1. Burning rubber!: paving the way to a new healthcare / cob partnership
Wendy Farthing
Director of evidence-based integration cdsme/falls Maryland living well center of excellence

2. Mac inc. Maryland living well center of excellence
MAC, Inc. a non-profit 501(C3) Area Agency on Aging located in Salisbury, MD. The Maryland Living Well Center of Excellence (LWCE) is a division of MAC and oversees delivery of evidence-based programs to residents across the state.
The LWCE holds the statewide license, coordinates statewide trainings and data collection, provides technical assistance for all CDSME programs.
The LWCE partners with regional health systems, Area Agencies on Aging, MD State government agencies, and organizations serving older adults, adults with disabilities to build an integrated, sustainable CDSME network across the state of MD.
Wendy Farthing was hired September 2016 to serve as liaison on Western Shore of Bay Bridge.

3. Frederick county, md
Frederick is one of 24 counties in Maryland. In 2016 it was the sole county not offering CDSME programs in the state.
Frederick County Area Office on Aging offered CDSME years ago when Maryland Department on Aging held the statewide license. At that time the AAA struggled implementing DSMP with reported staffing/recruitment concerns. When LWCE received the license from the state we re-approached the AAA directly several times unsuccessfully.
Frederick Memorial offered DSME and was in process of building a Chronic Care Clinic on campus and was looking for other evidence-based program offerings.
Frederick Health Department was implementing Prevent2 program.

4. Frederick memorial, health department, and office on aging meeting
In April 2017 LWCE scheduled an in-person meeting to gather Frederick Memorial Hospital, Frederick County Office on Aging and Frederick County Health Department to “brainstorm” how CDSME could work in Frederick County. All agencies recognized the need for the program offerings.
LWCE offered to host a workshop to help recruit potential leaders in the county.
All agencies identified potential leaders to be trained from their organizations to help support the project. All worked together to identify community partners and dedicated space to run workshops.
Frederick Memorial identified themselves as the lead in this endeavor to coordinate and house the CDSME program and assigned a coordinator for this position.

5. Recruitment success:
34 potential leaders attended 2 CDSMP workshops hosted by LWCE
This gave leaders the experience of being “the participant” – as well as screen out those not interested in leader training
Recruitment from: Frederick Memorial Hospital Community Health workers, Frederick County Health Department, Asian American Center of Frederick, and Frederick County Office on Aging volunteers.
BELIEVING and INVESTING in this program - Frederick Memorial paid their CHWs to attend the 6-week workshop AND also paid for them to attend the 6 days of training.

6. 33 leaders trained in CDSMP /DSMP and Hypertension
Recruitment success:
Two CDSMP trainings were offered October/November as a result of 6-week programs
33 leaders trained in CDSMP /DSMP and Hypertension
Hypertension offered as Session 0 and metrics collected (week 0 and week 6) BP, weight, and BMI
3 leaders cross-trained into Spanish CDSMP and will also offer Spanish DSMP in community

7. Way forward 2018-2019 Workshops kicked off March 2018
Chronic Pain Self-Management workshop pilot offered in March
Presentation made to Frederick Memorial Oncology Department for Cancer Thriving & Surviving and Chronic Pain Self-Management to offer rotating back to back programs in their clinic. THERAPUTIC MODALITY = 12 weeks (90 days). CTS pilot being scheduled to allow oncology staff to participate
Phase two of LWCE/Frederick Memorial include Chronic Pain Self-Management and Cancer Thriving & Surviving in their program offerings.
Rotating workshops ongoing at the Care Clinic and community programs are expanding across the county.