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HealthyLiving – Lessons for Life The Palm Beach County School District Wellness Champions September 2008
Copyright © Health Dialog Services Corporation 2008. All rights reserved. 2 Did you know? By better understanding medical issues, individuals can engage in more effective dialogs with their physicians and take a more active role in the management of their health (4) The U.S Spends more money per capita on health care than any other country, it is important to know where your medical knowledge comes from (1) On average, women with early stage breast cancer who have a lumpectomy and radiation live as long as those who have a mastectomy (2) Screening tests for colon cancer- stool test, sigmoidoscopy, colonoscopy and imaging tests- are similarly effective; the choice should simply be based on individual preference. (3) 1.) Health News Review.org (http://www.healthnewsreview.org/things_you_should_know6.php)http://www.healthnewsreview.org/things_you_should_know6.php 2.)Did you know facts (http://www.informedmedicaldecisions.org/)http://www.informedmedicaldecisions.org/ 3.)Did you know facts (http://www.informedmedicaldecisions.org/)http://www.informedmedicaldecisions.org/ 4.) www.healthdialog.comwww.healthdialog.com
Copyright © Health Dialog Services Corporation 2008. All rights reserved. 3 Objectives Gain an understanding of the HealthyLiving–Lessons for Life program provided by PBCSD Provide an overview of how the HealthyLiving Health Coaches can help Review Resources available to you Review how to access the tools and services
Copyright © Health Dialog Services Corporation 2008. All rights reserved. 4 Has this ever happened to you or someone in your family? Its 3 am and your child has a fever? You wonder if you should go to the emergency room? Your doctor has suggested surgery. You wonder if you understand all your options? You have a chronic condition like diabetes or heart problems. Youre trying to figure out if you should go on a medication to lower your cholesterol?
Copyright © Health Dialog Services Corporation 2008. All rights reserved. 5 PBCSD Healthy Living- Lessons for Life Offers: Specially trained Healthy Living Health Coaches: nurses, respiratory therapists, dietitians Available by phone toll-free 24 hours a day 7 days a week Up-to-date evidence based health information available: - Over the phone - On the web - Mailed to employees homes (including Shared Decision Making® videos) Service for PBCSD employees and covered dependents Can help in many languages Available at no cost to employees
Copyright © Health Dialog Services Corporation 2008. All rights reserved. 6 HealthyLiving Coaching Mission Improve the health and quality of care for our participants and their families Facilitate more appropriate use of healthcare resources addressing the issues of underutilization and over utilization Empower participants with the information, skills, confidence, & motivation they need to actively participate in their health and healthcare
Copyright © Health Dialog Services Corporation 2008. All rights reserved. 7 When to call a HealthyLiving Health Coach Call for any kind of health care concern or question: Decision Support: Your doctor has suggested surgery, and you want more information You dont know where to turn next with a complicated medical problem Condition Support: Your spouse has a health problem, and you dont know what questions to ask your doctor You have a chronic disease (like diabetes, heart disease, or asthma), and you want to know about treatments Symptom Support: You are trying to decide whether someone in your family needs to see a doctor for symptoms, and what home treatment you might try If you are in need of symptom support, decision support, condition support and wellness support that is when to call a HealthyLiving Health Coach
Copyright © Health Dialog Services Corporation 2008. All rights reserved. 8 Members call to talk about… Hypertension Renal failure Carpal tunnel syndrome Cataracts Gallbladder disorders Gastro-esophageal reflux (GERD) Otitis media Maternity/pregnancy Depression and stress Obesity/bariatric surgery Migraine/other headache Osteoporosis Stroke Allergies Acute respiratory (other than asthma) General arthritis TMJ syndrome Common skin problems Bunions Breast reduction Hernias Hemorrhoids Varicose veins HIV/AIDS
Copyright © Health Dialog Services Corporation 2008. All rights reserved. 9 Other Conditions participants call to talk about… Health & Wellness: Tobacco Cessation Weight Loss Stress Reduction Metabolic Syndrome High Cardiovascular Disease Risk Physical Activity Nutrition Preventive Tests Treatment Options: Back pain/surgery Womens health Breast cancer and other cancers Benign uterine conditions Mens health Joints Heart surgery End-of-life care
Copyright © Health Dialog Services Corporation 2008. All rights reserved. 10 By Mail: Videos/ DVD & Print Content developed by the Foundation for Informed Medical Decision Making with exclusive distributor rights of videotapes. Decisions from the participants perspective Overview of the available options and implications of each In Person Specially trained clinicians (e.g., nurses, respiratory therapists, dietitians, pharmacists) Health Coaches have an average of 10-15 years of experience Certified in Shared Decision Making ® Methodology Multi-lingual Services Online Evidence-based information about conditions and treatment options Healthwise Knowledgebase is an electronic database containing thousands of health-related topics Health Crossroads TM provides simple navigation through difficult decisions – Gold Aware winner World Wide Web Health Awards Support through Multiple Channels
Copyright © Health Dialog Services Corporation 2008. All rights reserved. 11 Educate participants about their conditions using up-to-date, evidence- based information Explain the treatment options available, using videotapes and written materials Help participants prepare for discussions with their providers Support participants through the process until they are ready to make the right decision for them Help participants define their own values and preferences How Health Coaches Do What They Do: Health Coach Health Coaches
Copyright © Health Dialog Services Corporation 2008. All rights reserved. 12 Outreach to our participants: All participants will receive a welcome letter and a magnet introducing the new program Participants may receive information by mail or a call from a Health Coach Participants may send secure messages to a HealthyLiving Coach via the web site, which will be answered within 24 hours
Copyright © Health Dialog Services Corporation 2008. All rights reserved. 13 The Dialog Center - accessed via the Web Through the Dialog Center, participants can access: E-mail and receive secured messages from a health coach Access to HealthyLiving Behavior Change Modules Breathe Relax Care Nourish Balance Search thousands of up-to-date health articles from top medical experts Utilize tools to conveniently track prescriptions or medical symptoms Access to a self-guided, secured Personal Health Assessment
Copyright © Health Dialog Services Corporation 2008. All rights reserved. 14 Personal Health Assessment (PHA) The PHA helps members improve their health Provides a Personal Action Plan Provides access to many interactive tools The Personal Action Plan provides 3 areas where members can make the biggest difference in their health All in 3 simple steps: Read – where you can go on the Web to learn more about health topics Talk – Who you should talk to for support Do – How to start making healthy changes TODAY
Copyright © Health Dialog Services Corporation 2008. All rights reserved. 15 Educate and Support Onsite promotional materials Onsite promotional materials create brand awareness and introduce the enhanced program to members and employees. Materials encourage members to manage their health conditions and participate in health fairs, screenings, and other worksite wellness activities.
Copyright © Health Dialog Services Corporation 2008. All rights reserved. 16 Helping Participants become Better Patients A participants interaction with the HealthyLiving Program prepares them to make health care decisions in partnership with their physician The HealthyLiving Program strives to put the well informed participant in the center of the health care decision process resulting in a more effective and efficient participant / provider dialog Goal: To achieve quality in medical decision-making a participant must be informed and feel confident that the decision matches the values and preferences her or she deems to be important
Copyright © Health Dialog Services Corporation 2008. All rights reserved. 17 You can encourage use of HealthyLiving – Lessons for Life Health Coaching Use tools provided (job aid, phone number) Tell eligible participants about the program Support ongoing general awareness of the Health Coaching service You are KEY to promoting the program and getting the right people to HealthyLiving Coaches at the right time Your support for the Health Coach Service can significantly impact the number of participants that benefit from working with a HealthyLiving Coach How Can You Help?
Copyright © Health Dialog Services Corporation 2008. All rights reserved. 18 Trigger Words Back Pain Prostate Problems Joint Replacement Hysterectomy Considering Surgery Heart Surgery Smoking Cessation Weight Loss CancerDiabetesAsthma Coronary Artery Disease (CAD) Chronic Obstructive Pulmonary Disease (COPD) HealthyLiving – Lessons for Life Toll free (888) 318-2280 TTY (888) 308-7259 www.palmbeach.k12.fl.us/wellness Contact Information Eligibility Verification Which Participants Can I Refer? Participant is… Making a health decision and wants evidence-based health information. Symptomatic and wants information on how to treat those symptoms. (elective surgery, treatment decisions, chronic conditions, lifestyle changes) Preparing for their doctors visit or wants to better communicate with their doctor. Mentions or inquires about trigger word. Referral Criteria Health Dialog Health Coaching is … Available at no additional cost Staffed by health professionals such as nurses, dietitians & respiratory therapists Available 24 hours/7 days a week Health Coaches… Provide clear and concise, evidence-based information on available treatment options based on your needs and values Provide education and support for significant medical issues such as surgery or chronic conditions like diabetes, congestive heart failure, asthma or COPD Provide printed materials and relevant videotapes on conditions such as heart disease, breast cancer and more Work with you to better communicate with your doctor Talking Points All employees, retirees and covered dependents of the School District of Palm Beach County medical plan are eligible
Copyright © Health Dialog Services Corporation 2008. All rights reserved. 19 How to reach HealthyLiving - Lessons for Life (888) 318-2280 TTY line available for speech and hearing impaired (888) 308-7259 www.palmbeach.k12.fl.us/wellness Begin referring participants who may benefit from working with HealthyLiving Coach
Copyright © Health Dialog Services Corporation 2008. All rights reserved. 20 Appendix Shared Decision Making Videos
Copyright © Health Dialog Services Corporation 2008. All rights reserved. 21 Shared Decision-Making ® Videos Advance Directives Back Pain Acute Chronic Herniated disc Spinal stenosis Prostate Problems Weight Loss Surgery Diabetes Migraines Breast Cancer DCIS Hormone therapy and chemotherapy Reconstruction Surgery choices Metastatic Breast Cancer Coronary Artery Disease Living with CAD Treatment choices Hip Osteoarthritis Knee Osteoarthritis Ovarian Cancer Prostate Cancer PSA test Treatment choices Uterine Conditions Abnormal uterine bleeding Fibroids The Informed Health Care Consumer Colon Cancer Screening
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