the value of diverse partnerships in delivering evidence ......may 26, 2020  · healthy hair starts...

The Value of Diverse Partnerships in Delivering Evidence-Based Programs

Ann Andrews

Jodi Burke

Caitlin Loughery

Overweight Obesity

Sedentary Lifestyle

Unhealthy Diet

Pre-Diabetes

Hypertension

Type 2 Diabetes

Hypertension

Disability

Blindness

Heart Disease

Kidney Disease

Strategies to Prevent and Manage Kidney Disease

Primary Prevention

Healthy Hair Starts with Healthy Body™

Dodge the Punch Barber Shop Program™

School Education Programs

Program for Early Childhood Health

Diabetes Prevention Program

Walk With Ease

Secondary Prevention

Screenings

Chronic Disease Self-Management

Program

Diabetes Self-Management Program

Chronic Pain Self-Management

Program

Powerful Tools for Caregivers

Enhance Fitness

Matter of Balance

Tertiary Prevention

Peer Mentoring

Kidney Bonus Session for CDSMP

Patient Support

NKFM Delivery of Evidence-based Programs

• Chronic Disease Self-Management suite of programs - 2007

• EnhanceFitness - 2008

• Diabetes Prevention Program - 2012

• A Matter of Balance - 2014

• Walk With Ease - 2016

• Powerful Tools for Caregivers - 2017

• Better Choices, Better Health - 2020

Essentials for Successful Partnerships

• Must have trust

• Build consensus

• Draw on previous experience and collaboration

• Manage logistics

• Divide up work

• Collaborative effort

• Agree on operating plan

• Leverage resources

Types of Partnerships

• Promoting and recruiting

• Hosting workshops

• Functioning under our license

• Contracting with us to provide programming

• A large managed care organization (MCO) previously contracted with NKFM and is exploring BCBH

• Another large MCO pays for Diabetes Prevention Program and is launching BCBH

Health Plan Partners

Program Reach

Examples of How We Pitch: Measurement Dashboard

Program Reach is the first indicator of a successful

intervention launch and potentially, successful engagement.

• Identify population of focus.

• Build an integrated team with health plan’s Care Management staff.

• Recruit eligible individuals, focusing on those who are “ready” for change.

Achieve engagement targets below:

• % referred who enroll (sign up) in program

• % of those who enroll in program that attend (show up) at least one session

Language

Using program surveys, we will evaluate:

• Completion rate (% of those that attend and complete at least four of the six sessions)

• Improvement in confidence in managing chronic condition(s)*

• Improvement in self-rated health status*

• Decrease in social isolation*

• Program satisfaction

* Measured pre-post

ProgramEngagement

Outcome Measures

7. https://www.selfmanagementresource.com/programs/small-group/chronic-disease-self-management/.

8. University of Memphis School of Public Health, 2014. http://www.ebp-savings.info/.

9. Centers for Medicare & Medicaid Services. Report to Congress: The Centers for Medicare & Medicaid Services evaluation of community-

based wellness and prevention programs under section 4202 (b) of the Affordable Care Act. Washington: Government Printing Office. 2013.

10. Ahn, et al. 2013 BMC Public Health 13 (1), pp. 114.

Examples of How We Pitch: Published Findings

• Transplant Centers to provide CDSMP with kidney bonus sessions

• Community Health division to provide CDSMP Suite-of-Programs and cross-promote Diabetes Prevention Program

Health Systems

•Contracting with an employer wellness group to offer BCBH to employees and significant others.

•Partnership evolved from training leaders to being the program delivery entity

Employers

Examples of How We Pitch: Infographic

Example of How We Pitch: Organization Outcomes

• Partner with local AAAs to leverage resources

• Contracting with local AAAs to provide evidence-based programs

Area Agencies on Aging

Example of How We Pitch: New

Flyer

• CDSMP network hubs

• Senior Centers

• Networks of health professionals (renal dietitians, renal social workers)

• Municipalities

• Centers for Independent Living

Other Partnerships

• Administration on Community Living

• State health department contracts

• Organ procurement organization foundation

• Federal funding

• Health systems

• Title IIID funds

• Health plans

• Employers

Past and Current Program Funders

Lessons Learned

• Answering “what’s in it for them?”

• Aligning strategies

• We are a part of something larger

• Rome was not built in a day

• Give them a role

• Build on past successes

Challenges during COVID-19

• Recruitment and promotion

• Technology

• Motivation for self learning

• Other priorities

• Funding

Opportunities

• What distance-learning program can provide to people sheltering in place

– Increase social connectedness

– Reduce feelings of social isolation

– Something people can control when feeling helpless

• Increase participant reach

• Technology support and training

• Something that a partner or payer CAN do to help their members

How to apply these strategies

Ask these questions:

▪ What are we doing now?

▪ What are we doing well?

▪ Who else can we collaborate with in our efforts to provide programs?

▪ Who should we approach about our distance-learning options?

▪ What is our end goal?

Contact Information

• Ann Andrews: aandrews@nkfm.org

• Jodi Burke: jburke@nkfm.org

• Caitlin Loughery: cbuechley@nkfm.org