Presentation Goals. Presentation Outline. Grant Overview. Stanford University's Model Benefits Overview of MyCD and Tomando Programs

Transcription

1 THE MANAGE YOUR CHRONIC DISEASE (MYCD) PROGRAM: AN EFFECTIVE AND LOW COST RESOURCE FOR PEOPLE WITH CHRONIC HEALTH CONDITIONS Also known nationally as the Chronic Disease Self-Management Program developed and tested by Stanford University 2013 NMAHHC Spring Conference Presentation Goals 2 Demonstrate the effectiveness of the MyCD Program. Explain the core components of the MyCD Program. Increase knowledge and awareness of the MyCD Program. Presentation Outline 3 Grant Overview Stanford University's Model Benefits Overview of MyCD and Tomando Programs Program Delivery Quality Assurance Key Learnings

2 Grant Overview 4 Funding Agency: U.S. Administration for Community Living (ACL), formerly known as the Administration on Aging Funding Amount: $200,000 Project Length: 3 Years (9/12 through 8/15) State Level Leadership: New Mexico Department of Health (Lead State Agency) New Mexico Aging and Long Term Services Department Goal: Integrated, Sustainable Service System 5 Stanford University s Chronic Disease Self-Management Program (CDSMP) 6 Peer led small groups Standardized training for leaders Highly structured teaching protocol Standardized participant materials Several topics per session Well researched and studied Evaluated in randomized trials to establish the evidence base Available in English and Spanish

3 Health Benefits 7 CDSMP improved health status in the following areas: Fatigue Shortness of breath Pain Social activity limitation Illness intrusiveness Depression Health distress Benefits Continued 8 Utilization Effects: More appropriate use of healthcare resources Costs Effects: Reductions in healthcare expenditures May save enough money within the 1 st year to pay for the program Additional Benefits: Enhanced partnerships with physicians Complements the clinical care and disease specific education delivered by healthcare providers MyCD/CDSMP Approved By 9 U.S. Administration for Community Living/Administration on Aging National Council Aging U.S. Centers for Disease Control and Prevention Meets the ACL s Title IIID Highest-Level Criteria

4 10 MyCD Program AND Tomando Control de su Salud Program Put Life Back in Your Life! Designed for people with 11 Diabetes Arthritis Breathing/lung disease (i.e., asthma, bronchitis) Heart disease Hypertension (high blood pressure) Osteoporosis (low bone density) Cancer Depression or anxiety disorders. Symptom Cycle 12

5 Self-Management Toolbox 13 Building Self-Management Skills 14 Problem-solving Decision-making Understanding emotions Healthy eating Physical activity Communication Medications Breathing techniques Action planning 15

6 Workshop Overview 16 Week 1 Week 2 Week 3 Week 4 Week 5 Week 6 Overview of Self-Management/Chronic Health Conditions * Using your Mind to Manage Symptoms * * * * Getting a Good ight s Sleep * Making an Action Plan * * * * * * Feedback/Problem-Solving * * * * * Dealing with Difficult Emotions * Physical Activity/Exercise * * Preventing Falls/Improving Balance * Making decisions * Pain/Fatigue Management * Better Breathing * Healthy Eating * * Communication Skills * Medication Usage * * Making Informed Decisions Dealing with Depression * Working with your Healthcare * Professional/System Weight Management * Planning for the Future * MyCD and Tomando Reach Data 17 Conditions Reported by Participants 18

7 19 Personnel 20 Leaders - are authorized to teach the six-week workshop. Master Trainers - are authorized to train only Leaders to teach the Self-Management Workshop. T-Trainers - are authorized to train Master Trainers and/or Leaders Training Basics 21 Leaders receive four (4) days of training usually two (2) days a week for two (2) weeks Master Trainers receive 4.5 days of training T-Trainers this authorization will only be granted after an apprenticeship training with a Stanford staff trainer. To qualify for an apprenticeship, one must have facilitated at least two (2) workshops and three (3) Leader trainings.

8 To Remain Certified 22 Leaders must facilitate two (2) workshops every year. Master Trainers must facilitate one (1) Leader training and/or two (2) workshops per year following certification T-Trainers must conduct at least (one) 1 Master training every two (2) years and at least one (1) leader trainings every year. Benefits of Becoming Trained 23 Trainings and materials will be covered by the grant. Receive certification to provide an evidence-based program that has been proven to improve the quality of life of older adults with chronic health conditions. Individuals learn proven methods to apply to other areas of their practice. Improve leadership/group facilitation skills. License Basics 24 Single-Program License Fees $500 for offering 30 or fewer workshops and 6 Leader trainings Multiple-Program License Fees $1,000 for offering up to 75 total (all programs combined) workshops and 6 Leaders trainings All workshops and trainings must be attached to a licensed agency.

9 Quality Assurance 25 Fidelity Manual Includes process for monitoring Leaders and Master Trainers Workshop observations Participant feedback Program data collection/analysis Educational Materials 26 Book Living a Healthy Life With Chronic Conditions, 4th Edition ($15.00) Audio CD Relaxation for Mind and Body ($9.00) Materials can be ordered from the Bull Publishing Company at a discounted price: 27 Why are MyCD and Tomando Effective? Classes are highly participative, where mutual support and success build the participants confidence in their ability to manage their health and maintain active and fulfilling lives.

10 What participants are saying 28 The changes I made throughout the course were to know the dangers of eating unhealthy foods. I now have a healthier diet that helps with my disease and I also exercise. - Lucia Chairez, Vado Continued. 29 The open and friendly style of classroom participation offered a chance for every student to contribute useful knowledge on how they manage their respective health condition. - Albert R. Cata, Albuquerque I would highly recommend this program to those who suffer from chronic pain. This program was very educational and fun without being judgmental, condescending, or critical. -Maria Soledad Martinez, Las Cruces Key Learnings: : What Does Not Work 30 Pay-to-Play vs. only funding start-up costs Unsustainable delivery costs (high stipends, incentives, etc.) Non-strategic growth (need to balance new sites with expanding sites and classes within existing partners) Non-selective training Focusing only on delivery and not creating demand Infrequent workshops

11 Keys to Success 31 Infrastructure Community networks Partnerships Financial support Sustained marketing and program delivery On-going recruitment Forging Ahead 32 Plan for sustainability now Limit to start-up costs or cost share; Avoid unsustainable practices (e.g. pay to play, incentives) Partner with turn-key delivery system partners Integrate into existing systems, coalitions (e.g. healthy aging, chronic disease, falls prevention) Align with healthcare reform efforts (e.g. Patient Center Medical Homes, Accountable Care Organizations, Care Transitions) Be strategic about who to partner with based on assessment of needs and gaps MyCD Partnership Network 33 Licensed Providers Department of Senior Affairs, City of Albuquerque Montañas del Norte Area Health Education Center, affiliated with Luna Community College Southern Area Health Education Center, affiliated with New Mexico State University New Mexico VA Health Care System Family YMCA, Los Alamos Partners NM Aging and Disability Resource Center NM State University Cooperative Extension Service Molina Healthcare of NM NM Retiree Health Care Authority NM Healthy Aging Collaborative NM Association for Home and Hospice Care Chronic Disease Prevention Council Nor Lea Hospital District Presbyterian Health Care Services Christus St. Vincent Regional Medical Center

12 34 New Mexico Department of Health Contacts Chris Lucero, Program Manager Chronic Disease Self-Management Program Phone: (505) Diana M. Abeyta Tribal & Northern Liaison Office of Community Health Workers Phone: (505) New Mexico Aging and Long-Term Services Department Contacts Lynne Anker-Unnever Aging Network Division Director Phone: (505) Carmela Martinez Senior Service Bureau Program Manager Phone: (505) Carlos Moya Consumer and Elder Rights Division Director Phone: (505) MyCD Regional Director 36 Albuquerque and Santa Fe Metro Regions Catherine Offutt Authorized T-Trainer and Master Trainer Phone: (505)

13 MyCD Regional Director 37 New Mexico VA Health Care System Christine Stevens Authorized T-Trainer and Master Trainer Phone: (505) Ext MyCD Regional Director 38 Southwest and Southeast Regions Bea Favela Authorized Master Trainer Phone: (505) MyCD Regional Director 39 Northwest and Northeast Regions Elaine Luna Authorized Master Trainer Phone: (505)

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