WWW.AZLWI.ORG
Healthy Living (CDSMP) & Arizona Living Well Institute
Agenda
1. Background, structure and purpose of Healthy Living
2. Arizona Living Well Institute3. Opportunities4. Q & A
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Arizona Living Well InstituteArizona Living Well Institute
Nationwide Evidence-Based Initiative
U.S. Administration on Aging funded Initiative 2006 To transform Aging Services Network to health impacting sites Brings evidence-based programming to community-based
organizations Stanford University’s CDSMP is the core program
2010 American Recovery and Reinvestment Act (ARRA) Communities Putting Prevention to Work: Chronic Disease
Self-Management Program initiative - $27 million (45 states, District of Columbia and Puerto Rico)
2011 NASMHPD Peer Support Specialist Workforce Development Grant
2012 ACL-AoA 3rd Round of Self-Management Funding 22 States to continue to increase reach of EBP to ethnic minority
groups and expand programs availableArizona Living Well Institute
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Evidence-Based Programs
• A process of planning, implementing, and evaluating programs adapted from tested models or interventions in order to address health issues at an individual level and at a community level
Promising Practice
Best Practice
Evidence-Based Model
Arizona Living Well Institute
Source: Altpeter, M., Schneider, E., Bryant, L. Beattie, B., & Whitelaw, N. (2004). Using the evidence base to promote healthy aging. National Council on the Aging Evidence-based Health Promotion Series, Vol. 1. Washington, DC: National Council on the Aging.
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Healthy LivingStanford University’s CDSMP
http://med.stanford.edu/patienteducation/
Arizona Living Well Institute
Healthy Living
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Arizona Living Well Institute
Disease
Tense Muscle
s
Pain
Stress/ Anxiety
Difficult Emotions
Shortness of
Breath
Depression
Fatigue
Symptom Cycle
Stanford Chronic Disease Self Management, 2006
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Arizona Living Well Institute
Workshop Design7
• 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 & Spanisho Diabetes & Chronic Pain
www.wittysparks.com/2007/05/26/15-tips-to-manage-yourself-better/
Topics Covered
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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
Healthy Living FacilitatorsHealthy Living Facilitators
Ideal Abilities of a Leader
Arizona Living Well Institute
Possesses good listening skills, is non-judgmentalUnderstands the importance and purpose of
fidelity (following the curriculum)Possesses good communication and
interpersonal skillsExhibits enthusiasmIs dependable and consistent Comfortable in front of a small groupPossesses life experience resulting in empathy
to the needs and abilities of older adults.
Purpose of self-management is to help people gain self confidence in their ability to:
- control their symptoms
- control how their health problems affect their lives
Outcomes?Outcomes?5 year randomized study, 1000 people5 year randomized study, 1000 people
What are the Outcomes?
Arizona Living Well Institute
For more information on CDSMP outcomes, Review of Findings on Chronic Disease Self-Management Program (CDSMP) Outcomes: Physical, Emotional & Health-Related Quality of Life, Healthcare Utilization and Costs, http://patienteducation.stanford.edu/research/Review_Findings_CDSMP_Outcomes1%208%2008.pdf
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Arizona Living Well Institute
Arizona Living Well Institute
Outcomes
Increased physical activityImproved health-status Improved social/role activitiesBetter psychological well-beingDecreased days in hospitalImproved self-reported general healthEnhanced partnerships with physiciansIncreased energy/reduced fatigueReduced health care expendituresFor more information on CDSMP outcomes, Review of Findings on Chronic Disease Self-
Management Program (CDSMP) Outcomes: Physical, Emotional & Health-Related Quality of Life, Healthcare Utilization and Costs, http://patienteducation.stanford.edu/research/Review_Findings_CDSMP_Outcomes1%208%2008.pdf
National Study of CDSMP (2010-2012)
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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
CostWhitelaw, 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.
Estimated Cost Savings Related to Reduced ER Visits & Hospitalization
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Preliminary Results: ~$740 per person savings in ER
and hospital utilization ~$390 per person net savings
after considering program costs at $350 per participant
Reaching even 10% of Americans with one or more chronic conditions would save ~$4.2 billion!
EnglishEnglish SpanishSpanish
Healthy Living CDSMP
Healthy Living with Diabetes DSMP
Healthy Living with Chronic Pain CPSMP
Tomando Control de su Salud Spanish CDSMP
Programa de Manejo Personal de la Diabetes Spanish DSMP
Workshop Types in Arizona
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• Healthy Living will NOT interfere with other programs - it will complement other programs!
• Healthy Living is not a support group. oEven though participants share experiences and
support each other, it is a workshop where you learn and try new skills, and increase your ability to manage your health.
• To be most effective, it is important for participants to be present and contribute in all sessions.
What Else Do I Need to Know?
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THE MISSION:TO ADVANCE EVIDENCE-BASED PROGRAMS FOR
ARIZONA COMMUNITIES THROUGH STRUCTURED COMMUNICATION, MULTI-LEVEL COORDINATION
AND SYSTEMATIC COACHING.
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Arizona Living Well Institute
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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
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
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Arizona Living Well Institute
Community-Based Referral Network
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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.
Community-Based Referral Network
Benefits of Connecting Through AZLWI
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Strategic Growth Technical Assistance Regional Collaboratives County Coalitions
Improved Retention Facilitators Participants
Stay up to Date CDSMP Updates Meet & Retreats Refresher Trainings
Improved Problem Solving Local Mentors Statewide Webinars
Leverage Funding Opportunities Partners supporting
PartnersSystem Infrastructure
Rather than person centered
Arizona Living Well Institute
Opportunities23
Partnership Opportunities
Partnering with CBOs to broaden the array of non-clinical services
New models of care delivery provide flexibility for service design and payment to include self-management programs
Greater focus on patient motivation and engagement
Growing awareness of effectiveness of self-management programs and value of partnering with community resources
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Lachenmayr, S. National Council on Aging “Patient Self-Management As a Strategy to Reduce Hospital Readmissions”, September 2012. Slides 19-22.
ACL CDSME Completer Payments
Limited funding associated with the ADHS’ Administration for Community Living CDSME grant
Primary goal to increase CDSMP/DSMP workshops to populations disproportionately impacted by chronic disease, specifically Spanish speaking, rural and minority populations.
$125 per completer payment. September 1, 2013 and August 31, 2014 A “completer” is defined as a participant that has attended
4 or more of the 6 sessions per workshop.
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Participant Comments
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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
Questions?Questions?
Arizona Living Well Institute
AZ Living Well [email protected]
(480) 982-3118www.azlwi.org
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