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The NARA Clinic in Portland implements a thorough screening process for diabetes, incorporating various tools and evaluations. New patients receive the ADA Risk Test at their first appointment, while community events also facilitate screening by DPP staff. Essential vital sign evaluations are conducted for patients aged 10 and older, and further testing includes OGTT, FBG, or A1C measurements. Since 2005, over 3,900 individuals have been pre-screened, with 56% diagnosed with prediabetes or diabetes. DPP physical days streamline the process, allowing for coordinated lab work and enrollment.
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Presentation: Clinic Screening Process Portland NARA of the Northwest Clinic Screening Process Pre-screening Tool: ADA Risk Test • Given to patients by front desk at new patient appointments • Administered at community events by DPP Staff • Positive screening is ≥ 10
Clinic Screening Process Pre Screening Tool: Vital Sign Evaluation- at medical appointments • Random CBG, Height/Weight, Age, time since last eaten on everyone age 10 and older. Reviewed by provider- further screening as appropriate Total number pre-screened at NARA- 3902 since 2005 Smith, Mary 8/28/1964 46 yrs Sex: F Provider: Ruth Anne McGovern DOS: 2/15/2011
Clinic Screening Process Screening: OGTT, FBG, A1C 786 Total number screened at NARA with either OGTT, FBG or A1C 56% Of those screened at NARA have been diagnosed with prediabetes or diabetes (since 2004) Diagnostic criteria for prediabetes and diabetes: If in diabetes range, repeat glycemic measure on a different day, within 7 days, to rule out diabetes
Eligibility DPP Physical Days • Champion Provider does all DPP Physicals • We block one or two days and schedule all physicals together • At the same visit, participants get labs done and meet with DPP Staff to complete enrollment paperwork • Incentive given once they complete everything
