Scaling the National Diabetes Prevention Program

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Scaling the National Diabetes Prevention Program Kris Ernst, BSN, RN, CDE Private Sector Coordinator Division of Diabetes Translation Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion Division of Diabetes Translation www.cdc.gov/diabetes

Goal of the National Diabetes Prevention Program Systematically scale the translated model of the DPP for high risk persons in collaboration with community-based organizations that have necessary infrastructure, health payers, health care professionals, public health and others to reduce the incidence of type 2 diabetes in the U.S..

Ecological Model Community and policy System, group, culture Family, friends, small group Individual The health of individuals is inseparable from the health of communities (Healthy People 2010)

Brief History of Diabetes Prevention The physician should take pride in the prevention of diabetes in his practice The physician should consider it as important to prevent his patients acquiring diabetes as he feels it incumbent on himself to vaccinate them against small pox or typhoid fever, or to protect them from exposure to tuberculosis. Joslin EP. The prevention of diabetes mellitus. JAMA. 1921;76:79 84. Insulin was discovered in 1921.

Prevention of Type 2 Diabetes The Community Clinic Partnership Model Community Clinic Informed Population Strong Community Organizations Healthy Public Policy Insurers } Employers Supportive Environments Screening for High Risk Partnership Zone Reimbursement Structured Lifestyle Programs Regular Glucose Monitoring Diagnosis of Prediabetes Proactive Practice Team Decision Support Information Systems Informed, Activated Patients Total Population Pre-diabetes Diabetes Complications

American Association of Diabetes Educators America s Health Insurance Plans Black Women s Health Imperative National Association of Chronic Disease Directors OptumHealth YMCA of the USA

SCALING THE NATIONAL DIABETES PREVENTION PROGRAM

National Organization A. Scale and Sustain the National DPP B. Engage Employers in Offering Program as Covered Health Benefit C. Secure Voluntary Reimbursement from Insurers for Program D. Marketing & Communications E. DPRP F. Monitoring and Evaluation Network / Affiliate Organization(s) A. Deliver the lifestyle change program B. Recruit staff who will attend training to become a lifestyle coach C. Apply for CDC DPRP Recognition D. Comply with CDC DPRP Standards & Operating Procedures E. Reporting data collection to DPRP every 6 months

CDC s National System for Recognizing Diabetes Prevention Programs CDC s Diabetes Prevention Recognition Program Provides patients, health care providers, and health payers trustworthy information on the availability of high quality diabetes prevention programs in their community. Facilitates health payer funding to support the long-term sustainability of diabetes prevention programs in the U.S. population. Required Program Standards Required Program Outcomes Annual Assessment for Re-recognition National Registry of Recognized Programs

CMMI YMCA CDC Recognized YMCA Data as of Jan. 31, 2013

Thank you. For more information about the National Diabetes Prevention Program, please visit the CDC s Web site at www.cdc.gov/diabetes/prevention/ For more information please contact Centers for Disease Control and Prevention 1600 Clifton Road NE, Atlanta, GA 30333 Telephone: 1-800-CDC-INFO (232-4636)/TTY: 1-888-232-6348 E-mail: cdcinfo@cdc.gov Web: http://www.cdc.gov The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention. National Center for Chronic Disease Prevention and Health Promotion Division of Diabetes Translation www.cdc.gov/diabetes