1. Connecting Family Physicians to Community Health Resources Anthony J. Costa, M.D. Northeastern Ohio Universities College of Medicine Val Lay, CFRE Ohio Academy of Family Physicians Foundation

2. Goal To provide family physicians with reliable resources that will enable them to guide their patients to wellness information that promotes a healthy lifestyle. To provide family physicians with reliable resources that will enable them to guide their patients to wellness information that promotes a healthy lifestyle.

3. Objectives list common problems presenting to family physicians for which patient education resources are available and necessary for optimal care. list common problems presenting to family physicians for which patient education resources are available and necessary for optimal care. readily access patient information resources concerning those topics. readily access patient information resources concerning those topics. use these resources to guide their patients to more effective management of a healthy lifestyle. use these resources to guide their patients to more effective management of a healthy lifestyle. Following this session participants will be able to:

4. Topics Hand washing Hand washing Nutrition Nutrition Exercise Exercise Tobacco Tobacco Cancer Cancer Alcohol Alcohol Substance abuse Substance abuse Domestic violence Domestic violence Depression Depression Dementia Dementia

5. Why Do Patients Visit Doctors? National Ambulatory Medical Care Survey National Ambulatory Medical Care Survey 2002 2002 CWRU CWRU NEOUCOM NEOUCOM

6. Reasons for Visits Acute Care 40% Acute Care 40% Chronic Care 30% Chronic Care 30% Preventive Care 10% Preventive Care 10% Injury Care 10% Injury Care 10% Other 10% Other 10%

7. Top 16 Diagnoses (in order of frequency) Hypertension Hypertension Well Child Well Child URI URI Diabetes Diabetes Arthritis Arthritis Routine Exam Routine Exam Back Pain Back Pain Otitis Media Otitis Media Cancer Cancer Chronic Sinusitis Chronic Sinusitis Allergic Rhinitis Allergic Rhinitis Asthma Asthma GYN Exam GYN Exam Hyperlipidemia Hyperlipidemia CHF CHF CHD CHD

8. What’s Missing? Obesity Obesity Tobacco Abuse Tobacco Abuse Alcohol Abuse Alcohol Abuse Substance Abuse Substance Abuse Domestic Violence Domestic Violence Depression Depression Dementia Dementia

9. Why Are They Missing? History History Co-morbidities Co-morbidities Underlying Causes of Disease Underlying Causes of Disease Not Considered a Disease Not Considered a Disease Not Coded Not Coded

10. What Do Most Have in Common? Chronic Disease Chronic Disease No Cure No Cure Continuity of Care Continuity of Care Patient Centered Care Patient Centered Care Patient Education is Important Patient Education is Important Community Back-up is Important Community Back-up is Important

11. Chronic Disease Model Patient-Centered Care Patient-Centered Care Team Care Team Care Continuity Continuity Patient Education Patient Education Community Resources Community Resources 24/7 Care 24/7 Care

12. Resources for Hand Awareness Henry the Hand: Champion Handwasher Henry the Hand: Champion Handwasher www.henrythehand.com

13. Resources for Nutrition National National http://www.drink-milk.com/health/ State State http://www.ohioafp.org/members/resources_references/ Local Local http://www.growinghealthyhabits.com

14. Resources for Physical Activity National National www.AmericansinMotion.org State State http://www.ohioafp.org/members/resources_references/ Local Local www.GrowingHealthyHabits.com Action for Healthy Kids—zone leader Action for Healthy Kids—zone leader Zone 10 Leader, Randi Dunn randi.dunn@cancer.org

15. Resources for Tobacco Use Prevention/Cessation National National www.askandact.org www.tarwars.org State State http://smokefreeohio.org/oh/default.aspx Local Local Polly Anne Johnson serving Wayne, Ashland, Holmes, Stark Counties Polly.Johnson@cancer.org 330-287-4605 Polly.Johnson@cancer.org

16. Resources for Cancer National National http://www.cancer.org/docroot/home/index.asp State State http://www.cancer.org/docroot/COM/content/div_OH/COM_ 6_1x_Patient_Navigator.asp?sitearea=COM http://www.cancer.org/docroot/COM/content/div_OH/COM_ 6_1x_Patient_Navigator.asp?sitearea=COM Local Local http://www.cancer.org/asp/search/mla/mla_global.asp?sort=name

17. Resources for Alcohol Abuse National National http://familydoctor.org/006.xml http://familydoctor.org/006.xmlhttp://familydoctor.org/006.xml http://www.niaaa.nih.gov/ http://www.niaaa.nih.gov/http://www.niaaa.nih.gov/ State State http://www.odadas.state.oh.us http://www.odadas.state.oh.ushttp://www.odadas.state.oh.us Local http://www.ci.akron.oh.us/Health04/Counseling/index.htm Local http://www.ci.akron.oh.us/Health04/Counseling/index.htm http://www.ci.akron.oh.us/Health04/Counseling/index.htm

18. Resources for Substance Abuse National National http://familydoctor.org/357.xml http://familydoctor.org/357.xmlhttp://familydoctor.org/357.xml http://www.nida.nih.gov/ http://www.nida.nih.gov/http://www.nida.nih.gov/ State State http://www.odadas.state.oh.us http://www.odadas.state.oh.ushttp://www.odadas.state.oh.us Local Local http://www.ci.akron.oh.us/Health04/Counseling/index.htm http://www.ci.akron.oh.us/Health04/Counseling/index.htmhttp://www.ci.akron.oh.us/Health04/Counseling/index.htm

19. Resources for Domestic Violence National National http://familydoctor.org/052.xml http://familydoctor.org/052.xmlhttp://familydoctor.org/052.xml http://www.nlm.nih.gov/medlineplus/domesticviolence.html http://www.nlm.nih.gov/medlineplus/domesticviolence.html http://www.nlm.nih.gov/medlineplus/domesticviolence.html State State http://www.aardvarc.org/dv/states/ohdv.shtml http://www.aardvarc.org/dv/states/ohdv.shtml http://www.aardvarc.org/dv/states/ohdv.shtml Local Local http://www.aardvarc.org/dv/states/ohdv.shtml http://www.aardvarc.org/dv/states/ohdv.shtmlhttp://www.aardvarc.org/dv/states/ohdv.shtml

20. Resources for Depression National National http://familydoctor.org/046.xml http://familydoctor.org/046.xmlhttp://familydoctor.org/046.xml http://www.nlm.nih.gov/medlineplus/depression.html http://www.nlm.nih.gov/medlineplus/depression.html http://www.nlm.nih.gov/medlineplus/depression.html State State http://www.mh.state.oh.us/ http://www.mh.state.oh.us/http://www.mh.state.oh.us/ Local http://www.mentalhealth.samhsa.gov/databases/MHDR.asp?D1=OH&T ype=MDR Local http://www.mentalhealth.samhsa.gov/databases/MHDR.asp?D1=OH&T ype=MDR http://www.mentalhealth.samhsa.gov/databases/MHDR.asp?D1=OH&T ype=MDR http://www.mentalhealth.samhsa.gov/databases/MHDR.asp?D1=OH&T ype=MDR

21. Resources for Dementia National National http://familydoctor.org/585.xml http://familydoctor.org/585.xmlhttp://familydoctor.org/585.xml http://www.nlm.nih.gov/medlineplus/dementia.html http://www.nlm.nih.gov/medlineplus/dementia.html http://www.nlm.nih.gov/medlineplus/dementia.html State State http://www.alz.org/ http://www.alz.org/ http://www.alz.org/ http://www.vistacare.com/caregiver/ Local Local http://www.alz.org/ http://www.alz.org/http://www.alz.org/

22. Conclusion Common Medical Problems Common Medical Problems Chronic Care Model Chronic Care Model Patient-Centered Care Patient-Centered Care Patient Education Patient Education Community Resources Community Resources Future of Medicine Future of Medicine

23. Questions?