News from the Virginia Diabetes Council
VCDPE Lifestyle Coach Training Charlottesville, VA: March 1-2, May 3-4, 2018
CDC’s Diabetes Prevention Program
Question and Answer Column
There's a lot of talk about obesity and Type 2 diabetes and it seems a lot of the program is about managing weight. What does the program have available (lifestyle-wise) for those T2D patients who have lost weight since diagnosis and/or who are not overweight?
The National DPP and the MDPP (Medicare Diabetes Prevention Program) benefit are for individuals with prediabetes/high risk for type 2 diabetes and are overweight. It is not for people who already have diabetes. Medicare Part B beneficiaries with diabetes have access to the following nutrition benefits:
Medical Nutrition Therapy (MNT): Medicare Part B beneficiaries have a benefit for 3 hours of MNT during the first 12 months of diagnosis and 2 hours of MNT in each year following the diagnosis of diabetes, chronic kidney disease, or post kidney transplant. Beneficiaries can have additional hours of MNT as long as the RDN obtains a new referral during each year of treatment. For more information visit http://www.eatrightpro.org/resource/practice/getting-paid/nuts-and-bolts-of-getting-paid/diabetes-and-renal-disease-resources.
Diabetes Self-Management Training (DSMT): DSMT includes education for eating healthy, being active, monitoring blood sugar, taking drugs, and reducing risks. Medicare may cover up to 10 hours of initial DSMT. This training may include 1 hour of individual training and 9 hours of group training in the first year, and 2 hours of follow-up training in subsequent years.
To learn more about the Medicare IBT benefit and providing obesity services to other populations, check out the Academy’s toolkit, Intensive Behavioral Therapy for Obesity: Putting it into Practice that is free for members.
Season 2 of “Your Health with Joan Lunden and CDC”
Season 2 of “Your Health with Joan Lunden and CDC” has just launched. Building on the success of Season 1, this television and digital mini-series sheds light on prediabetes and type 2 diabetes prevention, diabetes management, and an array of important related topics.
As you know, diabetes is an epidemic in our nation. The Division of Diabetes Translation and CBS’s HealthSolutions division developed these 26 new videos to heighten awareness of diabetes and prediabetes. Among others, our shared goals include helping Americans understand their risk for prediabetes, helping people with every type of diabetes manage the condition, and preventing type 2 diabetes among all people, including our youth.
Starting this month, the series is airing for 13 weeks on CBS-owned networks across 14 national markets, on select CW networks, on the Health Media Network in more than 55,000 physicians’ offices across the country, and in airports nationwide. CBS networks alone reach 35 million homes—more than 38% of the US population. The series will also be promoted on CDC and CBS digital channels.
Please help us share Season 2 of “Your Health with Joan Lunden and CDC” and related messaging through your channels, and encourage your leadership, stakeholders, and media contacts to do so as well:
- Link to the “Your Health” website at www.cdc.gov/DiabetesTV and share the URL to drive traffic to the site. Visitors can see all 26 Season 2 videos as well as the entire Season 1 series.
- Post links to video segments or embed videos on your social media channels (i.e., Facebook, Twitter, Instagram).
- Example Facebook post: Season 2 of “Your Health with Joan Lunden and CDC” is pulling out ALL the stops. From mealtime makeovers to fitness tips, find out how to reduce your type 2 diabetes risk and improve your health if you have diabetes! http://bit.ly/2ftyJnQ
- Example tweet: Season 2 of “Your Health” with @JoanLunden @CDCDiabetes shares mealtime makeovers & more to help reduce your type 2 diabetes risk. http://bit.ly/2ftyJnQ
Considering Starting a National Diabetes Prevention Program?
Are you considering offering a National Diabetes Prevention Program (NDPP) at your institution? This month we have asked Joyce Green-Pastors and Viola Holmes from the Virginia Center for Diabetes Prevention and Education (VCDPE) to provide some information about things to consider if you are thinking of starting a DPP program. The Virginia Diabetes Council is working closely with VCDPE to increase and sustain DPP across the state, Viola and Joyce have provided some guidance as to the questions you should be asking if you are interested in starting a program.
1. What type of institutions or groups should consider offering a diabetes prevention program?
Any community agency or health care system who has made a commitment to provide the NDPP and is able to support its’ staff by providing the space and resources necessary to build and sustain a program.
2. What type of information do you have available to help me pitch this program to decision makers
- NACDD National Diabetes Prevention Coverage toolkit: http://www.nationaldppcoveragetoolkit.org
- Prevent Diabetes STAT toolkit: https://preventdiabetesstat.org/toolkit.html
- Prevent Diabetes in Virginia Strategic Plan and Executive Summary, 2017: https://med.virginia.edu/vcdpe/diabetes-prevention-programs/
Burden of Diabetes in Virginia Report, 2017: www.virginiadiabetes.org/docs.ashx?id=346798
3. What is the process for starting a diabetes prevention program?
It is important that organizations first begin by completing a capacity assessment to determine if they can commit to building and sustaining the NDPP. Once committed to the idea it is necessary to identify the appropriate staff to receive Lifestyle Coach Training. Designated staff need to complete a Lifestyle Coach Training Program, (these programs will be offered by VDCPE in 2018). Next, the organization needs to apply for pending recognition through CDC.
Then begin the process of program implementation:
Securing space, determining dates, marketing the program to the community, and offering orientation sessions to interested participants and having them complete the screening/registration process, copying curriculum materials and obtaining educational resources/training tools (scales, calorie counting books)/forms (food logs, activity trackers, action plans, attendance record, weight log) for participants and trainers that are needed to begin the Lifestyle Change Program.
The VCDPE provides technical assistance to organizations and Lifestyle Coaches who need assistance in completing a capacity assessment, applying for pending recognition, marketing ideas, and Lifestyle Change Program implementation.
Link to CDC capacity assessment and CDC Pending Recognition application:
Link to Lifestyle Coach Training sites listed on CDC website: https://www.cdc.gov/diabetes/prevention/lifestyle-program/staffing-training.html
4. What should I consider to be my startup costs
- Training of Lifestyle Coaches (can range from $500 to $849/participant based on choice of Lifestyle Coach Training site)
- Copying or curriculum materials/forms/purchase of training resources/tools (~ $200 for copying curriculum for 10 persons which is the recommended number/group; ~ $80 for calorie counting books; ~ $30 for scales; ~ 50 for copying of forms; we would recommend budgeting $500 for program materials for the year-long Lifestyle Change Program)
- Other costs that need to be considered and may need to be included:
- Cost for renting room space
- Costs of salary for 1-2 lifestyle coaches (one of whom may also be the program coordinator) and maybe an administrative staff/support person for data entry, administrative duties for preparation and follow-up with class sessions)
5. Who should take lifestyle coach training?
Ideally, participants who have training and experience in facilitation and coaching of groups and who have teaching/counseling experience in lifestyle change – particularly as it relates to prediabetes and the components of healthy eating, increased physical activity, and reducing stress and using cognitive behavior change principles. CDC does not require coaches who facilitate the Lifestyle Change Program for the National Diabetes Prevention Program (NDPP) to have any specific academic credentials or experience but, in our experience providing Lifestyle Coach Training, we have found that participants of our training who have experience and training in group facilitation and lifestyle change have been the most successful in implementing the NDPP in their settings and starting their first cohorts (or groups) within 6-12 months of completing the Lifestyle Coach Training.
6. What are the plans for lifestyle coach training for 2017-18?
VCDPE will be providing a training on November 30-December 1 in Charlottesville. For 2018, 4 dates have been scheduled for Lifestyle Coach Training at our center in Charlottesville – March 1-2, May 3-4, October 4-5, and December 6-7. Interested persons can access our website at https://med.virginia.edu/vcdpe for additional information and to complete the registration form.
7. Can I be able to bill for this service?
In 2017, some employer health plans in Virginia began to reimburse for the NDPP – INOVA, BonSecour, UVA, and Huntington Ingalls, to name a few. In April 2018, CMS will begin to reimburse for the year-long NDPP for Medicare residents. The final rule was just released on November 2nd and additional information about services, beneficiary eligibility and payment and can be accessed using the following link: CMS Ruling Fact Sheet. Our hope is that private insurers and additional employer health plans will also begin to reimburse for the NDPP, modeling other employer health plans and the CMS Medicare guidelines for billing and reimbursement. Stay tuned.
New information about coding and billing is now available at Reimbursement and Coding for Prediabetes Screening
Diabetes Self-Management Education Services
Do you have a connection with a local radio or TV station, cable news, your hospital communication and educational system? We are looking for opportunities to publicize the importance of diabetes self-management education services and programs. The VDC has developed both TV and radio ads that promote diabetes education. Please contact Kathy Gold if you are interested at Kathy.gold@DiabetesLocal.org.
Diabetes Education Mentoring Program
The Virginia Diabetes Council is beginning a mentoring program for para professionals and healthcare professionals. If you know of any individuals who are working and are interested in learning more about how to better educate patients and members of their community about diabetes please contact Alexa Painter at email@example.com
Diabetes and Schools
JDRF Students With Diabetes Internship Program
The JDRF Mission Office is proud to announce a new program for T1D young adults called the JDRF Students With Diabetes Internship Program. This program is aimed at T1Ds age 18-24 in college or graduate school. The goal of the JDRF Students With Diabetes Internship Program is to introduce young adults living with T1D to the various professional opportunities within the diabetes industry and community while equipping them with the necessary skills and experience to advance their careers. Intern applications are due January 5, 2018. Finalists will be announced in late January 2018. Internships will be announced in March 2018. All internships occur during the summer months and are approximately 8 weeks in duration. Internships are paid positions, and therefore interns are responsible for their own travel and living expenses during the internship.
The criteria for the selection of interns includes:
• Writing skills
• Letter of Recommendation
• Completion of Application
Internship opportunities exist at various companies and organizations across the country in the following sectors of the diabetes community:
2. Business Operations & Management
3. Communications / Marketing
4. Non-Profit Management
5. Research / Science
Learn more about the program and apply at: http://www.jdrf.org/blog/2017/11/09/swdintern/ The first step in the application process is uploading your resume. After that step you will be prompted to upload additional materials through a separate email. ***If you are interested in hosting an intern, please contact Nicole Johnson at firstname.lastname@example.org. For more information about the Diabetes Empowerment Foundation contact: John Swanston, Executive Director, Diabetes Empowerment Foundation at Jswanst@aol.com
DiabetesLocal.org is a website of local community resources for individuals with diabetes, caregivers, healthcare professionals, case managers, and social workers. The VDC is using DiabetesLocal.org as its source for local diabetes resources and services. If you provide a service or know of a local community resource please add it to DiabetesLocal.org. We will be using this website for our PSA' s and therefore want to ensure that all DSME information is current.
All recognized DSME programs will be receive a copy of their listing in the next few weeks Please review for accuracy. Please contact admin@DiabetesLocal.org.with any questions.
The growing prevalence of biosimilars has prompted the FDA to create educational materials for the healthcare professionals that:
Chronic Kidney Disease is Rising Among Commercially Insured, Working-Age Adults with Diabetes
Diabetes is a leading risk factor for chronic kidney disease (CKD) and for end-stage renal disease (ESRD). Using diagnosis codes in claims for medical services, this graphic displays the relationship between diabetes and diagnosed kidney disease in the commercially insured population aged 20 to 64 years. From 2006 to 2015, in adults with diabetes, the prevalence of CKD by diagnosis code increased from 4.1% to 7.2%, and the prevalence of ESRD increased from 0.8% to 1.0%. In adults without diabetes, the percentage of patients with a diagnosis code for CKD also increased during the period from 0.3% to 0.7%. This increase in both populations is likely due to a combination of increased prevalence of kidney disease, increased diagnosis, and documentation in claims. Recognition of CKD in commercially insured patients presents opportunities for early management and interventions to slow disease progression and prevent complications. See the CKD Surveillance website to find out more about CKD in the commercially insured population
New Diabetes Facts Sheets Available in English and Spanish
How to Get and Stay healthy with diabetes
Get Moving and Eat Well