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Basic overview of benefits of integrative health coaching to hospitals, physician groups, and employers
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PBHealthcare Business Solutions LLCStrategy, Marketing, Management for Health Care®
©2009 PB Healthcare Business Solutions
LLC
The material contained herein is protected
and intended for use by clients and
associates of PB Healthcare Business
Solutions LLC, and may not be reproduced
or distributed without the expressed written
consent and permission of PB Healthcare
Business Solutions LLC.
Background 75% of our national health costs are related to chronic
conditions that have their origin in lifestyle behaviors
In dollar terms, $1.8 trillion of $2.4 trillion spent on health care is due to unhealthy lifestyle behaviors
Most of our healthcare delivery is geared toward returning people back to unhealthy lifestyles and not toward changing unhealthy lifestyles
2PB Healthcare Business Solutions LLC
Strategy, Marketing, Management for Health Care®
The Typical Patient/Provider Experience• Average amount of time for a patient/physician visit is
5-7 minutes
• Physician determines the patient’s problem within average of 18 seconds
• Patients increasingly complain that they do not have enough time to explain things or ask questions; patient is time-pressured and forgets 90% of what was said by the physician
• Physician’s focus is on “what is your chief complaint?” rather than “what is happening in your life?”
3PB Healthcare Business Solutions LLC
Strategy, Marketing, Management for Health Care®
What Is Integrative Health Coaching? A whole-person approach to healthy living that
promotes on-going engagement (as opposed to episodic interaction) between the provider and the consumer
Active planning and accountability on the part of the individual, with rigorous assistance from a highly-skilled coach/advocate
4PB Healthcare Business Solutions LLC
Strategy, Marketing, Management for Health Care®
Why Integrative Health Coaching? A proven approach to changing personal behavioral
patterns that have fueled our culture of sick (and not health- promoting) care
Puts accountability in the hands of the only party that can make changes to disease-fostering health patterns: the consumer
Educates consumers to learn evidence-based treatment guidelines, and to understand treatment options/costs in order to make informed decisions about when, how, and where to utilize healthcare resources
5PB Healthcare Business Solutions LLC
Strategy, Marketing, Management for Health Care®
Clinical Research Unquestionably Demonstrates The Value Of Health Coaching Cardiovascular Disease
Vale MJ et al. Coaching patients On Achieving Cardiovascular Health (COACH): a multicenter randomized trial in patients with coronary heart disease. Archives of Internal Medicine 2003 Dec 8-22;163(22):2775-83.
Edelman D et al. A multidimensional integrative medicine intervention to improve cardiovascular risk. Journal of General Internal Medicine 2006 Jul;21(7):728-34.
DiabetesWhittemore R et al. A nurse-coaching intervention for women with type 2 diabetes. The Diabetes Educator 2004 Sep-Oct;30(5):795-804.
AsthmaFisher EB et al. A randomized controlled evaluation of the effect of community health workers on hospitalization for asthma: the asthma coach. Archives of Pediatrics and Adolescent Medicine 2009 Mar;163(3):225-32.
Cancer PainOliver JW et al. Individualized patient education and coaching to improve pain control among cancer outpatients. Journal of Clinical Oncology 2001 Apr 15;19(8):2206-12.
• Weight LossTucker LA et al. Telephone-based diet and exercise coaching and a weight-loss supplement result in weight and fat loss in 120 men and women. American Journal of Health Promotion 2008 Nov-Dec;23(2):121-9. [Note: Coaching and the supplement (made by TriVita), separately and in combination, helped participants lose weight and body fat.]
Bone mineral density in adolescent girlsDeBar LL et al. Youth: a health plan-based lifestyle intervention increases bone mineral density in adolescent girls. Archives of Pediatrics and Adolescent Medicine 2006 Dec;160(12):1269-76.
6PB Healthcare Business Solutions LLC
Strategy, Marketing, Management for Health Care®
Cardiovascular Clinical Research
3-year study by Duke Integrative Medicine indicated health-coached participants had twice the reduction in inpatient admissions as non-coached participants
Coached participants demonstrated positive behavior changes that reduced cardiovascular risk over a ten month period. Biggest improvements were in healthier eating, lost weight, and reduction in smoking.
(“A Multi-dimensional Integrative Medicine Intervention to Improve Cardiovascular Risk: Randomized Controlled Trial”, Duke Center For Integrative Medicine/Duke University Medical Center, 2008. Funded by the Centers for Medicare and Medicaid Services)
7PB Healthcare Business Solutions LLC
Strategy, Marketing, Management for Health Care®
Difference Between Wellness Coaching and Well-Being Coaching
Traditional Wellness Programs
Case Management Orientation
Compliance Approach
Templated Health Planning
Focused On Meeting Employer’s Goals
Disease oriented: manage the symptoms
Integrative Health Coaching
Behavior Modification Orientation
Motivational Approach
Personalized Health Planning
Focused On Achieving Employer and Individual’s Goals
Lifestyle and behavior oriented: encourage self-health management
8PB Healthcare Business Solutions LLC
Strategy, Marketing, Management for Health Care®
Role of the Integrative Health Coach
The integrative health coach :
Guides clients in learning about diagnostic and therapeutic modalities and alternative approaches to management of health issues
Helps clients to navigate the health system
Helps clients to make the right choices and decisions with respect to their total well-being
Operates as a “two-way” member of the medical team
9PB Healthcare Business Solutions LLC
Strategy, Marketing, Management for Health Care®
How Will Contracting With PB Healthcare Business Solutions Benefit Your Clients?
Clients learn how to effectively navigate the health system, which results in increased client satisfaction
Coached clients are more committed to making improvements in their lifestyle behaviors
Improvement in the quality of the patient/provider interaction: a more engaged and informed patient and a less-stressed care provider
Sustained health improvements and the potential to reduce un-reimbursable hospital re-admissions (e.g. 30 day post-discharge)
Provides clients with continuity before, during, and after engagement with the health system; can keep clients from leaving the system due to fragmented and disjointed coordination
Strengthens loyalty of consumer to using your healthcare offerings as opposed to those offered by other providers
10PB Healthcare Business Solutions LLC
Strategy, Marketing, Management for Health Care®
Different Phases Of Coaching
1. Client/Coach
Group or
individual
motivational
interviewing
Educate on CAM
resources
2. Client/Provider/Coach 3. Client/Hospital/Coach
Pre-visit
assistance in health
assessment,
preparing key
questions, internet
research
Post-visit
assistance in
preparing
personalized health
plan
Monitoring plan
adherence through
weekly, bi-weekly,
and monthly
coaching
Pre-admission
assistance in
preparing for
hospitalization
In-hospitalization
assistance
Post-
hospitalization
assistance
Weekly, bi-
weekly, and
monthly coaching
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Pre-health system engagement Health system engagement and Post-system engagement
PB Healthcare Business Solutions LLC
Strategy, Marketing, Management for Health Care®
Pilot Program: How Approach? Choose specialty like general internal medicine, oncology, or
cardiovascular care
Controlled trial of usual care vs. care utilizing integrative health coaching
Minimum of 6 months
Measure effectiveness on both qualitative and quantitative parameters
Client and physician satisfaction
Productivity
Gains in biometric measures e.g. cholesterol reduction, blood pressure
Adherence to personalized health plan
12PB Healthcare Business Solutions LLC
Strategy, Marketing, Management for Health Care®
PBHealthcare Business Solutions LLCStrategy, Marketing, Management for Health Care SM
773-458-8662
www.pbhealthbiz.com
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