Healthy Living (CDSMP) & Arizona Living Well Institute

WWW.AZLWI.ORG

Healthy Living (CDSMP) & Arizona Living Well Institute

Agenda

1. Background, structure and purpose of Healthy Living

2. Arizona Living Well Institute3. Opportunities4. Q & A

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Arizona Living Well InstituteArizona Living Well Institute

Nationwide Evidence-Based Initiative

U.S. Administration on Aging funded Initiative 2006 To transform Aging Services Network to health impacting sites Brings evidence-based programming to community-based

organizations Stanford University’s CDSMP is the core program

2010 American Recovery and Reinvestment Act (ARRA) Communities Putting Prevention to Work: Chronic Disease

Self-Management Program initiative - $27 million (45 states, District of Columbia and Puerto Rico)

2011 NASMHPD Peer Support Specialist Workforce Development Grant

2012 ACL-AoA 3rd Round of Self-Management Funding 22 States to continue to increase reach of EBP to ethnic minority

groups and expand programs availableArizona Living Well Institute

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Evidence-Based Programs

• A process of planning, implementing, and evaluating programs adapted from tested models or interventions in order to address health issues at an individual level and at a community level

Promising Practice

Best Practice

Evidence-Based Model

Arizona Living Well Institute

Source: Altpeter, M., Schneider, E., Bryant, L. Beattie, B., & Whitelaw, N. (2004). Using the evidence base to promote healthy aging. National Council on the Aging Evidence-based Health Promotion Series, Vol. 1. Washington, DC: National Council on the Aging.

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Healthy LivingStanford University’s CDSMP

http://med.stanford.edu/patienteducation/


Healthy Living

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Disease

Tense Muscle

s

Pain

Stress/ Anxiety

Difficult Emotions

Shortness of

Breath

Depression

Fatigue

Symptom Cycle

Stanford Chronic Disease Self Management, 2006

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Workshop Design7

• 6 weekly sessions that meet 1 day per week for 2.5 hours each

• Introduces tools needed in day-by-day life with chronic conditions

• Practices using self-management skills

• Focuses on goal setting• Shared experiences,

emphasizes mutual support

• Workshops Available o English & Spanisho Diabetes & Chronic Pain

www.wittysparks.com/2007/05/26/15-tips-to-manage-yourself-better/

Topics Covered


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• Action Plans• Feedback/Problem Solving • Getting a Good Night’s Sleep• Managing difficult emotions• Falls Prevention• Physical Activity/Exercise• Nutrition & Food Labels• Weight Management• Mind-Body Connection• Informed Treatment Decisions• Working with Health Care Arizona Living Well Institute

Healthy Living FacilitatorsHealthy Living Facilitators

Ideal Abilities of a Leader


Possesses good listening skills, is non-judgmentalUnderstands the importance and purpose of

fidelity (following the curriculum)Possesses good communication and

interpersonal skillsExhibits enthusiasmIs dependable and consistent Comfortable in front of a small groupPossesses life experience resulting in empathy

to the needs and abilities of older adults.

Purpose of self-management is to help people gain self confidence in their ability to:

- control their symptoms

- control how their health problems affect their lives

Outcomes?Outcomes?5 year randomized study, 1000 people5 year randomized study, 1000 people

What are the Outcomes?


For more information on CDSMP outcomes, Review of Findings on Chronic Disease Self-Management Program (CDSMP) Outcomes: Physical, Emotional & Health-Related Quality of Life, Healthcare Utilization and Costs, http://patienteducation.stanford.edu/research/Review_Findings_CDSMP_Outcomes1%208%2008.pdf

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Outcomes

Increased physical activityImproved health-status Improved social/role activitiesBetter psychological well-beingDecreased days in hospitalImproved self-reported general healthEnhanced partnerships with physiciansIncreased energy/reduced fatigueReduced health care expendituresFor more information on CDSMP outcomes, Review of Findings on Chronic Disease Self-

Management Program (CDSMP) Outcomes: Physical, Emotional & Health-Related Quality of Life, Healthcare Utilization and Costs, http://patienteducation.stanford.edu/research/Review_Findings_CDSMP_Outcomes1%208%2008.pdf

National Study of CDSMP (2010-2012)


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How does CDSMP affect the lives of participants and society as a whole? What are the impacts

on: Symptom

management and lifestyle behaviors?

Better care? Improved health? Reduced health care

costs?

Study Participants Baseline (n=1,170) 12 month (n=825)

Measures Symptom management

and lifestyle behaviors Better Care

Experience of care Better Health

Population health Lower Health Care

CostWhitelaw, N., Lorig, K., Smith, M. L., & Ory, M. G. (March 19, 2013). National Study of Chronic Disease Self-Management Programs (CDSMP). Retrieved April 2, 2013, from www.ncoa.org/cha

Berwick et al. (2008). The Triple Aim: Care, Health, And Cost. Health Affairs.

Estimated Cost Savings Related to Reduced ER Visits & Hospitalization


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Preliminary Results: ~$740 per person savings in ER

and hospital utilization ~$390 per person net savings

after considering program costs at $350 per participant

Reaching even 10% of Americans with one or more chronic conditions would save ~$4.2 billion!

EnglishEnglish SpanishSpanish

Healthy Living CDSMP

Healthy Living with Diabetes DSMP

Healthy Living with Chronic Pain CPSMP

Tomando Control de su Salud Spanish CDSMP

Programa de Manejo Personal de la Diabetes Spanish DSMP

Workshop Types in Arizona


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• Healthy Living will NOT interfere with other programs - it will complement other programs!

• Healthy Living is not a support group. oEven though participants share experiences and

support each other, it is a workshop where you learn and try new skills, and increase your ability to manage your health.

• To be most effective, it is important for participants to be present and contribute in all sessions.

What Else Do I Need to Know?


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THE MISSION:TO ADVANCE EVIDENCE-BASED PROGRAMS FOR

ARIZONA COMMUNITIES THROUGH STRUCTURED COMMUNICATION, MULTI-LEVEL COORDINATION

AND SYSTEMATIC COACHING.


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www.azlwi.org

Funds to launch the Arizona Living Well Institute were made available by grant funds from St. Luke’s Health Initiatives and the Arizona Department of Health Services through a grant from the Administration on Aging.



How AZLWI Provides Support

Coordination and leveraging of resources to create greater impact

A systematic approach to data collection and management

Coordination of training opportunities throughout the state, including coordination of self-management workshops

Educate employers, health care providers and community services organizations about the benefits of self-management programs and evidence-based health promotion programs


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Community-Based Referral Network


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A comprehensive membership system of evidence-based wellness programs Promoted and integrated with primary and behavioral

health outpatient providers of service for those living with or at risk of developing chronic conditions.

In order to sustain and expand the impact of self-management programs, AZLWI is further developing, supporting and promoting a structured provider membership system to ensure quality evidence-based wellness services are provided at affordable prices.

Community-Based Referral Network

Benefits of Connecting Through AZLWI


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Strategic Growth Technical Assistance Regional Collaboratives County Coalitions

Improved Retention Facilitators Participants

Stay up to Date CDSMP Updates Meet & Retreats Refresher Trainings

Improved Problem Solving Local Mentors Statewide Webinars

Leverage Funding Opportunities Partners supporting

PartnersSystem Infrastructure

Rather than person centered


Opportunities23

Partnership Opportunities

Partnering with CBOs to broaden the array of non-clinical services

New models of care delivery provide flexibility for service design and payment to include self-management programs

Greater focus on patient motivation and engagement

Growing awareness of effectiveness of self-management programs and value of partnering with community resources


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Lachenmayr, S. National Council on Aging “Patient Self-Management As a Strategy to Reduce Hospital Readmissions”, September 2012. Slides 19-22.

ACL CDSME Completer Payments

Limited funding associated with the ADHS’ Administration for Community Living CDSME grant

Primary goal to increase CDSMP/DSMP workshops to populations disproportionately impacted by chronic disease, specifically Spanish speaking, rural and minority populations.

$125 per completer payment. September 1, 2013 and August 31, 2014 A “completer” is defined as a participant that has attended

4 or more of the 6 sessions per workshop.


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Participant Comments


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I feel that this class has been of great benefit to me which will stay with me in times of difficulty or when I feel myself slipping back toward depression or isolation from people. I will put forth an extra positive effort to continue the breathing techniques and especially the exercises learned or reinforced in a continued plan to control my painful condition in the best possible way without being dependent upon prescription drugs. Rebecca – Arizona City

We had experienced, or learned different parts of this program before, but no part alone was life changing. But with this program structure, I am a different person than I was just six-weeks ago and hope to stay motivated! MDC - Goodyear

Questions?Questions?


AZ Living Well [email protected]

(480) 982-3118www.azlwi.org

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Documents

Healthy Living (CDSMP) & Arizona Living Well Institute