CDC orientation for new National DPP recognized organizations: transcript

Key points

• Organizations must read the 2018 Standards before starting classes and must be able to deliver the program for a year, with at least 16 weekly sessions in months 1 to 6 and 6 monthly sessions in months 7 to 12.
• There are four delivery modes: in-person, online, distance learning and combination. Each mode needs its own application.
• Participants must be adults aged 18 or older, not pregnant, with a qualifying body mass index, no prior diabetes diagnosis, and a prediabetes blood test, risk test or history of gestational diabetes.
• Pending recognition can last up to 36 months. Preliminary and full recognition depend on attendance, weight documentation, physical activity records, and average weight loss of at least 5%.
• Data must be submitted every six months. The CDC sends progress reports until an evaluation can be done, then evaluation reports.
• Support comes from technical assistance, webinars and the National DPP Customer Service Center.

Chapters

1. 0:00Welcome and preparing to deliver the program
2. 1:08Four delivery modes
3. 2:49Participant eligibility requirements
4. 4:03Approval date, effective date and data timeline
5. 5:06Pending recognition requirements
6. 6:54Preliminary recognition and attendance requirement
7. 8:36Full recognition requirements 5 through 9
8. 11:48Data submissions, reports and evaluations
9. 13:37Technical assistance and benefits of recognition

Full transcript

0:00Welcome to the National Diabetes Prevention Program New Organization Orientation Webinar presented by the Centers for Disease Control and Prevention's Diabetes Prevention Recognition Program, DPRP. How will you be successful in implementing the National DPP Lifestyle Change Program? As a CDC-recognized organization, it is essential that you and your staff read and understand the 2018 Standards and Operating Procedures, also refer to as the DPRP Standards completely before starting classes.

0:34Your organization must have the capacity and commitment to deliver the program for at least one year. This includes at least 16 weekly sessions in the first six months and at least six monthly sessions in the second six months. If you haven't already done so, take the Organizational Capacity Assessment, which can be found in Appendix A of the DPRP Standard to identify any areas your organization may need to work on. You can find it on our new National DPP Customer Service Center.

1:08Now that you are approved, you must begin classes within six months of your effective date so that you will be able to make the first date of submission at the required time, and enroll a sufficient number of eligible participants to meet that requirement threshold. We'll talk more about these requirements in a few minutes. Organizations have the option of delivering the program using four different delivery modes. An in-person organization delivers the program 100% in-person by a trained lifestyle coach.

1:39This means that the participants are physically present in a classroom-like setting. In-person organizations that conduct makeup sessions through a different mode are still considered to be delivering the program in-person. An online organization delivers the program 100% online for all participants. This means they log into course sessions using a computer, a tablet, or a smartphone. Online classes are not necessarily led by a trained Lifestyle Coach, but Lifestyle Coach interaction is required.

2:13To learn more about online classes, please view the Successfully Delivering an Online Program webinar in the Customer Service Center. A distance learning organization delivers the program using a remote classroom or through telehealth, which can include conference calls or Skype. The trained lifestyle coach is present in one location and participants call in or video conference from another. Finally, a combination organization delivers the program as a combination of any of the previously defined delivery modes.

2:49As with the other three modes, the in-person or distance learning components must be led by a trained lifestyle coach, and the online components must have live interaction with a trained lifestyle coach. Please be aware that you must submit a separate application for each delivery mode you wish to deliver. As you enroll participants in the program, there are some things to remember about eligibility. The lifestyle change program is a program for adults.

3:21Participants must be at least 18 years old. Participants cannot be pregnant at the time of enrollment. Participants must have a body mass index of at least 25 or 23 if the participant is Asian-American. Participants must not have a previous diagnosis of type 1 or type 2 diabetes at the time of enrollment. In addition, participants must be eligible based on either a recent blood test indicating a prediabetes diagnosis, a risk test score indicating a high risk for developing type 2 diabetes or a history of gestational diabetes mellitus, GDM.

4:03Medicare beneficiaries participating in the Medicare Diabetes Prevention Program, MDPP, must be eligible based on a recent blood test indicating a prediabetes diagnosis. For CDC recognition purposes, the blood test can be self-reported, but self-reported values are not allowed for MDPP participants. There are a few things to take note of once your organization's application is approved. your approval date is the date your application was approved it is not the date you submit your application classes and data collection may begin on or after the approval date but must begin within six months following the effective date organizations cannot submit data on classes that began before the application was approved your organization's effective date is the first day of the month following the approval date and sets the timeline for data submission.

5:06It is also considered the first date of sequence one. Each organization will submit data once every six months, starting from the effective date. You have the entire submission month to submit your data. An organization may achieve three categories of recognition, pending, preliminary, and full. Pending recognition is CDC recognition. You do not have to achieve preliminary or full recognition to be considered CDC recognized. CDC pending recognition is achieved by organizations that meet requirements one through four as outlined in the 2018 DPRP standards.

5:46These four requirements include the approval of a submitted application for recognition, the indication that your organization is using a CDC approved curriculum, and the agreement to abide by the duration and intensity requirements for the Lifestyle Change Program. Please remember that the duration of the program is 12 months and that the program requires that you offer a minimum of 16 weekly sessions in months 1 through 6 and a minimum of 6 monthly sessions in months 7 through 12.

6:17An organization that has been granted pending recognition will be able to remain in pending for up to 36 months. During this time, organizations can achieve preliminary or full recognition based on the data that will be submitted every six months. If at the end of 36 months, preliminary or full recognition has not been achieved, the organization will lose CDC recognition and will be required to wait six months before reapplying to the program. Finally, in order to maintain pending recognition, the data submissions must be made every six months.

6:54You In 2018, the CDC added a new recognition status referred to as preliminary, which aligns with the final Medicare Diabetes Prevention Program, MDPP, rule. Preliminary recognition is an attendance-based requirement that will allow organizations to show they have the capacity to offer a full 12-month class without having to meet the additional requirements needed to achieve full recognition. To achieve preliminary recognition, an organization must have been impending for 12 months and must have submitted data on at least one completed class, meaning that 365 days must have lapsed since the participants in that class attended their first session. In addition, CDC will only evaluate data for participants who attended at least three sessions in the first six months and whose time from the first session attended to the last session attended was at least nine months. Your organization can only achieve preliminary

7:55or full recognition if these criteria result in at least five participants. Requirement 5, the attendance-based requirement, states that among those who are evaluated, at least 60% must have attended at least nine sessions in months one through six, and at least 60% must have attended at least three sessions in months seven through 12. Once an organization has achieved preliminary recognition, it can be retained for up to 24 months provided the organization meets the requirement for preliminary again 12 months after initially meeting it and provided it is submitting data every six months.

8:36Once in preliminary, organizations must achieve full recognition within 24 months. If full recognition is not achieved after 24 months in preliminary, then recognition is lost and there is a mandatory six-month waiting period before reapplying. Ultimately, all CDC-recognized organizations must achieve full recognition to remain recognized, which is required to become an MDPP supplier. To achieve full recognition, an organization must have been in pending for 12 months and must have submitted data on at least one completed class, meaning that 365 days must have lapsed since the participants in that class attended their first session.

9:22In addition, the organization must meet requirements 5 through 9. Requirement 5 is the attendance-based requirement that allows organizations to achieve preliminary recognition. Requirements 6 through 9 are additional requirements specific to achieving full recognition. As with the requirement for preliminary, only data from eligible participants who attended at least three sessions in the first six months and whose time from the first session attended to the last session attended was at least nine full months will be used to determine progress on the performance measures associated with requirements six through nine.

10:03As with preliminary, the evaluation criteria must result in at least five participants in order for an organization to be eligible to achieve full recognition. Let's talk through these additional requirements that organizations must meet in order to achieve full recognition. Requirement six states that evaluated participants must have body weight documented during at least 80 percent of the sessions attended. Requirement 7 states that the evaluated participants must have physical activity minutes documented during at least 60% of the sessions attended.

10:41If a session shows that the participant did not perform any minutes of physical activity during the previous week, this does not count as a session with documented minutes. Requirement 8 states that the average weight loss across all evaluated participants must be a minimum of 5% of starting body weight. And finally, Requirement 9 states that the minimum of 35% of all evaluated participants must be eligible for the Lifestyle Change Program based on either a blood test indicating prediabetes or a history of GDM.

11:17Please note, however, that 100% of Medicare beneficiaries participating in the MDPP must be eligible based on a blood glucose test. Once achieving full recognition, organizations may remain in full for up to 24 months without meeting each of the requirements for full. This is contingent on data being submitted every six months. Organizations must re-achieve full recognition within 24 months.

11:48If they do not, they can be extended for one year under a corrective action plan if they meet the requirements for preliminary at that time. If the requirements for preliminary are not met at this time or if full is not re-achieved after the one-year extension, then the organization will lose recognition and must wait six months before reapply. As we have already stated, your organization is required to make a data submission every six months, starting six months after your effective date.

12:20Because we do not perform evaluations for preliminary and full recognition until the participants who start sessions in a six-month period have all completed the 12-month program, your data submission will not always result in an evaluation report. Until the time when an evaluation can be done, we will send you a progress report which simply gives feedback on what we are seeing in the ongoing participants you have submitted data on. Once you do have complete data for all participants who began during a specific month period, we will perform an evaluation and send you an evaluation report.

12:57This report will show the performance measures that were calculated using the evaluated participants' data. you will be able to see which requirements were met and which ones were not met. In addition to the full evaluation on your complete cohort, this report also gives you feedback on the ongoing participants, those who will be evaluated at your next six-month submission, and the new participants, those who will be evaluated a year from the current submission. Please remember that no matter which version of the standards your organization was approved under, all evaluations are performed under the current version of the standard.

13:37Technical assistance is available to every organization through a variety of mechanisms. A summary and recommendations section is included in each progress evaluation report to provide information specific to the organization's needs. Scheduled webinars for CDC-recognized organizations on many program-related topics are offered routinely, which are posted for viewing on-demand at the National Diabetes Prevention Program Customer Service Center at nationaldppcsc.cdc.gov.

14:13CDC-recognized organizations, as well as organizations seeking information about the recognition program, could submit questions or request assistance also through the National Diabetes Prevention Program Customer Service Center at nationaldppcsc.cdc.gov more on that resource at the end of this presentation and finally individual outreach is offered to CDC recognized organizations as deemed necessary by the DPRP team members there are a number of benefits associated with being a CDC recognized organization recognition is linked to national quality standards and outcomes that prevent or delay type 2 diabetes.

14:59Through data submissions, we will help you to monitor your progress. In addition, more and more private and public insurers like Medicare are reimbursing CDC-recognized organizations offering this program. As a recognized organization, you have access to technical assistance, training, and resources. And your CDC recognition can be an effective outreach tool to encourage referrals. Finally, as you may be aware, the National DPP Customer Service Center is a hub for CDC-recognized organizations.

15:37It will help us optimize our technical assistance services to delivery organizations as the program continues to rapidly expand. This concludes the webinar. Please visit the National DPP Customer Service Center at nationaldppcsc.cdc.gov for more resources and to submit any questions that you may have. Thank you for joining with us to help prevent type 2 diabetes in the U.S.

Source and licence

Recording: File:Webinar- New Organization Orientation.webm by Centers for Disease Control and Prevention (2019-10-11), via Wikimedia Commons. Licence: Public domain.

The transcript is machine speech-to-text by the TidyTools Audio & video transcriber; the summary, key points and chapters were written by Claude from that transcript. Both may contain errors: check the recording before quoting it.