News for RD s in Idaho Treasure Valley Dietitians Legislative & Public Policy Update Sue Linja, RDN, LD - Public Policy Chair - Idaho Academy of Nutrition & Dietetics
TODAY S TOPICS Legislative Update - Senator Werk - Thank you! Health Care Reform in Idaho & Medicaid Redesign Integrating the RD in Primary Care Publication from our national Academy of Nut & Dietetics Workgroup through Idaho Academy of Nutrition & Dietetics Boise VAMC - Patient Centered Medical Home (Sept 26) Nutrition Services -- Recommendations for Maximizing the Cost Effectiveness of Health Care in Idaho Idaho Academy Public Policy Committee - Poster at FNCE SNAP - SNAP/Ed - Action Alert - Act Now!
Where is Healthcare Going in Idaho?
Are you afraid the RD/ RDN will be left behind?
I m Afraid
What are you doing to get ready for healthcare reform?
Where are you on the spectrum? Sit and Wait - Let someone else figure it out Scaredy Cat - Too afraid to act Proactive Approach - Getting involved
Health Care Reform Change in Approach Have you had a physical lately? If so, you may have noticed a: Shift from treatment (cure) to prevention Change in responsibilities of the HC provider Change in relationship between HC provider and patient
Deaths in the US More than half are dietary habit related Heart disease, cancer, stroke, alzheimer s, diabetes, kidney disease, influenza and pneumonia all have nutrition influence Respiratory, accidents, suicides are also in the top 10
Does Prevention Really Work to Reduce Costs? Let s take a poll of the RD s in the room
Is the RD marketing their expertise? Why or why not? Does the health care team understand the value of the RD and make appropriate referrals?
Here s how your Idaho Academy is Getting Involved
Medicaid Redesign therightmedicineforidaho.org RD Action Item: Please contact your legislator and ask for support of this
RD s in Primary Care Are You Interested?
RD Action Item: Order Your Copy and/ or Get Involved in the Idaho Workgroup Integrating the Registered Dietitian (RD) into Primary Care - Comprehensive Primary Care Initiative (CPCI) Toolkit Are you a Registered Dietitian (RD) who has been thinking about working within a patientcentered medical home (PCMH)? Are you interested in improving outcomes and providing services to enhance care coordination? Find out more in this new toolkit. Whether you are practicing in one of the states where the CPCI pilot program is taking place or just interested in integrating your services into a PCMH setting, this toolkit is filled with practical information, advice and tools to help get you started. Please Note: Upon completion of your order, a link to access your purchase will be sent to the email address you have on file with the Academy. Please be sure your email address is accurate before submitting your order. If you have difficulty with your purchase, please contact sales@eatright.org. Thank you. https://www.eatright.org/shop/product.aspx? id=6442476253 Megan William, MS, RDN, LD - megan34@gmail.com Idaho Academy of Nutrition & Dietetics Secretary
RD Action Item: Please Attend Inaugural Meeting of the Bo ise V A M C C e n te r of Excellence Patient Centered Medical Home Ed uc a tio n Collaborative September 26, 2013 11:30 am 5:00 pm (Lunch & Refreshments Provided) ISU-Meridian Health Science Center 1311 E Central Street Meridian ID 83642 Purp o se Share experiences in interprofessional education in a patient centered medical home Promote innovations that are happening in the state Exchange ideas on developing core competencies for interprofessional collaborative practice Let s bring together major roots and branches of Idaho s interdisciplinary healthcare education and practice community to cultivate change.
Idaho Academy Poster Many thanks to Ruth Schneider and Elaine Long for their work on this! Nutrition Services by Registered Dietitians in the PCMH RD Services Improve Health Outcomes and Save Money RD services improve diverse health indicators, including weight, HbA1c, quality of life, use of medications, productivity and total health care costs. Examples from evidence based studies of Medical Nutrition Therapy (MNT) include: For patients with CVD, MNT reduces hospital utilization (8.6%) and physician visits (16.9%). For patients with diabetes, MNT reduces hospital utilization (9.5%) and physician visits. (23.5%). Adults receiving MNT for overweight/obesity by an RD achieve a clinically significant weight loss. If BMIs were lowered by 5%, Idaho could save more than $1 billion in 10 years or $3 billion by the year 2030. For every dollar spent on an RD-led lifestyle modification program, studies project a return of $14.58. Nutrition Services in The Affordable Care Act (ACA) Nutrition services are included 11 times in the ACA. In 2013, the Idaho legislature passed a joint resolution encouraging the inclusion of nutrition services as an integral component in the prevention and treatment of chronic disease. This resolution stated that by providing MNT and professional nutrition counseling by Idaho registered dietitians in conjunction with existing services covered by insurance carriers, there will be a significant impact on chronic disease management, along with significant health care cost savings in the State of Idaho. According to the Institute of Medicine The registered dietitian is currently the single identifiable group of health-care professionals with standardized education, clinical training, continuing education and national credentialing requirements necessary to be directly reimbursed as a provider of nutrition therapy. RD-led intervention reduced risk of lost work days by 64.3% and risk of disability days by 87.2%. References for studies available on request. Poster by Ruth Schneider, MPH, RD, LD Clinical Associate Professor ISU-Meridian Health Sciences Center
Nutrition Services -- Recommendations For Maximizing the Cost-Effectiveness of Preventative Health Care in Idaho 9/10/13 8 page document written by your Idaho Academy leadership (lead by Seanne Safaii, PhD, RD) demonstrating evidence based savings (real and projected) by utilizing RD services in prevention and treatment in Idaho. Also includes current insurance providers coverage of nutrition services.
Poster/Abstract FNCE - Houston Successful Advocacy Strategies for State Affiliates: Relationships, Messages, Member Involvement, Funding and Persistence R.B. Holliday, E.M. Long, S. Linja, S.J. Safaii Idaho Registered Dietitians Lead the Way!
SNAP & SNAP-Ed Cuts Proposed cuts in House of $40 billion dollars from Nutrition Programs RD Action Item: Today, please spend 2 minutes and follow this link: http://bit.ly/1afndfd
HELP! Please, at a minimum, do a couple of the RD Action Items THANK YOU!