Exercise Is Medicine is a global initiative aimed at encouraging physicians to inquire about, document, and prescribe physical activity to each patient at every visit.
1. Exercise Is Medicine Jacksonville
Presented by: Carmen Rojas
Kinesologist, Participating EIM
Supporter
2. What Is Exercise Is Medicine
• Exercise Is Medicine™ is a sustainable global initiative to:
– Influence national policy to obtain reimbursement for exercise
counseling.
– Influence medical health record companies to include exercise
as a HEDIS measure and health care systems to make exercise a
vital sign.
– Effect policy changes that support physical activity counseling
and patient referrals (to health fitness professionals) in clinical
settings.
– Produce an expectation among the public that health care
providers should and will ask about and prescribe exercise.
– Encourage physicians and other health care providers to be
physically active themselves.
3. What This Means For Your Practice
• The medical practice action steps can be
summed up in three basic steps.
• Ask
• Assess
• Assign
4. What To Ask
• Ask every patient, at every visit questions
about their physical activity.
• Sample questions might include
– When was the last time you exercised?
– How long do you exercise when you do exercise?
– What type of exercise do you prefer?
– How hard are you exercising?
5. Assessing Readiness For Physical
Activity
• Based on their diagnosis, current state, and
answers to the previous questions assess the
following:
– Should this patient be exercising?
– Can this patient exercise on their own?
– Can this patient exercise under the guidance of an
exercise professional?
– PAR-Q is a useful tool to determine physical
activity readiness.
6. Assign The Patient Some Homework
• If the patient is already exercising as they
should, congratulate and encourage them to
continue.
• If the patient is not currently getting enough
physical activity, but does not need supervision
use the “Exercise Prescription” to give them
specific steps.
• If the patient needs regular guidance to achieve
physical activity goals, refer them to a qualified
health and fitness expert.
7. Things to Remember When Choosing
A Trainer
• Not all personal trainers are
created equal. To treat
special populations trainers
should at a minimum:
– Have a 4 year degree in an
Exercise Science or related
field in addition to an NCCA
recognized Personal Training
certification.
– Hold a current CPR
certification
– If independent, carry
sufficient liability insurance
• Not all gyms insure the
trainers
8. Resources
• All of the pieces (EIM Prescriptions, Referral
Cards, brochures) etc. can be downloaded
from www.exerciseismedicine.org
• The pieces can be custom ordered, printed
and bound locally.
– (Speak with Carmen Rojas for more information.)
9. The Research
• Quantity and Quality of
Exercise for Developing and
Maintaining Cardiorespiratory,
Musculoskeletal, and
Neuromotor Fitness in
Apparently Healthy Adults:
Guidance for Prescribing
Exercise
• Appropriate Physical Activity
Intervention Strategies for
Weight Loss and Prevention of
Weight Regain for Adults
• Exercise and 24-h Glycemic
Control: Equal Effects for All
Type 2 Diabetes Patients?
• American College of Sports
Medicine Roundtable on
Exercise Guidelines for Cancer
Survivors
• Acute Effects of Exercise and
Calorie Restriction on
Triglyceride Metabolism in
Women
10. Summary
• The success of the Exercise Is Medicine global
initiative depends on the leadership of
physicians.
• The Ask, Asses, Assign process should only
take a few minutes to complete and can make
a significant difference to your patient
outcomes.
• Lead by example and encourage your
staff, and colleagues to regularly exercise.