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SDOH Points of Light 2024 Case Study 6
Deploying a Diabetes Prevention Program
Author
Benjamin Cassity
Author
Ciera Walker
Author
Paul Warburton
More than one-third of adults in the US have prediabetes, but the vast majority are not aware. Identifying these individuals and helping them prevent the development of type 2 diabetes is a challenge, as many of the factors that influence their risk cannot be addressed within the walls of a hospital or clinic. The CDC’s National Diabetes Prevention Program (National DPP) supports a lifestyle change program that can help improve overall health and lower the risk of type 2 diabetes by 58% (71% for adults over age 60). Yet enrolling and referring individuals, scaling and spreading the interventions, and reporting and analyzing program data can be difficult. The collaborators in this case study developed EHR automation to effectively identify patients at risk for developing type 2 diabetes, created bidirectional referral communication, and established mechanisms and pathways to connect patients with interventions.
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Key Findings:
- Executive Summary
- The Collaborators
- Points of Friction—Challenges to Be Solved
- Action Plan—How the Collaborators Worked Together to Reduce Friction
- Points of Light—Outcomes Achieved through Collaboration
- Lessons Learned—What Best Practices Can Other Organizations Apply?
- What's Next?—Vision for the Future
- Project Scalability & Replicability
Writer
Sarah Brown
Designer
Jess Wallace-Simpson
Project Manager
Kyle Chilton
This material is copyrighted. Any organization gaining unauthorized access to this report will be liable to compensate KLAS for the full retail price. Please see the KLAS DATA USE POLICY for information regarding use of this report. © 2024 KLAS Research, LLC. All Rights Reserved. NOTE: Performance scores may change significantly when including newly interviewed provider organizations, especially when added to a smaller sample size like in emerging markets with a small number of live clients. The findings presented are not meant to be conclusive data for an entire client base.