national nurse-led care consortium - leveraging diabetes prevention program … · 2018-11-30 ·...
TRANSCRIPT
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:[email protected]
LeveragingResourcestoScaleandSustainDiabetesPreventionProgramminginPennsylvania
PresentedbyGinaTrignani,MS,RD,LDNHealthPromotionCouncil
anaffiliateofPublicHealthManagementCorporationCentreSquare|1500MarketStreet|Philadelphia,PA19102
www.hpcpa.org|[email protected]|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
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?
• Slidesavailableinhandoutspane(rightsideofyourscreen)
• CME/CNEcreditlinkwillbesenttoallattendeesbyFriday,November30th*
* Thisactivity(LeveragingDiabetesPreventionProgrammingforYourHealthCenter)isapprovedforupto1.5prescribedcredithoursbytheAmericanAcademyofFamilyPhysicians.TheAmericanNursesCredentialingCenter(ANCC)acceptsAAFPCMEtowarditsmembercontinuingeducationrequirements.