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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

0.0%

FY 2018

Definition

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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.
  • According to the National Health and Nutrition Examination Survey, in 2016, an estimated 538,100 New Mexico adults ages 18 and older (33.4%) had prediabetes, but only about 3 in 10 with the condition were aware of it. Untreated prediabetes can progress to diabetes.
  • Older adults, African Americans, and American Indians are at higher risk for prediabetes. The lower the annual household income, the higher the prediabetes prevalence. While differences by income are not statistically significant, the pattern suggests an association with income. 
  • The Diabetes Prevention and Control Program (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. The system collects data required for Centers for Disease Control and Prevention program recognition, including weight loss and weekly physical activity minutes, crucial performance measures for the intervention.
  • As of June 30, 2018, the Consortium for Older Adult Wellness (COAW) has closed operations. COAW was receiving funding via a professional services contract, awarded through a Request for Proposal in 2015, to serve as the administrator for the DPCP’s centralized referral and data management administrator. The Workshop Wizard service software currently being utilized by the DPCP is now owned by its developer, PAC Software, Inc. The DPCP is in the process of establishing a new contract with PAC Software, Inc., to continue utilizing Workshop Wizard in state fiscal year 2019.

Partners

  • NDPP sites, Lifestyle Coaches, Master Trainer Select
  • Referral system contractor PAC Software, Inc. (formerly Consortium for Older Adult Wellness)
  • Marketing contractor, CWA Strategic Communications 
  • New Mexico Medical Society
  • HealthInsight New Mexico
  • American Association of Diabetes Educators, national (AADE) and local affiliates (AADE New Mexico)
  • Public Health Division Regions
  • Chronic Disease Self-Management Program Coordinators and Master Trainers
  • Centers for Disease Control and Prevention
  • National Association of Chronic Disease Directors
  • Centers for Medicare and Medicaid Services
     

What Works

The National Diabetes Prevention Program (NDPP), a one-year lifestyle balance curriculum developed by the 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 the DPCP referral system.
  • Work with health plans and large employers to establish health plan coverage and increase access to NDPP.

Action Plan

Q1:

  • Execute FY19 NDPP contracts - Unmet

Q2:

  • Publicize Paths to Health New Mexico referral website to health care providers and systems.
  • Identify essential referral system data reporting elements.

Q3:

  • Two outreach events to educate health care providers and/or members of the health care team about the referral system.
  • Two referral system trainings provided by Pac Software, Inc. to health care providers.

Q4:

  • Submit FY20 NDPP contracts.
  • Two outreach events to educate health care providers and/or members of the health care team about the referral system.
  • Two referral system trainings provided by Pac Software, Inc.  to health care providers.
  • At least one 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.
  • At least 25% of NDPP participants referred through the agency-sponsored referral system referred by a health care provider.
     

FY18 Annual Progress Summary

The target (25%) for this performance measures was not met. This was mainly due to a significant delay with the Diabetes Prevention and Control Program’s referral and data system contractor, the Consortium for Older Adult Wellness, fiscal year 2018 contract. Services were discontinued resulting in the work being delayed and impacted significantly. The Consortium for Older Adult Wellness resumed operations in late February 2018 when the issues with their contract were resolved and payment was received for services delivered. Low numbers of National Diabetes Prevention Program delivery sites throughout the state continues to be a contributing factor. The Diabetes Prevention and Control Program worked with HealthInsight New Mexico and the American Association of Diabetes Educators to leverage resources and coordinate efforts to further build the infrastructure and a trained workforce to support increasing access to, and participation in, the National Diabetes Prevention Program. Both organizations were awarded funding from the Centers for Disease Control and Prevention to build capacity to support the delivery of the National Diabetes Prevention Program in rural communities. The Diabetes Prevention and Control Program continued to collaborate with the New Mexico Medical Society to educate health care professionals about best practices and resources to assist with screening, testing and referral of patients with prediabetes and type 2 diabetes. Two articles were published in their newsletter to provide information to their members about Paths to Health New Mexico and the process for making referrals through this statewide initiative and, to highlight the partnerships with HealthInsight New Mexico and the American Association of Diabetes Educators to scale and sustain the National Diabetes Prevention Program.  Three new National Diabetes Prevention Program delivery sites, Nor-Lea Medical District, the Solution Group, and Bernalillo County Cooperative Extension Services, were established and registered through the Centers for Disease Control and Prevention’s Diabetes Prevention Recognition Program. And last, finalization of the Diabetes Prevention Action plan was completed.

FY19 Annual Progress Summary

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