899-P: Barriers and Facilitators to Implementation of the Group-Based Diabetes Prevention Program within a Large Health-Care System

Diabetes ◽  
2019 ◽  
Vol 68 (Supplement 1) ◽  
pp. 899-P
Author(s):  
MEGHAN HALLEY ◽  
CATHERINE NASRALLAH ◽  
NINA K. SZWERINSKI ◽  
JOHN P. PETERSEN ◽  
ROBERT J. ROMANELLI ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Prevention Program ◽  
Diabetes Prevention ◽  
Diabetes Prevention Program ◽  
Barriers And Facilitators ◽  
Large Health Care System ◽  
Care System

Presessions to the National Diabetes Prevention Program May be a Promising Strategy to Improve Attendance and Weight Loss Outcomes

2018 ◽  
Vol 33 (2) ◽  
pp. 289-292 ◽  
Author(s):  
Natalie D. Ritchie ◽  
Peter G. Kaufmann ◽  
R. Mark Gritz ◽  
Katherine A. Sauder ◽  
Jodi Summers Holtrop
Keyword(s):  
Health Care ◽  
Weight Loss ◽  
Health Care System ◽  
Prevention Program ◽  
Diabetes Prevention ◽  
Diabetes Prevention Program ◽  
Safety Net ◽  
Analysis Of Covariance ◽  
Weight Loss Outcomes ◽  
Care System

Purpose: The National Diabetes Prevention Program (NDPP) is a widely disseminated lifestyle intervention. Attendance is problematic, leading to suboptimal weight loss, especially among racial/ethnic minority participants. We conducted a novel “presession” protocol to improve engagement of diverse NDPP candidates, comparing NDPP participants who attended a presession to those who did not on attendance and weight loss outcomes. Design: Longitudinal cohort study. Setting: A safety net health-care system. Participants: A total of 1140 patients with diabetes risks (58.9% Hispanic, 19.8% non-Hispanic black, 61.8% low income). Intervention: The NDPP has been delivered in a Denver, Colorado health-care system since 2013. The program included 22 to 25 sessions over 1 year. Beginning September 2016, individuals were required to attend a presession before enrollment that focused on (1) increasing risk awareness, (2) motivational interviewing to participate in the NDPP, and (3) problem-solving around engagement barriers. Measures: Duration and intensity of NDPP attendance and weight loss. Analysis: Outcomes of 75 presession participants who enrolled in the NDPP were compared to 1065 prior participants using analysis of covariance and multivariable logistic regression. Results: Presession participants stayed in the NDPP 99.8 days longer ( P < .001) and attended 14.3% more sessions ( P < .001) on average than those without a presession. Presession participants lost 2.0% more weight ( P < .001) and were 3.5 times more likely to achieve the 5% weight loss target ( P < .001). Conclusion: Presessions may improve NDPP outcomes for individuals from diverse backgrounds. A full-scale trial is needed to determine whether presessions reliably improve NDPP effectiveness.

Diabetes Prevention within a Large Health Care System

Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 897-P
Author(s):  
KRISTEN M.J. AZAR ◽  
CATHERINE NASRALLAH ◽  
NINA SZWERINSKI ◽  
VIDITA CHOPRA ◽  
MEGHAN HALLEY ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Diabetes Prevention ◽  
Large Health Care System ◽  
Care System

Virtual Diabetes Prevention Program—Effects on Medicare Advantage Health Care Costs and Utilization

Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 45-LB
Author(s):  
VINAY CHIGULURI ◽  
DOUGLAS BARTHOLD ◽  
RAJIV GUMPINA ◽  
CYNTHIA CASTRO SWEET ◽  
JASON PIERATT ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Costs ◽  
Prevention Program ◽  
Diabetes Prevention ◽  
Diabetes Prevention Program ◽  
Medicare Advantage ◽  
Program Effects ◽  
Care Costs

Results from a Population Health Strategy for Diabetes in a Large Health Care System

Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 2329-PUB
Author(s):  
SAVITHA SUBRAMANIAN ◽  
IRL B. HIRSCH ◽  
ALISON EVERT
Keyword(s):  
Health Care ◽  
Population Health ◽  
Health Care System ◽  
Health Strategy ◽  
Large Health Care System ◽  
Care System

Ongoing Professional Practice Evaluation for Emergency Medicine Physicians in a Large Health Care System

2020 ◽  
Author(s):  
Courtney M. Smalley ◽  
Bryan E. Baskin ◽  
Erin L. Simon ◽  
Stephen W. Meldon ◽  
McKinsey R. Muir ◽  
...  
Keyword(s):  
Health Care ◽  
Emergency Medicine ◽  
Health Care System ◽  
Professional Practice ◽  
Large Health Care System ◽  
Care System

Utilization of Asynchronous and Synchronous Teledermatology in a Large Health Care System During the COVID-19 Pandemic

2020 ◽  
Author(s):  
Rashek Kazi ◽  
Maria R. Evankovich ◽  
Rebecca Liu ◽  
Andrew Liu ◽  
Autumn Moorhead ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Large Health Care System ◽  
Care System

scholarly journals Serum Folate Utility and Utilization in a Large Health Care System

2018 ◽  
Vol 150 (suppl_1) ◽  
pp. S146-S146
Author(s):  
Jeffrey Szymanski ◽  
Mitchell McGill ◽  
Ronald Jackups
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Serum Folate ◽  
Large Health Care System ◽  
Care System
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