Rod Hart at Consumer Centric Health, Models for Change '11

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Managing Medical and Behavioral Risk.
Rod Hart, RN, COHN
Health Promotion & Wellness
ODS Health

Published in: Health & Medicine
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Rod Hart at Consumer Centric Health, Models for Change '11

  1. 1. MANAGING MEDICAL ANDBEHAVIORAL RISKRod Hart, RN, COHNHealth Promotion & WellnessODS HEALTH October 13, 2011 – Seattle
  2. 2. Typical clinical coachingapproach… 2
  3. 3. Healthcare continuum Healthy Acute At Risk Chronic Disease Disability and Well Illness/Injury 85% of employees 15% of employees 15% of costs 85% of costs Behavioral Risk & Activation
  4. 4. Patient Activation Measure Personas Starting Building Acting Maintaining Level 1 Level 2 Level 3 Level 4 Promote belief that an Support the building of Initiate new Resilience even underActivation Consumer ProfileObjective active member role is confidence and behaviors and stress & able to plan important, starting with knowledge necessary to improve health for difficult situations self-awareness take action  Does not understand  Lack knowledge  Has minimal  Has made most of the role they should play about their condition, confidence in the necessary in managing their health treatment options, handling certain behavior changes, but  Does not believe or and/or self-care options aspects of their may have difficulty understand that they hold  Has little experience health maintaining behaviors the key to their health or success with  Has the basic facts over time or during and functioning behavior change of their conditions stress and treatments
  5. 5. Engagement and activation Must assess three core domains  Knowledge, skills and confidence Promote healthier behaviors and foster positive outcomes  Treatment compliance, medication adherence, re- admission prevention Critical transition and acute care episodes  Outpatient - long term chronic disease  Inpatient - pending discharge outpatient referral  Urgent care - keeping primary provider engaged
  6. 6. How Coaching works? Current lifestyleWhat works or sustains it Future vision What do you really desire and inspires you Activation What changes are requiredand what is your action plan Life barriers What tends to get in your way and who’s in charge
  7. 7. Patient activation measure update Starting Building Acting Maintaining Behavioral-based model Patient Activation Measures  Targeted Pre/Post PAMs by Level (N=704) interventions  Risk segmentation Total - Pre 90 130 249 235  Outcome measures Level 1  Length of stay Level 2  Medication adherence Level 3 Level 4  ER, urgent careTotal - Post 45 83 215 361  Readmissions 0 200 400 600 800 # Surveys
  8. 8. NCQA Leadership SeriesQuality Profiles™ Features the ODS behavioral and evidence-based approach Innovative case study supporting health care self- management Practical examples of successful interventions
  9. 9. Thank you!

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