How to Start a Program in Your Community Tuesday, February 26, 2013 Walk with a Doc Webinar How to Start a Program in Your Community Tuesday, February 26, 2013 SANDRA - BEGIN

Webinar Structure Moderator Webinar recording will be available + slide deck All attendees will be muted Please use question + chat feature Q&A session Thank you for joining us. Sandra Robinson will be moderating the webinar. The webinar is being recorded and will be sent out to and posted online on the CMAF website along with the PowerPoint slides All attendees will be on mute during the entire webinar. For any questions and/or concerns, please use either the question box or chat features and staff will respond accordingly. We will have a Q&A session during the last 15 minutes of the webinar to answer any questions. Attendees are encouraged to send their questions anytime during the webinar are they pop up. They will get addressed during the Q&A session.

Speakers Carol A. Lee – President & CEO, California Medical Association Foundation Kathryn Stephens– Executive Director, Walk with a Doc Sandra Robinson – Vice President of Programs, California Medical Association Foundation Kris Wallach – Program Director, Sierra Sacramento Valley Medical Society Penny Figas – Executive Director, Humboldt Del-Norte County Medical Society Sandi Palumbo – Executive Director, Fresno-Madera Medical Society & Kern County Medical Society

Agenda The California Medical Association Foundation’s WWAD Program WWAD History & Introduction How to Start a Program in your Community Best Practices: Testimonies of Successful Programs Q&A Session SANDRA – END INTRODUCE CAROL LEE

The California Medical Association (CMA) Foundation The California Medical Association (CMA) Foundation’s mission is to improve individual and community health through partnerships. For 50 years, much of what we have focused on is bringing greater awareness and education around serious public health issues, like obesity. CAROL - BEGIN

The CMA Foundation’s Obesity Prevention Project Purpose: reduce the prevalence of overweight and obesity in children and their families. Physicians play a key role in reversing this trend and ensuring that California’s children have the opportunity to live long, healthy lives. Nearly 90 percent of Californians surveyed in a 2012 Field Research Poll indicated that they wanted to hear from their physicians about issues related to overweight and obesity. Lifestyle, environmental, and policy interventions that promote healthy eating and increased physical activity can significantly impact obesity and the risk for chronic disease.

Utilizing Our Docs for a ‘Walk with a Doc’ The CMA Foundation is spearheading a “Walk with a Doc” program throughout California. The program utilizes physicians’ expertise and credibility to enact lifestyle changes and increase participation in walk events. The program allows individuals to share the activity with friends and family. This program has lead to the collaboration with local physicians and medical societies to organize FREE 1-hour walks on Saturdays at local parks. Our goal is to continue to recruit physician volunteers as walk leaders and organizers in their communities. LAST SLIDE FOR CAROL As part of the CMA Foundation’s mission to improve individual and community health, we are spearheading a “Walk with a Doc” program throughout California. The CMA Foundation’s Walk with a Doc program utilizes physicians’ expertise and credibility to enact lifestyle changes. Promoting physician led walks will also serve as a way to increase participation, as physicians are viewed as credible leaders in these efforts. Walk with a Doc will provide the opportunity to engage in a program that allows individuals to share the activity with friends and family, offering a built in support system. This program has lead to the collaboration with local physicians and medical societies to organize FREE 1-hour walks on Saturdays at local parks. Our goal is to continue to recruit physician volunteers as walk leaders and organizers in their communities. Walk with a Doc is supported in California by a grant from the Anthem Blue Cross Foundation. CAROL to introduce KATHRYN STEPHENS Walk with a Doc is supported in California by Anthem Blue Cross Foundation.

WWAD History & Introduction KATHRYN STEPHENS - BEGIN

What is the WWAD Program? Created by Dr. David Sabgir, a board-certified cardiologist who practices in Ohio. "JustWalk" is a free, non-profit program for anyone interested in taking steps for their health. Walks are held on Saturdays lasting about an hour each and starts with a physician giving a quick 5-10 minute talk. Created to encourage healthy physical activity in people of all ages and reverse the consequences of a sedentary lifestyle in order to improve the health and well being of the country. We started this program because it was an opportunity for us to connect with patients and hopefully, for walkers to have the motivation to come out and join us for 30-60 minutes. Learning about healthy lifestyle options and connecting with other walkers is an easy and fun way to get or stay fit. 'Walk with a Doc’ strives to encourage healthy physical activity in people of all ages, and reverse the consequences of a sedentary lifestyle in order to improve the health and well-being of the country.  

Why Start a WWAD Program: Physical Inactivity Overweight and obesity are influenced by physical inactivity and poor diet. Physical inactivity increases one’s risk for dying prematurely, dying of heart disease, and developing diabetes, colon cancer, and high blood pressure.1 U.S. Department of Health and Human Services. Physical Activity Guidelines Advisory Committee report. Washington, DC: U.S. Department of Health and Human Services, 2008. 

Why Start a WWAD Program: Decline in Physical Activity Adults Children Children generally walk much less than they did a decade ago. Participation in physical activity declines as young people age.1 Data source: CDC/NCHS, National Institute Health Survey, 2005-2007 The percentage of adults who engaged in physical activity declined steadily with age. CDC. Youth Risk Behavior Surveillance—United States, 2011. MMWR 2012;61(SS-4). Sedentary lifestyles increase health risks as your patients grow older.

Benefits of Walking Walking is one of the easiest and cheapest ways to exercise! Walking as little as 30 minutes a day can have the following benefits: Reduce the risk of coronary heart disease Improve blood pressure and blood sugar levels Maintain body weight and lower the risk of obesity Enhance mental well-being Improve blood lipid profile Reduce the risk of osteoporosis Reduce the risk of breast and colon cancer Reduce the risk of type 2 diabetes Walking offers countless health benefits and of course helps reduce a person’s risk factors for heart disease Walking is a gentle, low-impact exercise that can ease you into a higher level of fitness and health. Walking is a form of exercise accessible to just about everybody. It's safe, simple and doesn't require practice.

Benefits of the Program Encourages healthy physical activity in people of all ages Opportunity to connect with patients Motivation to get active Connecting with other walkers Easy and fun way to get or stay fit Created to encourage healthy physical activity in people of all ages and reverse the consequences of a sedentary lifestyle in order to improve the health and well being of the country. We started this program because it was an opportunity for us to connect with patients and hopefully, for walkers to have the motivation to come out and join us for 30-60 minutes. Learning about healthy lifestyle options and connecting with other walkers is an easy and fun way to get or stay fit.

What 1 hour each week can do Dramatically alter your patients lives by replacing a sedentary behavior with a healthy, active one. A 3-5 minute informational talk can educate your patients on exercise, nutrition and health. Immediately become recognized as a community leader and impact your community in a positive, life-changing way. 100 LAST SLIDE FOR KATHRYN INTRODUCE Vanessa Saetern

How to Start a Program in your Community VANESSA - BEGIN

How the Program Works 100 Personnel Ratio 1 Doc + 2 Assistants Can service walkers

Getting Started Get a Doc, a helper… We can help! Find a park… We can help! Get some walkers… We can help! Start with your staff and patients. You will get exponential growth. It’s easy to develop a “community”, email addresses allow for quick communication within your group. Establish and secure a meeting place and a walking site. Spread the word! It will catch on fast.

Steps to Success The Doc makes a short presentation on choice of topic Everyone walks at their own pace (we encourage 30-45 minutes) Option to provide water and a healthy snack Pick a location that is right for you. There’s walk programs in the Rocky Mountains, city streets, beaches, community parks and even shopping malls. Always have a healthcare professional volunteer on hand Always be open to the public Always emphasize FREE 100

“Walking is a simple and effective way to improve your fitness level and health…Walk with a Doc creates a community and support structure for those interested in taking the first step toward improved health. Anthem Blue Cross Foundation is proud to support this program and we applaud everyone who took part in today’s event.” - Pam Kehaly, president of Anthem Blue Cross SANDRA – BEGIN Walk with a Doc is supported in California by a grant from the Anthem Blue Cross Foundation.

LAST SLIDE FOR VANESSA INTRODUCE 3 PILOT SITES “Walk with a Doc highlights how important community, education and physical activity are to reducing obesity and heart disease in California…these walks are a great chance for physicians and community members to stretch their legs, get their hearts pumping and discuss healthy living. I just hope I can keep up with patients from my pediatrics practice!” - Dr. Richard Pan, Chair of the California Assembly Committee on Health

Best Practices

Humboldt Del Norte County Medical Society PENNY – BEGIN How to recruit physician walkers and build your team    ➣Broadcast e-mail to physicians - flyers for the event, promotional flyer for physician “leaders” and prescription forms for physicians to use with their patients.   Encourage physicians to post flyers in their waiting rooms.   Seeing an increase of physician participation - which is GREAT!    Problem with identifying a “lead”, however, set up a back-up physician that is attending each of the events. ➣Trying to move around the county in walk locations so can outreach to different areas.   Actually introducing physicians in different areas of the county, which is an additional benefit. ➣Broadcast e-mail to Office Managers.   Encourage to bring to attention of physicians, post notices in waiting rooms, etc. ➣We “teamed up” with our local PreMed Students at Humboldt State University -actually hired one of the students to help coordinate the program.  Students are very involved in not only participating and helping to promote - they are also promoting to other students at the University. ➣Hospital Medical Staff Coordinators - asking to post in the Doctor’s Lounges, Libraries, O/R., E/R, elevators, employee break rooms, etc. ➣include regular notices in our monthly newsletter: North Coast Physician - to promote the walks, leaders, and participation. ➣Building a regular notification list to send notices: includes: regular walkers, PreMed Students, Board of Supervisors, City Council members, Public Health Department, Local legislators/aids, local media/reporters, etc. ➣regular posting of event notices in local newspapers, bulletin boards, on-line calendars, list serves, wellness programs (hospitals, local IPA, etc), doing local media interviews, etc.   ➣Promote WWAD on Facebook with photos, dates of upcoming events, etc. Introduce KRIS How to recruit physician walkers and build your team

Sierra Sacramento Valley Medical Society KRIS – BEGIN How to work with your Park District Coordination with local park and recreation professionals can help make the Walk with a Doc program easier to operate and offers built-in constituency as both organizations have similar interests in encouraging healthy lifestyles and communities. Depending on the government structure in the area the parks may be operated by cities, counties or special districts. When in doubt, contact the city manager, county executive’s office or Park Agency Administrator to gain an understanding of the best point of contact. Park agencies operate and maintain parks thus providing ready-made walk locations in areas throughout the community. Park agencies market programs and facilities to their citizens regularly through email blasts, Facebook, Twitter, event cross-promotion and digital/hard copy recreation program guides. This provides numerous opportunities for connecting with potential walkers. KRIS introduce SANDI How to work with your Park District

Fresno Madera Medical Society/Kern County Medical Society SANDI – BEGIN How to market your walks Print up posters after confirming locations--dates and locations for entire year. Deliver them to doc’s offices, hospitals, add to community calendars--little flyers to give to patients. Leave space in poster for participating doc to write in his name to get his patients out. Rally docs to outreach to patients more. Facebook How to market your walks

Any other key pointers… Penny, Kris and Sandi – to share any other key pointers

Questions and Answers SANDRA – BEGIN Facilitate Q&A

We’re here to help Contact us: How-to Get Started Guide Organization is key. We’ve assembled a “Starting Kit” for those interested in starting a walk. Each kit includes: Carol A. Lee, Esq. | CMA Foundation President & CEO p: 916.779.6622 | e: clee@thecmafoundation.org Sandra Robinson, MBA| CMA Foundation Vice President, Programs p: 916.779.6624 | e: srobinson@thecmafoundation.org Vanessa S. Saetern | CMA Foundation Project Coordinator, Obesity Prevention Project p: 916.779.6631 | e: vsaetern@thecmafoundation.org Leslie Barron| CMA Foundation Project Assistant, Obesity Prevention Project p: 916.779.6630 | e: lbarron@thecmafoundation.org How-to Get Started Guide Prescription pads Waiver & Release of Liability Flyers to recruit walkers and volunteers Article for media outreach

Thank you for your participation SANDRA - END