Recruiting, Screening, and Eligibility

1. Health Services Recruiting, Screening, and Eligibility Cherokee Nation Diabetes Prevention Program Tonya Giger, MPH, CHES

2. CNDPP Location & Services • Funded 2004 • 14-county Tribal Jurisdiction Service Area in NE OK • 6,950 area miles • Includes 8 CN clinics, 1 CN employee clinic, 1 CN hospital, & 1 I.H.S. hospital

3. 5 DPP Staff 1 Coordinator Lifestyle Coach Lead Teacher Data Coordinator 2 Physical Activity Specialists Lifestyle Coaches Lead Teachers 1 Data Tech Full-Time 1 Admin Asst Part-time Staffing All staff required to participate in screening & recruitment

5. *Due to Referrals, Community Activities not as effective

6. Recruitment Totals

7. Target Area & Recruitment Update

8. Screening& Recruitment Methods

9. Steps for Recruitment • Step 1: Identify & Recruit eligible community members or patients for lab screenings • Step 2: Conduct Lab Screenings • Step 3: Contact eligible participants to recruit for DPP curriculum class

10. Methods of Recruitment for Lab Screenings • Community Screenings • Referrals • Community Events, Advertisements, & Word of Mouth

11. Screening Planning • Make contacts • Nurses • Room availability • Schedule date • Post flyers, send emails, mail information • Order t-shirts

12. Screening Implementation • Station 1: Registration • Station 2: Nurses/Fingerstick • Station 3: Consultations • Station 4: T-shirt

13. Screening Followup • Step 1: Separate Community Worksheets – Determine Eligibility • Step 2: Add data to screening log • Step 3: Data Tech enters eligible pts into Master Registry • Step 4: Remind pts of lab screening or send letter for upcoming lab

14. Referrals • Request referrals from dietitians • Add patients to Master Registry • Send letter for Upcoming Lab • Program Information • Lab Date Information

15. Interested Contacts • Obtain information from caller – determine eligibility • Input in “Interested Participant” excel file • Send letter or call for upcoming lab screening

16. Patients from community screenings, referrals, & contacts Lab Screening

17. Lab Screening Planning • Make contacts • Lab Consultant • Room availability • Order lab equipment & supplies • Assign staff • Utilize checklist

18. Lab Screening Implementation • Station 1: Registration • Station 2: Paperwork • Station 3: Lab Consultant • Station 4: Measurements • Station 5: Incentive/Urine Collection

19. Lab Screening Follow-up • Step 1: Print Labs, Review, Add Data to Screening Log, Determine Eligibility • Step 2: Prediabetes Results • Refer to dietitian for referral to DPP • Refer to provider for dx • Review paperwork • DPP contact for recruitment & to set up physical exam appt

20. Lab Screening Follow-up • Step 3: Diabetes Results • Refer to provider for 2nd test • DPP staff follow-up in RPMS or with patient • Step 4: Normal Results • Send letter from dietitian with literature if needed

21. Patients from community screenings, referrals, & contacts Lab Screening Begin Classes (retest for baseline if needed)

22. Successful Strategies

23. Referrals Already have a diagnosis and have provider support.

24. Successful Referral Activities • Provider Challenge for Referrals • Gaining support early • Seek provider input • Keep clinical staff in the loop

25. Successful Strategies • Utilize a timeline • Plan, then plan some more • Communicate with team • Develop a system • Develop effective logs, forms, etc. • Establish great relationships with pts

26. Successful Strategies • Piggyback community events that your health program is implementing for exposure • Be visible – utilize media • Be an example • Represent your work and the goals of DPP • Be positive • Live healthy

27. Questions? Wa-do!