1. “My Life, My Health” The Stanford University Chronic Disease Self-Management Program

2. Agenda  What is “My Life, My Health”? Background information  Participant Profile  What is the Healthy Living Center of Excellence?  How do I refer to programs?  Questions?

3. What is “My Life, My Health”? A credible, “evidence-based” program developed by Stanford University with broad experience and demonstrated results in a variety of settings, populations, and chronic conditions.

4. “My Life My Health” The Numbers: 1/week for 6 weeks 2 ½ hours 2 certified lay leaders Small groups: 10 – 16 participants Age 18+ One or more ongoing health concerns 4 GREAT RESULTS!

5. “My Life, My Health” How does it help? “My Life, My Health” helps participants: Regain control of their lives Feel better Connect Topics included in the sessions: Nutrition and weight management Pain management Importance of exercise Communication Appropriate use of medications Action planning, problem-solving and decision-making.

6. The Self-Management Tool Box

7. The Symptom Cycle Self-Management Tools Help Break the Symptom Cycle

8. Action Planning Every week, participants develop an Action Plan: Something they want to do. Reasonable and behavior-specific: “Next week I will walk with my friend for 30 minutes on 4 out of 7 mornings” “Next week I will eat dessert only on 2 out of 7 nights” High confidence that they can do it. The group problem solves together whenever action plans are not met.

9. Program Impact: 2013 National Study Positive outcomes in terms of meeting the Institute for Healthcare Improvement Triple Aims Better Health Feel healthier: 5% improvement in self-reported health More active lives: 13% improvement in number of days per week being moderately active Less depression: 21% improvement Better quality of life: 6% improvement on health-related quality of life Fewer sick days: 15% improvement in unhealthy physical days and 12% improvement in unhealthy mental health days

10. Better Health Care Communication: 9% improvement in communication with doctors Medication compliance: 12% improvement Health Literacy: 4% improvement in confidence of filling out medical forms. Lower Health Cost $714 per person saving in emergency room visits and hospital utilization $364 per person net savings after considering program costs of $350 per participant Potential savings of $6.6 billion by reaching 10% of Americans with one or more chronic health conditions. Ahn, S., et al.. (2013). The impact of chronic disease self-management programs: healthcare savings through a community-based intervention. BMC Public Health, 13:1141 Program Impact: 2013 National Study (continued)

11. Since 2010 over 4,400 adults have participated in 525 workshops offered in senior centers, residential settings, health care organizations, and community centers. Of all the participants: 78% are female 77% are over age 60 13% are Hispanic/Latino 52% live alone 33.5% have hypertension 33% have arthritis 23% have diabetes, and 49% have multiple chronic conditions “My Life, My Health” Massachusetts Statistics

12. Stanford University Self- Management Education Programs My Life, My Health (CDSMP) Tomando control de su salud Diabetes Self- Management Program Chronic Pain Self- Management Program Better Choices Better Health (online program) Arthritis Self- Management Program

13. Participant Profile At least 18 years old With one or more chronic health conditions Activated, but not yet making behavior changes Not yet activated but ready to learn Relatively cognitively intact, i.e. able to participate in workshop setting with assistance, set self-management goals, and interact with the group

14. How can this program be helpful to your patients?

15. 15 What is the Healthy Living Center of Excellence?

16. 16 Provider Network of 50+ community organizations in 6 regions State-Wide Infrastructure for Program Marketing and Dissemination

17. Click on Workshop Schedule How do I refer patients? State-Wide Calendar and Registration Site Visit: healthyliving4me.org

18. How do I find programs? Use dropdown to search by program or by location Click on workshop

19. Register by calling contact

20. Complete form below:

21. Or call one number

22. Other Healthy Living Programs Matter of Balance Powerful Tools for Caregivers Healthy Eating for Successful Living Tai Chi: Moving for Better Balance

23. Contact Information Ana Karchmer Chronic Disease Self-Management Program Coordinator Executive Office of Elder Affairs (617) 222-7490 ana.karchmer@state.ma.us