Six Montgomery County regional hospitals taking on Diabetes for patients at risk of developing diabetes as well as patients with diabetes.

Depending on your patients' needs, Nexus Montgomery has a program tailored to meet them.

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Diabetes Prevention Program
​[DPP]

Program Designed for: Patients at risk of developing Diabetes

• Pre-diabetic & those at high-risk of developing Type 2 or gestational diabetes

Program Duration: Minimum of 16 weekly core sessions, followed by 6-to-10 bi-monthly/monthly maintenance sessions.

• Note: Medicare DPP [MDPP] can offer up to 12 additional monthly maintenance sessions (eligibility based on weight loss goals)

Program Synopsis: A free lifestyle change program that offers patients the help and support they need to make sustainable lifestyle changes to improve their health.

• Dedicated lifestyle coach leading a CDC-approved curriculum
• Nutritional guidance
• Exercise sessions to achieve goal of ≥ 5% body weight loss

Diabetes Self-Management
Education & Support
​[DSMES/DSMT]

Program Designed for: Patients with diabetes

• Current target population is Medicare beneficiaries.

Program Duration: 10 hours of curriculum during the first year -- includes both one-on-one and group sessions.

• Up to 2 hours of ongoing maintenance sessions per year.

Program Synopsis: Focused on the patient attaining the knowledge, skills, and support needed to work with their physician and successfully "self-manage" their diabetes on a daily basis.

• Diet & Nutrition guidance
• Blood glucose self-monitoring
• Medication adherence/education
• Risk-reduction of complications
• Coping strategies, problem-solving
• Support from a registered dietician

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How to Complete the eReferral process in CRISP

Step-by-step process

1. Log-in to the Unified Landing Page at: ulp.crisphealth.org
   
   
2. Search the desired patient (First Name, Last Name, and Date of Birth are required).
   
   
3. Select the patient by clicking the box in the “Include” column on the right-hand side of the screen then access the “Referrals Web Form” by clicking the “Referrals” tab at the top of the screen.
   
   
4. Once in the “Referrals” tab, the Web Form will prepopulate with patient demographic information. Complete the following sections manually: Patient Vitals, Alternate Phone Number, and Email.
   
   
5. Select Nexus Montgomery Diabetes Program from the “Organization” dropdown.
   
   
6. Select either Diabetes Prevention Program or Diabetes Self-Management Training.
   
   
7. Note: The comment box is a required field provided for sharing pertinent patient notes.
   
   
8. Once the Web Form is complete, check the ‘Patient Consent” box then click “Submit” to send the referral.

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If you have any questions, please contact the Nexus Montgomery Diabetes Program at:
Nexus_Diabetes@primarycarecoalition.org