Explore NACDDâs Innovative Public Health Practice
A Trusted Partner in Nationwide Diabetes Prevention and Management
NACDD works closely with states to make positive changes in preventing and managing diabetes. Many states look to NACDD to provide expertise and assistance at the various stages of diabetes prevention and management efforts. Our influence extends across the nation, helping many states expand programs and services like the National Diabetes Prevention Program (National DPP), diabetes self-management education and support (DSMES), and other initiatives for preventing and managing diabetes in underserved areas and populations.
Chronic Kidney Disease Detection and Education Program
In 2022, the Centers for Disease Control and Prevention (CDC) and National Association of Chronic Disease Directors (NACDD) launched an RFP and awarded a contract to the National Kidney Foundation (NKF) to implement the Chronic Kidney Disease (CKD) Learning Collaborative approach at University Health, a safety net healthcare system in Kansas City, Missouri. The goal was to support a health system in employing systems change and quality improvement to promote early detection of CKD and education on reducing risk factors. This program had a significant impact on increasing screening rates for CKD.
University Health demonstrated an over 60% improvement in guideline concordant testing among the populations at-risk for CKD. Further, there was a statistically significant decrease of over 25% in patients with laboratory evidence of CKD who did not have an appropriate CKD diagnosis documented in their medical records. Other project outcomes included an increase in appropriate testing and diagnosis for patients over 50 with declining estimated glomerular filtration rate (eGFR), increase in medication utilization among CKD-diagnosed patients, and other achievements.
Explore key program learnings for CDC 2320 recipients and for health systems and clinics >>
Medicaid Demonstration Project
With funding from the Centers for Disease Control and Preventionâs (CDC) Division of Diabetes Translation, the Medicaid Demonstration Project (2016-2019) was carried out in Maryland and Oregon. The goal of the project was to demonstrate how State Medicaid Agencies, in collaboration with State Health Departments, can implement delivery models for the National Diabetes Prevention Program (National DPP) lifestyle change program for Medicaid beneficiaries at high risk for type 2 diabetes through managed or accountable care organizations. The Demonstration was designed to work through and develop solutions for the real-world challenges of Medicaid coverage for the National DPP lifestyle change program, and it ultimately advanced the understanding of the processes and systems-building needed to achieve sustainable coverage of the program within Medicaid.
Read about the Demonstration Project on the National DPP Coverage Toolkit >>
Umbrella Hub Arrangement (UHA) Demonstration Project
The overall purpose of the Umbrella Hub Arrangement (UHA) Demonstration is to connect community-based organizations delivering the National Diabetes Prevention Program (National DPP) lifestyle change programs to health care payment systems. In August 2019, CDC funded NACDD to begin to work with three organizations to operationalize UHAs through the UHA Demonstration. One goal of the UHA Demonstration is to share learnings from operationalizing a UHA, particularly around submitting claims and receiving reimbursement from the Centers for Medicare and Medicaid Services (CMS) on behalf of subsidiary organizations delivering the Medicare Diabetes Prevention Program (MDPP). Umbrella hub organizations (UHOs) may also submit claims and reimbursement from other payers for the National DPP lifestyle change program.Â
Hawaii Primary Care Association (Hawaii PCA), Health Promotion Council of Southeastern Pennsylvania (HPC), and Marshall University were initially selected as Demonstration UHOs. Additionally, a technology vendor, Welld Health, was selected as the billing and claims vendor to support the UHOs in data aggregation and claims submission for reimbursement. Since then, three additional organizations, the American Pharmacists (APhA) Foundation, the Association of Asian Pacific Community Health Organizations (AAPCHO), and the YMCA of Milwaukee, have joined the UHA demonstration project as UHOs. The organizations participating in the UHA Demonstration are some of the first organizations to become UHOs and test the feasibility of a UHA.
For information on additional UHOs that have been approved by CDC, please visit the CDC Diabetes Prevention Recognition Program (DPRP) Registry website.
Learn more about the about UHAs and the UHA Demonstration on the National DPP Coverage Toolkit>>
