The document discusses selecting and integrating wellness programs into client health promotion initiatives. It outlines the benefits of including health promotion, describing wellness programs as identifying health risks and promoting healthy behaviors. It also discusses measuring the success of programs through metrics like participation rates and health risk assessment results. The key is tailoring programs to the target population and supporting programs with communication campaigns and executive sponsorship.
- Over half of working Canadians believe that the financial impact of a critical illness would be very serious for themselves or their partner. The top concerns are loss of income and inability to meet living expenses.
- To cope financially, over 8 million working Canadians (62%) would need to delay retirement, get into debt, or downsize their home. The most common strategy is cutting back on expenditures.
- If a partner became critically ill, over half (55%) of working Canadians would need to continue working to cope financially.
This document provides an overview and agenda for a 6-week online training series on Screening, Brief Intervention, and Referral to Treatment (SBIRT) implementation. Week 1 will include introductions, an overview of SBIRT and common screening tools like the AUDIT for alcohol and DAST for drugs. Participants will be assigned to view training videos and practice scoring screening tools in preparation for learning about brief interventions in subsequent weeks. The full training series will cover topics like brief intervention steps, making referrals, integrating SBIRT into clinical workflows, and cultural considerations to help professionals implement evidence-based substance use screening and treatment services.
Presentation from eHealth 2003 Conference in London, England, in the “eHealth and Patient Centred Care” session at 11:30 am on October 16.
http://www.brown2020.com
Prof Ken Mc Donald , Associate Clinical Professor UCD/ St Vincent'sInvestnet
The document discusses improved diagnostics and pathways for heart failure patients using an integrated approach. It summarizes the challenges of chronic disease management using the current reactive care model and outlines goals and solutions based on the heart failure management program. Key points include:
- Chronic diseases account for most health care visits, hospitalizations, and costs, posing major challenges for healthcare systems.
- New models of chronic disease management are needed to prevent illness onset, keep patients well in their communities, and reduce emergency visits and hospitalizations.
- The heart failure program demonstrates potential solutions through virtual consultations, reduced travel, and use of natriuretic peptides to personalize risk assessment and focus resources.
- Preliminary results
Closing the treatment gap in alcohol dependence thessalonika 2015Antoni Gual
Lecture on the treatment gap (underdiagnose & undertreatment) of alcohol use disorders. Presented at the 5th Conference of the Greek Psychiatric society in Thessalonika, march 21st, 2015.
This document summarizes resources from the National Diabetes Education Program (NDEP) to address the diabetes epidemic. It outlines that nearly 26 million Americans have diabetes and 79 million have prediabetes. The NDEP is a partnership between the CDC and NIH that provides public education on diabetes prevention, treatment, and control through various materials and campaigns. It discusses resources available on their websites for consumers, healthcare providers, and businesses to promote diabetes management and reduce complications and costs.
This document summarizes SAMHSA's strategic initiatives and challenges around prevention of substance abuse and mental illness. It discusses how health reform presents new opportunities and challenges, including 32 million more Americans being eligible for coverage by 2014. SAMHSA's strategic initiatives focus on goals like preventing onset of substance abuse and mental illness through primary prevention, reducing underage drinking and prescription drug misuse, and preventing suicides. The document outlines challenges for state leadership in implementing prevention programs and ensuring access to evidence-based services under health reform.
The document provides an agenda for an online training series on implementing SBIRT (Screening, Brief Intervention, and Referral to Treatment). It includes an overview of SBIRT and the need for these services to address substance use issues. The training covers screening tools like the AUDIT for alcohol and DAST for drugs. It also discusses providing brief interventions to help patients understand their substance use and motivate behavior change, as well as making referrals to treatment. The document emphasizes the importance of screening for substance use universally and addressing a wide range of at-risk groups like pregnant women and adolescents.
- Over half of working Canadians believe that the financial impact of a critical illness would be very serious for themselves or their partner. The top concerns are loss of income and inability to meet living expenses.
- To cope financially, over 8 million working Canadians (62%) would need to delay retirement, get into debt, or downsize their home. The most common strategy is cutting back on expenditures.
- If a partner became critically ill, over half (55%) of working Canadians would need to continue working to cope financially.
This document provides an overview and agenda for a 6-week online training series on Screening, Brief Intervention, and Referral to Treatment (SBIRT) implementation. Week 1 will include introductions, an overview of SBIRT and common screening tools like the AUDIT for alcohol and DAST for drugs. Participants will be assigned to view training videos and practice scoring screening tools in preparation for learning about brief interventions in subsequent weeks. The full training series will cover topics like brief intervention steps, making referrals, integrating SBIRT into clinical workflows, and cultural considerations to help professionals implement evidence-based substance use screening and treatment services.
Presentation from eHealth 2003 Conference in London, England, in the “eHealth and Patient Centred Care” session at 11:30 am on October 16.
http://www.brown2020.com
Prof Ken Mc Donald , Associate Clinical Professor UCD/ St Vincent'sInvestnet
The document discusses improved diagnostics and pathways for heart failure patients using an integrated approach. It summarizes the challenges of chronic disease management using the current reactive care model and outlines goals and solutions based on the heart failure management program. Key points include:
- Chronic diseases account for most health care visits, hospitalizations, and costs, posing major challenges for healthcare systems.
- New models of chronic disease management are needed to prevent illness onset, keep patients well in their communities, and reduce emergency visits and hospitalizations.
- The heart failure program demonstrates potential solutions through virtual consultations, reduced travel, and use of natriuretic peptides to personalize risk assessment and focus resources.
- Preliminary results
Closing the treatment gap in alcohol dependence thessalonika 2015Antoni Gual
Lecture on the treatment gap (underdiagnose & undertreatment) of alcohol use disorders. Presented at the 5th Conference of the Greek Psychiatric society in Thessalonika, march 21st, 2015.
This document summarizes resources from the National Diabetes Education Program (NDEP) to address the diabetes epidemic. It outlines that nearly 26 million Americans have diabetes and 79 million have prediabetes. The NDEP is a partnership between the CDC and NIH that provides public education on diabetes prevention, treatment, and control through various materials and campaigns. It discusses resources available on their websites for consumers, healthcare providers, and businesses to promote diabetes management and reduce complications and costs.
This document summarizes SAMHSA's strategic initiatives and challenges around prevention of substance abuse and mental illness. It discusses how health reform presents new opportunities and challenges, including 32 million more Americans being eligible for coverage by 2014. SAMHSA's strategic initiatives focus on goals like preventing onset of substance abuse and mental illness through primary prevention, reducing underage drinking and prescription drug misuse, and preventing suicides. The document outlines challenges for state leadership in implementing prevention programs and ensuring access to evidence-based services under health reform.
The document provides an agenda for an online training series on implementing SBIRT (Screening, Brief Intervention, and Referral to Treatment). It includes an overview of SBIRT and the need for these services to address substance use issues. The training covers screening tools like the AUDIT for alcohol and DAST for drugs. It also discusses providing brief interventions to help patients understand their substance use and motivate behavior change, as well as making referrals to treatment. The document emphasizes the importance of screening for substance use universally and addressing a wide range of at-risk groups like pregnant women and adolescents.
The document discusses the challenges facing Medicare as the population of elderly Americans grows dramatically. By 2030, Medicare enrollment is expected to increase by 48% to 80 million people, greatly straining its resources. Additionally, half of seniors have prediabetes and one-third have heart disease, two very expensive chronic conditions to treat. The growth of chronic diseases threatens Medicare's long-term sustainability unless innovative solutions are found to engage seniors in preventive healthcare and reduce disease risks. Medicare Advantage plans that emphasize prevention show promise in improving health outcomes and lowering costs by investing savings back into more benefits.
This document describes a project that implemented group visits to improve diabetes care for 28 low-income Latino patients. The group visits occurred monthly for 2 hours and included checking vitals, immunizations, foot exams, interactive discussions on patient-selected topics, private time with physicians if needed, and a light healthy dinner. Key outcomes measured included A1c, blood pressure, weight, LDL, eye exams, and diabetes knowledge. While A1c and LDL did not show statistically significant improvements possibly due to the short duration, eye exams and diabetes knowledge did significantly increase. The group visit model showed potential to effectively deliver diabetes care and self-management support to underserved populations, but requires a dedicated clinical team and addressing social barriers like transportation.
US Health Programs, Inc. partners with physicians to provide behavioral healthcare solutions that improve patient outcomes. Their services include depression screenings, mental health diagnostic testing, and outcome tracking, which improves patient care and generates additional revenue. They provide validated tools and testing that are used globally to accurately diagnose mental illnesses.
This document summarizes lessons learned from implementing HIV screening and treatment programs that could be applied to improving chlamydia screening and treatment efforts. Some key points discussed include the need to remove barriers to testing, improve linkage between testing and treatment, address disparities in screening and treatment rates, and work with private healthcare systems by understanding their unique contexts and incentives. Expanding recommendations and performance metrics could help drive improved chlamydia screening and treatment practices.
This document discusses the business case for workplace wellness programs. It notes that chronic conditions are increasing as the workforce ages and obesity rises. Poor health leads to higher medical costs and lost productivity. Data from MaineGeneral Health shows that their wellness program reduced health risks and medical claims costs for participating employees. The personal case for wellness is also made, with five rules to live by: quantify your health status, eat well and watch portions, get regular physical activity, get good sleep, and quit smoking. The document advocates being a smart healthcare consumer by getting the right care, at the right time, and in the right place.
The DAWN2 study aims to assess barriers and facilitators to diabetes self-management through a multinational survey of people with diabetes, their family members, and healthcare professionals across 17 countries. The study goals are to understand unmet needs, identify opportunities for improvement, and inform advocacy efforts to advance person-centered diabetes care and prevention globally. Initial findings provide insights into concerns, treatment attitudes, and access to support services across stakeholder groups.
Truth, Desire, and Habit: Animating Community as Medicine.
How often have we heard doctors deliver behavior change instructions (“Eat better! Exercise more! Reduce your stress!”) followed by something like “Good luck with that! I’ll see you in 6 months?”
For our patients who lack access to the boutique ($$) wellness industry, these kinds of “Behavioral Prescriptions” are a prescription to nowhere.
Open Source Wellness (OSW) is the nation’s first “Behavioral Pharmacy:” a democratized delivery system for the universal and trans-diagnostic behaviors and experiences that potentiate human health and wellbeing. The model leverages the power of community to animate a very simple platform: MOVE (physical activity), NOURISH (healthy meals,) CONNECT (social support), and BE (stress reduction). Adaptable to diverse populations, OSW addresses the behaviorally- and socially-mediated conditions that are driving human suffering and astronomical healthcare spending by animating clinical, community, housing, and corporate contexts as platforms for health and wellbeing.
Join us for an experience (80% direct engagement, 20% keynote on methodology and outcomes) of the OSW Truth, Desire, and Habit human technologies, and leave ready to creatively apply the active ingredients of this model to your work your world!
Mental Health is more prevalent than what we think. Current care models and technology solutions are targeting medical conditions but the fact is most of the mental health patients are also chronic condition patients. It is important to provide holistic care for mental and medical conditions. vCareConnect technology helps organizations deliver holistic care to their patients with mental illness and chronic conditions.
Substance abuse treatment is tailored to help with recovery from drug and alcohol addiction. Comprehensive services are the key to success. Learn more about substance abuse treatment at FindRehabCenters.org and get help finding the appropriate treatment center for you. (877) 322-2450
Non-adherence of CML patients - Results of the global survey of the CML Ad...jangeissler
"Non-adherence of CML patients - Results of the global survey of the CML Advocates Network", presented by Giora Sharf, Co-founder, CML Advocates Network and Director, Israeli CML Patients’ Organization, for the International CML Foundations' "Virtual Education Program"
The Costly Toll of Major Depression [Infographic]Ryan Simpson
Major depression affects over 15 million American adults and has significant economic and social costs. The annual cost of major depression in the United States was estimated to be over $210 billion in 2010, with only 40% of costs directly related to medical treatment. Left untreated, major depression can also increase the risk of other health issues. However, treatment options like psychotherapy and pharmacotherapy have proven effective in reducing symptoms for most patients. Addressing major depression through a holistic approach that considers physical, emotional, and social well-being could help improve lives while lowering healthcare costs.
How A Leading Beverage Company Used Limeade and Retrofit to Achieve Wellness ...Limeade
The webinar discussed integrating wellness programs to drive health outcomes. Dr Pepper Snapple outlined their goals of understanding health risks in 2015, addressing risks in 2016, and improving outcomes in 2017. Their focus is on preventing metabolic syndrome. The webinar promoters described meaningful integration across six touchpoints: program design, platform/technology, data, engagement/communication, points/rewards, and customer care. Key learnings included defining your strategy, understanding your culture, and ensuring the design supports long-term goals.
1. A RAND study found that workplace wellness programs are only cost-effective when they focus on helping employees manage chronic health conditions, rather than general health habits among healthy employees.
2. Many employers are rethinking their approaches to wellness programs due to doubts about their effectiveness in improving health and reducing costs. Some companies are focusing more on environmental changes and better engaging employees.
3. Financial incentives are common in wellness programs but have been controversial, as they could unfairly shift costs to employees in poorer health. Regulations now limit the size of incentives.
The Missing Link In Your Employee Engagement StrategyLimeade
A presentation from a 11/9 webinar with work experts at Limeade and Quantum Workplace on what our new research reveals about the connection between individual well-being and employee engagement.
The document provides a year-end review of changes in the healthcare insurance industry in 2015. It summarizes key events like cyber attacks, the Supreme Court ruling on the Affordable Care Act, and mergers and acquisitions among insurance companies. It also describes major website updates from various insurance providers, including new tools, telehealth services, mobile apps, microsites, and social media campaigns. The document examines how insurers adapted digitally to respond to industry issues and improve the customer experience.
Improve the Health of Your Wellness ProgramInfinisource
The document discusses regulations around wellness programs under the Affordable Care Act. It summarizes that there are two categories of wellness programs - participatory programs that don't require health standards and health-contingent programs that do. For 2014, the maximum reward for health-contingent programs is 30% of health plan costs or 50% if related to tobacco cessation. Employers have leeway in establishing reasonable alternatives. The document recommends employers consider using wellness rewards to fund health flexible spending accounts or health reimbursement arrangements to increase the value for employees and comply with nondiscrimination rules.
The document describes the MUS Wellness Incentive Program launched in 2014. It aims to help employees achieve better health through preventative health screenings, education, and disease management programs. The program uses an online platform called Limeade to house health data and resources, link employees to relevant programs, and reward healthy behaviors. Participation is confidential, with Limeade legally bound to protect personal health information. The website went live in July 2014, and incentives earned that year would affect employee benefits in fiscal year 2015.
Work-life balance implies a zero-sum game that says we can't have it all. Integration lets us coordinate, blend and bring elements of work and life into a unified whole.
The result: a more engaged, healthier and happier workforce.
We collaborated with Tracy Brower, Ph.D., author of Bring Work to Life by Bringing Life to Work for a Sept. 9 webinar to dig into the topic and provide you with tips and tricks to implement integration at your company.
Download the accompanying e-book here: http://sip.limeade.com/work-life-integration
Connectivity and disconnects breaking the engagement moldJill Gilbert
Speakers: Bill Evans, SVP Innovation, Bridge Design, A Ximedica Company
The Digital Health Summit, produced by Living in Digital Times, convenes one of the broadest spectrum of health care and technology audiences in the world. The Summit features innovations and advancements in genomics, diagnostics, wearables, telehealth and more in the mobile health market which is expected to reach $26 billion by 2017. This is a must see event each year that takes place at the International Consumer Electronics Show (CES) in Las Vegas.
Website: Http://www.digitalhealthsummit.com
Twitter: http://www.twitter.com/dhsummit
Hashtags: #digitalhealthces #ces2016
Photos: https://www.flickr.com/digitalhealthsummit
Back to the Future: Digital Deloreans Take FlightJill Gilbert
Speakers: Chris Bergstrom, Associate Director - Digital Health, The Boston Consulting Group
The Digital Health Summit, produced by Living in Digital Times, convenes one of the broadest spectrum of health care and technology audiences in the world. The Summit features innovations and advancements in genomics, diagnostics, wearables, telehealth and more in the mobile health market which is expected to reach $26 billion by 2017. This is a must see event each year that takes place at the International Consumer Electronics Show (CES) in Las Vegas.
Website: Http://www.digitalhealthsummit.com
Twitter: http://www.twitter.com/dhsummit
Hashtags: #digitalhealthces #ces2016
Photos: https://www.flickr.com/digitalhealthsummit
For years we’ve viewed work-life balance as both an insurmountable challenge and an unreachable goal. The world of work has changed as our businesses are running 24/7, personal demands and stresses seem to grow, and every aspect of our lives is fueled by technology. We’re always ‘connected’ and we’re exhausted. But it doesn’t have to be that way.
In this session we develop an understanding of work-life integration and flexibility as we consider a revised definition, review the business and organizational benefits of flexibility, and explore an approach to work-life integration for personal success.
The document discusses the challenges facing Medicare as the population of elderly Americans grows dramatically. By 2030, Medicare enrollment is expected to increase by 48% to 80 million people, greatly straining its resources. Additionally, half of seniors have prediabetes and one-third have heart disease, two very expensive chronic conditions to treat. The growth of chronic diseases threatens Medicare's long-term sustainability unless innovative solutions are found to engage seniors in preventive healthcare and reduce disease risks. Medicare Advantage plans that emphasize prevention show promise in improving health outcomes and lowering costs by investing savings back into more benefits.
This document describes a project that implemented group visits to improve diabetes care for 28 low-income Latino patients. The group visits occurred monthly for 2 hours and included checking vitals, immunizations, foot exams, interactive discussions on patient-selected topics, private time with physicians if needed, and a light healthy dinner. Key outcomes measured included A1c, blood pressure, weight, LDL, eye exams, and diabetes knowledge. While A1c and LDL did not show statistically significant improvements possibly due to the short duration, eye exams and diabetes knowledge did significantly increase. The group visit model showed potential to effectively deliver diabetes care and self-management support to underserved populations, but requires a dedicated clinical team and addressing social barriers like transportation.
US Health Programs, Inc. partners with physicians to provide behavioral healthcare solutions that improve patient outcomes. Their services include depression screenings, mental health diagnostic testing, and outcome tracking, which improves patient care and generates additional revenue. They provide validated tools and testing that are used globally to accurately diagnose mental illnesses.
This document summarizes lessons learned from implementing HIV screening and treatment programs that could be applied to improving chlamydia screening and treatment efforts. Some key points discussed include the need to remove barriers to testing, improve linkage between testing and treatment, address disparities in screening and treatment rates, and work with private healthcare systems by understanding their unique contexts and incentives. Expanding recommendations and performance metrics could help drive improved chlamydia screening and treatment practices.
This document discusses the business case for workplace wellness programs. It notes that chronic conditions are increasing as the workforce ages and obesity rises. Poor health leads to higher medical costs and lost productivity. Data from MaineGeneral Health shows that their wellness program reduced health risks and medical claims costs for participating employees. The personal case for wellness is also made, with five rules to live by: quantify your health status, eat well and watch portions, get regular physical activity, get good sleep, and quit smoking. The document advocates being a smart healthcare consumer by getting the right care, at the right time, and in the right place.
The DAWN2 study aims to assess barriers and facilitators to diabetes self-management through a multinational survey of people with diabetes, their family members, and healthcare professionals across 17 countries. The study goals are to understand unmet needs, identify opportunities for improvement, and inform advocacy efforts to advance person-centered diabetes care and prevention globally. Initial findings provide insights into concerns, treatment attitudes, and access to support services across stakeholder groups.
Truth, Desire, and Habit: Animating Community as Medicine.
How often have we heard doctors deliver behavior change instructions (“Eat better! Exercise more! Reduce your stress!”) followed by something like “Good luck with that! I’ll see you in 6 months?”
For our patients who lack access to the boutique ($$) wellness industry, these kinds of “Behavioral Prescriptions” are a prescription to nowhere.
Open Source Wellness (OSW) is the nation’s first “Behavioral Pharmacy:” a democratized delivery system for the universal and trans-diagnostic behaviors and experiences that potentiate human health and wellbeing. The model leverages the power of community to animate a very simple platform: MOVE (physical activity), NOURISH (healthy meals,) CONNECT (social support), and BE (stress reduction). Adaptable to diverse populations, OSW addresses the behaviorally- and socially-mediated conditions that are driving human suffering and astronomical healthcare spending by animating clinical, community, housing, and corporate contexts as platforms for health and wellbeing.
Join us for an experience (80% direct engagement, 20% keynote on methodology and outcomes) of the OSW Truth, Desire, and Habit human technologies, and leave ready to creatively apply the active ingredients of this model to your work your world!
Mental Health is more prevalent than what we think. Current care models and technology solutions are targeting medical conditions but the fact is most of the mental health patients are also chronic condition patients. It is important to provide holistic care for mental and medical conditions. vCareConnect technology helps organizations deliver holistic care to their patients with mental illness and chronic conditions.
Substance abuse treatment is tailored to help with recovery from drug and alcohol addiction. Comprehensive services are the key to success. Learn more about substance abuse treatment at FindRehabCenters.org and get help finding the appropriate treatment center for you. (877) 322-2450
Non-adherence of CML patients - Results of the global survey of the CML Ad...jangeissler
"Non-adherence of CML patients - Results of the global survey of the CML Advocates Network", presented by Giora Sharf, Co-founder, CML Advocates Network and Director, Israeli CML Patients’ Organization, for the International CML Foundations' "Virtual Education Program"
The Costly Toll of Major Depression [Infographic]Ryan Simpson
Major depression affects over 15 million American adults and has significant economic and social costs. The annual cost of major depression in the United States was estimated to be over $210 billion in 2010, with only 40% of costs directly related to medical treatment. Left untreated, major depression can also increase the risk of other health issues. However, treatment options like psychotherapy and pharmacotherapy have proven effective in reducing symptoms for most patients. Addressing major depression through a holistic approach that considers physical, emotional, and social well-being could help improve lives while lowering healthcare costs.
How A Leading Beverage Company Used Limeade and Retrofit to Achieve Wellness ...Limeade
The webinar discussed integrating wellness programs to drive health outcomes. Dr Pepper Snapple outlined their goals of understanding health risks in 2015, addressing risks in 2016, and improving outcomes in 2017. Their focus is on preventing metabolic syndrome. The webinar promoters described meaningful integration across six touchpoints: program design, platform/technology, data, engagement/communication, points/rewards, and customer care. Key learnings included defining your strategy, understanding your culture, and ensuring the design supports long-term goals.
1. A RAND study found that workplace wellness programs are only cost-effective when they focus on helping employees manage chronic health conditions, rather than general health habits among healthy employees.
2. Many employers are rethinking their approaches to wellness programs due to doubts about their effectiveness in improving health and reducing costs. Some companies are focusing more on environmental changes and better engaging employees.
3. Financial incentives are common in wellness programs but have been controversial, as they could unfairly shift costs to employees in poorer health. Regulations now limit the size of incentives.
The Missing Link In Your Employee Engagement StrategyLimeade
A presentation from a 11/9 webinar with work experts at Limeade and Quantum Workplace on what our new research reveals about the connection between individual well-being and employee engagement.
The document provides a year-end review of changes in the healthcare insurance industry in 2015. It summarizes key events like cyber attacks, the Supreme Court ruling on the Affordable Care Act, and mergers and acquisitions among insurance companies. It also describes major website updates from various insurance providers, including new tools, telehealth services, mobile apps, microsites, and social media campaigns. The document examines how insurers adapted digitally to respond to industry issues and improve the customer experience.
Improve the Health of Your Wellness ProgramInfinisource
The document discusses regulations around wellness programs under the Affordable Care Act. It summarizes that there are two categories of wellness programs - participatory programs that don't require health standards and health-contingent programs that do. For 2014, the maximum reward for health-contingent programs is 30% of health plan costs or 50% if related to tobacco cessation. Employers have leeway in establishing reasonable alternatives. The document recommends employers consider using wellness rewards to fund health flexible spending accounts or health reimbursement arrangements to increase the value for employees and comply with nondiscrimination rules.
The document describes the MUS Wellness Incentive Program launched in 2014. It aims to help employees achieve better health through preventative health screenings, education, and disease management programs. The program uses an online platform called Limeade to house health data and resources, link employees to relevant programs, and reward healthy behaviors. Participation is confidential, with Limeade legally bound to protect personal health information. The website went live in July 2014, and incentives earned that year would affect employee benefits in fiscal year 2015.
Work-life balance implies a zero-sum game that says we can't have it all. Integration lets us coordinate, blend and bring elements of work and life into a unified whole.
The result: a more engaged, healthier and happier workforce.
We collaborated with Tracy Brower, Ph.D., author of Bring Work to Life by Bringing Life to Work for a Sept. 9 webinar to dig into the topic and provide you with tips and tricks to implement integration at your company.
Download the accompanying e-book here: http://sip.limeade.com/work-life-integration
Connectivity and disconnects breaking the engagement moldJill Gilbert
Speakers: Bill Evans, SVP Innovation, Bridge Design, A Ximedica Company
The Digital Health Summit, produced by Living in Digital Times, convenes one of the broadest spectrum of health care and technology audiences in the world. The Summit features innovations and advancements in genomics, diagnostics, wearables, telehealth and more in the mobile health market which is expected to reach $26 billion by 2017. This is a must see event each year that takes place at the International Consumer Electronics Show (CES) in Las Vegas.
Website: Http://www.digitalhealthsummit.com
Twitter: http://www.twitter.com/dhsummit
Hashtags: #digitalhealthces #ces2016
Photos: https://www.flickr.com/digitalhealthsummit
Back to the Future: Digital Deloreans Take FlightJill Gilbert
Speakers: Chris Bergstrom, Associate Director - Digital Health, The Boston Consulting Group
The Digital Health Summit, produced by Living in Digital Times, convenes one of the broadest spectrum of health care and technology audiences in the world. The Summit features innovations and advancements in genomics, diagnostics, wearables, telehealth and more in the mobile health market which is expected to reach $26 billion by 2017. This is a must see event each year that takes place at the International Consumer Electronics Show (CES) in Las Vegas.
Website: Http://www.digitalhealthsummit.com
Twitter: http://www.twitter.com/dhsummit
Hashtags: #digitalhealthces #ces2016
Photos: https://www.flickr.com/digitalhealthsummit
For years we’ve viewed work-life balance as both an insurmountable challenge and an unreachable goal. The world of work has changed as our businesses are running 24/7, personal demands and stresses seem to grow, and every aspect of our lives is fueled by technology. We’re always ‘connected’ and we’re exhausted. But it doesn’t have to be that way.
In this session we develop an understanding of work-life integration and flexibility as we consider a revised definition, review the business and organizational benefits of flexibility, and explore an approach to work-life integration for personal success.
Speakers: Ranndy Kellogg, Chief Operating Officer, Omron Healthcare, Inc.
The Digital Health Summit, produced by Living in Digital Times, convenes one of the broadest spectrum of health care and technology audiences in the world. The Summit features innovations and advancements in genomics, diagnostics, wearables, telehealth and more in the mobile health market which is expected to reach $26 billion by 2017. This is a must see event each year that takes place at the International Consumer Electronics Show (CES) in Las Vegas.
Website: Http://www.digitalhealthsummit.com
Twitter: http://www.twitter.com/dhsummit
Hashtags: #digitalhealthces #ces2016
Photos: https://www.flickr.com/digitalhealthsummit
Improving quality of care, using existing assets better and reducing medical ...NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
Review Of Strategies To Enhance Outcomes For Patients With Type 2 DiabetsRhonda Greenapple
The document reviews strategies to improve outcomes for patients with type 2 diabetes from a payer's perspective. It discusses how diabetes results in significant health issues and costs, with complications including cardiovascular disease. While treatments exist, many patients struggle with adherence and face economic barriers. The article evaluates initiatives to enhance adherence and outcomes, such as consumer-driven plans, wellness programs, and value-based insurance, finding that combinations of strategies across multiple modalities may be most effective at improving health and reducing costs. Additional innovative programs are needed to meaningfully change patient outcomes and maximize cost-effectiveness for payers.
This document discusses diabetes, kidney disease, and prevention programs in Michigan. It states that around 1 million Michigan adults have diabetes but 1/3 don't know it, and over 900,000 have chronic kidney disease but most don't know. It provides statistics on costs of treatment and discusses several state-funded prevention programs that help people manage diseases through education, lifestyle changes, and care coordination between patients and providers. The programs have shown benefits like reduced hospitalizations, improved health outcomes, and returns on investment.
An analysis of the potential to achieve expected reductions in life expectancy from recommended interventions (reviewing the implications of a national modelling exercise)
This document discusses hypertension, also known as high blood pressure. It notes that hypertension is very common, affecting over 1 billion people worldwide and causing millions of deaths annually. While prevalence varies globally, rates as high as 30% of the adult population have been observed in some areas. The document outlines lifestyle modifications that can help prevent and control hypertension, such as maintaining a healthy weight, following a healthy diet low in salt and saturated fat, engaging in regular physical activity, and reducing stress. Prevention and control of hypertension is emphasized as the most cost-effective approach.
Increasing Burden of NCD in Malaysia: Challenges in resource allocationFeisul Mustapha
This document discusses the increasing burden of non-communicable diseases (NCDs) in Malaysia and the challenges in allocating resources. It notes that NCDs such as heart disease, diabetes, cancers and chronic lung disease account for over 75% of deaths in Malaysia and result in high economic costs. Risk factors like tobacco use, unhealthy diets, physical inactivity and alcohol consumption contribute significantly to the disease burden. While population-based interventions targeting these risk factors can help reduce NCD rates cost-effectively, the growing number of people with NCDs or at high risk of NCDs poses challenges for resource allocation and achieving universal healthcare coverage in Malaysia.
This document discusses trends in risk factors and adverse health outcomes. It begins by defining risk factors and describing why they are important to study. It then discusses the nature of health risks and the risk transition as societies develop. The document outlines the global burden of disease and risk factor assessments. It describes frameworks for reducing the preventable burden of chronic diseases from the CDC and the WHO. The WHO's global monitoring framework for noncommunicable diseases is also summarized.
د فيصل الناصر - Faisal Alnasir is a Professor and Chairman at Dept Of Family & Community Medicine at Arabian Gulf University.
http://www.faisalalnasir.com
National strategies on NonCommnicable Diseases (NCD's) the place of the Private Sector in Kenya. ACORD Round table. Dr. Kibachio Joseph Mwangi; MD, MPH (Lshtm), Msc (Epi),
Head; Non Communicable Diseases Control Unit
Ministry Of Health,
May 19: Leave No One Behind
Panelists
Brad Alyward, Head Market Access & Health Policy, Indivior
Catherine Boivin, Patient Advocate, CORD
Shona Kinley,Director, Federal Policy & Government Affairs, Novartis
Bennett Lee, Head, Value & Access, Sanofi
Joan Paulin, Patient Advocate, PHA Canada
Trevor Richter, Director of Access and Reimbursement, Gilead
Diabetes is major healthcare concern worldwide with horrific repercussions. The disease can easily be prevented with just some awareness and efforts of people. Many suffer from this horrendous condition because of lack of knowledge about the disease. To end this, creating awareness of the disease and its effects on millions of people in the world is critically important. In this article, we will outline the importance of these efforts, discuss the barriers in way of awareness and education, and highlight some important models in this arena. As an integral part of a diabetes prevention and control program strong awareness-raising and health promotion strategies are needed.
Noncommunicable diseases (NCDs) account for 71% of the deaths worldwideΔρ. Γιώργος K. Κασάπης
NCDs are not selective; they affect men and women in all countries and all socioeconomic classes, albeit with notable regional differences that influence intervention strategies and outcomes. Further amplifying the crisis, the high prevalence and chronic nature of NCDs have a direct impact on economies; the total global burden estimated to reach US$47 trillion between 2010 and 2030. Upjohn, a Pfizer division, shares insights on the major causes, trends and methods of intervention against NCDs.
Non-communicable disease and the future of developmentJeff Knezovich
The document discusses the growing threat of non-communicable diseases (NCDs) like heart disease, diabetes and cancer to development, especially in low and middle income countries. It outlines the scale of NCDs globally and in developing nations, highlighting their social and economic impacts. Potential responses are examined, including priorities identified by the UN like implementing multi-sectoral national NCD plans with a focus on prevention, primary care, community health workers, and making patients central to care.
The document outlines a proposed awareness campaign for early detection and prevention of diabetes among minority residents ages 20 and older who are at risk but not yet diagnosed. It aims to reduce mortality, morbidity, and the economic burden of diabetes. The campaign would use the Health Belief Model to increase perceived susceptibility and risks to motivate behavior change. Objectives include developing an advisory committee, recruiting volunteers, evaluating the process, and collecting data on behavior changes and incidence/prevalence pre- and post-campaign.
We invited experts from the field of public health and dementia to discuss the growing interest in dementia risk reduction and the implications of a new paper launched at the event entitled 'Preventing dementia: a provocation. How can we do more to prevent dementia, save lives and reduce avoidable costs?'
Building on the momentum of the Blackfriars Consensus from Public Health England and the UK Health Forum on “promoting brain health and reducing risks for dementia in the population”, we are keen to stimulate debate and discussion about how we could tackle dementia risk factors at scale and the potential economic, health and societal benefits of dementia risk reduction.
The provocation to be launched on the day posits that we can have a significant impact on reducing the number of people who will develop dementia. The paper identifies a number of risk factors for dementia that are amenable to intervention and have modelled the impact of matching the best-practice interventions on reducing the six main risk factors from global case studies. It is estimated that over the 27-year period from 2013-2040 this could prevent nearly 3 million people developing dementia in the UK. This would reduce the costs to the state in the UK by £42.9 billion (calculated from 2013 and 2040, minus any associated costs of intervention).
We see this paper as a provocation and a starting point for more detailed and rigorous research in this field, and are keen to hear views on further research gaps in this area and other research and policy analysis being carried out.
Speakers included Rebecca Wood (Alzheimer's Research UK), Sally-Marie Bamford (ILC-UK), Phil Hope (Improving Care), Keiran Brett (Improving Care), Shirley Cramer (The Royal Society for Public Health), Dr Charles Alessi (Public Health England), Johan Vos (Alzheimer's Disease International).
Di pette et al protocols jch oct2020 publishedNilda Vllacres
This document describes the methodology used by the HEARTS in the Americas program to implement a population-based standardized hypertension treatment protocol. The program aims to improve hypertension control rates through implementing standardized treatment protocols supported by a small, high-quality formulary of essential antihypertensive medications. The methodology includes developing a core set of ideal antihypertensive medications based on characteristics like efficacy, safety, affordability and availability. Treatment protocols then call for initial treatment of hypertension with two antihypertensive medications preferably in a single pill combination to improve adherence. Early results show this approach can significantly increase hypertension control rates in participating countries.
Multiple health problems in elderly peoplepage 950Ex.docxgilpinleeanna
Multiple health
problems in
elderly people
page 950
Excessive
drinking in
young women
page 952
Adverse drug
reactions in
elderly people
page 956
Palliative care
beyond cancer
page 958
Drug resistant
infections in
poor countries
page 948
Management
of chronic pain
page 954
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945BMJ | 26 APRIL 2008 | VOLUME 336
BMJ | Making a difference | 26 april 2008 | VoluMe 336 947
Running the gauntlet to improve
patient care
This supplement is the result of a gauntlet
thrown down, and picked up, during a dinner
in London just over a year ago. The gauntlet
thrower was Don Berwick, president of the
Institute for Healthcare Improvement in Boston.
What, he asked, was the BMJ Publishing Group
really for? What were we trying to achieve? In
reply, I and our chief executive, Stella Dutton,
were quick to quote the BMJ’s mission, which
ends with the crucial words “to improve
outcomes for patients.” Fine, said Don, but how
about being more specific: which outcomes,
what patients, by how much?
We took his suggestion seriously. Why not
target a few important healthcare problems,
taking a quality improvement approach
and focusing on the evidence on how to
make a difference in these areas? But how
to choose which issues to tackle among
the many millions of pressing healthcare
challenges facing the world? We turned in the
first instance to BMJ readers. In May 2007
we asked you to tell us what information was
most needed to improve the quality of care of
patients in clinical practice. From your many
rapid responses we harvested more than 200
ideas. After categorising these and matching
them against the priorities of national and
international bodies, we created a shortlist
of 12. With the help of an expert panel (see
http://makingadifference.bmj.com) we cut
these down to six.
Inevitably the choice of topics is subjective
rather than scientific, but the six we have
ended up with are interesting. Several turn the
spotlight on areas that are less than glamorous
and are perhaps all too often passed over, even
as their impact on individual lives and society
increases. Two topics deal with problems of
old age: multiple illness and adverse drug
reactions. Two deal with palliation: of chronic
pain and in dying from non-malignant disease.
The remaining topics deal with two very
different but serious and growing public health
challenges: drug resistant infections in the
developing world and excessive drinking in
young women. You will no doubt find important
gaps in what we have chosen. But if this
initiative proves useful we can expand it further.
On each of the six topics we’ve invited
leading commentators to write the pairs
of articles that make up this supplement.
One article in each pair aims to describe
the importance of the problem in terms of
its health and societal impact. The other
looks at the available evidence on quality
improvement initiat ...
Non-communicable diseases like cardiovascular disease, diabetes and cancer account for over half of all deaths in India and pose a major threat to economic growth. Healthcare IT and technology can help address this challenge by improving access to care through telemedicine, improving treatment effectiveness via clinical protocols and integrated health information systems, and improving patient adherence using remote monitoring and disease management programs.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
1. Selecting and Integrating
Wellness Programs into
Client Health Promotion Initiatives
Barbara H. Wall
President
Hagen Wall Consulting
2. Why Include Health Promotion Benefits?
Most growth in health care spending is due to risk factors
that can be modified
Stress, smoking, poor diet, sedentary lifestyle
Obesity and morbidities related to it causes 27% of cost increase
(1987-2002)1
Benefit design and member cost sharing changes
are helpful but do not address the entire problem of
cost increases
90% of spending is for sickest members who spend
>$1,000 a year out of pocket
Thorpe, et al, “The Rise in Health Care Spending and What To Do About It,” Health Affairs, Nov/Dec 2005
1
2
3. Health Promotion is Prevention and Management
Health Promotion =
Identifying those with health risks and promoting healthy
behaviors (wellness) +
Teaching chronic disease patients to maintain best
possible health (disease management) +
Intensive management of acute illness (case
management)
3
4. Health Promotion Continuum
Wellness Care Case & Disease
Management Management
Staying Healthy Getting Better Living with
(70% population) (14% population) Chronic Illness
(16% population)
15% of Costs 25% of Costs 60% of Costs
Risk Factors Acute Isolated Complex Cases
• Alcohol/tobacco use • Transplants
Episodes
• Sedentary lifestyle • Broken leg • Cancer
• Poor diet • Respiratory infection • Trauma
• Health history • Appendicitis • Chronic Disease
• Unmanaged stress • Diabetes
• Heart Disease
• Depression
4
5. Impact of Chronic Diseases
Heart Disease & Stroke Cancer Diabetes
• 1st and 3rd cause of • 2nd leading cause of • 6th leading cause of
death in the US (40% death death
• Screening tests now • Over 18 million people
total)
• Affects 70 million in US exist for many of the in the US have diabetes
• Much of the impact of • 27% of those who have
most common types of
diabetes don’t know it
these diseases could be cancer
• It is now known that • Lifestyle changes can
prevented, for example:
a 13% reduction in blood obesity increases the reduce the risk of
pressure can reduce: risks for breast, colon, diabetes by 60% in
• heart attack by kidney, endometrial and overweight adults with
21% esophageal cancers pre-diabetes
• stroke by 37%
• deaths by 25%
Source: Department of Health and Human Services Fiscal Year Budget Appropriations
5
6. Impact of Behavioral Risks
Obesity Tobacco Use
• Now viewed as epidemic in the US • Represents the single most
• Affects > 31% of the adult population preventable cause of death and
• 16% of children/teens and growing disease in the US
• Contributes to metabolic syndrome • Causes 440,000 deaths each year
• $150 billion in medical costs and
(increased blood pressure, increased
cholesterol levels) and risk of serious lost productivity
• Approximately 22% of adults in the
disease
• Obesity and sedentary lifestyle US smoke
• Healthy People 2010 calls for
contribute to development of stroke,
diabetes, cancer and heart disease reduction in smoking rate to 12%
Source: Department of Health and Human Services Fiscal Year Budget Appropriations
6
7. Focus on the Best in Program Design and
Execution for the Client
Wellness and disease management programs vary in
program design, integration, intensity, participation rates
and results:
Too much variation exists to generalize across vendors
Comparisons on key features among vendors is necessary
Predictions of ROI are less dependable than analysis of
program design and execution
Vendors create their own ROI methodologies and calculations
Vendor ROI predictions may create false expectations
Incentives to spark interest and participation for the high
risk segments of the client’s own pool are essential to
success
Incentive range
7
8. Factors for Health Promotion Program Success
The program must be tailored to the target
population
The group’s characteristics and risks are considered
Lifestyle risk factors
Prevalence of chronic diseases
Current activities and programs
Readiness to change
Motivation techniques
8
9. Wellness Program Strategy Elements
A well-defined strategy considers
Program objectives
Program criteria
Financial resources
Human capital
Participation incentives
Ability to leverage existing vendors/programs
Integration with other programs
Measurement
9
10. Measurement & Reporting
Should include
Short term and long term
Participation
HRA results
Data integration
10
11. Communication Plan for the Program
An intensive communication campaign is a key
success factor
Executive sponsors
Key stakeholder involvement
Advance publicity
Frequent, clear messaging
11
12. Services to Support Program Selection
Client education and strategy
Group profile
Vendor market scan
Current program assessment
Analysis of proposals and guidance on
Participation incentives
Communication
Metrics
Implementation
Competitive bid
With BRG as point of communication with client
Negotiations with vendors
Metrics
Competitive pricing
Implementation oversight
Coordination between client and vendor
12
13. Questions and Comments?
Contact:
Barbara Wall, JD
President, Hagen Wall Consulting
(206) 629-4174
Barbara.Wall@HagenWallConsulting.com
13
Editor's Notes
Examples in these categories include:Benchmarks defined for short and long term program results # walking program participants/distance and continued participation nutrition program participation/pounds lost (within HIPPA rules)tobacco cessation program participation/# that quit # that complete HRA/# and type of follow up) Participation# identified for programs # with program contact # who participateDrop out rateWhich programs are most popular and effective?Program cost vs. participationAre web-based information tools available to support programs?HRA resultsParticipation rateIs personalized feedback report informative/meaningful?Greatest area of opportunity and method for follow up # receiving outreachData integration that fosters integration with other programs# and types of data sharing and referrals between programs are identified?
Involvement and support for the wellness program is an important factor in its success and the vendor should have identified and engaged executive sponsors who will be engaged and support the program. Key stakeholders should be identified in the vendor proposal and their roles detailed. Approaches to building interest and enthusiasm for the various campaigns in the program should be part of the wellness program publicity. Messaging must be ongoing and varied to hold interest in the program and should be described for various campaigns for the client’s program.
In partnership with you, I can provide these services to help your clients select results oriented wellness strategies , eliminate fluff that that contribute to program costs, assure programs are and reporting is executed as promised, andtrack execution against performance guarantees.
Over the previous decade, thinking around the approach and value of care management, disease management and wellness activities has changed with experience.Clearly, member cost share increases cannot modify consumer behavior to adequately address medical cost inflation, andInformation about the contribution of unhealthy behaviors to the development of chronic and catastrophic diseases has grown.
As experience with care management, disease management and wellness activities has accumulated, A more integrated approach to health promotion has evolved – One that recognizes the value of cost containment from well executed case management activities - that is the intervention of medical professionals (usually RNs) at the beginning of an episode of acute illness through its resolution and the patient’s stabilization,Recognition of the value of more focused disease management activities that identify those with chronic disease who are at a point in their lives at which the are interested and motivated to change unhealthy behaviors and focusing on these individuals and a move away from the sort of blanket or shot gun approach to communication with disease management programs, andImprovements have developed in designing wellness programs that are more focused on the nature and character of the groups that they target to obtain improved participation in wellness activities.
In previous decades, management activities focused primarily on the end of the continuum in which most of the current costs were appearing: those with serious and chronic diseases.
But, as we gained more experience in caring for and tracking the health of individuals as they developed serious chronic diseases, we began to see evidence that make compelling arguments for use of wellness screening and promotion activities –We see three examples of how wellness screening and promotion activities may dramatically alter the progression to serious and chronic disease:Starting on the left of the page: Identification of elevated blood pressure and the fact that a relatively small change in blood pressure can reduce one’s risk of heart attack, stroke and death by one quarter,In the middle column: The evidence has shown a solid link between obesity and many types of cancer, andOn the right side: Screening for elevated blood sugar can identify those who are unaware they have diabetes
As we see obesity increasing in adults, adolescents and children ,and we recognize that even in the Northwest where tobacco use is lower that the average, that the evidence for the importance of changes in behavior before development of serious chronic mounts. So, how can we help our clients make well informed choices in wellness programs and the integration of their health promotion programs?
Many vendors have entered this market, but only a few can offer the entire range of services:Lots of Health Plans, DM and wellness vendors, HRA and other specialty vendors operate in this spaceFair amount of purchasing, partnering, and outsourcing among vendors and these relationships continue to changeSome vendors have superficial offerings that lack design and execution capabilityTo support the client in selecting the best program to meet their needs and budget, you really have to look at:what health promotion programs that they have now,what is offered in the wellness program, and thendig into the details of the proposal for the client to evaluate how it will be delivered and integrated with existing programs and vendors.
Here are some examples of considerations in program selection and success:Lifestyle risk factors age/sex mix, type of work, environmental risk factors, educational levelPrevalence of chronic diseasesmay influence wellness program emphasis Current activities and programsidentify existing champions, what existing wellness activities are popularReadiness to changeHow will it be identified and acted upon – tools such as PAMMotivation techniques Techniques and incentives should be selected to fit the particular group
The Wellness vendor should provide a written and well defined strategy or approach that addresses all of the se elements, and the strategy should be tailored specifically to the population ,considering the characteristics of the population,and planning how integration between existing programs (DM , CM, EAP and worksite programs) will be accomplished (What # and type of follow up will be made?)