Diabetes Prevention Program
COLLECTIVE IMPACT BRINGS PEOPLE TOGETHER FOR A STRUCTURED WAY TO ACHIEVE SOCIAL CHANGE.
Diabetes is a leading cause of death in the United States. According to the Centers for Disease Control and Prevention (CDC), more than 25 million Americans have diabetes–both diagnosed and undiagnosed– and equates to 86% of our nation’s health spending. Diabetes is a chronic group of diseases under one name. Marked by high levels of glucose (blood sugar), the resulting defects in insulin production or insulin action (or both) produce negative effects on most organ systems of the body. The disease raises the risk of ischemic heart disease, stroke, and neuropathy, blindness among working adults, end-stage renal disease, and non-traumatic lower-extremity amputation. Its incidence is likely to increase as the U.S. population grows and ages.
One in three residents in the 14-county MiHIA region are likely pre-diabetic, yet only 10% have been notified of their pre-diabetic status. Compared to both state and national levels, the 14-MiHIA counties have significantly higher rates of diabetes, obesity, unemployment, poverty, and food assistance while also experiencing lower per capita income levels and access to healthcare.
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Preventing Diabetes and Building Sustainability
Building on 12-years of convening and successfully implementing multi-county interventions, MiHIA has brought the National Diabetes Prevention Program (DPP) to the region in 2015 and continues to support DPP providers across the region. During the year-long program, which consists of 16-weekly core sessions followed by 8-monthly post-core sessions, participants are taught strategies for incorporating physical activity into daily life and eating healthy. Trained DPP Lifestyle Coaches work with participants to encourage success and to strategize around any difficulties.
MiHIA provides the required CDC-approved curriculum as the Lifestyle Coach’s ability to support participants, provide guidance, and help groups work together effectively is essential for a successful lifestyle change program.
Check back for upcoming Lifestyle Coach trainings
Expanding Prevention and Reducing Barriers Through Technology
In order to offer access to more of the 760,000 residents in the region, MiHIA partnered with Good Measures ® to expand DPP by offering a Virtual DPP (vDPP) program. This virtual educational and live coaching program, conducted by our partner, Good Measures, is designed to help participants remain free of diabetes or to delay the onset of the disease. Nationally, the program has lowered the chances of its participants developing type-2 diabetes by 58% and we are seeking to mimic that success in the Great Lakes Bay region. As the program continues, MiHIA will provide program oversight including communications support, coordination between partners, training of the lifestyle coaches, implementation support, and facilitation of work groups.
Preventing the Onset of Diabetes by Educating Children
The Healthy & Happier Families Program, also referred to as KURBO, is a free 12-week program that aims to improve long-term health outcomes and lower the rates of childhood obesity and diabetes in children ages 5-19.
The program utilizes both a mobile app, online tools, and a weekly coaching session to help 400 children and their families. The app utilizes the renown Traffic Light Diet to help children and families make better food choices via tracking food and activity. The app reinforces nutrition education via fun games. To round out the experience, the program provides each child with a 1:1 weekly 15-minute coaching session with an expert health coach that is conducted via phone or Facetime.
Since January 2015, MiHIA’s Regional Diabetes Prevention Program (DPP), funded graciously by the Charles J. Strosacker Foundation, has fostered collaboration among federal agencies, community-based organizations, employers, insurers, health care professionals, academia, and other stakeholders to prevent or delay the onset of Type 2 diabetes among people with prediabetes in central Michigan. During the year-long program, which consists of 16-weekly core sessions followed by 6 to 8- monthly post-core sessions, participants are taught strategies for incorporating physical activity into daily life and eating healthy.
Years 2 (2016) and 3 (2017) of MiHIA’s Regional DPP program focused on the continuation of program implementation among committed partners. Achievements were made towards our regional implementation milestones, while continuing to engage new local community partners. An increased focus was also placed on sustainability and regional expansion, including providing consultation to various organizations in – as well as outside of – the 14-county region.
Year 4 (2018) of the Regional DPP program saw continued focus on sustainability, with special emphasis on alignment to state and national efforts including the Medicare Diabetes Prevention Program (MDPP). MiHIA developed a regional work plan which supported the Michigan Diabetes Prevention Network’s Action Plan. MiHIA and its regional partners set forth to increase awareness of prediabetes and diabetes prevention offerings (including National DPP programs and virtual DPP); establish bi-directional referral systems between DPP providers within the MiHIA region and referring entities; and increase DPP reimbursement coverage through the MiHIA region. MiHIA also provided leadership and guidance for regional partners preparing for MDPP.
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MiHIA’s Health Dashboard 4.0
the visual analysis tool that helps people in the 14-county region it serves to make healthy decisions quickly, monitor their region’s performance and practice sharing development. MiHIA’s Health Dashboard 4.0 is powered by Health Communities Institute (HCI), which provides high-quality community health assessment data and health indicator tracking. With the help of the Dashboard, MiHIA aims to improve the overall health status and quality of life for communities throughout Great Lakes bay region.