P002: Public Health Division
P002: Percent of participants in the National Diabetes Prevention Program that were referred by a health care provider through the agency-sponsored referral system
Current Value
70.0%
Definition
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Bar
Story Behind the Curve
- Prediabetes, a precursor to diabetes, occurs when blood sugar is higher than normal, but not high enough to be diagnosed as diabetes. There may be no external symptoms of disease.
- Older adults, African Americans, and American Indians are at higher risk for prediabetes. The lower the annual household income, the higher the prediabetes prevalence, and while differences by income are not statistically significant, the pattern suggests an association with income.
- The Diabetes Prevention and Control Program (DPCP) incorporated stakeholder input from a diabetes prevention state engagement meeting, including how to increase screening, testing, and referrals into its FY18 work plan. This input comes from an action plan created at the state engagement meeting. The DPCP has been and will continue to increase access to the National Diabetes Prevention Program (NDPP), a proven diabetes prevention intervention, by working with health care providers to increase screening, testing and referral to the program using a DPCP-sponsored centralized referral and data system.
- According to the National Health and Nutrition Examination Survey, almost 635,000 New Mexican adults are estimated to have prediabetes; only 1 in 5 is aware of it. Untreated prediabetes can progress to diabetes. In FY17, 70% (38 of 54) of NDPP participants were referred by a health care provider through the agency-sponsored referral system.
- The DPCP has been and will continue to increase access to the NDPP, a proven diabetes prevention intervention, by working with health care providers to increase screening, testing and referral to the program using a DPCP-sponsored centralized referral and data system.
Partners
- NDPP sites, Lifestyle Coaches, Master Trainer Select
- Referral system contractor
- Marketing contractor
- New Mexico Medical Society
- HealthInsight New Mexico
- Zia Association of Diabetes Educators
- New Mexico Interagency Benefits Advisory Committee
- New Mexico Department of Health Public Health Division Regions
- Chronic Disease Self-Management Programs Coordinators, Master Trainers
- Centers for Disease Control and Prevention (CDC)
- National Association of Chronic Disease Directors
- Centers for Medicare and Medicaid
What Works
- NDPP, a one-year lifestyle balance curriculum developed by CDC for people with prediabetes, is based on the original DPP study that demonstrated that 5-7% weight loss achieved and maintained through regular, moderate physical activity and improved nutrition, prevented or delayed the progression of prediabetes to diabetes by 58% compared to standard lifestyle recommendations. The program is most successful in older adults, who are also at greater risk for developing diabetes than younger adults.
Strategy
- Raise awareness about prediabetes and NDPP among providers.
- Increase availability (Build program sites, train lifestyle coaches).
- Work with health systems and community organizations to increase screening, testing, and referral using a DPCP referral system.
- Work with health plans and large employers to establish health plan coverage and increase access to NDPP.
Action Plan
- Q1:
- Execute FY18 NDPP contracts - Incomplete
- Q2:
- Publicize Paths to Health NM referral website to health care providers and systems. Incomplete
- Identify essential referral system data reporting elements. Incomplete
- Identify essential referral system data reporting elements. Incomplete
- Q3:
- Two outreach events to educate health care providers and/or members of the health care team about the referral system.
- Two Workshop Wizard (WW) referral system trainings provided by the Consortium for Older Adult Wellness (COAW) to health care providers.
- Q4:
- Submit FY19 NDPP contracts.
- Two outreach events to educate health care providers and/or members of the health care team about the referral system.
- Two WW referral system trainings provided by COAW to health care providers.
- 25% of NDPP participants referred through the agency-sponsored referral system referred by health care providers.
- At least one additional key action intended to increase referrals by health care providers through the state sponsored referral system from New Mexico’s Diabetes Prevention State Plan is implemented.
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