Vicky Albertson, RN Janet Cowherd, RN, BSN Jamie Lee, RN, CDE, MLDE Explain we are 10 county district in South Central KY –show on your hand where we are!  Building a DPP Program…. this is our story

Getting started: 3 trained at Emory DTTAC Fall 2013 No YMCA in District KEHP Pilot site for DPP 2014 CDC Recognition Application Cost Analysis – staff time, materials, incentives -- # need to enroll/bill Promotion materials –brochures, posters, flyers Marshall Grants in 6 coalition counties for DPP promotion & support Promoted at MD offices (posters/brochures), newspapers, KEHP members Started our Pilot Cohort in Adair County Fall 2014 – 11 enrolled - Elementary School Faculty/staff/retired teachers At the end of 16 week Core Sessions – (7) Lost 99 pounds One participant < triglycerides by 133 Every participant made at least one major lifestyle change Explain KEHP –KY self insured and was piloting covering DPP as a member benefit.

Started more Cohorts January 2015 – 3 new Cohorts – 3 schools Adair (7), Casey (14), & Clinton (14) Counties July 2015 – Pulaski County Health Dept.(12) September 2015 – Russell County Health Dept.(14) January 2016 – Wayne County – school (15) March 2016 – Taylor County – school (12) 8 Cohorts! Total of 99 Participants

4 Team Members are now trained Referrals to DPP Humana Vitality Screenings Biometric Screening – Cholesterol, Triglycerides, GLUCOSE, B/P, Wt/Ht/BMI, Waist. Team of 5 cover 10 County District Screenings offsite from H.D. > 4,100 Screenings last year ! > 175 DSME referrals > 500 DPP referrals! Wellness Outreach & Education Diabetes Education Humana Vitality Worksite Wellness May have to explain what DSME is. Tell LAST thing who our group is…… Packets, Emails, Mailings, Newspaper Ads, Newspaper inserts, Payroll Stuffers 4 Team Members are now trained Lifestyle Coaches

Challenges 10 counties --*Referral spreadsheet each county – mail when start cohort. Keep data on our server. Class mix –½ blood criteria/gestational & only ½ risk test Getting enough enrolled for class for adequate class size/break even financially – need 10 Keeping people engaged Incentives – every 4th class attend, when goal weight met, end of program Weekly/bi-weekly motivational emails Walked 5K together Do mailings when are scheduling a new group to try to get folks to sign up. Explain incentives are “healthy habit tools”

Challenges First Report submitted March 2015 – Preliminary report (not full year) Guidelines met for Physical activity, weight (5%), eligibility guidelines, etc. Second Report submitted March 2016 …..did not meet all criteria…. We were heartbroken…..

Challenges So –we had 3 active cohorts still going…. Started CQI project to intensely focus on them

Challenges 1 cohort is finished. 3 months to go on one cohort. So –we had 3 active cohorts still going. Started CQI project to intensely focus on them 1 cohort is finished. 3 months to go on one cohort. 5 more months to go on one…. *Recording of P.A. GOAL --60% Were 49%. NOW – 69.025% *Average wt loss @ 6 mo. --5% Were 4.4%. NOW – 5.525% *Average attend. Mo 7-12 -- 3. Were 1.6%. RIGHT NOW – 3.41 *Average wt loss @ 12 mo. –5%. Were 3.8%. RIGHT NOW – 5.5025%

Lessons Learned!!! Make sure your cohort is ready to do this…and is committed. Have a meeting before program starts. You will probably have to have classes more often that the projected 22 times. We have tweaked and tweaked and tweaked. From now on, we will go weekly for 16 weeks, then bi-weekly thereafter… Get out your pom poms! Each group has been so different – so with trial/error figure out what motivates that group! Emails, exercise together, more share time, recipes, picture booths, cards, etc!

Lessons Learned!!! KNOW and UNDERSTAND those DPRP guidelines…. Develop a tracking device for “real time” results. Like an excel sheet with formulas, etc. Be flexible! Don’t get discouraged.

CELEBRATE the successes! The program does work. CELEBRATE the successes!

Living Intentionally Fully Engaged Let us help you make a CHANGE for LIFE! Our program motto: Living Intentionally Fully Engaged Choosing Healthier Activities, Nutrition, Goals, and Exercise