Health coaching fcwwc presentation

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Health coaching fcwwc presentation

  1. 1. First Coast Worksite Wellness Council 1st Quarter Meeting Wednesday, April 6th, 2011 8:30AM – 10:00AM Acosta/Promo Depot
  2. 2. Agenda <ul><li>8:15 Networking Time </li></ul><ul><li>8:30 Welcome & Introductions </li></ul><ul><li>8:40 3 rd Annual Conference Update </li></ul><ul><ul><li>Andrea Hart </li></ul></ul><ul><li>8:55 Health Coaching </li></ul><ul><ul><li>Angela Lee </li></ul></ul><ul><li>9:30 Q&A </li></ul><ul><li>9:40 FCWWC Updates </li></ul><ul><ul><li>Succession Planning </li></ul></ul><ul><li>9:45 Networking/Tour </li></ul>
  3. 3. Welcome & Introductions Mike Finnie, Chairperson
  4. 4. 3rd Annual Conference Andrea Hart, Conference Chair
  5. 5. Health Coaching as a Population Health Management Solution Angela Lee, MSH, MCHES Intrinsic Coach, Wellcoach <ul><li>“ It’s what you learn after you know it all that counts” John Wooden </li></ul>
  6. 6. Outline <ul><li>What is Health Coaching? </li></ul><ul><li>How is it offered? </li></ul><ul><li>What will it cost? </li></ul><ul><li>Should I expect outcomes? </li></ul><ul><li>Who is doing it? </li></ul><ul><li>Resources </li></ul>
  7. 7. Population Health Management <ul><li>Focus on well-being of entire population, not just high-risk – keeping the healthy where they’re at </li></ul><ul><li>Use evidence-based programming for managing and reducing health risks </li></ul><ul><li>Programs are different in every company </li></ul><ul><li>Healthy Workforce Objective strategy: “person-to-person” health coaching. (Healthy Workforce 2010 & Beyond) </li></ul>
  8. 8. Starts with the Data <ul><li>Data </li></ul><ul><li>Health Risk Assessment (#1 tool for identifying candidates for coaching) </li></ul><ul><li>Health Screening </li></ul><ul><li>Medical Claims Data </li></ul><ul><li>Physician Visit/Referral </li></ul><ul><li>70% of people make health decisions based on lab </li></ul><ul><li>results – Quest Diagnostics </li></ul><ul><li>Now What? How do employees know what to do with </li></ul><ul><li>what the information they’ve received? </li></ul>
  9. 9. Behavior Change <ul><li>Can be achieved through: </li></ul><ul><li>Education/Information </li></ul><ul><li>Handouts, articles, newsletters, web, seminars, Lunch & </li></ul><ul><li>Learns </li></ul><ul><li>Advice </li></ul><ul><li>Physician, Family, Friends/Social connections (i.e. church) </li></ul><ul><li>Coaching </li></ul><ul><li>Individual or group setting; focused on “wants” and personal goals </li></ul>
  10. 10. Intrinsic Motivation <ul><li>One goal is that the coachee (patient or employee) develop their own best thinking and become able to coach themselves — anywhere, any time. </li></ul><ul><li>Coaches don’t help or “fix” – they support </li></ul><ul><ul><li>People are capable, creative, and complete (Totally Coached – www.totallycoached.com) </li></ul></ul>
  11. 11. Health Coaching Defined <ul><li>A collaboration between the coach and participant with the goal of supporting and facilitating healthy behaviors through the use of behavioral techniques such as motivational interviewing, stages of change, problem solving, and assessing readiness to change. </li></ul><ul><ul><li>a targeted intervention option for both Risk Avoidance (coaching at the time of HRA/screening) and Risk Reduction (follow-up after HRA) programming, with 3 primary methods: face-to-face, telephonic, online. </li></ul></ul><ul><ul><li>(Healthy Workforce 2010 & Beyond) </li></ul></ul>
  12. 12. Health Coaching History <ul><li>Coaching, in general, started about 25 years ago, first in executive leadership, followed by life coaching. </li></ul><ul><li>Health/wellness coaching started about 10 years ago. </li></ul><ul><li>Has roots in applied behavioral science and adult development, & has embraced positive psychology. </li></ul>
  13. 13. What’s in a Name? <ul><li>Health Coach </li></ul><ul><li>Lifestyle Coach </li></ul><ul><li>Wellness Coach </li></ul><ul><li>Mentoring </li></ul><ul><li>Health Advising </li></ul>
  14. 14. What to Look For in a Health Coach…. <ul><li>Professionals with health and wellness knowledge and credentials in one or more of the following areas: </li></ul><ul><ul><li>Physical Health (Health Educators, Nurses, Physicians) </li></ul></ul><ul><ul><li>Physical Activity (Exercise Physiologists) </li></ul></ul><ul><ul><li>Nutrition (Dieticians, Nutritionists) </li></ul></ul><ul><ul><li>Mental Health (Social Workers, Psychologists) </li></ul></ul><ul><li>Certification in an established coaching methodology: </li></ul><ul><ul><li>Intrinsic Coaching ( www.totallycoached.com ) </li></ul></ul><ul><ul><li>Wellcoaches ( www.wellcoaches.com ) </li></ul></ul><ul><ul><li>Motivational Interviewing ( www.motivationalinterviewing.org ) </li></ul></ul><ul><ul><li>National Society of Health Coaches ( www.nshcoa.com ) </li></ul></ul>
  15. 15. Delivery Methods <ul><li>Telephonic (76.5%) </li></ul><ul><li>Web – mobile messaging (52.9%) </li></ul><ul><li>Face-to-face (47.1%) </li></ul><ul><li>(2010 HIN, Health Coaching Benchmarks) </li></ul>
  16. 16. Health Coaching (Advantages) <ul><li>Personalized to each individual </li></ul><ul><li>Provides accountability </li></ul><ul><li>Behavioral scientists have shown that one-on-one coaching is among the most effective approaches to helping people make and sustain improvements in their lives. </li></ul><ul><ul><li>Coaches facilitate a process of change and development designed to realize the potential of individuals and organizations. (Wellcoaches.com) </li></ul></ul>
  17. 17. Health Coaching (Disadvantages) <ul><li>Cost - most often cited as the major barrier to launching a health coaching program (2010 HIN , Health Coaching Benchmarks) </li></ul><ul><li>Not much data on ROI available related specifically to health coaching </li></ul><ul><li>No “one size fits all” approach </li></ul>
  18. 18. Costs <ul><li>Vary by method and across the industry </li></ul><ul><ul><li>Per employee (per month or per year) </li></ul></ul><ul><ul><li>Per participant </li></ul></ul><ul><ul><li>Per hour </li></ul></ul><ul><li>Pricing tends to increase in this direction </li></ul><ul><ul><li>Online  Telephonic  Face-to-Face </li></ul></ul><ul><ul><li>Consider resources already available: EAP, health insurance provider </li></ul></ul>
  19. 19. Outcomes <ul><li>Coaching outcomes – what to measure: </li></ul><ul><ul><li>Performance: reaching a destination (biometrics such as weight or BP or running a race) </li></ul></ul><ul><ul><li>Skills: developing new skills or abilities (how to exercise, how to cook, managing stress) </li></ul></ul><ul><ul><li>Behaviors: establishing/maintaining new behaviors or habits </li></ul></ul><ul><ul><li>Development: increasing consciousness through new perceptions, beliefs, meaning, values (confidence, self-awareness) </li></ul></ul><ul><li>(Margaret Moore, wellcoaches, AJHP conference 2010) </li></ul><ul><ul><li>HRA data </li></ul></ul><ul><ul><li>Biometric screening data </li></ul></ul><ul><ul><li>Medical claims data </li></ul></ul>
  20. 20. Examples <ul><li>Johnson & Johnson ($500 incentive) </li></ul><ul><li>Complete HRA </li></ul><ul><li>If 1 or more risk factors present (11 possible), employee must complete Health Coaching to receive financial incentive </li></ul><ul><li>Chart Industries (insurance premium incentive) </li></ul><ul><ul><li>Complete HRA and screenings </li></ul></ul><ul><ul><li>Work toward results-based goals (i.e. BMI) </li></ul></ul><ul><ul><li>Participate in at least one follow-up coaching visit (provided onsite/face-to-face) </li></ul></ul>
  21. 21. Case Studies <ul><li>Cianbro case study: outcomes indicated that one-on-one health coaching encounters could significantly reduce at-risk health behaviors and physical measurements across the studied population. http://www.welcoa.org/wwp/pdf/cianbro_case_study.pdf (starts page 6) </li></ul><ul><li>Your experiences? </li></ul>
  22. 22. Resources <ul><li>www.wellcoaches.com </li></ul><ul><li>www.totallycoached.com </li></ul><ul><li>www.welcoa.org </li></ul><ul><li>www.motivationalinterviewing.org </li></ul><ul><li>Evidence-based coaching handbook – Stober & Grant </li></ul><ul><li>2010 Health Coaching Benchmarks – Healthcare Intelligence Network </li></ul>
  23. 23. FCWWC Updates Mike Finnie, Chairperson
  24. 24. Final Notes/Reminders <ul><li>Please fill out meeting evaluation </li></ul><ul><li>Join our Mailing List! </li></ul><ul><li>Promo Depot – Meet in lobby in 5 minutes </li></ul><ul><li>See you at the Conference! </li></ul><ul><li>Monday, May 16th </li></ul><ul><li>8:00am – 4:00pm </li></ul><ul><li>Location: UNF </li></ul>

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