2016-707-E Health - Alamance Health Dept. - grant money received for Minority Diabetes Prevention Program

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DocuSign Envelope ID:505DF67F-22A8-4429-B254-C31 FF4638A8F Page 5 of 9 8. Organize and co-host at least one community forum ("Community Conversation") with DPH MDPP staff During these Community Conversations, representatives from the Regional Collaborative, the NC OMHHD, and CCCPH will meet with community members for a discussion on prediabetes, its impact on the community's health and how we can all work together improve health outcomes and reduce the disparities. 9. Enroll a minimum of 75 people in a Minority Diabetes Prevention Program Lifestyle class (Lifestyle class) and ensure that no less than 75% of the MDPP participants are members of racial/ethnic minority groups. The CDC requires that all Lifestyle class participants be 18 years of age or older and have a body mass index (BMI) of>24 kg/m (>22 kg/m, if Asian). In addition, a minimum of 50% of a program's participants must have had a recent(within the past year) blood test (may be self-reported), a medical claim code indicating they have prediabetes, or a history of gestational diabetes mellitus (GDM), according to one of the following specifications): a. Plasma glucose measured 2 hours after a 75 gm glucose load, with a result of 140 to 199 mg/dl b. A fasting blood glucose score of 100 to 125mg/dl, c. An Alc test resulting in a level of 5.7-6.4 percent, or d. Clinically diagnosed gestational diabetes mellitus during a previous pregnancy(may be self- reported) A maximum of 50% of a program's participants may be considered eligible without a blood test or history of GDM only if they screen positive for prediabetes based on the CDC Prediabetes Screening Test or screen positive for diabetes on the hard copy or electronic version of the American Diabetes Association Type 2 Diabetes Risk Test or on a claims-based risk test. The "CDC Diabetes Prevention Recognition Program Standards and Operating Procedures" document can be found at http://www.cdc.gov/diabetes/prevention/pdf/dprp-standards.pdf. A description of the curriculum, handouts and requirements can be found at http://www.cdc.gov/diabetes/prevention/lifestyle- pro gram/curri culum.html. 10. Charge all Lifestyle class participants a one-time fee of$25. Scholarships, in the form of a fee waiver, must be offered to any participant who finds the participation fee to be a barrier. Scholarships should be offered on a sliding scale in the amounts of$10, $15 or $20, depending on need. All Lifestyle class participants must pay, at a minimum, a one-time fee of$5 to participate in the Lifestyle classes. 11. Offer all Lifestyle classes and other MDPP services (i.e., screenings, outreach and marketing) in ways that meet the cultural and linguistic needs of the target population and are in line with the National Standards for Culturally and Linguistically Appropriate Services in Health and Health Care (National CLAS Standards). A copy of the National CLAS Standards can be found at https://www.thinkculturalhealth.hhs.gov/assets/pdfs/EnhancedNationalCLASStandards.pdf. 12. Conduct five to six Lifestyle classes in multiple counties throughout the Local Health Department's region to serve a minimum total of 75 MDPP participants. All classes shall start no later than February 6, 2017, and shall be conducted in accordance with the CDC recommendations, guidelines, standards, and operating procedures, as described in the "CDC Diabetes Prevention Recognition Program Standards and Operating Procedures" document, which can be found at http://www.cdc.gov/diabetes/prevention/pdf/dprp-standards.pdf. Revised July 2015