1. Member Meeting September 24, 2015
Understanding the National Diabetes Prevention Program
Member Meeting September 24, 2015

2. Employer Goals and Strategies
Improve workforce health and productivity
Population health improvement – maximize vitality, maintain health, reduce risk factors, manage illness
Achieve greater value for each dollar spent on health care services
Measure, report and reward health care delivery performance

3. The Role of the Action Group
Trusted convener of employers and other stakeholders working together to improve the value of health and health care
Focus to date has been on optimal treatment of those with diabetes through Bridges to Excellence
Time to raise employer and health plan awareness of DPP, a proven diabetes prevention program, through education and outreach
Share best practice models on how to incorporate DPP into benefit offerings and worksite health promotion programs
Help organize and recruit DPP provider infrastructure, including traditional health care delivery systems
Help organize employer learning networks and program assessments
Work with the Minnesota Department of Health to bring the program to four communities in Minnesota

4. National Diabetes Prevention Program (NDPP)
The NDPP is a lifestyle change program that is:
Offered to small groups at risk for developing type 2 diabetes
Facilitated by a trained Lifestyle Coach
Offers group support over the course of a year
Weekly sessions for 6 months then
Monthly sessions for 6 months
Evidence based program can be implemented through different providers in different formats and multiple venues
Not Me, I Can Prevent Diabetes, Prevent
United Health, Omada, Novu, Redbrick
HealthEast, Essentia, YMCA
MN Extension Services, Public Health, Faith-based groups

5. National Diabetes Prevention Program
Adults 18 years and older
Who have a BMI ≥24 unless of Asian ancestry (then BMI≥22)
And one of the following:
Diagnosis of prediabetes by:
Hemoglobin A1c between 5.7%-6.4%
Fasting Plasma Glucose between
2 hour glucose challenge test
Diagnosis of gestational diabetes
Score of 9 or more on CDC risk test

6. National Diabetes Prevention Program
Curriculum Focus
Session Number and Topic
Behavior Change Skills
1. Welcome
2. Fat and calorie detective
3. Ways to eat less fat and fewer calories
4. Healthy eating
5. Move those muscles
6. Being active: a way of life
7. Tip the calorie balance
Control the external environment
8. Take chare of what’s around you
9. Problem solving
10. Healthy eating out
Psychological and emotional Skills
11. Talk back to negative thoughts
12. The slippery slope of lifestyle change
13. Jump start your activity plan
14. Make social cues work for you
15. You can manage stress
16. Ways to stay motivated
What does the program address?

7. Lessons and Observations from Early Adopters
It is critical to consider Value on Investment (VOI) as well as Return on Investment (ROI).
The NDPP is the “gold standard”.
While the program is well supported by research and evidence, the mode of implementation will depend on your organization’s demographics and culture.
Benefit coverage and program integration is essential.
Communications are critical.
Incentives matter.
Service provider pay for performance models work.

8. Two Case Studies