Health Care Provider Presentation

8/22/2019 Health Care Provider Presentation

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Health Care StrategyInformational Meeting

Todays Agenda/Outcomes

Overview of SHIP Program

Review SHIP 3 Health Care Strategy

Requirements

Role of Clinical Settings

Role of Community Based Organizations

Q&A / Discussion/feedback on how to move

forward

WHAT IS SHIP?
http://www.google.com/url?sa=i&rct=j&q=doctor%20counseling%20patient]&source=images&cd=&cad=rja&docid=NIiL6RENB1WoOM&tbnid=5mejPCfMHFp_zM:&ved=0CAUQjRw&url=http://managemypractice.com/medicare-reimbursement-codes-for-alcohol-misuse-and-depression-screening/&ei=Nz74Uci2FcWGyQHz6IDAAg&psig=AFQjCNE0qYh1h7R_WqZE475abwZl0Zmjsg&ust=1375309741059114http://www.google.com/url?sa=i&rct=j&q=lactation+nurse&source=images&cd=&cad=rja&docid=qj6oX0veqbvhBM&tbnid=YHVumE5XxRmEoM:&ved=0CAUQjRw&url=http://www.iowahealth.org/lactation-services.aspx&ei=Kz34UdDYONSyygHvu4CYCw&bvm=bv.49967636,d.aWc&psig=AFQjCNHeLZagakcBdO2OLs8oUDDvg4w4YA&ust=1375309466406860http://www.google.com/url?sa=i&rct=j&q=elderly+health+care&source=images&cd=&cad=rja&docid=9iVHdnsYfIO3yM&tbnid=L2IEOJCiuTwDxM:&ved=0CAUQjRw&url=http://tacticalminc.com/blog/falling-healthcare-costs-drive-improvement-in-u-s-budget-outlook/&ei=zjz4UbGMN8fuyQGS34Fg&bvm=bv.49967636,d.aWc&psig=AFQjCNH6XqxOfHPEOJWOBd4-Xo9k3-HBIg&ust=1375309353276500


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What is SHIP?

SHIP is a state funded initiative to reduce

chronic diseases associated with tobacco use

and exposure and obesity

Goals1. To support, promote, implement, and

evaluate health interventions that lead to

sustainable improvement in health by

creating changes in policies, systems, and

environments where individuals live, work,

play, and seek health care services.

2. To reduce the overall cost of health care in

Minnesota.

What are policy, systems and environmentalchanges?

Policy interventions

Systems interventions

Environmental interventions


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Work on a community-level

Plus:

Evidence-based strategies

Local control

Strong partnerships

Strong evaluation

Sustainability

How SHIP Works: Keys to Success

SHIP Strategies & Settings Schools

Worksites

Communities

Health Care

Tobacco

Childcare

HEALTH CARE STRATEGY WIT HSHIP


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SHIP Heal th Care Strategies Clinical - Community Linkages

Strengthen relationships between community and clinic

Enhance methods for collecting BMI/Tobacco informationfrom patients

Advance Community Linkages with State and FederalHealth Reform Initiatives

Support implementation of evidence-based clinicalguidelines (ICSI Guidelines: Healthy Lifestyles foradults/children)

Screen-Counsel-Refer-Follow up Implementation Process

Priority Patients All patients regardless of age

who are identified as being overweight or obese

using/being exposed to tobacco.

Priority patients within these population includepatients who are:

uninsured or on Minnesota Health Care Programssuch as Medicaid, Medicare, or MNCare,

pregnant women to include breastfeeding education

adults with mental illness

adults over the age of 60


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SHIP Approach to Health Care

Step 1: Convene/utilize health care

collaboration to strengthen relationships

between health care providers and

community-based organizations/resources


Step 2: CLINICAL Setting: Identify health care

providers ready to implement a system-wide

change in patient screening and

documentation of BMI and tobacco status.

COMMUNITY Setting: Implement a process to

assess clients in the community

Screen-Counsel-Refer-Follow Up

Screen patients for BMI/Tobacco Status

Counsel patients on health status/behaviors

Goal Setting

Refer patients to internal and external

resources

Follow up with patients


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Screening Patients

Implementing protocols / algorithms

BMI (patient height and weight)

Tobacco Status

Risk Factor Assessments


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SHIP Approach to Health Care Step 3: Provide technical

assistance and trainings on

effective practices and

approaches for addressing

BMI status and tobacco use

and exposure with patients,

including motivational

interviewing and goalsetting.

Counseling Patients

Algorithm Protocols:

Assessment of patients readiness/ motivates /

refers

Support Staff (Nurse Educator, Nurse, Health

Educator, Dietician, Community Worker) works

with patient to develop goals
http://www.google.com/url?sa=i&rct=j&q=motivational+interviewing&source=images&cd=&cad=rja&docid=cfC29jTYGN3qAM&tbnid=5mm3VfpCOhaQaM:&ved=0CAUQjRw&url=http://www.healthstatrx.com/payors/motivationalInterviewing.aspx&ei=JBj4UaOgDqqBygHx4oG4Dw&bvm=bv.49967636,d.aWc&psig=AFQjCNGN3G8wFbna83O0k9XjTSwDVxCoGQ&ust=1375299963722072


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Step 4: Identify, catalogue and make available

to clinicians, clinic staff and patients

community resources that address behaviors

related to nutrition, physical activity, and

tobacco use and exposure.


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Step 5: Assess and plan to increase access to

evidence-based lifestyle change and

prevention programs. Facilitate infrastructure

development in the health care facilities and

in the community.


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Evidence-Based Programs


Step 6: Create or strengthen system of

referral to in-house or community

resources. Develop or enhance a follow-up

system.
http://www.google.com/url?sa=i&rct=j&q=Arthritis+Self+Management&source=images&cd=&cad=rja&docid=KxnHtdK50fHu5M&tbnid=JmH0RSdVg3F3AM:&ved=0CAUQjRw&url=http://www.earthritis.com/arthritis-disease-management-and-treatment-intervention-programs/&ei=Qyz4UdvYKOTYyAHK4oDwCw&bvm=bv.49967636,d.aWc&psig=AFQjCNHPG3Mp-lJwWlbzDnHjLIqYGIQQAQ&ust=1375305149273781http://www.google.com/url?sa=i&rct=j&q=Call+it+quits&source=images&cd=&cad=rja&docid=jpdtNRr7wAo4UM&tbnid=HNOgx3NVE1XdFM:&ved=0CAUQjRw&url=https://www.quitplan.com/health-care-provider.html&ei=wCv4UZzxE4K6yQHY6YCIBQ&bvm=bv.49967636,d.aWc&psig=AFQjCNE46WFo5vgZ415wFmYJb7usPD5YvA&ust=1375305012278625http://www.google.com/url?sa=i&rct=j&q=Freedom+From+Smoking&source=images&cd=&cad=rja&docid=7xEDgh2kUPGgxM&tbnid=ieFfW_5bJ5IOcM:&ved=0CAUQjRw&url=http://www.lung.org/associations/states/south-carolina/educational-programs/freedom-from-smoking/ffs-sc.html&ei=div4Ub_YF6blyQHam4AI&bvm=bv.49967636,d.aWc&psig=AFQjCNE6x_-Q_temSgkmn1vvBEpZPmDzOA&ust=1375304948551431http://www.google.com/url?sa=i&rct=j&q=Chronic+Disease+Self+Management&source=images&cd=&cad=rja&docid=wOHRM6syduXNBM&tbnid=kDF5axNH3wckGM:&ved=0CAUQjRw&url=http://www.healthtrust.org/services/cdsm.php&ei=MSv4UcqJOaiayAHv04HIBg&bvm=bv.49967636,d.aWc&psig=AFQjCNEqOOb0IrBDHgznRt4Yug4_pyMIuA&ust=1375304877387250http://www.google.com/url?sa=i&rct=j&q=I+CAN+Prevent+Diabetes&source=images&cd=&cad=rja&docid=5aVFAsHcMhZSbM&tbnid=wI376oI5J9GfjM:&ved=0CAUQjRw&url=http://www.scymca.org/pages/DiabetesPreventionProgram/&ei=Fiv4Udv9KMmzyAHCn4GgDA&bvm=bv.49967636,d.aWc&psig=AFQjCNFy4sQXLPXn6_8K6n1qVOfQM-XbHw&ust=1375304851045224


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Step 7: Promote usage of existing billing

codes for reimbursement of services

provided related to the SHIP strategy,

Clinical-Community Linkages for

Prevention (i.e., counseling, nutrition

education, follow-up care).


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Step 8: Support the use of health care

extenders (i.e. health educators, community

paramedics, nutritionists, etc.) to improve

engagement of disparate populations in

evidence-based lifestyle change and

prevention programs

Utilize SHIP to Help Health Care Reform

Health Care Delivery Systems, ACOs orAccountable Communities for Health areencouraged to incorporate community-basedprevention, such as SHIP interventions, intotheir systems.

Required Community Health NeedsAssessment SHIP Partnership

Determining How to Use Community BenefitDollars

What Can SHIP Offer? SHIP Staff Support

Evaluation & Assessments Baseline assessments of health care sites current practices

& SHIP evaluation requirements

Assistance with assessment of availableprograms/resources

Development of patient assessment/screening tool

Training opportunities for motivational interviewing,evidence-based programs Training Fees, Mileage, Hotel

Initial program start-up costs

Development costs of resource and referral materials


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Next Steps / Timeline

Soliciting sites interested in this work

Letter of intent to partner

Public Health submits application for SHIP 3 to

Minnesota Dept. of Health on Aug 30

Funding to begin available November 1, 2013

Any Feedback? Questions?

Comments?

Thank you!! Any Questions?

shipfmw.blogspot.com

www.facebook.com/FMWSHIP

Documents

Health Care Provider Presentation