National Diabetes Prevention Program and 2 more... less...

National Diabetes Prevention Program

Strategy 2.8

PM 12: Number of participants in a CDC-recognized lifestyle change program who were referred by a health care provider.

Current Value

25

HY1 2022

Definition

Line Bar

Story Behind the Curve

Year 1:

Organization	Location	Number of referred participants
Western Community Health Resources	Chadron	1
Regional West Medical Center	Scottsbluff	8
Scotts Bluff County Health Department	Scotts Bluff	2
Platte Valley Companies	Scotts Bluff	0
Sidney Regional Medical Center	Sidney	0
Regional West Garden County Health Services	Garden County	3
Volunteers of America	Oshkosh	3
Volunteers of America	Lewellen	3
Kimball Health Services	Kimball	5
Regional West Medical Center	Scotts Bluff	8
Box Butte General Hospital	Alliance	10
Panhandle Public Health Department	Hemingford	3
Nebraska Extension	Gordon	3
Western Community Health Resources	Dawes	2
Regional West Medical Center	Scottsbluff	6
Sidney Regional Medical Center	Sidney	1
Sidney Regional Medical Center	Sidney	0

Year 2:

We recognized in Year 2 that the number of participants being referred with blood work was decreasing. We hosted a meeting with all lifestyle coaches in September 2016 to strengthen the referral back to the clinic for participants that are eligible by risk assessment for screening, and are also strengthening referral relationships with clinics through introducing policies.

Organization	Location	Number of referred participants
Cabela's	Sidney	0
Box Butte General Hospital	Alliance	13
Regional West Garden County Health Services	Garden County	1
Nebraska Extension	Gordon	0
SRMC	Sidney	4
Volunteers of America		1
SRMC	Sidney	1
SRMC	Sidney	2
WCHR	Chadron	1
RWMC	Scottsbluff	8
Chadron Hospital	Chadron	4

HY1 Year

Organization	Start Date	Location	Number of referred participants
Panhandle Public Health District	October 2016	Hemingford	2
Volunteers of America	October 2016	Oshkosh	0
Western Community Health Resources	October 2016	Crawford	0
Morrill County Community Hospital	January 2017	Bridgeport	6
Sidney Regional Medical Center	February 2017	Sidney	4
Sidney Regional Medical Center	February 2017	Sidney	2
Bayard Public School	January 2017	Bayard	3
Box Butte General Hospital	January 2017	Alliance	14

HY2 Year 3:

Organization	Start Date	Location	Number of referred participants
Nebraska Extension	February 2017	Gordon	8
Western Community Health Resources	February 2017	Chadron	6
Western Community Health Resources	June 2017	Chadron	5
Panhandle Public Health District	March 2017	Hemingford	3
Sidney Regional Medical Center	September 2017	Sidney	3

HY1 Year 4:

Organization	Start Date	Location	Number of referred participants
Panhandle Public Health District	November 2017	Hemingford	1
Western Community Health Resources	November 2017	Crawford	0
Chadron Hospital	November 2017	Chadron	0
Kimball Health Services	November 2017	Kimball	5
Western Community Health Resources	November 2017	Chadron	2
Bayard Public Schools	January 2018	Bayard	0
Total			8

HY2 Year 4:

Organization	Start Date	Location	Number of referred participants
Community Action Partnweship of Western Nebraska	February 2018	Scottsbluff	13
Nebraska Extension	February 2018	Gordon	13
Kimball Health Services	March 2018	Kimball	4
Morrill County Community Hospital	March 2018	Bridgeport	2
Panhandle Public Health District	March 2018	Hemingford	4
Regional West Garden County	March 2018	Oshkosh
Western Community Health Resources	April 2018	Chadron	4

Total			16

Barriers/Justifications:

NDPP was launched in the Panhandle service area in 2012. In 2014, NDPP in the Panhandle hit peak saturation. In 2015, the Panhandle NDPP System received the Model Practice Award from NACCHO, and PPHD was the first organization in the state to be fully recognized by the CDC. Since then, the attendance to the program has entered a maintenance phase rather than a building phase.

Facilitators:

Why Is This Important?

The purpose of this performance measure is to assess local health department efforts to; 1) increase the number of health care providers referring people with prediabetes or at high risk for type 2 diabetes to a CDC recognized lifestyle change program, and 2) increase the number of participants who were referred by a health care provider.

One of the standards for a CDC recognition is that a minimum of 50% of a program’s participants must have had a recent (within the past year), documented, blood-based diagnostic test indicating they have prediabetes or a history of gestational diabetes mellitus (GDM), according to one of the following specifications:

a. Fasting plasma glucose of 100 to 125 mg/dl

b. Plasma glucose measured 2 hours after a 75gm glucose load of 140 to 199 mg/dl

c. A1c of 5.7 to 6.4

d. Clinically diagnosed GDM during a previous pregnancy (may be self-reported)

Note: NDPP was launched in the Panhandle service area in 2012. In 2014, NDPP in the Panhandle hit peak saturation. In 2015, the Panhandle NDPP System received the Model Practice Award from NACCHO, and PPHD was the first organization in the state to be fully recognized by the CDC. Since then, the attendance to the program has entered a maintenance phase rather than a building phase.

We do not charge for NDPP classes in the Panhandle, so no participants were enrolled using 1422 funds. The data above reflect NDPP participants who were eligible by blood work.

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