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Fair

 Haven  Community  Health  Center  Diabetes  Prevention  Program                                  Updated  3Dec10  

FHCHC  DPP  
Referral  >  Recruitment  Flow  Chart  
 
 

DPP  Staff  Stocks  Clinician's  Rooms  with  OGTT  Screening  Referral  Forms:  Weekly  

Clincians  Fill  Referral  Forms  and  Drop  in  Centrally-­‐Located  Special  DPP  Referrals  
Basket:  Daily  

DPP  Staff  Collects  OGTT  Screening  Referral  Forms:  Weekly  

DPP  Staff  Call  Referred  Pa?ents:  Within  3  Weeks    

DPP  Staff  Make  3  AJempts  to  Reach  Pa?ents:  Within  3  Weeks  

When  Referred  Pa?ents  Are  Either  Scheduled  or  Have  been  Called  3  Times,  DPP  
Staff  Files  Referral  Forms  in  Clinician  Folders  for  Review:  Within  3  Weeks  

DPP  Staff  Maintain  an  Excel  Spreadsheet  of  Pa?ent  Referrals:  Weekly  
 
 
 

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