Sugar Smart for Life Diabetes Prevention To Go
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1 Sugar Smart for Life Diabetes Prevention To Go Margaret Prinzavalli Sotham Director, Community Health Strategy West Kendall Baptist Hospital Edwin Rivera Chief Evangelist LifeWallet, LLC
2 West Kendall Baptist Hospital Opened in 2011 as first new, non-replacement hospital in county in 35 years 133-bed acute care teaching hospital Part of Baptist Health South Florida Launched Healthy West Kendall in 2013 Engaged LifeWallet as technology partner in 2015
3 VISION Become the healthiest community in Florida MISSION Educate, inspire and promote well-being. Make healthy living easy and attainable. Create an active and vibrant community.
4 The Healthy Hub
5 Healthy Hub Stats 10.7% - Healthy Hub visitors with diabetes 3.7% - Healthy Hub visitors with elevated blood glucose 4 th most prevalent significant finding
6 Hospital Inpatient Stats 4.6% - Inpatients with diabetes $14.1m - Total charges, primary or secondary diagnosis of diabetes
7 THE PROBLEM The Diabetes Tsunami higher cost, lower quality of life Increasing consumerism in health care Desire for mobile options younger demographic Declining reimbursements risk-based contracting
8 The Solution Technology-based behavioral intervention delivered via the Healthy Hub to delay or prevent onset of diabetes
9 GE HealthyCities Leadership Academy Year-long training and technical assistance program with nationally renowned population health experts Engaged businesses in improving health Nine collaboratives from around the U.S. $25,000 cash award
10 Our Team BHSF Center for Research & Grants BHSF Center for Prevention and Wellness BHSF Community Health BHMG Family Medicine Center Florida Department of Health in Miami-Dade County Health Council of South Florida Health Foundation of South Florida LifeWallet, Inc. Robert Stempel College of Public Health & Social Work, FIU West Kendall Baptist Hospital
11 Target Population At risk for diabetes but not currently in a disease state Non-pregnant adults ages with a BMI greater than 27 kg/m2 Motivated to change and have the ability to use a smartphone Resident of our ZIP codes: 33175, 33177, 33186, 33183, 33185, 33193, 33196
12 The Intervention 6-month, free, technology-based program combining Healthy Hub screening, healthy lifestyle education, goal-setting, home monitoring and remote messaging Recruitment of eligible participants from Healthy Hub visitors and the Family Medicine Center Goal: 50 participants
13 Program Design Assessment: Healthy Hub screening at baseline, 3, 6, 12 months with additional screening for HbA1c and Lipids Education: Healthy Hub nurse, pre-diabetes workshop, mindfulness workshop Goal Setting: Daily, weekly or monthly tasks on glucose monitoring, diet, physical activity Home Monitoring: Blood glucose, meal photos, weight, physical activity Messaging: Reminders, reinforcement, resources and recognition messages that help participants stay on track
14 Tools Engage HealthBook
15 Wellness Plans
16 Home Monitoring
17 Messaging
18 Desired Change Decrease in HbA1c 7% decrease in body weight Increase in HDL, decrease in triglycerides and LDL Achievement of 50% of behavioral goals Increase in diabetes knowledge (pre-post, midterm) Increase in healthy behaviors knowledge (prepost, midterm) Movement between tiers on the LS7 scale
19 Pilot Phase I Outcomes Statistically significant improvements: Prediabetes knowledge Healthy eating Waist circumference Systolic blood pressure LDL cholesterol Blood glucose Life s Simple 7 score
20 Cost Savings $163,129 in yearly savings - completed program
21 Challenges Blending work team cultures Clinical needs technology / technology isn t everything Pre-condition state / Readiness to change Capacity Demographics Sustainability
22 Opportunities Employ AI to better mine data, improve intervention outcomes Create continuum of health interventions across life span, range of conditions Meet people where they are Promising Practice designation Position for reimbursement of mobile DPP Scale across larger populations
23 Questions? Margaret Sotham West Kendall Baptist Hospital Edwin Rivera LifeWallet, LLC
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