6/3/ National Wellness Conference. Developing Strategic Partnerships to improve the Health and Wellness of the Community. Session Objectives

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1 2015 National Wellness Conference Developing Strategic Partnerships to improve the Health and Wellness of the Community. Kimberly Sbardella, R.N. Manager, Community Health & Wellness Carolinas HealthCare System Session Objectives Identify opportunities to impact community health through strategic partnerships Identify core services to offer the community though utilization of shared resources Identify opportunities to connect hospitals with the community to improve wellness 6/3/ Evolution of health care Health Care continues to evolve using innovation to meet the ever-changing demands of the consumer. Creates unique opportunities to proactively take health and wellness to the community to align with consumers daily routines. 6/3/

2 Assess the needs of your community Review State and County Health Assessments Process includes a review of health indicators, community opinion survey, community priority setting activity and action planning on leading priorities. Behavioral Risk Telephonic surveys on health related behaviors obtained by BRFSS to identify and track health Factors Surveillance objectives, and develop and evaluate public health Systems (BRFSS) practices related to chronic diseases and mortality. Conduct Community Forums Opportunity to ask people for open-ended descriptions of experiences, barriers, and needs identified during community health assessments. 6/3/ Leading Cause of Death Alzheimer s Disease 6% COPD 5% Cancer 23% Heart Disease 19% Stroke 5% HealthStatistics/Documents/2013CHA1 pghandout.pdf 6/3/ Program development initiatives Priority #1: Chronic Disease Prevention Reduce the rate of overweight and obesity among Mecklenburg County adults by 5% Current Rate: 61% overweight/obese Target Rate: 58% Reduce the rate of tobacco use among Mecklenburg County adults by 10% Current Rate: 17% current smokers Target Rate: 15% 6/3/

3 Organizational Support Community health and wellness should be part of the organizations overall corporate strategy. Executive support and sponsorship Identify a Champion to lead the process Identify a Medical Director Identify a Project team to introduce the initial stages of the process and carry out implementation. Set clear goals and objectives Review community needs assessment to guide program development for your initiatives. 6/3/ Identify Community Partners! 6/3/ Opportunities: Hospitals Community Action agencies Health Departments Private organizations Community Partnerships Financial Institutions United Way Community Health Centers Philanthropy 6/3/

4 Strategic Partnerships to impact community health: Consider organizations that share a similar vision Rooted in community Set clear objectives Be honest about weaknesses and gaps Do your research Communicate Determine resources needed to focus your combined efforts toward the communities needs. 6/3/ Discussion points with partners Who will support the activities and programs? Does the hospital have the capability to support the cost of staffing, supplies and/or other associated costs? Will this be a joint cost between the hospital and partnering organization? Staffing: Who will run program? What model will you need to be successful Office space, equipment and supplies Marketing: advertising, brochures, on site signage, both logos Revenues: If fee based services are involved, who is responsible for accounting? 6/3/ Strategic Partnership for a Healthier Community Carolinas HealthCare System has partnered with the Greater Charlotte and Cannon Memorial YMCA s to provide a team of experts to help improve the health and wellness of our community. Goal: To promote cost effective education and services to the community regarding preventative healthcare strategies that will serve to reduce risk factors and chronic disease management 6/3/

5 Both organizations are better together! 18 YMCA locations in the Charlotte and Concord region 13 have designated health centers with Registered Nurses and Registered Dietitians. 68,000 encounters in 2014 The health centers collaborate with the YMCA wellness teams to implement programs that support community health 6/3/ Core Services Include: Registered Nurse consultations Questions and answers for both members and non members related to Diabetes Management, blood pressure monitoring, and other health related concerns. Personalized plan to support goals Registered Dietitian consultations Nutrition assessments Nutrition education Personalized plan to support goals. Additional Core Services Include: New YMCA member health review Cost effective screenings to promote active personal engagement in maintaining good health Promote nutrition education and counseling sessions Educate community on exercise recommendations and exercise safety. Vaccine administration offerings- standing orders to administer influenza vaccine, Hep A and Hep B Smoking cessation programming Mammography screenings 5

6 Health Coaching Program includes 1 hour long appointment with 2 follow- up appointments. Experts will help participants set goals, create action steps, provide accountability and support. Virtual capability The Lifestyle Management and Medical Referral Program Wellness Programming 6

7 Medical Referral Program Initial Consultation RN interview and review of medical history Includes knowledge assessment Biometrics Blood pressure, weight, BMI, body composition if available, waist and hip circumference. Obtain Fasting lipid profile HbA1C Nutrition Intervention Class Assess each participant ahead of time and determines appropriate kcal goals Work with participants on basic meal planning. Understanding portion sizes using food models, measuring cups etc. Personalized meal planning Medical Referral Program Check In Session The RN/RD will perform the check in Blood pressure Weight Body composition (lean muscle mass, hip/waist measurements) Review self reported food record and blood sugar logs # of days exercised each week. Review # of minutes per week completing cardio, strength, and flexibility exercises. 7

8 Medical Referral Program Weekly Class Sessions 1 hour commitment per participant for the weekly class The weekly sessions will have a lead instructor Some topics include: Label reading, grocery shopping on a budget, eating out & entertaining Set goals each week Each week there will be a group food record review Medical Referral Program Exercise component: Pre and Post program physical fitness assessment Measurements include cardio, strength, and flexibility Exercise Specialist will work with the participant to develop a personalized exercise plan using the exercise equipment & group exercise classes. Participants will meet with the exercise specialist frequently throughout the 12 week program. We have fun, just HANGING around! The Diabetes Intervention and Prevention Track Highlight At a glance: Weight AIC GLU CHOL TRG HDL LDL INITIAL POST *Mr. Mc Gowan now enjoys up to 500 minutes of cardio exercise each week. Up from 0 minutes per week. 8

9 Program Evaluation To help determine the effectiveness of the program we also collect the following Evaluate aggregate data to include biometric, lab, and fitness program data. Patient satisfaction surveys Participant testimonials Evaluate individual participant outcomes Post program knowledge test 6/3/ Successful Community Partnerships Mini-Med School Partnership with CMC Waxhaw ED, Mercy School of Nursing (simulation lab), and Morrison YMCA since June 2012 One-week program that offering significant clinical interaction Interactive experience with simulation lab Blood type testing Strep testing Behind the scene look at CHS Program concludes with case studies and graduation 2014 Charlotte Biz Journal Award finalist for Health Care 6/3/

10 Successful Community Partnerships Smoking Cessation Program Partnership with Levine Cancer Institute and CHS LiveWell offering smoking cessation for the community, cancer survivors, and employees 2014: 10 Quit Smart sessions 99 participants completed the program in % success rate for those that have remained smoke free > 6 months (Success rate is 20-24% at 6 months for other national programs ) 2014 Charlotte Biz Journal Award finalist for Health Care 6/3/ Successful Community Partnerships LCI Cancer Wellness Program Impacted 199 participants at 4 locations in 2014: 69% Decreased Weight 64% Decreased BMI 58% Improved Balance (based on BESS Test) 70% Improved Lower Body Strength 70% Improved Flexibility 2015-Expanded program to all 15 sites 6/3/ Successful Community Partnerships LCI Project Pink Three year partnership between Levine Cancer Institute, LiveWELL Health Center and Charlotte Radiology to provide free access to mammography for underserved population. Screening and Diagnostic Evaluation at 10 sites. 300 Women Screened 55 Callbacks for Further Evaluation 3 Women Diagnosed with Cancer 6/3/

11 Cross-Departmental Teamwork: Focus on areas that would benefit from standardization and direct connectivity to serve the community. Linking People with Healthcare: Identify opportunities to connect individuals to physicians if they do not have a medical home. Electronic Capture of Patient Care: Enhance physiciannurse connectivity to improve patient care delivery and patient program outcomes. Information Services: Collaborate to create a wellness powerform to use in EMR and to support program metrics reporting. 6/3/ Care Metrics: Satisfying appropriate care metrics for patients diagnosed with diabetes, coronary artery disease, asthma, and other preventative screenings. Program Metrics: Determine metrics to monitor program and partnership impact on the overall health of the community Assess Participant Progress: Collect pre and post program biometric data to evaluate participants progress in program. Assess Program Progress (Evidence Based Wellness): Review summary of ALL participants biometric data to analyze results and determine effectiveness of program. 6/3/ References: (2013). Standard of Medical Care in Diabetes. Diabetes Care, 36(Supplement 1), S11 S66 Department of Health and Human Services. (2010). Dietary guidelines for Americans, Washington, DC: Author. Kostas, G. G. (2009). The Cooper clinic solution to the diet revolution: step up to the plate!. Dallas, TX: Balancing Act Nutrition Books. 11

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