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DocuSign Envelope ID:A824226C-8DDB-4DD9-83EC-DD32AAD99084 <br /> Page 9 of 12 <br /> 2. Submit performance reports that include the information listed in the Tables I to 5 below: <br /> Table 1:Screenings and Referral Measures Minimum Reporting <br /> Standard ,, Frequency <br /> 1. Total number of people screened for prediabetes via community I -.'Ffr onthly,Interim, <br /> and clinical methods in FY 17 ,,,r7.-'47 and Final <br /> 2. Percent of eligible people referred to MDPP 12-month Lifestyle 100% Monthly <br /> Class series <br /> . _ _ -- <br /> _... — __ _3. Percent of eligible people referred to DSME program 100% Monthly <br /> 4. Percent minority MDPP participants in community and clinical ?75% Monthly <br /> screening events <br /> Table 2:MDPP Program Measures Minimum Reporting <br /> Standard Frequency <br /> 1. Number of MDPP 12-month Lifestyle Class series offered across 1 Monthly <br /> _ . . <br /> :._ l <br /> 2. Number of people enrolled in MDPP 12-month Lifestyle Class 5 onthly <br /> es <br /> seri I''' <br /> 3. Number and percentage of MDPP participants who attend?.4- ?50 Monthly <br /> MDPP Lifestyle Classes in the first 6 months of the 12-month <br /> Lifestyle Class series <br /> 4. Number and percentage of MDPP participants who attend?13 >33% Monthly <br /> MDPP Lifestyle Classes in the first 6 months of the 12-month <br /> Lifestyle Class series <br /> 5. Number and percentage of MDPP participants who attend y9 . 25% <br /> MDPP Lifestyle Classes in the first 6 months of the 12-month <br /> Lifestyle Class series <br /> 6. Number and percentage of MDPP participants who attend 16 Monthly <br /> MDPP Lifestyle Classes in the first 6 months of the 12-month <br /> Lifestyle Class series <br /> 7. Number and percentage of MDPP participants who attend?4 ?50% <br /> MDPP Lifestyle Classes in the last 6 months of the 12-month Monthly <br /> Lifestyle Class series <br /> 8. Number and percentage of MDPP participants who attend 8 33% <br /> MDPP Lifestyle Classes in the last 6 months of the 12 month Monthly <br /> Lifestyle Class series <br /> 9. Number and percentage of minority participants in MDPP ?75% Monthly <br /> Lifestyle Classes <br /> 10. Number and types of incentives distributed , Monthly,Interim <br /> I and Final <br /> 11. Number and percentage of MDPP participants who attend a Interim and Final <br /> minimum of 4 MDPP Lifestyle Classes and lose>5%of their <br /> baseline body weight i <br /> 12. Percentage of MDPP participants who report a change in i Quarterly, <br /> knowledge Interim,and Final <br /> 13. Percentage of MDPP participants who report a change in Quarterly, <br /> behavior Interim,and Final I <br /> Revised June 2015 <br />