UNASSIGNED: There is urgent need for health systems to prevent @entity6 . To date, few health systems have implemented the evidence-based @entity6 Prevention Program (DPP), and the few that have mostly partnered with community-based organizations to implement the program. Given the recent decision by the Centers for Medicare _ Medicaid Services to reimburse for @entity6 prevention, there is likely much interest in how such programs can be implemented within large health systems or how community partnerships can be expanded to support DPP implementation. Beginning in 2010, @entity262 ( @entity262 ), a large health care system in the Bronx, NY, partnered with the Young @entity1 's Christian Association (YMCA) of Greater New York to deliver the YMCA's DPP. Over 4 years, 1390 referrals to YMCA's DPP were made; 287 @entity1 attended >= 3 classes, and average @entity353 was 3.4%. Because of increased @entity1 demand and internal capacity, @entity262 assumed responsibility for DPP implementation in May 2015. Fully integrating the program within the health system took 5-6 months, including configuring electronic health record templates/reports, hiring a coordinator, and creating clinical referral workflows/training guides. Billing workflows were designed for risk-based contracts. In the first 11 months of implementation, 1277 referrals were made, and referrals increased over time. Twenty-four class cycles were initiated, and 282 @entity1 began attending classes. Average @entity353 among 61 graduates from the Summer/Fall 2015 wave of MDPP classes was 3.8%. Additional opportunities for expansion include training allied health staff, providing @entity1 incentives, increasing master trainer capacity, offering DPP to employees, and securing reimbursement.

Lessons from Launching the XXXX Prevention Program in a Large Integrated Health Care Delivery System: A Case Study.

@entity1 :: ('9606', 'Species') :: ['participants', 'patients', 'patient', 'Men'] @entity262 :: ('MESH:D034721', 'Disease') :: ['MHS', 'Montefiore Health System'] @entity353 :: ('MESH:D015431', 'Disease') :: ['weight loss'] @entity6 :: ('MESH:D003920', 'Disease') :: ['Diabetes', 'diabetes']
@entity6 :: (MESH:D003920,Disease) :: ['Diabetes']
