Join for Me @ SHGKerri Alexander

Tracey BlahyMary Mallette

Description of Business

Pediatric obesity intervention program developed by the UnitedHealth Group for use in community setting

Involves families as a whole rather than just children

Designed for overweight and obese children aged 6-17 years

Participants attend a series of classes to learn balanced food choices, increased physical activity and food tracking skills

Video

http://www.youtube.com/watch?v=AhoT1MEwkIY

Summary of What Makes Us Unique

Non-clinical setting

Fusing a community-based program with a healthcare

organization

Less oppressive and intimidating

Include the entire family

Focus on lifestyle and behavior modification

Lead by Registered Dietitian

Mission Statement

Our mission is to deliver high quality evidenced-based

weight management counseling to the families and youth

of southeastern Massachusetts, which will empower

children, and their families who struggle with overweight

and obesity to improve their health through lifestyle and

behavior change. By combining clinical expertise with a

fun and relaxed community program, we will assist

children and their families in improving their health while

reducing their risk of developing chronic diseases.

Goals Implement the Join for Me program at Southcoast

hospital group as a wellness benefit for employees with an intention to roll the program out to the surrounding communities.

To utilize the Let’s Go! Healthcare marketing materials created by the Harvard Pilgrim Health Care Foundation’s Growing Up Healthy initiative

Reduce the body weight of 75% of the program participants by 5 to 10% of their body weight and maintain this weight loss for 1 year

Objectives

To pilot the UnitedHealth Join for Me program

HealthQuest wellness benefit to SHG employees

Roll out to surrounding communities

Objectives

Success Criteria (Foster 2013)

Enroll 70-80 participants

84% program completion

85% of participants correctly identify all Let’s Go!

5210 phrases

Participants will lose 3.5% of body weight

75% of participants will be “satisfied” or “more than

satisfied” with the program

Program TimelineEvent Date

United Health approve program utilization April 2014

Program approved by SHG Board of Directors June 2014

Dietitian trained as a facilitator/set up July 2014

Marketing program (Phase I – Fall Session) July - September 2014

1st Session (Rosebrook) September 2014 - December 2014

2nd Session (Mashpee building) October 2014 – January 2015

3rd Session (Durfee building) November 2014 – February 2015

Marketing program (phase II) January 2015

1st Session (Rosebrook) February 2015 - May 2015

2nd Session (Mashpee building) March – June 2015

3rd Session (Durfee building) April – July 2015

Results from Fall session 1 available December 2015 (1 year from start)

Results available from all sessions conducted July 2016

Analyze result August 2016

Roll out program to community September 2016

Market Size & Potential Customers

The Join for Me program targets children aged six to

seventeen years who are at or above the 85th

percentile for weight, classifying them as overweight

or obese.

Join for Me will initially be offered as an employee

wellness benefit as part of HealthQuest.

1787 children covered by HP

Market Size & Potential Customers

SUMMARY TABLE OF MARKET SIZE AND POTENTIAL CUSTOMERS

Area Population

Number children 6 to 17

years old*

Number of overweight or obese children**

Potential customers***

Fall River

88,857 14,008 4,202 420 – 630

New Bedford

93,768 14,693 4,408 440 – 661

*Number of children, 6-17 years old, was estimated using census data collected in 2000. For calculations, see Appendix C (Area Connect Demographics for Fall River and New Bedford)

**Massachusetts’s ranks 22 in overall prevalence of obesity and overweight (30% of Massachusetts’s children are overweight or obese)(Massachusetts State Fact Sheet)

*** Enrollment – assumes a 10%-15% of eligible children enroll in the program

Location

SHG buildings/conference rooms Rosebrook Mashpee Durfee

Opportunity & Background

30.6% of Massachusetts public school students are overweight or obese (Massachusetts State Fact Sheet)

19% of children in New Bedford are obese (Southcoast Indicators)

Massachusetts state average = 16% obese (Southcoast Indicators)

Opportunity & Background

Life long implications of childhood obesity

Physical health Health care costs Self image Longevity

Opportunity & Background Cause of overweight and obesity is multi-

faceted More high calorie fast food consumption Less exercise More sedentary time (television, video games) Food Insecurity Increase cost of healthy foods

Opportunity & Background2010 provisions to healthcare reform- reducing

obesityPPACAHealth insurance companies develop weight

management/childhood obesity interventions with emphasis on preventative/coordinated care.AetnaBlue CrossHarvard PilgrimWellPointUnited Health- nationwide

Service Highlights

Involves lifestyle changes for the whole family, not just the child

Potential to become a national model

Evidence based health intervention for high risk population

Serves two age groups: 6-12 year olds and 13- 17 year olds

Small groups – 12 children/adolescents and their caregivers (24 total)

16 weeks, 1 hr 15 min sessions

Weight loss goals based on BMI

“Yes food less food”

Facilitators follow a connect, learn and go method of teaching

Variety of session topics

Prizes awarded weekly

Marketing Strategy

Full service website Social media Television and radio ads Brand and logo Brochures Informational sessions Affiliation memberships Employee wellness events Health fairs and community events

Join for Me @ SHG

FinancialsItem Comments Est. Start-

up CostsAnnual Costs

Facility Meeting room used by Adult Weight Management groups (Rosebrook, Mashpee and Durfee buildings)

$0 $0

Equipment StadiometerScaleComputerPhone* already available through SHG Adult WM program

$0 $0

Printed Materials Based on 4-5 handouts per session5 cents per copy page

$500 $500

Staffing 1 Part time Dietitian$31 /hr. – 24 hours per week1 Support staff/assistant$21 /hr. – 12 hours

$39,000

$13,000

$39,000 

$13,000

Training Staff 2 days training (16 hours)Paid to United Health

$500 $0

Marketing 6 postersFlyers

$420$200

$0$200

Logo & poster design

16 hrs work @$50/hr. $1000 $0

Prizes, Calorie King

700 prizes @ $2 $1400 $1400

 TOTAL $56,020 $54,100

Inventory & Supplies

Inventory Comments

Equipment StadiometerScaleComputerPhone

Printed Materials

HandoutsPostersFlyers

Prizes Book

$1 to $2 prizesCalorie King

Personnel & Staffing

Position Salary

Dietitian 1 Part-time$31 /hr. – 24 hours per week$39,000 /annum

Support Staff 1 Support staff/assistant$21 /hr. – 12 hours$13,000 / annum

Trends affecting business Increase in overweight and obesity in children

(Freedman 2001)

Increase in obesity related health complications for children

(Canapari 2011)

Increase in funding for pediatric health programs(Robert Wood Johnson Foundation)

Increase in health promotion programs for children

(see competition section)

Health Care Reform(Reducing Obesity)

Increase in sedentary time for children(Children’s Screen Time)

http://www.youtube.com/watch?feature=player_embedded&v=KICLApm_ANE

SWOT AnalysisStrengths

 

Wide age range Minimal space and materials Minimal cost to participants Several locations Prizes awarded for attendance/achieving

goals Family involvement SHG Adult WM Services already

established Evidence based intervention

Weakness 

Never been implemented in a hospital Participants divided into 2 broad age

groups Weekly meetings Gaining interested & committed

participants New staff/new program

Opportunities 

High obesity rates (SouthCoast Urban Indicators Project)

Few pediatric weight management programs

Work together with Southcoast pediatricians

Minimal charge program Team with community health

organizations Collaborate with Southcoast inpatient

dietitian

Threats 

Potential participants may view pediatric WM programs in major nearby cities as higher quality

School activities may take precedence over attending sessions 

Competition

Hospital Affiliated programs

Children’s Hospital OWL program

Bay State Health Center

MassGeneral for Children Weight Management

Program

Hasbro Children’s Hospital CHANGES

Competition

Independent programs

MEND

Smart Moves for Kids

Healthy n Fit

BMIQ

Competition

Health Insurance sponsored programs

GetNHealthy with Aetna

Let’s Go! And CATCH Kids Club (Harvard Pilgrim)

Childhood Obesity Initiative, Toolkit & Pediatric

Learning Collaborative Webinars (WellPoint)

Summary Big market Unique program Minimal costs Simple set up Evidence based, proven successful Local Hybrid program No clear pathway to preventing childhood

obesity

Questions?

References Fall River City, Massachusetts Statistics and Demographics (US Census 2000). Area Connect Website. Available at:

http://fallriver.areaconnect.com/statistics.htm. 2014. Accessed February 20, 2014 New Bedford City, Massachusetts Statistics and Demographics (US Census 2000). Area Connect. Available at:

http://newbedford.areaconnect.com/statistics.htm. 2014. Accessed February 20, 2014. Massachusetts State Fact Sheet. Data Resource Center for Child & Adolescent Health. Available at:

http://www.childhealthdata.org/docs/nsch-docs/massachusetts-pdf.pdf. Accessed FAccessed February 20, 2014. HPI member census at Southcoast Hospital Group. Published January 20, 2014. Christina Lenz, Benefit Analyst for NFP Thorbahn.

Accessed February 5, 2014. Briggs M, Fleischhacker S, Mueller CG. Position of the American Dietetic Association, School Nutrition Association, and Society for

Nutrition Education: comprehensive school nutrition services. J Am Diet Assoc. 2010;110:1738-1739. Hoelscher DM, Kirk S, Ritchie L, Cunningham-Sabo, L. Position of the Academy of Nutrition and Dietetics: Interventions for the

Prevention and Treatment of Pediatric Overweight and Obesity. Journal of the Academy of Nutrition and Dietetics. 2013; 113(10): 1375-1394.

Freedman DS, Mei Z, Srinivasan SR, Berenson GS, Dietz WH. Cardiovascular risk factors and excess adiposity among overweight children and adolescents: the Bogalusa Heart Study. Journal of Pediatrics. 2007;150(1):12-17.e2.

Whitlock EP, Williams SB, Gold R, Smith PR, Shipman SA. Screening and interventions for childhood overweight: a summary of evidence for the US Preventive Services Task Force. Pediatrics. 2005;116(1):e125-144.

Sutherland ER. Obesity and asthma. Immunology Allergy Clinical North America. 2008;28(3):589-602, ix. Swartz MB and Puhl R. Childhood obesity: a societal problem to solve. Obesity Reviews. 2003;4(1):57-71. Whitaker RC, Wright JA, Pepe MS, Seidel KD, Dietz WH. Predicting obesity in young adulthood from childhood and parental

obesity. New England Journal of Medicine. 1997;37(13):869-873. Canapari CA, Hoppin AG, Kinane TB, Thomas BJ, Torriani M, Katz ES. Relationship between sleep apnea, fat distribution, and insulin

resistance in obese children. Journal of Clinical Sleep Medicine. 2011;7(3):268-273. Robert Wood Johnson Foundation. Available at: http://www.rwjf.org/. 2014. Accessed January 15, 2014. Children’s Screen Time. National Center for Health Statistics. Health, United States, 2011: With Special Feature on Socioeconomic

Status and Health. Hyattsville, MD. 2012. Available at: http://www.cdc.gov/nchs/data/hus/hus11.pdf. 2012; 51-53. Accessed: January 5, 2014.

Southcoast Indicators. http://southcoastindicators.org/health/child-obesity-new-bedford/. 2012. Accessed January 3, 2014ebruary 20, 2014.

Foster GD, Sundal D, Lent MR, McDermott C, Jelalian E, Vojta D. 18-month outcomes of a community-based treatment for childhood obesity. Pediatric Obesity. 2013; doi:10.1111/J.2047-6310.2013.00197.x. Accessed January 5, 2014.

Reducing Obesity. Medicaid Website. Available at: http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Quality-of-Care/Reducing-Obesity.html.