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