P002: Public Health Division (FY17-FY19 Strategic Plan)

P002: Percent of participants in National Diabetes Prevention Program that were referred by a health care provider through the agency-sponsored referral system

70.0%FY 2017

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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, 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.
  • 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.  
  • In FY17, 70.1% (38 of 54) of the National Diabetes Prevention Program (NDPP) participants were referred by a health care provider through the agency-sponsored referral system.
  • The Diabetes Prevention and Control Program (DPCP) 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 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.
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
  • Public Health Division Regions
  • Chronic Disease Self-Management Programs Coordinators, Master Trainer
  • U.S. Centers for Disease Control and Prevention (CDC)
  • National Association of Chronic Disease Directors
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 Diabetes Prevention Program 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 58.0% 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, 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

Q1-2:

  • Execute FY17 NDPP contracts. Delayed.
  • Provide two Workshop Wizard referral system (WW) trainings provided by the Consortium for Older Adult Wellness to potential users of the system. Completed Q2. 
  • 10% of Lifestyle Coaches (LC) using WW. Delayed.

Q3-4:

  • Use one marketing strategy to educate health care providers about referral system. Completed.
  • Provide two trainings on WW to potential users of the system. Completed.
  • Provide one presentation on Prevent Diabetes STAT (Screen/Test/Act Today) toolkit to statewide health care organizations. Completed.
  • 50% of LCs will use the WW. Delayed.
  • Submit FY18 NDPP contracts. Completed.
  • 25% of NDPP participants referred by health care providers through the agency-sponsored referral system. Completed.
FY17 Annual Progress Summary
  • Although DPCP exceeded the target (25%) for this measure at 70.0%, the total number of referrals (38) was low due to low numbers of NDPP delivery sites throughout the state. DPCP continued to work with partners to:
    • Deliver the NDPP by building infrastructure and a trained workforce;
    • Promote the referral system and train organizations on how to use the system.   
  • The DPCP, in partnership with the National Association of Chronic Disease Directors and the CDC, hosted a two-day diabetes prevention state engagement meeting. The purpose of the meeting was to bring together key partners to create momentum, identify strategies, and foster leadership that will help New Mexico increase awareness of prediabetes and grow and sustain the NDPP. 
    • On day one, approximately 125 stakeholders participated in an overview of state and national efforts and resources. 
    • On day two, about 50 strategically selected stakeholders participated in work groups that concentrated on four focus areas: 1) screening, testing, and referral; 2) reimbursement and coverage; 3) increasing awareness; and 4) increasing availability. 
    • Organizations committed to taking leadership on, or lending support to, one priority in each area through specific action steps. DPCP and its partners will use this information to create a diabetes prevention state plan that will guide this work over the next 18-24 months.
Scorecard Result Container Indicator Measure Action Actual Value Target Value Tag S R I P PM A m/d/yy m/d/yyyy