1A non-profit service and advocacy organization © 2011 National Council on Aging

Webinar Instructions

Thank you for joining today, please wait while others sign in.

Phone Dial in: 1-866-740-1260Access code: 4796665#Due to the large number of participants, all lines will be muted during the call.If you want to ask a question, please type in your question into the box.

2A non-profit service and advocacy organization © 2011 National Council on Aging

How Will You Sustain Evidence-Based Healthy Aging Programs? Tools You Can Use

AgendaTwo states, Maine and Oregon will share toolkits & resources for sustainability.

Maine’s Living Well for Better Health: CDSMP toolkit to aid implementation of Living Well in health care settings.

Bridget Bagley, Community Program Specialist, Maine DHHS-Office of Elder Services Kathy Poulin, Director of Community Programs, Maine Department of Human Services

Oregon’s Living Well with Chronic Conditions Sustainability Toolkit: Marketing and Financial Approaches

Laura Saddler, Health Systems & Self-Management Lead, Oregon Public Health DivisionCara Railsback, Self-Management Programs Coordinator, Oregon Public Health Division

Q&A – All

LivingWell

A toolkit to aid implementation of LivingWell in health care settings

Update May 2009

Chronic Disease Self Management

FOR BETTER HEALTH

Maine DHHS Office of Elder ServicesPhysicians’ Toolkit LWBH/CDSMPAoA/NCOA December 2011 Webinar

Maine’s Physician’s Toolkit - Developed as a guide for partners implementing , Maine’s model of CDSMP (Stanford©)

LivingWell FOR BETTER HEALTH

• A project of Healthy Choices for ME! and MaineGeneral Medical Center’s Prevention Center

• Funded in part by Administration on Aging, National Council on Aging and Atlantic Philanthropies

• Contact:Kathy Poulin, Director of Community Programs DHHS-Office of Elder Serviceskathy.poulin@maine.gov(207) 287-9206

Background

Maine’s Physician’s Toolkit

• Information and resources decrease the need to “re-invent the wheel”

• Templates and PowerPoint presentation on CD that can be modified as needed

• Developed to help roll outin Maine’s health care settings

LivingWell FOR BETTER HEALTH

Purpose

Overview

Maine’s Physician’s ToolkitThe Toolkit offers a way to deliver an overview of the program, the topics covered in workshops and evidence of the program outcomes and research findings to help physicians understand how fits into the practice

And how the physician fits into . . . . .LivingWell

• Evidence suggests participation in CDSMP results in more appropriate use of health care resources

• Education about the program increases ‘buy-in’ • Develops stronger partners and champions

LivingWell

History and Development of CDSMP• Overview of CDSMP Curriculum • Research Project funded by Stanford University• Program Design and Evaluation Methodology

Review of Outcomes• Summary of program effectiveness and studies reviewed

Samples • Implementation Timeline

– Outlines a workplan, identifying persons responsible and timeframes• Roles and Responsibility

– Defines what is expected of each partner– Highlights what resources are needed and where there can more flexibility

• Informational and Marketing Material

Lessons Learned• Strategies implemented by practices (champion, marketing, recruitment)

Toolkit Content

The Physicians’ Presence

Patients would more likely attend a program the provider is directly involved in– Attend informational meeting– Hold group or individual meetings or contacts (pre/post workshop sessions)

The Practices’ Recruitment & MarketingHealth care providers have insight to a patient’s ‘readiness’ and have the ability to identify appropriate targets

– Written invitation to patients and caregivers– Reminder calls and follow up calls– Promoting the program – Coordinate scheduled workshops

We are in this together

Customize for the Right Fit

• PowerPoint Presentation– Background of CDSMP with Research Findings– Program Overview– Successful Strategies and Testimonies– Make a Plan

• Marketing Material – Participant handouts, – Buttons, – Flyers, and – Brochures

• Templates– Invitational Letters (literacy level)– Scripts– Meeting Agenda and Notes

Resources and templates can be modified to meet needs and preferences of the physician/health care practice

• Physicians and health care providers are encouraged to coordinate with implementation partners and program developers for technical assistance and support– Ongoing training and support to program coordinators

and leaders– Evaluation and fidelity monitoring for quality assurance

and process improvement– Partnerships may alleviate the costs of licensing and training

fees and maintain the appropriate number of leaders

• It’s evidenced based

What Next?

IN HINDSIGHT

THERE IS FORESIGHT

To the best ability, prepare for challenges related to rapidly evolving healthcare system and aging services network

Know the capacity, commitments and direction of key partners to inform plans for sustainability

The infrastructure to support ongoing provision of evidence based programs including CDSMP continues to develop in this changing climate and may be challenged with limited funding, reduced staff and the growing demand to respond to increasing need for prevention programs and self management care options

Learnings• “The resources and tools we have been working with are packaged into one.”• “Curriculum overview is critical; it is to the point and user-friendly.” “They (the

physician and the participant) know what they are signing up for.”• “The Implementation Timeline helps to understand the level of investment;

commitments are clear in the roles and responsibilities. It is what I use to create a Partner Agreement and would consider for contractual work.”

• “The research and outcomes sections are good selling points to get physicians to buy into a ‘community based program”.

• “The templates have been very helpful, such a time and money saver.”• “Ongoing support is important.” “The practice may have some difficulty getting

going, or keeping it going.”

Challenges

• It is not consistently used with all practices. • “I still find I create documents, especially to present to other groups.”• “It not easy to access”• “Still have trouble getting in the door at the doctors’ offices”

• Planning for updated Toolkit

Non‐Discrimination NoticeThe Department of Health and Human Services (DHHS) does not discriminate on the basis of disability, race, color, creed, gender, sexual orientation, age, or national origin, in admission to, access to, or operations of its programs, services, or activities, or its hiring or employment practices.  This notice is provided as required by Title II of the Americans with Disabilities Act of 1990 and in accordance with the Civil Rights Act of 1964 as amended, Section 504 of the Rehabilitation Act of 1973, as amended, the Age Discrimination Act of 1975, Title IX of the Education Amendments of 1972, the Maine Human Rights Act and Executive Order Regarding State of Maine Contracts for Services.  Questions, concerns, complaints or requests for additional information regarding the ADA may be forwarded to the DHHS ADA Compliance/EEO Coordinators, #11 State House Station, Augusta, Maine 04333, 207‐287‐4289 (V), or 287‐3488 (V)1‐888‐577‐6690 (TTY).  Individuals who need auxiliary aids for effective communication in program and services of DHHS are invited to make their needs and preferences known to one of the ADA Compliance/EEO Coordinators.  This notice is available in alternate formats, upon request.

END

PUBLIC HEALTH DIVISIONHealth Promotion and Chronic Disease Prevention

Living Well with Chronic Conditions Sustainability Toolkit: Marketing &

Financial Approaches

ARRA CDSMP Grantee WebinarDecember 20-21, 2011

PUBLIC HEALTH DIVISIONHealth Promotion and Chronic Disease Prevention

Background

• Oregon has been working to build more capacity at the local level for sustainable, well-marketed and well-supported programs.

• Local program delivery partners were requesting more advanced resources.

• Living Well Network workgroups had been working on different tools/strategies that needed to be catalogued for greater use.

• Living Well Toolkit could be a great companion to the Living Well Implementation Guide (2009).

Toolkit Website Overview

www.healthoregon.org/livingwell

Partners – Living Well Toolkit

PUBLIC HEALTH DIVISIONHealth Promotion and Chronic Disease Prevention

Preliminary Evaluation Findings

• 34 respondents, of which 35% had viewed the toolkit and 65% had not.

• Most of those respondents who had not viewed the toolkit either have not had time to review it (42%) or hadn’t heard of it (37%).

• Most who have used the toolkit said it was fairly or very easy to use (87.5%)

• All three sections of the toolkit have been used and specific tools were cited representing each of the three sections.

PUBLIC HEALTH DIVISIONHealth Promotion and Chronic Disease Prevention

Next Steps

• Promote, promote, promote!• Collect toolkit user case studies• Share resources developed from the toolkit on the

website and promote success stories in monthly newsletter, annual Living Well Forum, etc.

• Reassess toolkit use again in 2012

PUBLIC HEALTH DIVISIONHealth Promotion and Chronic Disease Prevention

Contact Us

Laura Saddler and Cara RailsbackOregon Health Authority – Public Health Division

1-888-576-7414

living.well@state.or.us

www.healthoregon.org/livingwell

PUBLIC HEALTH DIVISIONHealth Promotion and Chronic Disease Prevention