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YMCA’S DIABETES PREVENTION PROGRAM OVERVIEW
December 8, 2013
BIG REWARDS SMALL STEPS
PROGRAM OVERVIEW
FROM RESEARCH TO SCALE
3 | YMCA’S DIABETES PREVENTION PROGRAM | ©2013 YMCA of the USA
CHAPTER 1 1997-’02
Y not involved.
NIH funded
study.
CHAPTER 2 2005-’08
Indiana University School of Medicine
and the YMCA of Greater Indianapolis
successfully translates group based DPP at lower
cost.
CHAPTER 3
2009-’10
YMCA of Greater Louisville validates
in non-research environment.
CHAPTER 4 2010-2013
Scaling begins through national
partnership with CDC and the Diabetes Prevention
and Control Alliance. First time payors are paying
for prevention delivered in a group setting.
CHAPTER 5
2013-2017
Scaling and Dissemination Plan complete and implementation begins.
Program performance standards must be met.
Demonstration project with Medicare underway.
HEALTHY LIVING SIGNATURE PROGRAM: YMCA’S DIABETES PREVENTION PROGRAM
•Overweight* Adults (18+) with prediabetes
•Confirmed via one of 3 blood tests or previous diagnosis of gestational diabetes
•Or a qualifying risk score
Who?
•12 month program: includes a 16 session weekly sessions followed by monthly sessions
•1 hour sessions
•8-15 people in group based, classroom setting
What?
• Anytime, anywhere (classroom-type setting) When? Where?
•Weigh-in at every session
•Weight recorded in online tracking system
•Program goals: 7% weight loss and 150 minutes of physical activity
•Facilitated by Y Lifestyle Coach (person skilled in motivational interviewing and group facilitation)
How?
4 | YMCA’S DIABETES PREVENTION PROGRAM | ©2013 YMCA of the USA
WHERE WE ARE TODAY
5 All numbers represent data collected through October 31,
2013
Includes Indiana’s 392 participants from 2005 – June 2010 2 Does not include # of classes in Indiana prior to June 2010
3 National Weight Loss as of November 2012
Ys Currently Trained
to Deliver Program
98 Lifestyle Coaches
Trained by Y-USA
1561
States Where
Program is Offered
39 Classes Started2
1943
Participants
Completed or Attended One
Session1
15,387 Total Class Locations
393- YMCA
329 - Non-YMCA
722
Average Body Weight
Loss by Program
Participants3
4.9%
THE PROGRAM IN YOUR STATES
ST YMCAs
CT Central Connecticut Coast YMCA, New Haven Wilton Family YMCA Inc., Wilton Wallingford Family YMCA, Wallingford* Regional YMCA of Western Connecticut Inc., Brookfield*
DE YMCA of Delaware, Wilmington
MD YMCA of Metropolitan Washington, Washington
MA Cape Cod Young Men's Christian Association, West Barnstable*
Hockomock Area YMCA, North Attleboro
Merrimack Valley YMCA Inc., Lawrence
Old Colony YMCA, Brockton
YMCA of Greater Boston, Boston*
YMCA of the North Shore, Beverly*
YMCA Southcoast, New Bedford*
NH YMCA of Greater Nashua, Merrimack*
NJ Cumberland Cape Atlantic YMCA, Vineland*
Hunterdon County YMCA, Annandale
Metropolitan YMCA of the Oranges, Livingston
YMCA of Eastern Union County, Elizabeth
YMCA of Metuchen, Metuchen
ST YMCAs
NY Capital District YMCA, Albany
Middletown YMCA, Middletown
Olean-Bradford Area YMCA, Olean*
Plattsburgh YMCA, Plattsburgh
Watertown Family YMCA, Watertown
YMCA of Broome County, Binghamton
YMCA of Greater New York, New York
YMCA of Greater Rochester, Rochester
YMCA of Greater Syracuse, Syracuse
YMCA of Long Island, Glen Cove
YMCA of Rye NY, Rye
PA Allegheny Valley YMCA, Natrona Heights
Central Bucks Family YMCA, Doylestown*
Ligonier Family YMCA, Ligonier*
Philadelphia Freedom Valley YMCA,
Philadelphia
YMCA of Greater Pittsburgh, Pittsburgh
York & York County YMCA, York*
RI YMCA of Greater Providence, Providence
VT Greater Burlington YMCA, Burlington
WHAT WE’RE LEARNING
7
THE CHALLENGE
Most individuals do not know their risk status
Changes to our health and health care systems could take decades
If you build it…
Making the healthy
choice the easy
choice
8 | YMCA’S DIABETES PREVENTION PROGRAM | ©2013 YMCA of the USA
THE OPPORTUNITY
In partnership with AMA, we’re working to increase diabetes/prediabetes screening by health care providers through changes to health policy, medical training, and systematizing the referral process
Our experience has shown when the program is covered by payors (both private and public), there is significant uptake in participation in prevention programs like the YMCA’s Diabetes Prevention Program
If you build it…
Continue efforts in states and communities to build more opportunities for healthy eating and activity where people live, work, learn and play
9 | YMCA’S DIABETES PREVENTION PROGRAM | ©2013 YMCA of the USA
COMMUNITY SPOTLIGHT - DELAWARE
• Successful engagement strategies: increasing health care providers referrals, media (print, radio, etc.), health fairs/ community events, other organizations-partnerships
• Quick wins: capitalizing on existing relationships by setting up direct referrals to the program, conducting outreach to providers with a high volume of patients - especially Medicare patients, face-to-face initial contact and ongoing follow-up (materials, questions, etc.), being organized and intentional out outreach
• Referral system building: the Y prepared to receive direct referrals (Google voice number, E-fax, web link, auto prompts), worked with health care providers to understand benefit of referral (patient connections, improved health, provides patient with tangible next step, etc.)
• Opportunities: negotiating with health systems (formal MOU and agreements), EMR referrals, auto prompts
| YMCA’S DIABETES PREVENTION PROGRAM | ©2013 YMCA of the USA
IF YOU’D LIKE TO LEARN MORE
Heather Hodge Director, Chronic Disease Prevention Programs YMCA of the USA Heather.hodge@ymca.net 312-419-8287
Visit: www.ymca.net/diabetes-prevention/
11 | YMCA’S DIABETES PREVENTION PROGRAM | ©2013 YMCA of the USA
THANK YOU
YMCA OF THE USA
800 872 9622
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