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Expanding More than a name change

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Page 1: Expanding More than a name change. Welcome Gene Migliaccio, Dr. P.H. Director Federal Occupational Health

ExpandingMore than a name change

Page 2: Expanding More than a name change. Welcome Gene Migliaccio, Dr. P.H. Director Federal Occupational Health

Welcome

Gene Migliaccio, Dr. P.H.DirectorFederal Occupational Health

Page 3: Expanding More than a name change. Welcome Gene Migliaccio, Dr. P.H. Director Federal Occupational Health

ObjectivesFollowing this training, all health center staff will be able to:

1. Explain the FedStrive philosophy and brand experience, and the rationale for the transition from BOHCS to FedStrive Advantage2. Recognize the four service categories included in the new FedStrive Work Order and provide 1-2 examples from each section.3. List the service elements associated with the S.T.R.I.V.E. acronym and perform these service elements with each health center end-user.4. List the three core health risk categories that constitute a completed Health Risk Appraisal (HRA).

Page 4: Expanding More than a name change. Welcome Gene Migliaccio, Dr. P.H. Director Federal Occupational Health

Objectives

1. Explain the FedStrive philosophy and brand experience, and the rationale for the transition from BOHCS to FedStrive Advantage2. Recognize the four service categories included in the new FedStrive Work Order and provide 1-2 examples from each section.3. List the service elements associated with the S.T.R.I.V.E. acronym and perform these service elements with each health center end-user.4. List the three core health risk categories that constitute a completed Health Risk Appraisal (HRA).

Following this training, all health center staff will be able to:

Page 5: Expanding More than a name change. Welcome Gene Migliaccio, Dr. P.H. Director Federal Occupational Health

Objectives

1. Explain the FedStrive philosophy and brand experience, and the rationale for the transition from BOHCS to FedStrive Advantage2. Recognize the four service categories included in the new FedStrive Work Order and provide 1-2 examples from each section.3. List service elements associated with the S.T.R.I.V.E. mnemonic & perform these service elements with each health center end-user.4. List the three core health risk categories that constitute a completed Health Risk Appraisal (HRA).

Following this training, all health center staff will be able to:

Page 6: Expanding More than a name change. Welcome Gene Migliaccio, Dr. P.H. Director Federal Occupational Health

Objectives

1. Explain the FedStrive philosophy and brand experience, and the rationale for the transition from BOHCS to FedStrive Advantage2. Recognize the four service categories included in the new FedStrive Work Order and provide 1-2 examples from each section.3. List the service elements associated with the S.T.R.I.V.E. acronym and perform these service elements with each health center end-user.4. List the three core health risk categories that constitute a completed Health Risk Appraisal (HRA).

Please hold your questions until the end of the presentation.

Following this training, all health center staff will be able to:

Page 7: Expanding More than a name change. Welcome Gene Migliaccio, Dr. P.H. Director Federal Occupational Health

What Is FedStrive?Some history:

Page 8: Expanding More than a name change. Welcome Gene Migliaccio, Dr. P.H. Director Federal Occupational Health

FedStrive’s mission aligns with the President’s wellness initiative:

What Is FedStrive?

1. Keep the low-risk population at low risk

2. Reduce major behavioral risk factors among the moderate to high risk population

3. Provide evidence-based health promotion programming

4. Contain costs and effectively allocate resources

Goals of the FedStrive program

Page 9: Expanding More than a name change. Welcome Gene Migliaccio, Dr. P.H. Director Federal Occupational Health

Success of Pilot Program

What Is FedStrive?

Highlights: FedStrive Health Status Improvements (n = 444)

Body Mass Index – changes in overweight (- 9.4%) and obesity (- 2.1%)

Physical activity - participation in physical activity (≥ 3 times/week) increased from 56.1% to 63.0%.

Total Cholesterol - 26.7% of individuals with high cholesterol levels (≥ 200 mg/dl) subsequently reduced their total cholesterol below 200 mg/dl.

Cholesterol lowering medication adherence improved by 60.8%.

Nutrition - Increases in daily breakfast consumption from 79.2% to 84.0% and overall nutrition status from 60.7% to 78.3%.

Decreases in excess stress from 18.1% to 14.9% and self-reported negative overall health effects from stress from 13.7% to 8.1%.

Page 10: Expanding More than a name change. Welcome Gene Migliaccio, Dr. P.H. Director Federal Occupational Health

Expansion of the FedStrive Brand

FedStrive brand becomes the face of integrated care at FOH

NOT just a renaming of BOHCS; BOHCS is dead

What Is FedStrive?

Page 11: Expanding More than a name change. Welcome Gene Migliaccio, Dr. P.H. Director Federal Occupational Health

Expansion of the FedStrive Brand

FedStrive brand becomes the face of integrated care at FOHReflects the adoption of the integrated care philosophy throughout FOH

NOT just a renaming of BOHCS; BOHCS is dead

What Is FedStrive?

Page 12: Expanding More than a name change. Welcome Gene Migliaccio, Dr. P.H. Director Federal Occupational Health

Expansion of the FedStrive Brand

Reflects the adoption of the integrated care philosophy throughout FOHWhen potential customers/end users see the FedStrive brand on any FOH product or service, they will know:

- What kind of brand experience they can expect

- The difference between FOH and its competitors

FedStrive brand becomes the face of integrated care at FOH

NOT just a renaming of BOHCS; BOHCS is dead

What Is FedStrive?

Page 13: Expanding More than a name change. Welcome Gene Migliaccio, Dr. P.H. Director Federal Occupational Health

Brand ExperiencePrime Example: Apple

When Steve Jobs returned:

“By re-establishing the core valueshe had established at the beginning,Apple again pursued a direction which was clear and different from any other companies.”

Page 14: Expanding More than a name change. Welcome Gene Migliaccio, Dr. P.H. Director Federal Occupational Health

Prime Example: Apple

- Functional attributes of the product

- How well the thing works

- Experiential features• How the production

technology works• Aesthetics (design, colors,

shapes of the product)

- Product Experience- The Look and Feel

- Communications Experience

- Customer Service

Brand Experience

Page 15: Expanding More than a name change. Welcome Gene Migliaccio, Dr. P.H. Director Federal Occupational Health

Prime Example: Apple

• Name• Logo• Signage• Packaging• Store design• Web sites

- Product Experience

- Look and Feel- Communications Experience

- Customer Service

Brand Experience

Page 16: Expanding More than a name change. Welcome Gene Migliaccio, Dr. P.H. Director Federal Occupational Health

Prime Example: Apple

• Advertising, B2B, & B2C

• Must provide value

• Must inform the customer

• Must entertain the customer

- Product Experience

- The Look and Feel

- Communications- Customer Service

Brand Experience

Page 17: Expanding More than a name change. Welcome Gene Migliaccio, Dr. P.H. Director Federal Occupational Health

Prime Example: Apple

“It is important not to forget the aspect of customer service in the overall brand experience. Specifically, the cradle-to-grave aspect of the customer chain should not be broken – this ensures that the “brand promise” is not broken.”

- Product Experience

- The Look and Feel

- Communications Experience

- Customer Service

Brand Experience

Page 18: Expanding More than a name change. Welcome Gene Migliaccio, Dr. P.H. Director Federal Occupational Health

Why Expand FedStrive?−Our HRA data demands it 

Leading Risk Factors For Federal Employees:• BMI• Physical inactivity• Weight• Stress

Page 19: Expanding More than a name change. Welcome Gene Migliaccio, Dr. P.H. Director Federal Occupational Health

−Our services need to work together

Integrated Health:

“The seamless coordinationof comprehensive servicesusing a data-driven approachthat assists agencies in achieving a culture of healthand high performance.”

Why Expand FedStrive?

Page 20: Expanding More than a name change. Welcome Gene Migliaccio, Dr. P.H. Director Federal Occupational Health

−Delivering value for our customers

Shrinking federal budgets mean our customers must do more with less.

Why Expand FedStrive?

Page 21: Expanding More than a name change. Welcome Gene Migliaccio, Dr. P.H. Director Federal Occupational Health

−Because FedStrive works!

Why Expand FedStrive?

Page 22: Expanding More than a name change. Welcome Gene Migliaccio, Dr. P.H. Director Federal Occupational Health

How Does This Affect YOU?

Page 23: Expanding More than a name change. Welcome Gene Migliaccio, Dr. P.H. Director Federal Occupational Health

Refocusing

Mostly a change in priorities

• Prevention

• Population-based health

• Partnering with FOH staff

Page 24: Expanding More than a name change. Welcome Gene Migliaccio, Dr. P.H. Director Federal Occupational Health

Refocusing

• Clinical not doing this alone

• Every division will be trained to “own” the brand experience

Mostly a change in priorities

• Prevention

• Population-based health

• Partnering with FOH staff

Page 25: Expanding More than a name change. Welcome Gene Migliaccio, Dr. P.H. Director Federal Occupational Health

New Work OrderPriority Items Get the “Green Light”

Page 26: Expanding More than a name change. Welcome Gene Migliaccio, Dr. P.H. Director Federal Occupational Health

New Work Order- Health counseling based on HRA and biometrics

- FOH3 is also being revised

Page 27: Expanding More than a name change. Welcome Gene Migliaccio, Dr. P.H. Director Federal Occupational Health

Referrals− Expanded on new work order− Promote all services lines when appropriate / available

Page 28: Expanding More than a name change. Welcome Gene Migliaccio, Dr. P.H. Director Federal Occupational Health

Health promotion classes/webinars

- New focus- Consistent content- Partner with other staff on-site

Page 29: Expanding More than a name change. Welcome Gene Migliaccio, Dr. P.H. Director Federal Occupational Health

QA tracking

− A chance to get credit for many things you’re already doing without getting any credit

− Look at metrics and accountability− Will translate well to EHR

Page 30: Expanding More than a name change. Welcome Gene Migliaccio, Dr. P.H. Director Federal Occupational Health

What’s Going Away−Deprioritizing — Based on national guidelines:

− Prostate Surface Antigen (PSA) screening− Pulmonary function testing (PFT)− Auditory testing− TB screening

−Reprioritizing – Focus on population-based health

Page 31: Expanding More than a name change. Welcome Gene Migliaccio, Dr. P.H. Director Federal Occupational Health

Timetable

FSA – Overview Training)

FSA – Training(all HCs)

FSA – Training (all HCs)

Jan – Sept 2013: Ongoing FedStrive Advantage Training

FSA – Training (all HCs)

Page 32: Expanding More than a name change. Welcome Gene Migliaccio, Dr. P.H. Director Federal Occupational Health

Support

Online toolkit at: fedstrive.foh.hhs.gov/toolkit

Page 33: Expanding More than a name change. Welcome Gene Migliaccio, Dr. P.H. Director Federal Occupational Health

Toolkit

Information on FedStriveExpansion and Integration

Page 34: Expanding More than a name change. Welcome Gene Migliaccio, Dr. P.H. Director Federal Occupational Health

Toolkit

Materials to help you Plan and run events

Page 35: Expanding More than a name change. Welcome Gene Migliaccio, Dr. P.H. Director Federal Occupational Health

Toolkit

Materials to help you disseminate information

Page 36: Expanding More than a name change. Welcome Gene Migliaccio, Dr. P.H. Director Federal Occupational Health

Toolkit

Presentation materials

Page 37: Expanding More than a name change. Welcome Gene Migliaccio, Dr. P.H. Director Federal Occupational Health

S.T.R.I.V.E.

Survey client health risks

Talk about results and concerns

Recognize willingness to change behaviors

Integrate services towards a measurable goal

Validate the plan, address interests and needs

Encourage return for follow up

Apply this tool with every client to guide you in “owning” the clients’ brand experience.

Page 38: Expanding More than a name change. Welcome Gene Migliaccio, Dr. P.H. Director Federal Occupational Health

S.T.R.I.V.E.

Survey client health risks

Talk about results and concerns

Recognize willingness to change behaviors

Integrate services towards a measurable goal

Validate the plan, address interests and needs

Encourage return for follow up

Apply this tool with every client to guide you in “owning” the clients’ brand experience.

Page 39: Expanding More than a name change. Welcome Gene Migliaccio, Dr. P.H. Director Federal Occupational Health

S.T.R.I.V.E.

Survey client health risks

Talk about results and concerns

Recognize willingness to change behaviors

Integrate services towards a measurable goal

Validate the plan, address interests and needs

Encourage return for follow up

Apply this tool with every client to guide you in “owning” the clients’ brand experience.

Page 40: Expanding More than a name change. Welcome Gene Migliaccio, Dr. P.H. Director Federal Occupational Health

S.T.R.I.V.E.

Survey client health risks

Talk about results and concerns

Recognize willingness to change behaviors

Integrate services towards a measurable goal

Validate the plan, address interests and needs

Encourage return for follow up

Apply this tool with every client to guide you in “owning” the clients’ brand experience.

Page 41: Expanding More than a name change. Welcome Gene Migliaccio, Dr. P.H. Director Federal Occupational Health

S.T.R.I.V.E.

Survey client health risks

Talk about results and concerns

Recognize willingness to change behaviors

Integrate services towards a measurable goal

Validate the plan, address interests and needs

Encourage return for follow up

Apply this tool with every client to guide you in “owning” the clients’ brand experience.

Page 42: Expanding More than a name change. Welcome Gene Migliaccio, Dr. P.H. Director Federal Occupational Health

S.T.R.I.V.E.

Survey client health risks

Talk about results and concerns

Recognize willingness to change behaviors

Integrate services towards a measurable goal

Validate the plan, address interests and needs

Encourage return for follow up

Apply this tool with every client to guide you in “owning” the clients’ brand experience.

Page 43: Expanding More than a name change. Welcome Gene Migliaccio, Dr. P.H. Director Federal Occupational Health

S.T.R.I.V.E.

Survey client health risks

Talk about results and concerns

Recognize willingness to change behaviors

Integrate services towards a measurable goal

Validate the plan, address interests and needs

Encourage return for follow up

Apply this tool with every client to guide you in “owning” the clients’ brand experience.

Page 44: Expanding More than a name change. Welcome Gene Migliaccio, Dr. P.H. Director Federal Occupational Health

S.T.R.I.V.E.

Survey client health risks

Talk about results and concerns

Recognize willingness to change behaviors

Integrate services towards a measurable goal

Validate the plan, address interests and needs

Encourage return for follow up

Apply this tool with every client to guide you in “owning” the clients’ brand experience.

Page 45: Expanding More than a name change. Welcome Gene Migliaccio, Dr. P.H. Director Federal Occupational Health
Page 46: Expanding More than a name change. Welcome Gene Migliaccio, Dr. P.H. Director Federal Occupational Health

Housekeeping−Location of recorded training      • Fedstrive.foh.hhs.gov/toolkit

• ANMs will be provided an email template they can use to inform clinic nurses about how to take their training, how to access today’s presentation, and how to take a short follow up quiz.

−For future questions about FedStrive Advantage, staff should be directed to follow their chain of command. 

Page 47: Expanding More than a name change. Welcome Gene Migliaccio, Dr. P.H. Director Federal Occupational Health

S.T.R.I.V.E.

Survey client health risks

Talk about results and concerns

Recognize willingness to change behaviors

Integrate services towards a measurable goal

Validate the plan, address interests and needs

Encourage return for follow up

Apply this tool with every client to guide you in “owning” the clients’ brand experience.