Health Systems - Rethink Diabetes

Maine's National Diabetes Prevention Program (NDPP) Information Portal.

NDPP is not another wellness program

Type 2 diabetes is preventable. NDPP is an evidence-based program that works to prevent diabetes.
In people with pre-diabetes, HALF of new cases of Type 2 diabetes can be prevented with structured lifestyle change programs like NDPP.
NDPP is a high value program because so many people are eligible to participate.

NDPP is a population health approach

The program supports simple lifestyle changes that result in improved population health outcomes.
It reduces claims related to pre-diabetes, diabetes and associated risk factors.
NDPP has a cross-cutting health improvement impact on multiple conditions that can lead to chronic disease – the number one health insurance cost driver.

NDPP fits in today’s healthcare landscape

A good fit for Accountable Care Organizations or Shared Savings agreements.
Perfect demonstration of a community-clinical linkage for preventive health services.
It has clear standards and operating procedures.
Can be operated by health systems with delivery system resources located in the community at low cost.

1. Increase your organization’s knowledge of pre-diabetes and NDPP

Assign a staff member to research pre-diabetes and NDPP.
Locate NDPP and Diabetes Self-Management Training (DSMT) sites in your region.
Understand how NDPP helps achieve the Triple Aim.
Understand the evidence-base of NDPP and its published efficacy.
Contact NDPP sites near you to discuss possible collaboration.
Understand your organization’s needs and opportunities related to Type 2 diabetes prevention.

2. Start with your staff

Appoint Diabetes Educators or Employee Health Program staff to plan employee health strategies utilizing NDPP.
Offer NDPP to your employees by implementing NDPP at your site(s) or partnering with existing community organizations that offer NDPP.
Include the Pre-diabetes Risk Quiz on your website, on your Health Risk Assessment (HRA) tool and with wellness coaches.
Apply the Pre-diabetes Algorithm when designing your own protocol for identifying employees at high risk of  developing pre-diabetes or diabetes.

3. Explore implementing NDPP within your health system

Use your electronic medical records (EMR) to assess risk by understanding Type 2 diabetes prevalence within a patient panel.
Use the Pre-diabetes Algorithm to implement an EMR protocol to identify “high risk”, pre-diabetes and the diabetes population of active patients.
Utilize existing DSMT expertise to align DSMT National Standards of Care with NDPP.
Learn about the Diabetes Prevention Recognition Program (DPRP) Standards and Operating Procedures.
Understand your health system’s readiness and organizational capacity to sustain and deliver NDPP.
Calculate the cost and potential revenue for NDPP delivery and sustainability.

4. Get US CDC program recognition and implement NDPP

Complete the DPRP capacity assessment.
Complete an online application with US CDC to achieve pending or full recognition status.
Obtain a NDPP site current letter of understanding with the Maine CDC.
Identify a program coordinator and lifestyle coaches.
Train lifestyle coaches in US CDC NDPP curriculum.
Schedule and run classes.

5. Monitor impact

6. Provide NDPP leadership to the health landscape

Discuss including NDPP as part of your health insurance book of business.
Explore ways to include NDPP as part of your Accountable Care Organization (ACO).
Recognize NDPP as a population health management strategy for your health system.