2014

• USPSTF Type2DiabetesandAbnormalGlucoseScreening October2015

• ICEREvidenceReportonType2DiabetesPreventionPrograms July2016

OverviewoftheNationalDiabetesPreventionProgram1

2

AtthecoreoftheNationalDiabetesPreventionProgram(NationalDPP)isaCDC-recognized,year-longlifestylechangeprogramthatoffersparticipants:

Tosuccessfullyimplementtheselifestylechangeprograms,theNationalDPPreliesuponavarietyofpublic-privatepartnershipswithcommunityorganizations,privateandpublicinsurers,employers,healthcareorganizations,faith-basedorganizations,andgovernmentagencies.Together,theseorganizationsworkto:

http://www.cdc.gov/diabetes/prevention/pdf/ndpp_infographic.pdf

NationalDPPStrategicGoals

Increasethesupplyofqualityprograms

Increasecoverageamong

publicandprivatepayers

$Coverage&

Reimbursement

Increasereferralsfromhealthcare

providers

IncreasedemandfortheNationalDPPamongpeopleatrisk

DemandFromParticipantsReferrals

QualityPrograms

IncreasetheSupplyofQualityPrograms

Increasethesupplyofquality

programs

Increasecoverage

amongpublicandprivatepayers

$Coverage&

Reimbursement

Increasereferralsfromhealthcareproviders

IncreasedemandfortheNationalDPPamongpeopleatrisk

DemandFromParticipantsReferrals

QualityPrograms

Increase the Supply of Quality ProgramsThenumberofCDC-recognizedorganizationshasincreasedsubstantiallysincetheprogram’sinception.

CDCDiabetesPreventionRecognitionProgram,DPRPDataset2013-2018

CDC-RecognizedType2DiabetesPreventionProgramsAcrosstheU.S.

480 477 512 522644 720

953

1,2371,456

1,605 1,647 1,708 1,783

0

200

400

600

800

1000

1200

1400

1600

1800

2000

Jun2013 Dec2013 Jun2014 Dec2014 Jun2015 Dec2015 Jul2016 Dec2016 Jul2017 Jan2018 Feb2018 Apr2018 Oct2018

TheLifestyleChangeProgram

1-6

7-12

Program Start

Program End

Weekly Sessions (16 minimum)

Monthly Sessions (6 minimum)

Mon

ths

PROGRAMGOAL:Helpparticipantsmakelastingbehaviorchangessuchaseatinghealthier,increasingphysicalactivity,andimprovingproblem-solvingskills

DeliveredbyatrainedlifestylecoachEvidenced-basedcurriculum

Examplemodulescoveredincorephase:• EatWelltoPreventT2• BurnMoreCaloriesThanYouTakeIn• ManageStress• KeepYourHeartHealthyExamplemodulescoveredinmaintenancephase:• WhenWeightLossStalls• StayActiveAwayfromHome• GetEnoughSleepPARTICIPANTGOAL:Lose5-7%ofbodyweight

NationalDPP:DeliveryModes

§ InPerson

§ Online

§ DistanceLearning

§ Combination

CDCRecognition

Recognitioninvolves…assuringqualitybydevelopingandmaintainingaregistryoforganizationsrecognized(byCDC’sDiabetesPreventionRecognitionProgram)fortheirabilitytodelivertheNationalDPPlifestylechangeprogrameffectively

QualityStandards

§ DPRPStandardsandOperatingProcedures--updatedevery3years

RegistryofOrganizations

§ Onlineregistryandprogramlocatormap

DataSystems

§ Dataanalysisandreporting§ Feedback/technicalassistanceforCDC-recognizedorganizations

KeyActivities

BenefitsofCDCRecognition§ Quality—linkedtonationalqualitystandardsandoutcomesproven

toprevent/delayonsetoftype2diabetes

§ Data—enablesustomonitorprogressindividuallybyprogramandacrossthenation

§ Sustainability/Reimbursement—privateandpublicpayersreimbursingfortheprogramarerequiringCDCrecognition

§ Support—recognizedprogramshaveaccesstotechnicalassistance,training,andresources

§ Marketing—canbeaneffectivemarketingtooltoencouragereferrals(“OurprogrammeetsCDCnationalqualitystandards.”)

IncreaseDemandfortheProgramAmongPeopleatRisk

Increasethesupplyofquality

programs

Increasecoverage

amongpublicandprivatepayers

$Coverage&

Reimbursement

Increasereferralsfromhealthcareproviders

IncreasedemandfortheNationalDPPamongpeople

atrisk

DemandFromParticipants

Referrals

QualityPrograms

1.CDCDiabetesPreventionRecognitionProgram

Anestimated242,476individualshaveenrolledasofOctober20181

29,66346,812

75,285

106,306

134,936

181,954

213,822

242,476

0

50,000

100,000

150,000

200,000

250,000

300,000

CumulativeNumberofIndividualsEnrolledintheNationalDPPLifestyleChangeProgram1

IncreaseDemandfortheProgramforPeopleatRiskThenumberofenrolledindividualshasincreasedsubstantiallysincetheprogram’sinception

AwardWinningPrediabetesAwarenessCampaignAdCouncil,AMA,ADA,CDC

IncreaseReferralsfromHealthCareProviders

Increasethesupplyofquality

programs

Increasecoverage

amongpublicandprivatepayers

$Coverage&

Reimbursement

Increasereferralsfromhealthcareproviders

IncreasedemandfortheNationalDPPamongpeople

atrisk

DemandFromParticipantsReferrals

QualityPrograms

IncreaseReferralsfromHealthCareProviders

CDCworkswithnumerouspartnerstohelpidentifyandreferat-riskindividualstoCDC-recognizedorganizations

IncreaseCoverageAmongPublicandPrivatePayers

Increasethesupplyofquality

programs

Increasecoverageamong

publicandprivatepayers

$Coverage&

Reimbursement

Increasereferralsfromhealthcareproviders

IncreasedemandfortheNationalDPPamongpeople

atrisk

DemandFromParticipantsReferrals

QualityPrograms

IncreaseProgramCoverage&ReimbursementManypublicandprivateinsurersareofferingtheNationalDPPlifestylechangeprogramasacoveredbenefit.

CommercialInsurers StateCoverage

§ Colorado§ Delaware§ Kentucky§ Louisiana§ Maine§ Maryland(partial

payment)

§ Minnesota§ Tennessee§ Georgia

§ AmeriHealthCaritas§ Anthem§ BCBSFlorida§ BSCalifornia§ BCBSLouisiana§ DenverHealth

ManagedCare:Medicaid,Medicare,PublicEmployees

§ EmblemHealth:NY§ GEHA§ Highmark

§ Humana§ Kaiser:CO&GA§ LACare:Medicaid§ MVP’sMedicare

Advantage§ PriorityHealth:MI§ UnitedHealth

Care:National,State,Local,Private,andPublicEmployees

ManycommercialhealthplansprovidesomecoveragefortheNationalDPP.Examples

include:

Over3.4millionpublicemployees/dependentsinthefollowing19stateshavetheNational

DPPasacoveredbenefit:

ThefollowingstateshaveapprovedcoverageforMedicaid beneficiaries:

§ NewHampshire§ NewYork§ RhodeIsland§ Vermont§ Washington§ Oregon(Educators)§ California§ Texas§ Indiana§ Connecticut(DoT)

§ Minnesota§ Montana§ Vermont

§ NewJersey§ California

CoverageReimbursement

MedicareDiabetesPreventionProgram

25%ofAmericans65yearsandolderarelivingwithtype2diabetes,whichnegatively

impactshealthoutcomes

MedicareImplementation ImpactProblem

DecreasesMedicarecostsassociatedwithdiabetes

PromoteshealthierbehaviorsforeligibleMedicarebeneficiariesatrisk

fortype2diabetes

DPPmodeltestwithY-USA7,800beneficiaries

CareforolderAmericans(65+years)withdiabetescostsMedicare

$104billionannually,andisgrowing

Rulemaking to expand coverage to beneficiaries & establish MDPP

supplier type

MedicareDiabetesPreventionProgram(MDPP)

§ EligiblesupplierscoveredasofApril1,2018viaexpandedmodel:– MustbeaCDC-recognizedorganizationthathasearnedeither

preliminaryorfullCDCrecognition;– EligibleMedicareparticipantsmustcomeintotheprogramon

thebasisofaqualifyingbloodglucosetest– CentersforMedicare&MedicaidServices(CMS)managesthe

entireMDPPbenefitprocess,includingacceptingsupplierapplications

– FormoreinformationontheMDPP,visit:https://innovation.cms.gov/initiatives/medicare-diabetes-prevention-program/index.html

Coverage&Reimbursement

NationalDPPCustomerServiceCenterPurpose: Provide a hub for resources, training, and technical assistance for CDC-recognized program delivery organizations and other National DPP stakeholder groups

Find Resources and Info

• Quickly and easily find resources and events relevant to your needs (FAQs, toolkits, training videos, webinars, etc.)

• Discuss opportunities and challenges with the National DPP community

Receive Technical Assistance Provide Feedback and Input

• Engage with technical assistance coordinators and subject matter experts via the web-based platform or email

• View the status of and update existing technical assistance requests

• Submit feedback on your satisfaction with the technical assistance, resources, and web-based platform

• Share success stories and suggest additional resources

www.NationalDPPCSC.cdc.gov

Formoreinformation,contactCDC1-800-CDC-INFO(232-4636)TTY:1-888-232-6348www.cdc.gov

ThefindingsandconclusionsinthisreportarethoseoftheauthorsanddonotnecessarilyrepresenttheofficialpositionoftheCentersforDiseaseControlandPrevention.

Thankyou!

Questions?Email:omw5@cdc.gov

LeveragingResourcestoScaleandSustainDiabetesPreventionProgramminginPennsylvania

PresentedbyGinaTrignani,MS,RD,LDNHealthPromotionCouncil

anaffiliateofPublicHealthManagementCorporationCentreSquare|1500MarketStreet|Philadelphia,PA19102

www.hpcpa.org|gina@phmc.org|215.731.6119

Health Promotion CouncilHPC is a non-profit whose mission is to promote health, prevent and manage chronicdiseases, especially among vulnerable populations through community-basedoutreach, education, and advocacy.

• Based in Philadelphia, Pennsylvania• An affiliate with Public Health Management Corporation, a Public Health Institute• Local, state and national partnerships• Over 30 years of experience community based health education, promotion and

outreach• Programs and services reach over 40,000 vulnerable individuals annually

Fulfill our mission through: • Direct Service• Capacity Building• Policy & Systems Change

Organizational StructurePublicHealthManagementCorporation

RichardCohen,ChiefExecutiveOfficer

HealthPromotionServicesChristinaMiller,MSS,ManagingDirector

HealthPromotionCouncilChristinaMiller,MSS,ExecutiveDirector

PhiladelphiaAreaSexualHealthInitiative(PASHI)

TobaccoControl&PreventionServices

NutritionandActiveLiving FamilyServices

TrainingandCapacityBuilding

SeniorDirector,StrategicDevelopment

SeniorDirector,Operations&Training

OtherDivisions&AffiliateOrganizations

NationalNurse-LedCareConsortium

Origin of Many Resources

RegionalPrimaryContractors

LifestyleCoachOnline

Community

MasterTrainersLifestyleCoach

Trainings

• CentersforDiseaseControl• 1305(ended9/30/18)à 1815(started10/1/18)PADepartmentofHealth• 1705(NationalAssociationofChronicDiseaseDirectors)

• StateBlockGrant• MedicaidMCOPilot• FundingthroughotherPartnersAmericanMedicalAssociationtoPAMedicalSociety

Implement,Promoteand

MarketNationalDPPSeriesinPA

• IncreaseScreening,TestingandReferring(byPCPs)• Increaseaccesstoprograms• Increaseenrollmentandparticipation• IncreasesustainabilityofNationalDPPproviders

Partners in Pennsylvania

LeveragingResourcesandPartnerships

Fundingresources

Planning Partners&Programs

TargetPopulation

Reducing the Impact of Diabetes

Prediabetes in Pennsylvania

Approximately3.5millioninPA

Morethan1outof3adultshasprediabetes

CentersforDiseaseControlandPrevention.NationalDiabetesStatisticsReport:EstimatesofDiabetesandItsBurdenintheUnitedStates,2014.Atlanta,GA:USDepartmentofHealthandHumanServices;2014.andU.S.CensusBureau:StateandCountyQuickFacts,PAAdultPopulation,2013Estimate.

Roughly3millioninPA

(onehalfto1millionnewcases)

Polling Question

• Doesyourorganizationhaveaccesstodatadescribingthepercentageofpatientswhoareatriskfordiabetes(pre-diabetes)?q Yesq Noq Notsureq Notapplicable

DPP Strategies in Pennsylvania

qIncreaseavailabilityofDPP

§ Buildandsustainworkforce oflifestylecoaches

§ Deliverthelifestylechangeprograms throughanexpandednetworkofDPPProviders

qIncreasereferrals toandparticipationin DPP

qIncrease awareness– promotionandscreening

qWorktowardsustainabilitythroughcoverage,policyandsystemssupport

PA State Action Plan for Scaling and Sustaining National Diabetes Prevention Program (DPP Action Plan)

Availability

More than 31 State Engagement Meetings (StEM) to Create a Diabetes

Prevention Action Plan

Awareness Referral Coverage

https://www.chronicdisease.org/page/STEMReport2018

Build and Maintain Workforce• MaintainandSupportMasterTrainers

• 3MasterTrainerSelect• 1Y-DPPMasterTrainer

• ConveneLifestyleCoach(LC)Trainingsthroughoutthestate

• Over200LifestyleCoachestrained• DevelopingaLCcommunitythroughPADOHLiveHealthyPA.organdconveningmeetings

CDC Defined Workforce to Support DPP

• Lifestylecoach toleadthelifestylechangeprogramsessionsandsupportandencourageparticipants

• Programcoordinator tooverseedailyoperationsofthelifestylechangeprogram,supportandguidelifestylecoaches,andensurethattheprogrammeetsqualityperformanceoutcomes

• Datapreparer tocollectandsubmitdatatoCDC.

Increasing Availability§ Deliverthelifestylechangeprograms throughorganizations

statewide– technicalassistancetobecomeCDCRecognizedNationalDPPproviders

§ YMCA§ PACommunityHealthCenters§ PHMCHealthNetwork§ RegionalPrimaryContractors(PADOH)

§ PAPharmacistsAssociation§ AmericanLungAssociation§ ErieCountyDepartmentofHealth§ HealthPromotionCouncil

§ Employergroups– BusinessCoalitions§ Healthsystems§ Community-basedOrganizations

Increasing Availability / Technical Assistance in PA(1305 to 1815 CDC Funding)

Since2014• PennsylvaniaDeptofHealthFundingfromCDC

• Increasefrom9toover91CDCRegisteredNationalDPPsites

• ContractingandprovidingtechnicalassistancetositestoobtainCDCPending,Preliminary,FullRecognition

• PennsylvaniaPharmacistsAssociationaddedtoincreaseDPPprovidedbypharmacies/pharmacists

AdagioSouthwest

AmericanLungAssociation

Northeast,North&SouthCentral

RegionalPrimaryContractor

HealthPromotionCouncil

SoutheasternPAStatewideLifestyleCoach

Training

StatewideSupportforMarketingandPromotion

PADOHOnlineLifestyleCoachCommunityof

SupportLIveHealthyPA

CalendarofNationalDPPinPennsylvania

ErieCountyDeptofHealthNorthwest

PennsylvaniaPharmacistsAssociation

Poll Question

• IsyourorganizationreceivingtechnicalassistanceorfundingfromastateorlocaldepartmentofhealthfortheNationalDPP?q Noq Statefundingand/ortechnicalassistanceq Cityorcountyfundingand/ortechnical

assistanceq Technicalassistancefromanationalpartner

Increase Referral and Participation

• CBSHealthNetwork• PADOHCommunity

HealthNurses• MCOWorkgroup• PADOHWebsite

DPP Toolkits

• PreventDiabetesSTAT• NationalDPPCoverageToolkit• PADepartmentofHealthDiabetesWebpage• LiveHealthyPA

Increase Referral and Participation

http://www.health.state.pa.us/diabetesmap/dpp-map.aspx

Awareness Media Campaign

Awareness Campaign

Expanding Coverage

Expanding National DPP to Underserved PopulationsCDC-DP17-1705

§ NACCDisoneof10CooperativeAgreementsAwardedthroughoutthecountry

§ Pennsylvania,Alaska,NewYorkandFlorida§ RuralPopulationsandthoselivingwithdisabilities§ Aninclusivecurriculumadaptationforpeoplelivingwith

disabilities§ VirtualDPPproviderHOPE80/20§ Wellpassfortext-basedengagementandretention§ HPCpartneringwithConemaughHealthSysteminYear1

Medicaid Managed Care Organization Pilot• MedicaidMCODPPOutreachandEnrollmentPilot

• January1,2018– April30,2019• 40counties(outsideofPhiladelphia)• 20,000membersidentified• Activeoutreachandenrollment– geo-mappingandcallcampaign(toover6,500memberstodate)

• Capacity-buildingtoexpandtocountieswithoutDPP• Year-longDPPcalendardevelopment• YMCAengaged• HealthSystems

Medicaid Managed Care Organization PilotMCO

Identifies20,000membersmeetingcriteriaforrisk

ContractswithHPCtoenrollmembersintoNationalDPPinPA

HPC furtherbuildscapacityinPA

StatewideAllianceYMCAPartnership;PACHC

HPC contractswithDPPProvidersinMCOCountiesserved

(upto40)

ContactCenterforHighVolume- EngagingandEnrollingupto19,000

MembersEnrolledinlocalDPP

LocalDPPProviderDeliversLifestyleChange

Program

PCPNetworkAwareness

HPC ReimbursesDPPproviderforservices

Pennsylvania Reach to Date

• Over210lifestylecoachestrained• Over110DPPproviders(andgrowing)• Community,healthsystem,payerandprivateproviderpartners

• Reachedover2,000participants(738completed1year)

• Over225DPPcohortsdelivered/inprogresstodate

Funding – Partners – Programs

Collaboration

Finding Diabetes Prevention Programs in Your State

https://nccd.cdc.gov/DDT_DPRP/Programs.aspx

https://www.cdc.gov/diabetes/prevention/index.htm

Summary• Assess your population needs (clients, patients, staff)• Assess your ability to meet these needs

– Staff, programs, leadership support, payers/funding• Explore existing resources and partners to leverage to start

new programs and/or strengthen programs within your organization

• Partner to attract the interest of payers• Learn from other states – share and explore promising and

innovative practices

Leveraging Diabetes Prevention Programming for Your Health Center:The Pacific Islander National Diabetes Prevention Program

Nena TolenoaExecutive Director, Kosrae Community Health CenterChair, AAPCHO Pacific Islander Center of Excellence in Primary Care

Association of Asian Pacific Community Health Organizations (AAPCHO)

´ National association representing the needs of 34 community health centers

´ Supporting health centers serving Asian American, Native Hawaiian, and Pacific Islander patient in the Continental US, Hawaii, and the Pacific since 1987

´ 500,000+ patients´ BPHC National Training and Technical Assistance

Cooperative Agreement holder´ CDC National Diabetes Prevention Program

(NDPP)Cooperative Agreement holder

Increasing Access to the National Diabetes Prevention Program for Pacific Islanders

Our Reach: ´ Continental US, Hawaii, and the Pacific

region Affiliated StatusAbout the USAPI: US Territories

´ American Samoa´ Guam

Commonwealth´Commonwealth of the Northern

Mariana Islands (CNMI)Freely Associated States

´ Republic of Palau´ Republic of the Marshall Islands (RMI) ´ Federated States of Micronesia

(FSM)

Pacific Islander National Diabetes Prevention Program

´ Our Partners

´ Kosrae Community Health Center´Kosrae State, Federated States of

Micronesia

´ Chuuk Women’s Council´Chuuk State, Federated States of

Micronesia

´ Kwajalein Diak Coalition´Ebeye, Republic of the Marshall Islands

´ Malama I Ke Ola Health Center,´Maui County, Hawaii

´ Arkansas Coalition of Marshallese´Springdale, Arkansas

Diabetes Prevalence for Pacific Islander PopulationsLocation Year Prevalence

Guam 2002-2003 11%

FSM 2002 24%

RMI 2002 30%

Palau 2006 39%

American Samoa 2004 47%

Hawaii 2015 13.9%

United States 2007 8%

Sources: 1. Hosey G, Aitaoto N, Satterfield D, Kelly J, Apaisam CJ, Belyeu-Camacho T,deBrum I, Luces PS, Rengiil A, Turituri P. The culture, community, and science of type 2 diabetes prevention in the US Associated Pacific Islands. PrevChronicDis. 2009 Jul;6(3):A104. Epub 2009 Jun 15. 2. MMWR Morb Mortal Wkly Rep. 2015;64:1261-1266

Increasing Access for Pacific Islanders to the National Diabetes Prevention Program

Our Investments:

´ Established community AND Health Systems Partnerships´ Churches´ Government partnerships

´ Workforce Development: Community Health Workers

´ Increase Access to Physical Activity Resources

´ Data Support and Training

´ Curriculum Access: Translation into 3 Pacific Islander languages

Increasing Access for Pacific Islanders to the National Diabetes Prevention Program

Our Results: ´ Cycle I – 2018:

´ Nearly 800 participants enrolled and retained in the program

´ More than 30 community partnerships with local area churches

´ A new workforce of nearly 40 trained Lifestyle Coaches

´ Participant success in reducing 5-7% body weight and increased consumption of healthy fruits and vegetables

Resources for Health Centers

´ Provider education and referral supports for prediabetes patients

• Translated curriculum: Chuukese, Marshallese, Kosraean

Thank You

Nena Tolenoantolenoa@kosraechc.org

www.aapcho.org

LEVERAGINGDPPFORYOURHEALTHCENTERNEIGHBORHOODHEALTHCENTERSOFTHE

LEHIGHVALLEY

Alicia Rivera, BS Health EducatorDonna B Winston MSN, RN Director, Clinical Operations

PICTURE HERE

NeighborhoodHealthCentersoftheLehighValley(NHCLV)MISSION

ThemissionofneighborhoodhealthcentersoftheLehighvalley(NHCLV)istoprovide

primaryandpreventativehealthandwellnessservicesintheLehighValley,regardlessofaperson’sabilitytopay.Westrive

todothisdirectlyandinpartnershipwithother

organizations,withagoalofcreatingaprimaryhealthcarehomeforanunderserved

community.

HealthCenter&PatientProfile• LocatedinLehighValley,PA,andservingthecommunitysince2010

• Wehave3siteswith12providers,including3NPs,1CertifiedNurseMidwife,3residentsand5physicians

• Ourclinicsprovide:• Primarycare• MedicallyAssistedTreatmentforSubstanceUse

• IntegratedBehavioralHealth• Prenatalcare• Dentalservices• DPPandDMPrograms

• Weprovidecareforapprox.5,400patientsannually

• 90%ofourpanelconsistsofun- andunder-insuredindividuals

• MajorityHispanicwithSpanishasprimarylanguage.Wealsoservearefugeepopulation

• Approx.60% livingat100%andbelowthepovertylevel

OurIntegratedCareTeam• NHCLVbelievesthat

healingoccursinrelationshipsandwestrivetoprioritizerelationshipswithpatientsandourcommunity

HowwebecameinvolvedwiththeNDPP• Wholeperson,relationship-

basedapproachtocare

DPPpatientsidentified• Pre-diabetes

• FBS: 100-125 mg/dL • A1C: 5.7-6.4%

Patient Family

Community

Primary Care Team

Complex Care

Manager

Diabetes Prevention Program

Medically Assisted

Treatment for Substance

Use

Outreach Enrollment Community Exchange

Integrated Behavioral

Health Team

DiabetesPreventionProgram

• Recruitment

• Logistics

• Participation rate

• Challenges

DPPProgramOutcomes

Cohort 1

10 participants completed program

Cohort 2

11 participants completed 1st

6 months of program

Average Starting Weight

175.7 167.5

Average Ending Weight 161.5 155.6Total Pounds Lost 142.0 130.0

Average Weight Lost 14.2 11.8Most Weight Lost 42.0 39.0

Questions?

Alicia Rivera arivera@nhclv.comDonna Bryant Winston dbryantwinston@nhclv.com

Questions?

• Slidesavailableinhandoutspane(rightsideofyourscreen)

• CME/CNEcreditlinkwillbesenttoallattendeesbyFriday,November30th*

* Thisactivity(LeveragingDiabetesPreventionProgrammingforYourHealthCenter)isapprovedforupto1.5prescribedcredithoursbytheAmericanAcademyofFamilyPhysicians.TheAmericanNursesCredentialingCenter(ANCC)acceptsAAFPCMEtowarditsmembercontinuingeducationrequirements.