1. 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

2. Getting started: 3 trained at Emory DTTAC Fall 2013
No YMCA in District
Cost Analysis
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.

3. 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. 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, s, Mailings, Newspaper Ads, Newspaper inserts, Payroll Stuffers
4 Team Members are now trained
Lifestyle Coaches

6. 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 s
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”

7. 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…..

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

9. 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 – %
*Average wt 6 mo. --5% Were 4.4%. NOW – 5.525%
*Average attend. Mo Were RIGHT NOW – 3.41
*Average wt 12 mo. –5%. Were 3.8%. RIGHT NOW – %

10. Lessons Learned!!!
Start small – complete one cohort before starting more
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 than 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! s, exercise together, more share time, recipes, picture booths, cards, etc!

11. 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.

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