The Complete Health Improvement Program (CHIP)

Implementing Virtual CHIP at your Organization

• What is CHIP• What is Virtual CHIP• Getting started with Virtual

CHIP• Sample Virtual CHIP Program

Materials

Overview

• CHIP is an intensive lifestyle program with proven results based on years of scientific research.

• Participants commit to make lifestyle changes for a number of weeks (determined by each program).

• Change happens in the way you eat, move, and think- it will challenge you for the better!

• After the program, participants decide if they want to continue or revert to their old lifestyle.

What is CHIP?

• CHIP focuses on a whole of health approach to living.• CHIP emphasizes lifestyle habits like stress

management and forgiveness, as well as eating more plants and whole foods, not eating less.

• CHIP combines evidenced based lifestyle medicine research with behaviour change principles to evoke positive change in participants.

• CHIP graduates often experience weight loss, lower blood pressure, lower cholesterol, more energy, and more enthusiasm for life.

How Does CHIP Work?

Environment, Surroundings

Choices, accountability

Relationships, Support

Forgiveness

Whole plant foods

Movement

Water

Positive emotions, Gratitude

Meaning, Purpose

Beliefs, Hope

Sunlight, Fresh air

Sleep, Relaxation

CHIP is a program about making good choices. It seeks to help people move from the left side

of the spectrum to the right side.

NOTE: The science indicates that for disease reversal, plant based eating gives the best outcomes.

The Eating Continuum

Virtual CHIP

What is Virtual CHIP?•Virtual CHIP is a way to bring an evidence-based intensive lifestyle intervention to more people. It involves the same program components of a traditional CHIP class such as a trained facilitator, CHIP kit, and blood draws, but is done via conference calls with participants completing some of the course work on their own time.

•Virtual CHIP is designed to provide group support, a key component of traditional CHIP classes, through two weekly “community engagement” group conference calls.

•Accountability is built into Virtual CHIP through retention-check quizzes.

• Available to employees working in multiple locations.

• Ability to share program content with family or other support networks by watching videos at home.

• Less workday time commitment, which makes CHIP more attractive to busy professionals who would like to improve their health.

Benefits of Virtual CHIP

Virtual CHIP Success: Meet John Davis

“CHIP gave me hope that I could control my life again. My results reinforced that.”

12 months after CHIP:Eliminated the need for 3 medications!•A1C went from 8.9 to 5.7 and it stayed there.

•Lost 30 pounds.

•Renewed his belief in being “healthy by choice, not by chance.”

Before

After

• Participant kit provided to each employee.• 18 Video Sessions, two per week (20-29

minutes).• Retention-check quizzes and workbook

assignments.• Bi-weekly “community engagement”

conference calls (20-30 minutes each).• Blood draws and Health Risk

Assessments.

Program Components Overview

Getting Started with Virtual CHIP • Find a CHIP facilitator (either internal or external).• Arrange blood draws and Health Risk Assessment. • Promote Virtual CHIP as a wellness program to your

employees.• Set up a virtual information session and enrollment

process.• Create a detailed syllabus for participants.• Order CHIP kits.• Start the class.

Use your own facilitator:• Use a facilitator within your

company that has been trained in Virtual CHIP.

Use our facilitator:• Select an experienced

facilitator from LMI or LHA to work with your organization.

Facilitating Virtual CHIP: Two Options

• Each company will need to arrange biometrics and blood draws for all participants.

• 2-3 blood draws to include:• Lipid profile• Fasting glucose(Prior to week one, at week six, and/or at week twelve)• Participants will also report BMI and

blood pressure.

Biometrics and Blood Draws

• Use your own, if available.• Use CHIP online HRA

through www.chiphealth.com.• Use the CHIP Lifestyle

Evaluation form.

Health Risk Assessments: Options

Eligibility, Incentives, and Promotion

• Determine who is eligible for CHIP in your organization.

• Define incentives and cost sharing if any.

• Send out information explaining the program and determine who has interest.

• Explains CHIP in more detail to potential participants and the commitment they must make if they decide to participate.

• Can be done by conference call, webinar, and/or in person.

• We recommend using our PowerPoint, co-branded with your organization.

Information Session

Information Session, Continued

• Provides information on where participants go to complete their application for enrollment.

• Application may include: • Why participant wants to attend/what they

want to get out of the program • Moral contract • Cost sharing information if applicable• Attendance agreement • Clear instructions on “next steps” for

participants.

The CHIP Participant Kit

Each kit includes: • the Learn More textbook • the Live More

journal/workbook • the Eat More cookbook• the Walk More pedometer • the Drink More travel water

bottle

Virtual CHIP Class: What to Expect

Participate in facilitated conference calls.

Virtual CHIP Class: What to Expect

Watch the assigned video. (We recommend doing this at home with individuals in their support network). Video links are available on a CHIP web portal. The textbook reinforces the video content.

Complete the quiz corresponding to the video.

Participant Portal

Virtual CHIP Class: What to Expect

Apply information from the program!Complete the workbook assignments.

The Virtual CHIP Program Cycle

Participate in the

conference calls

Watch video & read the textbook

Complete the quiz and the

workbook assignment

Implement lifestyle changes

Community Engagement Ideas

•Stress to the group the importance of building a community to enhance peer support.

•Collect photographs and short bio of all participants and share with group.

•Use a social network tool to allow the group to share ideas throughout the class.

•Call on people by name during the calls to share their experiences.

•Share CHIP-friendly recipes, and encourage people to try them and report to the group.

•Develop a walking competition within the class.

Virtual CHIP Success: Meet Alyssa Hawkins“If you want a program that has proven results to lengthen your life and help you become the very best version of yourself, try CHIP!”

12 months after CHIP:

•40% reduction in total cholesterol.•16% reduction in glucose.•Lost 7 inches off of her waist and 40 pounds!

Sample Program Materials

Sample Eligibility Requirements• Full-time, part-time employee or PRN.• Completed application for participation in the pilot.• Access to an Internet-enabled computer for virtual learning and a telephone for virtual

class/support calls. • Targeted Participants would have:

• BMI of greater than 29 OR• BMI greater than 25 plus 2 chronic health conditions such as:

• Hypertension• Diabetes• Pre-diabetes• High Cholesterol• Coronary Artery Disease• Arthritis• COPD• Asthma

• Others may be considered after interview with program facilitator• Complete biometric screening (tests performed no longer than 90 days before the

class start date can be accepted) • Testing will be offered for those who do not have recent laboratory data

Participants must attend (telephonically or in person) weekly classes to remain eligible and cannot miss more than one class per month.

Promotion: Sample Email

Sample ScheduleWeek Milestones Sessions

1 Lab Work & HRA #1Kickoff group community engagement call (CEC) or webinar 1. The Rise and Rise of Chronic Disease

2 CEC 2. Lifestyle is the Best MedicineCEC 3. The Common Denominator of Chronic Disease

3 CEC 4. Optimal LifestyleCEC 5. Eat More, Weigh Less

4 CEC 6. Fiber, Your New Best FriendCEC 7. Disarming Diabetes

5 CEC 8. The Heart of the Matter—Heart HealthyCEC 9. Controlling Blood Pressure and Discovering Protein

6Lab work & HRA #2CEC

10.Bone Health EssentialsCEC 11.Cancer Prevention

7 CEC 12.Understanding Your Results and Taking ActionCEC 13.Become What You Believe and Your DNA is Not Your Destiny

8 CEC 14.Practicing ForgivenessCEC 15.Re-engineering Your Environment

9 CEC 16.Stress-relieving StrategiesCEC 17.Fix How You Feel

10Lab work & HRA #3CEC

18.From Surviving to ThrivingCEC 19.Commencement

Sample Course Syllabus

Detailed Facilitator Agenda

Sample Compliance Requirements

•Watch assigned video; complete quiz and workbook assignment prior to class.•Attend at least 14 of the 18 community engagement calls.•Cannot miss two classes in a row.•Complete all biometric screenings and Health Risk Assessments in the appropriate timeframe.

Examples of Accountability

• Have participants sign a moral contract outlining expectations and commitment.

• If the company pays for participation and employee quits the program, they will have to pay back 50% of the fees through a payroll deduction.

Sample Moral ContractI __________________________ understand that I am participating in the Complete Health Improvement Program (CHIP) of my own free will. I further understand that I will join in on 90% of the conference calls and follow the CHIP lifestyle principals as best as I can for its 9 week duration. I will watch the videos, complete the quizzes, workbook, Health Risk Assessment, and blood draws as requested.

I agree that if I do not meet the requirements outlined above, I will be responsible for reimbursing the organization the cost of the program which is $______.

After the program is completed I will then decide how much of this new lifestyle I want to continue.

For More Information:

www.chiphealth.com/

Tom Kostohryz tomkosto110@gmail.com740-541-1944

Jennifer Collins jennifer@livehealthyappalachia.org740-249-1795