Introduction: Background
|
|
- Norma Carroll
- 5 years ago
- Views:
Transcription
1 Introduction: The North Vancouver Recreation Commission (NVRC), on behalf of the City and District of North Vancouver, has developed an innovative health partnership supporting healthy living and physical activity in North Vancouver through the creation of the Healthy Living Program in The Healthy Living Program is a collaborative community partnership which addresses the needs of North Shore residents affected by or at risk for cardiometabolic disease by bridging the gap between the Health Care System and Municipal Recreation Services and providing education, encouragement, support and accessibility to health care specialists and supervised exercise and rehabilitation programs. The partnership brings together the strengths and resources of the Recreation Commission, Lions Gate Hospital, Vancouver Coastal Health and the community-based North Shore Cardiac Rehabilitation group. Background The North Vancouver Recreation Commission s mission is to build healthy individuals, families and communities through municipal recreation. The NVRC s strategic plan is focussed on enhancing recreation opportunities and participation and working together to expand partnerships with community groups and other agencies. These organizational priorities were the foundation upon which the unique partnership for the Healthy Living Program was developed. The Healthy Living Program is an innovative response to the growing demographic affected by cardiometabolic disease (high blood pressure, diabetes, high cholesterol, obesity). 14.5% of the 190,000 residents In North & West Vancouver are over the age of 65, the highest seniors ratio of any B.C. health region. It is estimated the total population with significant risk factors for cardiometabolic disease is over 56,000. (BC Government statistics, 2003/2004). Increasingly, municipal recreational services are shifting towards working to assist people with health limitations to become more active, and stay active. Cardio metabolic disease describes a continuum of health dysfunction. It begins with poor lifestyle (coupled with genetic susceptibility) eventually leading to risk factors such as hypertension, high cholesterol, diabetes and obesity. In the absence of lifestyle changes and/or medical intervention, these risk factors can lead to increased rates of target organ damage such as heart disease, stroke and chronic kidney disease. Cardio metabolic disease places an enormous burden on the healthcare system. The B.C. government estimates that the top 10% of healthcare service utilizers account for over 50% of total service costs ($750 million dollars/year) 1. The majority of these costs are linked to the medical management of chronic conditions such as cardiometabolic disease. Medical research has established that a healthy lifestyle which includes regular physical activity and balanced nutrition is highly associated with decreased risk of developing cardiometabolic disease. In addition, lifestyle change is considered first-line therapy in the management of cardiometabolic disease. Despite the dramatic impact a healthy lifestyle has on the above listed chronic conditions, and despite the employment of highly trained, multi-disciplinary healthcare professionals, the healthcare system has had limited success in effecting lifestyle change. Part of the problem lies in the fact that the healthcare system is, for the most part, designed for acute care. This has resulted in the centralization of healthcare expertise within hospitals. The expanded chronic care model (see Appendix 1) suggests that a more community based approach is needed in order to effectively manage chronic disease. Municipally run community recreation centres take a community based approach with multiple sites designed to serve their immediate community. For example, in North Vancouver there are 8 major Community Recreation Centres run by the City & District of North Vancouver, but only one community hospital. Many of these community sites have exercise facilities and employ exercise physiologists and recreation experts. Furthermore, these sites are able to accommodate group education and discussion. 1
2 The partnering of municipal recreation centres with local health authorities and hospitals allows partners to benefit from the each other s strengths: healthcare offers medical expertise while recreation centres offer infrastructure, community access and capacity and trained exercise staff. This forward thinking and cooperative partnership process was the genesis for the Healthy Living Program - an innovative solution for increasing access to healthcare, rehabilitation services, and physical activity programs. Healthy Living Program The Problem: A missing link Prior to 2007, the North Vancouver Recreation Commission (NVRC) operated a cardiac exercise program with no official affiliation with Lions Gate Hospital (LGH). Although the program attracted enthusiastic participants, it lacked appropriate integration with hospital services. Meanwhile at LGH, patients who had been discharged following a cardiac event were receiving up to 4 weeks of health education (which included a walking program), from a cardiac home care nurse. In addition, the hospital was running a diabetes education program focusing on nutrition and medical management, and offering nutritional counselling to cardiac event survivors during their hospital convalescence. The critical missing link in this otherwise excellent set of rehabilitation services was the absence of long term follow-up and linkages to community based exercise and rehabilitation programs, which has been shown to be one of the best predictors of adherence to lifestyle change. 2 The Solution: Complimentary Partners Late in 2006, Dr. Kevin Mcleod (Internal Medicine), with support and assistance from Kinesiologist Min Naruki-van Velzen, NVRC administration, proposed the concept of The Healthy Living Program to North Vancouver s City and District Councils. The program received support from both Councils. By February 2007 The Healthy Living Program had been founded as a partnership between LGH, NVRC, Vancouver Coastal Health (VCH) and North Shore Cardiac Rehab (NSCR. In addition to these four main partners, the pharmaceutical industry stepped forward with an unrestricted grant for an educational lecture series. In general terms the partners contribute the following: NVRC: funding for Exercise Specialist positions, management of exercise programming VCH/LGH: direct funding for Nurse support and provision of dietary, cardiac, diabetes, and psychological services offered through existing programming at LGH. NSCR: Maintaining an active membership which goes towards recapturing some of the cost of program staffing. NSCR also fundraise for capital purchases, and organizes social and educational events. Community groups Health System: Medical / Disease Expertise Healthy Living Program Municipal Community Recreation Centres Infrastructure Community Design Lifestyle Expertise At risk population within community 2
3 The Healthy Living Program The Vision Statement To create a partnership that links municipal recreation services with hospital based disease prevention and care To reduce morbidity, mortality, and disability from cardiovascular disease through education, prevention, rehabilitation, and aggressive disease management including exercise. To ensure patients know their vascular risk, know the treatment targets to reduce their vascular risk, and understand how to arrive at those treatment targets, i.e. the necessary lifestyle and behavioral changes as well as the necessary pharmacologic interventions. Program Objectives: 1. Maximize use of existing NVRC programs and services and expand Lions Gate Hospital s cardiac rehabilitation program to provide a centre of excellence for both primary and secondary prevention for North Shore area residents. 2. Undertake a patient self management approach to preventive care. Emphasize chronic disease management principles and patient education to help improve physical activity, encourage better lifestyle choices, weight loss, and medication compliance. 3. Provide local physicians with education opportunities and community resources for their high risk patients to help prevent future disease and additional stress on the health care system. 5. Serve as an educational tool for local area residents by providing seminars, small group courses, and customized exercise programs. Provide the community with a yearly patient centered conference on healthy living. 6. Collect data on local patient outcomes to improve the body of cardiac research on primary and secondary prevention, thus providing health care decision makers with valuable information about their local population. Program Operational Model: The Healthy Living Program s operation model ensures customized care and follow up for each client (see Appendix 2 for flow chart). Clients are usually referred to the program through their general practitioner or a specialist doctor; however self referrals are also accepted. Once the referral is received, the client is contacted for a comprehensive intake assessment. Intake assessments are done in a medical office; the client sees a nurse, kinesiologist, and physician in a single visit. Once medical history, risk factor profile, and exercise stress testing is completed, the team and the client work together to devise a plan which will reduce cardiometabolic risk. Clients have access to a wide range of supervised exercise programs. High-risk clients are referred to the hospital based supervised exercise programs, moderate risk clients are referred to supervised exercise classes at a local community recreation Centre and low-risk clients are provided with tools and information for their own self-directed exercise program utilizing North Vancouver Recreation Commission fitness classes and walking programs. Clients also receive referrals for dietary and health education, smoking cessation consultation and counseling and are encouraged to attend biweekly evening discussion groups at Lions Gate Hospital. Topics include the Psychological Impact of Heart Disease, Exercise and Heart Disease, Risk Factors, etc. Three months after joining the Healthy Living Program a follow up appointment is conducted. This involves fitness testing and blood work as well as a review of lifestyle and clinical targets compared against entry data. Depending on test results, the client will be provided with a personal maintenance plan which can be managed outside of the hospital setting with the support of a local recreational facility. 3
4 Budget: In order to maximize accessibility, every effort was made to ensure program costs were reasonable. This was accomplished by following the following principles: 1) Maximize the use of existing services and facilities before creating new ones. 2) View the patient as a partner by creating a membership fee structure through NVRC 3) Partner with all stakeholders to spread the program costs 4) Use information technology to create efficiencies The primary operation cost is related to staffing the program. Each partner is responsible for staffing a particular discipline. Discipline FTE Hours/Week Approximate Annual Cost Funding Partner Program Director $47,000 NVRC Exercise Specialist Instructors $45,250 NVRC Exercise Instructors $15,600 NVRC Nursing $33,300 LGH/VCH TOTAL $140,850 In addition, the partners provide extensive in-kind contributions. NVRC provides exercise facilities, front office and administration services, office supplies, equipment maintenance, meeting room space and marketing support. VCH and LGH provide gym and auditorium space, office equipment and software technology, clerical support and facility maintenance. The NSCR has donated equipment to the program. It should also be noted that dietary and psychological counseling is offered through existing services (LGH and Canadian Mental Health Association), with no new costs to the patient nor to the system as a whole. Cost Recovery Program participants purchase NVRC fitness memberships in order to join the exercises classes run by the NVRC. Based on March 2009 registration data it is projected that approximately $94,000 will be recovered in 2009 from membership fees. This accounts for approximately 87% of the costs NVRC incurs to run the program. Outcomes: NVRC and its Healthy Living Program partners are committed to promoting enduring healthy lifestyle change and disease prevention goals that benefit the entire community through improved quality of life, reduced health care costs and a more active lifestyle. The program improves access to health services for those who need it most, and reduces barriers to participation in physical activity programs for the at risk population who would not normally utilize municipal recreation services. The concepts of evidence based practice and outcomes driven change was paramount in the program s design. As a result, the importance of collecting data was viewed as a top priority when the program was initialized. The backbone to this objective is the secure electronic medical record and database (Plexia Medical Systems). Far more than a simple database, this system allows staff anywhere in the community to access client s medical information as well as chart and communicate with team members instantly via the secure website. In fact, the program is almost paperless. Some key statistics to date: Since 2007, 505 people been seen for an intake assessment By January 2010 there will be a total of 11 classes spread over 5 sites in North Vancouver. At present there are more than 175 active members in the supervised programs and countless other who have either graduated out of supervised programming or joined other NVRC programs at Community Recreation Centres. Based on an early sampling of patients, we report a 48% increase in fitness as measured through exercise stress testing which is a predictor of all cause and cardiovascular mortality 3. 4
5 Program participants report a high level of satisfaction. Many individuals have shared stories of how the program has changed their lives by improving their health and wellness and level of activity. At eight weeks post surgery I started the Cardiac Rehab classes at Lion s Gate Hospital. The main benefits were: having a fixed and regular program to get me out of the house and active; the supervision of trained health experts who gave me the confidence to exercise harder than I probably would have done on my own; access to a range of exercise equipment. I then continued in a community based program (in a recreation centre) which had an added social benefit. Stuart MacRitchie aged 56 Future Opportunities Expanding Partnership The current partnership model between the North Vancouver Recreation Commission (representing the City & District of North Vancouver) Vancouver Coastal Health, Lions Gate Hospital and North Shore Cardiac Rehab has been collaborative and successful. Future plans include working with West Vancouver to expand the partnership. Applying the Model to other Disease Areas The program structure and content would benefit a multitude of other chronic disease such as lung disease, mental health, and liver disease; however, to this point we have not formally opened our door to these populations. The NVRC is currently in talks with Vancouver Coastal Health s Chronic Disease Services Team to see how the Healthy Living Program model could be applied to better serve these patient groups. Sharing Best Practices The program design has been studied by St. Paul s Hospital, Vancouver General Hospital and the City of Vancouver and is being used as a directional template for initiating a similar partnership in other communities -a true testament to the success of the design! Increased Evaluation & Measurement Compiling satisfactory outcome data is challenging due to the labour intensive nature of tracking down intake data from pre-existing records. The program has applied for a research grant in order to free up resources to compile a complete intake data set. Publishing Results: The program team plan to publish the following papers to share the program results: The effect of the Healthy Living Program on global cardiometabolic risk as measured by Framingham Risk Score The effect of the Healthy Living Program on risk factors (lipid profile, blood pressure, weight, waist circumference, glycemic control, etc) The cost/patient, and indirect estimate of cost/quality life year saved. Conclusion Our communities are aging and experiencing higher rates of chronic disease. At the same time, more residents are in need of services to support their health management and physical activity needs while dealing with or recovering from major illness and chronic disease. Although the expertise for managing the challenges of chronic disease exists, hospital based initiatives cannot fully address these challenges due to barriers which included lack of infrastructure and an inability to reach into the communities they serve. Municipal recreation facilities are positioned to serve and engage the broad community with the infrastructure and staffing to provide physical activity, rehabilitation and other health management programs at a local level. The Healthy Living Program helps to build a healthier community by providing innovative, cost effective, community based programs delivered through a collaborative partnership. 5
6 APPENDIX 1 References: 1) 2) Lear SA, Spinelli JJ, Linden W, Brozic A, Kiess M, Frohlich JJ, Ignaszewski A. The Extensive Lifestyle Management Intervention (ELMI) after cardiac rehabilitation: a 4-year randomized controlled trial. Am Heart J Aug;152(2): ) Mora S, Redberg RF, Cui Y, Whiteman MK, Flaws JA, Sharrett AR, Blumenthal RS. Ability of exercise testing to predict cardiovascular and all-cause death in asymptomatic women: a 20-year follow-up of the lipid research clinics prevalence study. JAMA Sep 24;290(12): The Expanded Chronic Care Model 6
7 APPENDIX 2 Program Operational Model: Referral Intake/Follow-up Assessment Higher risk Hospital Exercise Low-Mod Risk Self Directed NVRC Fitness Classes Walking Programs Mod-Low Risk NVRC Community Exercise Classes (Supervised) Follow-up at three months 7
8 APPENDIX 3 Letters of support from the Mayors of the City of North Vancouver and the District of North Vancouver. 8
9 APPENDIX 4 Partner Contact List North Vancouver Recreation Commission Bernie Blake, Coordinator of Fitness, Health & Wellness / blakeb@northvanrec.com Min Van Velzen, Healthy Living Program Director (604) / velzenm@northvanrec.com Vancouver Coastal Health / Lions Gate Hospital Karin Olson, Director of Coastal HSDA, / Karin.olson@vch.ca Sandra Edelman, Manager of Healthy Living & Community / sedelman@vch.ca Dr. Kevin McLeod, Internal Medicine / kevin_mcleod@mac.com North Shore Cardiac Rehab Ed Kry, President, North Shore Cardiac Rehab / edkry@shaw.ca 9
10 APPENDIX 5 Program Photos by James Rolston Program participant at Lions Gate Hospital graduating from the Hospital Program to the Community Recreation Centre Class all smiles! Mixing exercise and fun - the right Perscription! Supervised exercise at John Braithwaite Community Centre 10
11 APPENDIX 5 Program Photos by James Rolston Program Participants are monitored closely by a dedicated staff team. Memorial Community Recreation Centre Assessment & Follow Up Program Intake & Assessment 11
12 APPENDIX 5 Program Photos by James Rolston Program special event Parkgate Community Centre: Moderate Low Risk Class Lions Gate Hospital Higher risk class participants 12
Managing Patients with Multiple Chronic Conditions
Managing Patients with Multiple Chronic Conditions Sponsored by AMGA and Merck & Co., Inc. 1 Group Pre-work Affinity Medical Group Heart, Lung & Vascular Center COURAGE Clinic 2 Medical Group Profile Affinity
More informationOldham Council Provision of NHS Health Checks Programme in Partnership with Local GP Practices
Oldham Council Provision of NHS Health Checks Programme in Partnership with Local GP Practices 1. Population Needs 1. NATIONAL AND LOCAL CONTEXT 1.1 NATIONAL CONTEXT 1.1.1 Overview of commissioning responsibilities
More informationCardiovascular Health Westminster:
Cardiovascular Health Westminster: An integrated approach to CVD prevention and treatment Dr Adrian Brown/Anna Cox Consultant in Public Health Medicine NHS Westminster Why prioritise CVD Biggest killer
More informationHAAD Guidelines for The Provision of Cardiovascular Disease Management Programs
HAAD Guidelines for The Provision of Cardiovascular Disease Management Programs March 2017 Document Title: HAAD Guidelines for The Provision of Cardiovascular Disease Management Programs (DMP) Document
More informationScottish Government Modernisation Agenda BACPR Conference 2016
Scottish Government Modernisation Agenda BACPR Conference 2016 Frances Divers Cardiology Nurse Consultant NHS Lothian Scotland SG Clinical Champion CR The aim of this presentation: Provide an overview
More informationNOTE: The first appearance of terms in bold in the body of this document (except titles) are defined terms please refer to the Definitions section.
TITLE SUPERVISED EXERCISE PROGRAM SCOPE Provincial: Alberta Healthy Living Program APPROVAL AUTHORITY Vice President Primary Health Care SPONSOR Executive Director Primary Health Care PARENT DOCUMENT TITLE,
More informationWellness At Chevron People, Partnership and Performance Chevron
Wellness At Chevron People, Partnership and Performance Chevron s Corp Health and Medical Our Vision Consistently deliver world-class global health expertise and resources for individuals and the business
More informationHealth In Action Program
WIN for Alaska and University of Alaska s Health In Action Program for Total Health And Wellness The Partnership Wellness Initiatives Network for Alaska, Inc. (WIN for Alaska) and University of Alaska
More informationMinicourse Objectives
Session M1 This presenter has nothing to disclose SINAI-GRACE HOSPITAL Vanguard Health Systems/Detroit Medical Center Peggy Segura RN, MSN, FNP-BC Nurse Practitioner, Quality & Safety/Clinical Effectiveness
More information6/3/ National Wellness Conference. Developing Strategic Partnerships to improve the Health and Wellness of the Community. Session Objectives
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
More informationIntensive Behavioral Therapy (IBT) Obesity and Cardiovascular Disease Medicare Preventive Services
Intensive Behavioral Therapy (IBT) Obesity and Cardiovascular Disease Medicare Preventive Services Index Stand Alone Benefit 2 G Codes for Intensive Behavioral Therapy 3 The content of the Intensive Behavioral
More informationCase Study: Acute PREDICT
Case Study: Acute PREDICT Cardiovascular Prevention Program and Acute Coronary Syndrome database Andrew Kerr and Andrew McLachlan, Cardiology Dept Middlemore Hospital Themes Motivation Team approach Willingness
More informationCROSSWALK FOR AADE S DIABETES EDUCATION ACCREDITATION PROGRAM
Standard 1 Internal Structure: The provider(s) of DSME will document an organizational structure, mission statement, and goals. For those providers working within a larger organization, that organization
More informationCOMMUNITY HEALTH NEEDS ASSESSMENT HINDS, RANKIN, MADISON COUNTIES STATE OF MISSISSIPPI
COMMUNITY HEALTH NEEDS ASSESSMENT HINDS, RANKIN, MADISON COUNTIES STATE OF MISSISSIPPI Sample CHNA. This document is intended to be used as a reference only. Some information and data has been altered
More informationCore Elements of Delivery of Stroke Prevention Services
Core Elements of Delivery of A critical component of secondary stroke prevention is access to specialized stroke prevention services (SPS), ideally provided by dedicated stroke prevention clinics. Stroke
More informationSECTION 3. Behavioral Health Core Program Standards. Z. Health Home
SECTION 3 Behavioral Health Core Program Standards Z. Health Home Description Health home is a healthcare delivery approach that focuses on the whole person and provides integrated healthcare coordination
More informationdiabetes care and quality improvement in our practice
The Multidisciplinary Team: The key to successful planned diabetes care and quality improvement in our practice Robb Malone, PharmD UNC General Internal Medicine January 20, 2009 Objectives Review the
More informationDistinctive features of HPH in Taiwan: what made this network successful?
Distinctive features of HPH in Taiwan: what made this network successful? Dr. Ying-Wei Wang, Director General, Health Promotion Administration, Taiwan HPH Taiwan Network Representative 1 Where is Taiwan?
More informationOutline 11/17/2014. Overview of the Issue Program Overview Program Components Program Implementation
Physical Health Integration in a Behavioral Health Setting Robin Reed, MD, MPH Rupal Yu, MD, MPH Acknowledgements The Duke Endowment Piedmont Health Services Carolina Advanced Health Community Care of
More informationANCHOR An Interdisciplinary Community- Based Research Project in Nova Scotia: Overview & Some Preliminary Results
ANCHOR An Interdisciplinary Community- Based Research Project in Nova Scotia: Overview & Some Preliminary Results Why ANCHOR? Growing burden of cardiovascular/metabolic conditions and their risk factors
More informationSelf Care in Australia
Self Care in Australia A roadmap toward greater personal responsibility in managing health March 2009. Prepared by the Australian Self-Medication Industry. What is Self Care? Self Care describes the activities
More informationTHE STATE OF ERITREA. Ministry of Health Non-Communicable Diseases Policy
THE STATE OF ERITREA Ministry of Health Non-Communicable Diseases Policy TABLE OF CONTENT Table of Content... 2 List of Acronyms... 3 Forward... 4 Introduction... 5 Background: Issues and Challenges...
More informationPeripheral Arterial Disease: Application of the Chronic Care Model. Marge Lovell RN CCRC BEd MEd London Health Sciences Centre London, Ontario
Peripheral Arterial Disease: Application of the Chronic Care Model Marge Lovell RN CCRC BEd MEd London Health Sciences Centre London, Ontario Objectives Provide brief overview of PAD Describe the Chronic
More informationClick to edit Master title style
Preventing, Detecting and Managing Chronic Disease for Medicare Kenneth E. Thorpe, Ph.D. Robert W. Woodruff Professor and Chair of the Department of Health Policy & Management, Rollins School of Public
More informationObesity and corporate America: one Wisconsin employer s innovative approach
Focus On... Obesity Obesity and corporate America: one Wisconsin employer s innovative approach Amy Helwig, MD, MS; Dennis Schultz, MD, MSPH; Len Quadracci, MD Introduction The United States has an obesity
More informationPHARMACIST HEALTH COACHING CARDIOVASCULAR PROGRAM. 1. Introduction. Eligibility Criteria
PHARMACIST HEALTH COACHING CARDIOVASCULAR PROGRAM 1. Introduction Heart disease and stroke are among the leading causes of hospitalization and death in Canada. In 2008, nearly 30% of all deaths reported
More informationStrategic Plan
Strategic Plan 2017-2020 1 Our Vision Here s Help, Inc. believes clients can recover their lives and deserve a chance to succeed. To this end, our vision is to provide high-quality programs and services
More informationInaugural Barbara Starfield Memorial Lecture
Inaugural Barbara Starfield Memorial Lecture Wonca World Conference Prague, June 29, 2013 Copyright 2013 Johns Hopkins University,. Improving Coordination between Primary and Secondary Health Care through
More informationWELCOME TO HEALTH SCIENCES.
WELCOME TO HEALTH SCIENCES www.utwente.nl/go/hs IN THIS PRESENTATION 1. 2. 3. Introduction Optimization of Personalized monitoring healthcare processes and coaching 4. Innovation in public health 5. Master
More informationCatholic Health Community Health Inventory Related to Physical Activity and Nutrition
& Priority Areas: Partnerships Name & Description of Program Area Served Targeted Population Served Eligible Persons Reimbursement for services = those educational & other efforts that are geared towards
More informationWorksite Wellness Drs. Sal, Sebastian & Singh
Worksite Wellness Drs. Sal, Sebastian & Singh Dr. Carmella Sebastian, Dr. Carm, received her MD degree from the Medical College of Pennsylvania. She earned her Master s Degree in Healthcare Administration
More informationAlberta Breathes: Proposed Standards for Respiratory Health of Albertans
Alberta Breathes: Proposed Standards for Respiratory Health of Albertans The concept of Alberta Breathes and these standards was developed in consultation with over 150 health professionals and stakeholders
More informationREQUEST FOR PROPOSAL. Promoting physical activity and healthy eating to reduce the prevalence of obesity in Hawaii.
REQUEST FOR PROPOSAL Promoting physical activity and healthy eating to reduce the prevalence of obesity in Hawaii. I. ABOUT THE HMSA FOUNDATION The HMSA Foundation s mission is to extend HMSA s commitment
More informationWPS Integrated Care Management Improving health, one member at a time
WPS Integrated Care Management Improving health, one member at a time Integrated Care Management supports and promotes member health Looking for more from your group health insurance for your employees?
More informationAACVPR. Cardiac Rehabilitation Program Certification AACVPR. AACVPR Key Initiatives AACVPR. AACVPR Leadership. A Lesson in Patience and Success
AACVPR Cardiac Rehabilitation A Lesson in Patience and Success Founded in 1985, the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) is dedicated to the professional development
More informationThe Heart and Vascular Disease Management Program
Element A: Program Content The Heart and Vascular Disease Management Program GHC-SCW is committed to helping members, and their practitioners, manage chronic illness by providing tools and resources to
More informationBetter health. Better bottom line.
Better health. Better bottom line. Tailored well-being solutions to improve health and lower costs 847987 06/11 The Power of Well-Being To us, well-being is more than just promoting physical wellness.
More informationPCFHC STRATEGIC PLAN
PCFHC 2016-2019 STRATEGIC PLAN A community partner growing to improve your family s well-being ABSTRACT Petawawa Centennial Family Health Centre (PCFHC) was established in 2005. PCFHC was one of the first
More informationSouth Dakota Health Homes Care Coordination Innovation
South Dakota Health Homes Care Coordination Innovation Senator Deb Soholt NCSL Health Innovation Task Force December 6, 2016 South Dakota Health Homes Health Homes (HH)- provide enhanced health care services
More informationCountry report Bosnia and Herzegovina December 2015
Country report Bosnia and Herzegovina December 2015 Report by: Prof. Mirza Dilic, MD, PhD, FESC, FACC National CVD Prevention Coordinator of the Federation of Bosnia and Herzegovina Prof. Dusko Vulic,
More informationMedical Nutrition Therapy (MNT): Billing, Codes and Need at Adelante Healthcare
Medical Nutrition Therapy (MNT): Billing, Codes and Need at Adelante Healthcare An investigation of Medical Nutrition Therapy (MNT) billing requirements and handling By Melissa Brito Phillips Beth Israel
More informationSTATE PLAN FOR ADRESSING COPD IN ILLINOIS. Executive Summary
STATE PLAN FOR ADRESSING COPD IN ILLINOIS Executive Summary ! "!! # $! "! % & ' ' ' ( ) * ( +, ) -. / ) ) 0 * - - 1 * 1 + ). ' 0 2-1 * 3 ) 2 3 ) 4 ) ( ) ) * 5. / 2 ) )6 1 ( + ( 1 * ) ) 0 0 + 7) 8 ) 7.
More informationCommunity Health Plan. (Implementation Strategies)
-2019 Community Health Plan (Implementation Strategies) May 15, Community Health Needs Assessment Process Florida Hospital at Connerton Long Term Acute Care Facility (LTAC or the Hospital) is a long-term
More informationKidney Health Australia
Victoria 125 Cecil Street South Melbourne VIC 3205 GPO Box 9993 Melbourne VIC 3001 www.kidney.org.au vic@kidney.org.au Telephone 03 9674 4300 Facsimile 03 9686 7289 Submission to the Primary Health Care
More informationCommunity Health Needs Assessment 2013 Oakwood Heritage Hospital Implementation Strategy
Community Health Needs Assessment 2013 Oakwood Heritage Hospital Implementation Strategy Community Health Needs Assessment 2013 Oakwood Healthcare CHNA Implementation Strategy Community Health Needs Assessment
More informationAtlantic Health System Wellness Reward Program
Atlantic Health System Wellness Reward Program Welcome Take care of YOU and earn up to $500 with the Atlantic Health System Wellness Rewards Program! Partner with your health care provider and make healthy
More informationYour go to guide on physical activity
Your go to guide on physical activity A Health Professional s guide to physical activity programmes for patients in Greater Glasgow and Clyde Telephone 0141 232 1860 On average, adults should be undertaking
More informationCommunity Health Needs Assessment for Corning Hospital: Schuyler, NY and Steuben, NY:
Community Health Needs Assessment for Corning Hospital: Schuyler, NY and Steuben, NY: November 2012 Approved February 20, 2013 One Guthrie Square Sayre, PA 18840 www.guthrie.org Page 1 of 18 Table of Contents
More informationSELKIRK MENTAL HEALTH CENTRE ACQUIRED BRAIN INJURY PROGRAM MODEL OCTOBER Striving for Excellence in Rehabilitation, Recovery, and Reintegration.
SELKIRK MENTAL HEALTH CENTRE ACQUIRED BRAIN INJURY PROGRAM MODEL OCTOBER 2008 Striving for Excellence in Rehabilitation, Recovery, and Reintegration. SELKIRK MENTAL HEALTH CENTRE ACQUIRED BRAIN INJURY
More informationPatient Follow Up Questionnaire
Patient Follow Up Questionnaire Context The third strand of the Healthy Hearts in the West Initiative, Local provision of Cardiac Rehabilitation programmes (Phase 3 and Phase 4) and promotion of opportunities
More informationBreathing Easy: A Case Study on Asthma Prevention
Breathing Easy: A Case Study on Asthma Prevention Bob Morrow, MD, MBA Market President, Houston & Southeast Texas Blue Cross and Blue Shield of Texas @DrBobMorrow A Division of Health Care Service Corporation,
More informationProgress to Date on 2013 Community Health Needs Assessment Community Health Needs Assessment Objectives 5
To facilitate true collaboration among health care systems, public health, human services and the nonprofit sector in our community, a community health needs assessment process was developed and conducted
More informationTABLE OF CONTENTS Section 9: Care Coordination Provider Manual: July 2016 Section 9 TOC
TABLE OF CONTENTS Section 9: Care Coordination... 9-1 Integrated Care Coordination... 9-1 Complex Case Management (CCM)... 9-1 Disease Management Programs... 9-2 Transgender Program... 9-3 Social Services...
More informationResidential Re-Design Readiness Guide
Residential Re-Design Readiness Guide Developed by the OASAS Residential Redesign Workgroup to assist programs in their discussions as they evaluate strategies towards implementation of the element(s)
More informationHamilton Medical Center. Implementation Strategy
2016 Hamilton Medical Center Implementation Strategy 0 2016 Hamilton Medical Center Hamilton Medical Center For FY2017-2019 Summary Hamilton Medical Center is regional, acute-care hospital with 282 beds.
More informationCOMMUNITY HEALTH NEEDS ASSESSMENT
COMMUNITY HEALTH NEEDS ASSESSMENT Approved June 23, 2016 Published June 28, 2016 Implementation Strategies: Approved October 27, 2016 Published, November 14, 2016 Jefferson Hospital Association, Inc.,
More informationIntegrating Clinical Care with Community Health through New Hampshire s Million Hearts Learning Collaborative: A Population Health Case Report
Discussion Paper Integrating Clinical Care with Community Health through New Hampshire s Million Hearts Learning Collaborative: A Population Health Case Report Kimberly Persson March 31, 2016 Integrating
More informationCHAPTER 6 SUMMARY, CONCLUSION, NURSING IMPLICATIONS & RECOMMENDATIONS
260 CHAPTER 6 SUMMARY, CONCLUSION, NURSING IMPLICATIONS & RECOMMENDATIONS In this chapter, the Summary of study, Conclusion, Implications and recommendations for further research are prescribed. 6.1 SUMMARY
More informationStandard #1: Internal Structure
Site/Location: Standard #1: Internal Structure The provider(s) of Diabetes Self-Management Education and Support (DSMES) will define and document a mission statement and goals. The DSMES services are incorporated
More informationImproving physical health in severe mental illness. Dr Sheila Hardy, Education Fellow, UCLPartners and Honorary Senior Lecturer, UCL
Improving physical health in severe mental illness 1 Dr Sheila Hardy, Education Fellow, UCLPartners and Honorary Senior Lecturer, UCL 15.10.14 Life expectancy Danish study using the entire population:
More informationMERCY HOSPITAL LEBANON COMMUNITY HEALTH IMPROVEMENT PLAN ( )
MERCY HOSPITAL LEBANON COMMUNITY HEALTH IMPROVEMENT PLAN (2016-2019) An IRS-mandated Community Health Needs Assessment (CHNA) was recently completed for each hospital within the Central Community: * Hospital
More informationIntegrating prevention into health care
Integrating prevention into health care Due to public health successes, populations are ageing and increasingly, people are living with one or more chronic conditions for decades. This places new, long-term
More informationNevada County Health and Human Services FY14 Rural Health Care Services Outreach Grant Project Evaluation Report June 30, 2015
Nevada County Health and Human Services FY14 Rural Health Care Services Outreach Grant Project Evaluation Report June 30, 2015 I. Executive Summary The vision of Nevada County Behavioral Health (NCBH)
More informationSERVICE SPECIFICATION FOR THE PROVISION OF NHS HEALTH CHECKS IN BOURNEMOUTH, DORSET AND POOLE
Revised for: 1 April 2014 APPENDIX 2.4 SERVICE SPECIFICATION FOR THE PROVISION OF NHS HEALTH CHECKS IN BOURNEMOUTH, DORSET AND POOLE DORSET COUNTY COUNCIL Page 2 of 12 1. INTRODUCTION 1.1. This Specification
More informationOxford Condition Management Programs:
Oxford Condition Management Programs: Helping your employees learn, be encouraged and get support. Committed to helping improve the health and well-being of those we serve and improve the health care
More informationMotivational Interviewing and COPD Health Status Project 4 July-30 December 2016
Project Overview Motivational Interviewing and COPD Health Status Project 4 July-30 December 2016 Applying the principles of motivational interviewing to everyday patient interactions has proven effective
More informationNational Clinical Audit & Patient Outcome Programme: An update
National Clinical Audit & Patient Outcome Programme: An update Jenny Mooney Director of Operations www.hqip.org.uk Healthcare Quality Improvement Partnership Our structure and funding The National Clinical
More informationEVALUATION of NHS Health Check PLUS COMMUNITY OUTREACH PROGRAMME in Greenwich
EVALUATION of NHS Health Check PLUS COMMUNITY OUTREACH PROGRAMME in Greenwich 1 Acknowledgments Sheena Ramsay (Specialty Registrar in Public Health), Jackie Davidson (Associate Director of Public Health),
More informationUTILIZING HEALTH CLINICS TO MANAGE AND REDUCE HEALTHCARE COSTS
UTILIZING HEALTH CLINICS TO MANAGE AND REDUCE HEALTHCARE COSTS PRESENTED BY: Mardi Burns, CHC Senior Vice President, Senior Benefits Consultant Al Jaeger, CEBS Senior Vice President, Senior Benefits Consultant
More informationLocal Needs Assessment Heart Failure and Cardiac Rehabilitation
Local Needs Assessment Heart Failure and Cardiac Rehabilitation The Human Burden of Heart Failure Heart failure is a life-limiting condition that people can live with for a number of years and require
More informationWakeMed Rehab Hospital Stroke Rehabilitation Scope of Service
WakeMed Rehab Hospital Stroke Rehabilitation Scope of Service WakeMed Rehab Hospital provides an integrated, comprehensive delivery of rehabilitation services utilizing evidenced-based practice directed
More informationGREY BRUCE CHRONIC DISEASE PREVENTION AND MANAGEMENT FRAMEWORK
GREY BRUCE CHRONIC DISEASE PREVENTION AND MANAGEMENT FRAMEWORK IMPLEMENTATION TOOL KIT Bumstead, L., Goetz-Perry, C., Miller, L., Solomon, M. (2008) 1 WHERE DID THE CDPM FRAMEWORK COME FROM? Wagner (1999)
More informationEmployee Benefits Planning Assn. Meredith Mathews, MD MPH
Employee Benefits Planning Assn. Meredith Mathews, MD MPH 1 Meredith Mathews, MD, MPH Chief Medical Officer 18 years in practice of nephrology; CMO & SVP for Health Services, Premera Blue Cross; CMO &
More informationChecklist for Ocean County Community Health Improvement Plan Implementation of Strategies- Activities for Ocean County Health Centers: CHEMED & OHI
Checklist for Community Health Improvement Plan Implementation of Strategies- Activities for Lead Organizations Activities Target Date Progress to Date Childhood Obesity (4 Health Centers 1-Educate on
More informationConcept Proposal to International Affairs Directorate
CARMEN Policy Observatory on Chronic Noncommunicable Diseases A joint initiative between The Pan American Health Organization (PAHO) and the WHO Collaborating Centre on Noncommunicable Disease (NCD) Policy
More informationHome-Based and Long-Term Care Presentation to Health PEI Board of Directors November 6, 2012
Home-Based and Long-Term Care Presentation to Health PEI Board of Directors November 6, 2012 Divisional Profile The Home-Based and Long-Term Care Division provides supportive services to people in need
More informationConnecticut Department of Public Health
Connecticut Department of Public Health Request for Proposal October 2008 RFP # 2009-4548 The Connecticut Department of Public Health s (DPH) Comprehensive Cancer Program is pleased to announce the availability
More informationCommunity Health Needs Assessment IMPLEMENTATION STRATEGY. and
2015-2018 Community Health Needs Assessment IMPLEMENTATION STRATEGY and Collaborative Health Improvement Plan Palisades Medical Center Implementation Strategy - 1- Introduction: Palisades Medical Center
More informationIU Health Goshen CHNA Action Plan:
IU Health Goshen CHNA Action Plan: 2016-2018 The mission of IU Health Goshen is to improve the health of our communities, by providing innovative, outstanding care and services through exceptional people
More informationWake Forest Baptist Health Lexington Medical Center. CHNA Implementation Strategy
Wake Forest Baptist Health Lexington Medical Center CHNA Implementation Strategy Background Wake Forest Baptist Health - Lexington Medical Center (LMC) is committed to understanding, anticipating, assessing,
More informationQuality Improvement through an Innovative Health Care Model. Wednesday, January 18, 2017
11:00 a.m. CST Quality Improvement through an Innovative Health Care Model Wednesday, January 18, 2017 Photo Judy Ortiz, PhD, PA-C, DFAAPA Dean, College of Health Sciences Director, School of Physician
More informationMount Allison University Athletics and Recreation
Mount Allison University Athletics and Recreation (2010-2016) EXECUTIVE Summary Athletics and Recreation is essential to Mount Allison s objective of becoming the best primarily undergraduate University
More informationBEST PRACTICES IN WELLNESS. Jill McAdams, City of Bedford Robby Neill, City of Garland Michelle Wu, City of Austin
BEST PRACTICES IN WELLNESS Jill McAdams, City of Bedford Robby Neill, City of Garland Michelle Wu, City of Austin TMHRA Annual Conference Thursday, May 9, 2013 Best Practices/Initiatives Dietary Programs,/Nutrition
More informationHospital Patient Flow Capacity Planning Simulation Model at Vancouver Coastal Health
Hospital Patient Flow Capacity Planning Simulation Model at Vancouver Coastal Health Amanda Yuen, Hongtu Ernest Wu Decision Support, Vancouver Coastal Health Vancouver, BC, Canada Abstract In order to
More informationPrimary Care Development in Hong Kong: Future Directions
Primary Care Development in Hong Kong: Future Directions HA Convention 2014 8 May 2014 Professor Sophia CHAN PhD, MPH, MEd, RN, RSCN, FAAN, FFPH, JP Under Secretary for Food and Health, Government of the
More informationCommunity Leadership Institute of Kentucky Request for Applications
Community Leadership Institute of Kentucky Request for Applications Key Dates RFA Release Date: December 1, 2017 Applications due: January 10, 2018 Applicants Notified: February 9, 2018 Save the Required
More informationAPRIL Recognizing and focusing on population health priorities
APRIL 2016 Recognizing and focusing on population health priorities 1 Recognizing and focusing on population health priorities New Brunswick Health Council Why should we be concerned by the poor health
More informationGOVERNMENT RESOLUTION OF MONGOLIA Resolution No. 246 Ulaanbaatar city
GOVERNMENT RESOLUTION OF MONGOLIA 14.12.05 Resolution No. 246 Ulaanbaatar city Adoption of the National Programme on Integrated Prevention and Control of Noncommunicable diseases The Government of Mongolia
More informationMove the Needle on Difficult Quality Measures: How Health Plans Can Control High Blood Pressure
Move the Needle on Difficult Quality Measures: How Health Plans Can Control High Blood Pressure A Centauri Health Solutions Sm White Paper By melanie Richey 2016 by Centauri Health Solutions, Inc. All
More informationDietetic Scope of Practice Review
R e g i st R a R & e d s m essag e Dietetic Scope of Practice Review When it comes to professions regulation, one of my favourite sayings has been, "Be careful what you ask for, you might get it". marylougignac,mpa
More informationStandard #1: Internal Structure
Site/Location: Standard #1: Internal Structure The provider(s) of Diabetes Self-Management Education and Support (DSMES) will define and document a mission statement and goals. The DSMES services are incorporated
More informationCardiovascular Disease Prevention and Control: Interventions Engaging Community Health Workers
Cardiovascular Disease Prevention and Control: Interventions Engaging Community Health Workers Community Preventive Services Task Force Finding and Rationale Statement Ratified March 2015 Table of Contents
More informationCorporate Partners Program
Mercy Health Foundation St. Louis Mercy Health Foundation 615 S. New Ballas Road St. Louis, MO 63141 Office: 314-251-1800 Fax: 314-251-1801 mercyhealthfoundation.stl@mercy.net Corporate Partners Program
More informationExhibit OO13.e Program Guide
2013 Program Guide Table of Contents July 2013 Dear Colleague: I invite you to participate in the University s wellness program, Hoo s Well. Welcome to Hoo s Well 5 Hoo s Well Steps 6 + 8 Dimensions of
More informationCOPD National Action Plan. COPD.nih.gov
COPD National Action Plan COPD.nih.gov Kyle Mahan, MSM, RRT Vice President of KSRC DCE for Jefferson Community and Technical College RCP 14-ish Years AZ native. I am not from Kentucky, but I got here as
More informationNoncommunicable Disease Education Manual
Noncommunicable Disease Education Manual A Primer for Policy-makers and Health-care Professionals What are noncommunicable diseases? Noncommunicable diseases (NCDs) are the leading causes of death and
More informationWorkplace Health Strategy For Houston February 28, Heidi McPherson, Sr. Community Health Director American Heart Association
Workplace Health Strategy For Houston February 28, 2017 Heidi McPherson, Sr. Community Health Director American Heart Association Harris County Health Profile (countyhealthrankings.org) Variable Harris
More information2016 Social Service Funding Application Non-Alcohol Funds
2016 Social Service Funding Application Non-Alcohol Funds Applications for 2016 funding must be complete and submitted electronically to the City Manager s Office at ctoomay@lawrenceks.org by 5:00 pm on
More informationLove your heart. Quick guide to support heart recovery
Love your heart Quick guide to support heart recovery In hospital Leaving hospital Recovery plan In hospital What has happened to my heart? Understanding your heart condition and treatment can help your
More informationPostdoctoral Fellowship in Pediatric Psychology
Postdoctoral Fellowship in Pediatric Psychology The pediatric psychology fellowship offers a variety of experiences in specialty areas and primary care. Fellows will provide both inpatient and outpatient
More information