The CDC gathered feedback from so many sources….NDPP Coordinators, Lifestyle Coaches, and NDPP Data….and made some changes to the DPRP Recognition process . The updated 2021 DPRP Standards reveal these changes (and so much more!). Our big take away: There are now additional paths to stay in pending or preliminary recognition status indefinitely...and…to achieve up to 5 years of full CDC recognition. So let’s look at some of the main changes–please reference the 2021 DPRP Standards, as indicated below.
Pending Recognition-pages 13-14:
After meeting initial requirements 1-4 , Table 3, (page 17-18)–program application, curriculum, duration, and intensity, an organization may remain in pending recognition indefinitely if it continues to submit the required data every 6 months.
Preliminary Recognition-page 14:
Once an organization meets the requirements for preliminary, the organization may remain in preliminary recognition indefinitely if it continues to submit the required data every 6 months and is able to re-achieve the requirements for preliminary within 3 years of first achieving it, and then at least every 3 years thereafter. These requirements also include requirement 5, Table 3 (page 18)- “Organizations must retain at least 5 completers in the evaluation cohort (eligible participants in the evaluation cohort who attended at least 8 sessions in months 1- 6 and whose time from the first session held by the cohort to the last session attended by the participant is at least 9 months)”.
Previous to the New Standards, program leaders asked, “But what happens if our program has already earned preliminary or full recognition for one delivery mode, and now we want to apply to deliver the NDPP through and additional delivery mode?” The answer (page 15): “The DPRP will ‘convey’ temporary preliminary recognition to the new delivery mode until the organization has its first evaluation for the new delivery mode. At that time, the organization will achieve recognition based only on data submitted for the new delivery mode. If the organization is unable to meet the requirements for preliminary or full recognition based on that evaluation, the DPRP will place it in pending recognition status”.
Full Recognition- pages 15-17:
**THREE YEARS**/Full Recognition:
a. Continue to submit the required data every 6 months. Those organizations still active and submitting data that do not re-achieve full recognition status after 36 months will return to preliminary. NOTE: MDPP suppliers that lose full recognition will be able to continue as an MDPP supplier with preliminary recognition. Once an organization meets the requirements for full recognition, it will be allowed to remain in full for 3 years despite not meeting the requirements, as long as it continues to make data submissions in every submission due month.
b. Organizations must show that there has been a reduction of risk of developing type 2 diabetes among completers in the evaluation cohort by showing that at least 60% of all completers achieved at least *one* of the following outcomes:
- at least 5% weight loss 12 months after the cohort began or
- at least 4% weight loss and at least 150 minutes/week on average of physical activity 12 months after the cohort began
- at least a 0.2% reduction in HbA1C. A participant’s HbA1C value must be collected and submitted prior to the final data submission for that year, included in the last session record, and collected in months 9-12.
c. Also Required: Organizations must show that at least 35% of completers in the evaluation cohort are eligible for the yearlong National DPP LCP based on either blood test indicating prediabetes or a history of GDM.
**FIVE YEARS**/Full Recognition–For additional 2 years of full recognition (5 years total)
Eligible participants in the evaluation cohort must have been retained at the following percentages:
- A minimum of 50% at the beginning of the fourth month since the cohorts held their first sessions.
- A minimum of 40% at the beginning of the seventh month since the cohorts held their first sessions. 3. A minimum of 30% at the beginning of the tenth month since the cohorts held their first sessions.
What if we need to withdraw at any point?-page 16
Organizations can voluntarily withdraw at any point in their timeline, but regardless of circumstances of the withdrawal, they must wait 6 months prior to reapplying. The wait can be waived if the organization can provide a start date for the new cohort and the assurance that at least 10 participants are enrolled.
What if our program ran into a roadblock or challenge which caused a delay in our data submission, or an interruption in our program?-page 20
“….Certain extensions and exceptions will be made on a case-by-case basis. CDC will grant extensions and exceptions to data submission requirements on a case-by-case basis due to extenuating circumstances including, but not limited to, natural disasters, public health emergencies, or unexpected staff losses. However, organizations must communicate these occurrences to CDC as soon as possible so that proper guidance can be given.”
We Need Help! Where do we go?–page 33
- Webinars (Bookmark the NDPP CSC Calendar!)–A great way to keep up on the latest changes and connecting directly with NDP TA specialists.
- Summary and Recommendations sections in each progress report (ongoing cohort progress prior to a completed cohort)/evaluation report (full, completed cohort evaluation for recognition status). An opportunity to review specific results and organization strategies to meet any requirements currently not being met
- The National DPP Customer Service Center, Tools, Discussion board…and…Direct access to technical assistance agents–To request guidance, click here. You will first need to create your account. Easy!
- Technical assistance calls available to organizations–initiated by TA staff and your organization…through the NDPP CSC.
- Technical Assistance Calls or Site Visits from National DPP State Quality Specialists who have been trained and certified by CDC.
**Important** Please review, familiarize yourself, and maintain close access to all of the above resources, especially the 2021 DPRP Standards….and….
**And Mark Your Calendars!**
State of Wellness DPP Coach Chat
A great opportunity to join other coaches and coordinators, share successes, challenges, and ask questions!
When: 2-3pm EASTERN, Last Wednesday of every month
Zoom–reach out to firstname.lastname@example.org for link. *Same link every month*!