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HEALTH NET MARCH 26, 2015 JENNA BURKE, BS, CHES INTERIM DIRECTOR WWW.AZLWI.ORG Arizona Living Well Institute

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Page 1: Arizona Living Well Institute - NCOA...Arizona Living Well Institute Workshop Design 9 • 6 weekly sessions that meet 1 day per week for 2.5 hours each • Introduces tools needed

HEALTH NET M A R C H 2 6 , 2 0 1 5

J E N N A B U R K E , B S , C H E S

I N T E R I M D I R E C T O R

W W W . A Z L W I . O R G

Arizona Living Well Institute

Page 2: Arizona Living Well Institute - NCOA...Arizona Living Well Institute Workshop Design 9 • 6 weekly sessions that meet 1 day per week for 2.5 hours each • Introduces tools needed

Agenda

1. Arizona Living Well Institute

2. Learn of the background, structure and purpose of Healthy Living

3. Opportunities

4. Q & A

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Arizona Living Well Institute Arizona Living Well Institute

Page 3: Arizona Living Well Institute - NCOA...Arizona Living Well Institute Workshop Design 9 • 6 weekly sessions that meet 1 day per week for 2.5 hours each • Introduces tools needed

Empowerment Systems, Inc.

AZ Living Well Institute

Greater Valley AHEC

Community Outreach & Resource

Connections (C.O.R.C.)

Health Informatics AZ Coalition for

Military Families

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www.azlwi.org

Funds to launch the Arizona Living Well Institute were made available by grant funds from St. Luke’s Health Initiatives and the Arizona

Department of Health Services through a grant from the Administration on Aging.

Arizona Living Well Institute

Arizona Living Well Institute

Page 4: Arizona Living Well Institute - NCOA...Arizona Living Well Institute Workshop Design 9 • 6 weekly sessions that meet 1 day per week for 2.5 hours each • Introduces tools needed

THE MISSION:

TO A DVA NCE EVIDENCE-BA SED PROGRA MS FOR A RIZONA COMMUNITIES THROUGH

STRUCTURED COMMUNICATION, MULTI-LEVEL COORDINATION A ND SYSTEMA TIC COA CHING.

Arizona Living Well Institute

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Arizona Living Well Institute

Page 5: Arizona Living Well Institute - NCOA...Arizona Living Well Institute Workshop Design 9 • 6 weekly sessions that meet 1 day per week for 2.5 hours each • Introduces tools needed

How AZLWI Provides Support

Coordination and leveraging of resources to create greater impact

A systematic approach to data collection and management

Coordination of training opportunities throughout the state, including coordination of self-management workshops

Educate employers, health care providers and community services organizations about the benefits of self-management programs and evidence-based health promotion programs

Arizona Living Well Institute

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Arizona Living Well Institute

Page 6: Arizona Living Well Institute - NCOA...Arizona Living Well Institute Workshop Design 9 • 6 weekly sessions that meet 1 day per week for 2.5 hours each • Introduces tools needed

Self-Management of Chronic Conditions

Arizona Living Well Institute

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Page 7: Arizona Living Well Institute - NCOA...Arizona Living Well Institute Workshop Design 9 • 6 weekly sessions that meet 1 day per week for 2.5 hours each • Introduces tools needed

Healthy Living Stanford University’s CDSMP

http://med.stanford.edu/patienteducation/

Arizona Living Well Institute

Healthy Living

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Arizona Living Well Institute

Page 8: Arizona Living Well Institute - NCOA...Arizona Living Well Institute Workshop Design 9 • 6 weekly sessions that meet 1 day per week for 2.5 hours each • Introduces tools needed

Disease

Tense Muscles

Pain

Stress/ Anxiety

Difficult Emotions

Shortness of Breath

Depression

Fatigue

Symptom Cycle

Stanford Chronic Disease Self Management, 2006 8 Arizona Living Well Institute

Page 9: Arizona Living Well Institute - NCOA...Arizona Living Well Institute Workshop Design 9 • 6 weekly sessions that meet 1 day per week for 2.5 hours each • Introduces tools needed

Arizona Living Well Institute

Workshop Design 9

• 6 weekly sessions that meet 1 day per week for 2.5 hours each

• Introduces tools needed in day-by-day life with chronic conditions

• Practices using self-management skills

• Focuses on goal setting

• Shared experiences, emphasizes mutual support

• Workshops Available

o English & Spanish

o Diabetes & Chronic Pain

www.wittysparks.com/2007/05/26/15-tips-to-manage-yourself-better/

Page 10: Arizona Living Well Institute - NCOA...Arizona Living Well Institute Workshop Design 9 • 6 weekly sessions that meet 1 day per week for 2.5 hours each • Introduces tools needed

Topics Covered

Arizona Living Well Institute

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• Action Plans • Feedback/Problem Solving • Getting a Good Night’s Sleep • Managing difficult emotions • Falls Prevention • Physical Activity/Exercise • Nutrition & Food Labels • Weight Management • Mind-Body Connection • Informed Treatment Decisions • Working with Health Care

Arizona Living Well Institute

Page 11: Arizona Living Well Institute - NCOA...Arizona Living Well Institute Workshop Design 9 • 6 weekly sessions that meet 1 day per week for 2.5 hours each • Introduces tools needed

T-Trainer

- Mentored by Stanford

- Train Master Trainers

Master Trainers

- 4 ½ day training led by 2 T-Trainers

- Certified through Stanford after facilitating 2 workshops

- Train Leaders – 1 training per year

- May facilitate workshops

- May assist in fidelity monitoring

Lay Leaders

- 4 day training led by 2 Master Trainers

- Facilitate workshops

- Preferably peers with chronic conditions

- May be volunteers or staff, usually not health professionals

Healthy Living Facilitators

Page 12: Arizona Living Well Institute - NCOA...Arizona Living Well Institute Workshop Design 9 • 6 weekly sessions that meet 1 day per week for 2.5 hours each • Introduces tools needed

National Study of CDSMP (2010-2012)

Arizona Living Well Institute

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How does CDSMP affect the lives of participants and society as a whole?

What are the impacts on:

Symptom management and lifestyle behaviors?

Better care?

Improved health?

Reduced health care costs?

Study Participants

Baseline (n=1,170)

12 month (n=825)

Measures

Symptom management and lifestyle behaviors

Better Care Experience of care

Better Health Population health

Lower Health Care Cost Whitelaw, N., Lorig, K., Smith, M. L., & Ory, M. G. (March 19, 2013). National Study of Chronic Disease Self-Management Programs (CDSMP). Retrieved April 2, 2013, from www.ncoa.org/cha

Berwick et al. (2008). The Triple Aim: Care, Health, And Cost. Health Affairs.

Page 13: Arizona Living Well Institute - NCOA...Arizona Living Well Institute Workshop Design 9 • 6 weekly sessions that meet 1 day per week for 2.5 hours each • Introduces tools needed

English Spanish

Healthy Living

CDSMP

Healthy Living with Diabetes

DSMP

Healthy Living with Chronic Pain

CPSMP

A Matter of Balance

Falls Self-Efficacy Class

Tomando Control de su Salud

Spanish CDSMP

Programa de Manejo Personal de la Diabetes

Spanish DSMP

Workshop Types in Arizona

Arizona Living Well Institute

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Page 14: Arizona Living Well Institute - NCOA...Arizona Living Well Institute Workshop Design 9 • 6 weekly sessions that meet 1 day per week for 2.5 hours each • Introduces tools needed

Arizona Living Well Institute

Opportunities 14

What can

you do?

Page 15: Arizona Living Well Institute - NCOA...Arizona Living Well Institute Workshop Design 9 • 6 weekly sessions that meet 1 day per week for 2.5 hours each • Introduces tools needed

Community-Based Referral Network

Arizona Living Well Institute

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A comprehensive membership system of evidence-based wellness programs

Promoted and integrated with primary and behavioral health outpatient providers of service for those living with or at risk of developing chronic conditions.

In order to sustain and expand the impact of self-management programs, AZLWI is further developing, supporting and promoting a structured provider membership system to ensure quality evidence-based wellness services are provided at affordable prices.

Page 16: Arizona Living Well Institute - NCOA...Arizona Living Well Institute Workshop Design 9 • 6 weekly sessions that meet 1 day per week for 2.5 hours each • Introduces tools needed

• Community Outreach Navigators

• Health & Human Service Providers

• Insurance Providers • AHEC Interns • Self-Referral

Referrals

• Evidence-based Self-Management Workshops

• Referral to other needed services (e.g. ASHLine, WIC, etc.)

• Assistance completing health & human service applications (e.g. AHCCCS)

• Referral to potential Medical Home

• Database Management • Invoicing & Billing

Services

Services

• Response to referral source of services provided to include: • Participation in Self-

Management Workshop

• Other completed referrals/services

Outcomes

Community-Based Referral Network

Page 17: Arizona Living Well Institute - NCOA...Arizona Living Well Institute Workshop Design 9 • 6 weekly sessions that meet 1 day per week for 2.5 hours each • Introduces tools needed

Participant Comments

Arizona Living Well Institute

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I feel that this class has been of great benefit to me which will stay with me in times of difficulty or when I feel myself slipping back toward depression or isolation from people. I will put forth an extra positive effort to continue the breathing techniques and especially the exercises learned or reinforced in a continued plan to control my painful condition in the best possible way without being dependent upon prescription drugs. Rebecca – Arizona City

We had experienced, or learned different parts of this program before, but no part alone was life changing. But with this program structure, I am a different person than I was just six-weeks ago and hope to stay motivated! MDC - Goodyear

Page 18: Arizona Living Well Institute - NCOA...Arizona Living Well Institute Workshop Design 9 • 6 weekly sessions that meet 1 day per week for 2.5 hours each • Introduces tools needed

Questions?

Arizona Living Well Institute

Jenna Burke, BS, CHES Interim Director

AZ Living Well Institute [email protected]

(480) 982-3118 www.azlwi.org

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