Montefiore Medical Center

In New York State, an estimated 4.5 million people have prediabetes, a condition which heightens a person’s risk for developing diabetes and its complications.

While curbing the diabetes epidemic is a daunting task, strong evidence has emerged in support of strategies to prevent diabetes. Specifically, the National Diabetes Prevention Program (NDPP) was identified by the Centers for Disease Control and Prevention (CDC) as an effective, evidence-based public health program. This lifestyle intervention has been shown to help participants lose 5–7% of their body weight and reduce their risk of developing diabetes by nearly 60%. Building on previous work to replicate the NDPP, NYHealth issued a request for proposals, Laying the Groundwork to Scale Up the National Diabetes Prevention Program in New York State, to help disseminate and grow the NDPP. Through this initiative, NYHealth awarded grants to organizations to implement, expand, and secure the sustainability of the NDPP in community-based settings across the State. NYHealth awarded Montefiore Medical Center a grant to participate in this initiative.

With NYHealth funding, grantees of this initiative reached communities with high rates of diabetes and prediabetes, making this effective program available to New Yorkers in places where they live, work, and worship. The grant awards supported a range of activities to help organizations implement and grow the NDPP, including the expansion of existing programs; communication, outreach, and education activities to obtain a steady flow of participants; and development of business plans to ensure the sustainability of the program. Specifically, Montefiore worked to earn CDC accreditation to offer the NDPP in-house. It hired an outreach coordinator who was responsible for working with providers, patients, and lifestyle coaches to ensure that eligible patients connect with NDPP classes and remain engaged in the program. Montefiore evaluated its efforts by tracking patient outcomes and health measures and will increase the number of classes available to patients, including in Spanish.

In January 2017, a paper on the lessons learned from implementing the NDPP at Montefiore Medical Center’s health system was published in Population Health Management.

View a complete list of Laying the Groundwork grantees.