Dual-Venue CDSMP: Learnings from the Field May 23, 2018

Transcription

1 Dual-Venue CDSMP: Learnings from the Field May 23, 2018 Jennifer Raymond, Elder Services of Merrimack Valley Betsy Abramson, Wisconsin Institute for Healthy Aging Neal Kaufman, Canary Health 1

2 Agenda Introduction to dual venue concept CDSMP delivered digitally (Better Choices Better Health- BCBH) Transformation from community-based BCBH demo Dual venue model Key elements Experience from the field Elder Services of the Merrimack Valley Wisconsin Institute for Health Aging Discussion 2

3 Chronic Disease Self-Management Program Developed by Stanford s Patient Education Research Center, now with Self-Management Resource Center Peer-to-peer, group-based, six-week - in-person and virtual Proven effective with hundreds of thousands of adults living with chronic conditions Helps individuals manage their lives, emotions and relationships AND medical care. Improves participants depression, self-efficacy, medication adherence, health behaviors Improves long-term medical outcomes and saves money 3

4 Engage from Outreach to Outcomes Outreach Educate Activate Sign-up Show-up Participate Succeed Prioritize, segment, develop personas, stories re changing life, getting motivated Stories re: intervention success, overcoming inertia, optimizing future Authentic stories re: long-term behavior change with positive outcomes; Stories re: chronic diseases, worsening trajectories, prevention possible Stories re: others who overcame barriers, solved problems, provided and received support 4

5 Better Choices Better Health Action Planning Originally developed by the Stanford Patient Education Research Center. Guided Lessons WEEKLY TOPICS Moderated Discussions Repeats for 6 weeks Peer Coaching 5

6 Foundational Self-Management Principles Program Impact all Chronic Conditions Goal Setting / Action Planning Relaxation Pain Management Fatigue Cancer Joint Diabetes Problem Solving Supporting Hypertension Musculoskeletal Difficult Emotions Physical Activity Weight Management Workshop Topics Hyperlipidemia Depression Multiple Sclerosis Sleep Apnea Fatigue Management Sleeping Well Communication Medications Evaluating Treatment Plans Working with Healthcare Team Depression Arthritis Heart COPD Asthma For adults living with one or more chronic condition which require daily self-management 6

7 How Digital Works Live Demo at Health 2.0 Click Here to Watch Video health-2-0-webinar-video 7

8 Community-based or Digital: Same Service-Different Approach 6-Week peer-to-peer workshops Facilitated by 2 trained peer leaders Group dynamic and support Validated protocol and curriculum Digital alumni community In-Person Digital Weekly/same day & time 2.5 hours per week people in group Choice of items to discuss People develop safe space Login 24/7/ hours per week people in group Self-tailored experience Anonymous 8

9 Major Anthem study Type 2 Diabetes Anthem-Stanford study 300 community-based, 1,000 digital; same results Decreased A1C 0.45% at 12 months Decreased A1C 1.27% at 12 months (Initial A1C>9%) Reduced incidence of Depression 27% Improved Medication Adherence by 16% Increased Exercise 43 minutes Per Week Significant cost-savings; publication forthcoming Benefits of Diabetes Self-Management for Health Plan Members: A 6-Month Translation Study - Lorig, KL, et; J Med Internet Res 2016;18(6):e164) doi: /jmir.5568 A Diabetes Self-Management Program: 12-Month Outcome Sustainability From a Nonreinforced Pragmatic Trial - Lorig,KL; J Med Internet Res 2016 vol. 18 iss. 12 e322 9

10 Dual Venue Approach Partnership between Canary Health, CBOs and governmental entities Contract with purchasers to sustain and scale Create margin to further mission Offer choice of delivery method Increase number of individuals served Reach vulnerable/underserved populations 10

11 Dual Venue Model Regional coalitions/ organizations State and local governmental agencies Healthcare delivery systems 11

12 Community and Governmental Partners 12

13 Elements of Dual Venue Model Sales and marketing Service delivery Outreach and recruitment Administration / legal Quality assurance 13

14 Focus on How Self-Management Brings Value Improved health Consumer choice Consumer satisfaction Consumer engagement Social determinants of health Cost saving Quality of care / HEDIS scores Value based care Customer expectations (e.g., employer, government) Network management/provider support Competitive positioning / innovation leader Brand awareness 14

15 Thank you Neal Kaufman, MD, MPH Co-founder and Chief Medical Officer 15

16 Learnings from the Field Jennifer Raymond, Elder Services of Merrimack Valley 16

17 Outreach Efforts Participants with interest but barriers Low Mobility Project Program Graduates Identification by Case Managers Workplace Wellness Existing Contracts

18 Community Outreach Healthy IDEAS In Home Falls Assessment Enhanced Wellness Community EBP resource 1:1 Coach Better Choices Better Health

19 Learnings from the Field Betsy Abramson, Wisconsin Institute for Healthy Aging 19

20 The BEADS Menu of CDSME Delivery Model Options for Purchasers B = Build Client builds own capacity; embeds with support services / TA package from WIHA E = Exclusive WIHA delivers workshop and support services exclusively to client s constituents A = Access WIHA coordinates client s access to community workshops, with support services D = Digital WIHA subcontracts with digital therapy provider for digital workshops to client S = Sponsor Client awards a sponsorship for a WIHA program, in return for a defined package of benefits, such as choice of program location, recognition in all marketing materials, inservices to client staff, customized program marketing and outreach materials for client s constituents, etc.