Transcript The YMCA`s Diabetes Prevention Program

FOR YOUTH DEVELOPMENT
FOR HEALTHY LIVING
FOR SOCIAL RESPONSIBILITY
THE YMCA’S DIABETES
PREVENTION PROGRAM
LYNNE VAUGHAN, CHIEF INNOVATION OFFICER,
YMCA OF THE USA
THE $174 BILLION QUESTION: HOW TO REDUCE
DIABETES AND OBESITY
ALLIANCE FOR HEALTH REFORM BRIEFING
CO-SPONSORED BY UNITEDHEALTH FOUNDATION
July 24, 2010
OVERVIEW
1.
Why the Y? (Pioneer, Mission, Reach and Scale)
2.
History of YMCA’s Diabetes Prevention Program
(YDPP)
3.
UnitedHealth Group
4.
CDC and Health Care Reform
5.
How Might We Take DPP to Scale?
6.
The Next Chapter
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| YMCA’s Diabetes Prevention Program | ©2010 YMCA of the USA
THE Y AS A PIONEER
IN HEALTHY LIVING -CENTRAL TO OUR
MISSION
•Basketball, resident camping,
in-ground swimming pools,
youth sports leagues, fitness
exams, child care…
•Millions of adults and families
are receiving the support,
guidance and resources needed
to achieve greater health and
well-being for their spirit, mind
and body.
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| YMCA’s Diabetes Prevention Program | ©2010 YMCA of the USA
THE Y’S REACH AND SCALE – WE CAN MAKE
DIABETES PREVENTION AVAILABLE TO MOST
AMERICAN COMMUNITIES
57% of U.S.
households
are located
within 3
miles of a
YMCA
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| YMCA’s Diabetes Prevention Program | ©2010 YMCA of the USA
HISTORY OF YDPP
Translational Research At It’s Best
 10 year, $200 million federal investment in the national
Diabetes Prevention Program (at NIH, CDC, IHS others)
Showed that over HALF of new cases of type 2
diabetes can be avoided by structured lifestyle
intervention programs that help individuals with PREdiabetes lose just 5-7% of their body weight and
participate in daily physical activity such as brisk
walking
--But it was too costly to scale
Indiana University researchers showed that a carefully
designed group lifestyle intervention to prevent diabetes
could be delivered for $250-$350 per year in the Y and
achieve similar weight loss results as the more costly than
the original federal research trial.

“If we can’t do this at the Y, we can’t do it!”
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--David Marrero, Researcher, Indiana University
| YMCA’s Diabetes Prevention Program | ©2010 YMCA of the USA
UNITEDHEALTH GROUP AND THE Y
In April, YMCA of the USA and UnitedHealth Group
announce a partnership, where UnitedHealth Group
will reimburse YMCAs offering the YMCA’s Diabetes
Prevention Program
Seven communities this year with more to
come on-line in next 5 years:
•
Cincinnati, Columbus and Dayton, Ohio
•
Indianapolis, IN
•
Minneapolis and St. Paul, MN
•
Phoenix, AZ
Key Ingredients:
Sustainable
Insurer “Agnostic”
Evidence-base
Performance-based
Available to All
Quality Assurance
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| YMCA’s Diabetes Prevention Program | ©2010 YMCA of the USA
CDC’S NATIONAL DIABETES PREVENTION PROGRAM
YMCA of the USA worked with Senators Franken and Lugar to secure
an amendment to health care reform which established the National
Diabetes Prevention Program at CDC, which includes
•National training and recognition program for community-based
DPPs, Quality assurance, applied research and model sites.
Why is the National Diabetes Prevention Program needed?
• To provide patients, health care providers, and health payers
trustworthy information on the availability of high quality diabetes
prevention programs in their community.
• To attract health payer funding and to support the long-term
sustainability of diabetes prevention programs in the U.S.
population. Foundation support is needed to ensure full access.
• To provide start up funding to build the needed infrastructure
YMCA model sites funded by CDC: Birmingham, AL; State of
Delaware; Tampa and Jacksonville, FL; Ft. Wayne and Bloomington,
IN; Louisville, KY; NYC and Rochester, NY; Providence, RI; Seattle,
WA. More sites come on line late summer.
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| YMCA’s Diabetes Prevention Program | ©2010 YMCA of the USA
Y DPP SITES 2006-2011
Translation
by NIH
Replication
by CDC
Dissemination
UnitedHealth Funded
Y Sites = 20 Sites
Dissemination
CDC Funded Y Sites
= 21 Sites
Going to Scale
YMCA of
Greater
Indianapolis
2006
8
YMCAs in the
100 Largest
MSAs
YMCA of
Greater
Louisville
2009
2010
| YMCA’s Diabetes Prevention Program | ©2010 YMCA of the USA
2011
The Future
HOW MIGHT WE HELP ALL AT-RISK
AMERICANS PREVENT OR DELAY DIABETES
Fully Fund the National Diabetes Prevention Program (NDPP)
Urban Institute has said that making this program available nationwide
with organizations like the Y, our nation can save $191 billion over 10
years
Federal resources invested in the NDPP will be matched by hundreds of
millions, if not billions, of dollars by 3rd party payers
To scale the NDPP nationally $80 million is needed per year from
the mandatory prevention fund. Funding would support:
 CDC’s training, recognition, quality assurance and research
 Public and provider education on pre-diabetes
 YMCAs to build capacity in the 100 largest Metropolitan Statistical Areas
where an estimated 50 million of the 57 million people with pre-diabetes
reside
 Activation of referral networks
 Capacity building for new program delivery networks
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| YMCA’s Diabetes Prevention Program | ©2010 YMCA of the USA
THE NEXT CHAPTER
The Y and UnitedHealth Group
on Childhood Obesity
10 |YMCA’s Diabetes Prevention Program| ©2010 YMCA of the USA