7/31/2013

Health Care Strategy Informational Meeting

Todays Agenda/Outcomes
Overview of SHIP Program Review SHIP 3 Health Care Strategy Requirements Role of Clinical Settings Role of Community Based Organizations Q&A / Discussion/feedback on how to move forward

WHAT IS SHIP?

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What is SHIP?
SHIP is a state funded initiative to reduce chronic diseases associated with tobacco use and exposure and obesity

Goals
1. To support, promote, implement, and evaluate health interventions that lead to sustainable improvement in health by creating changes in policies, systems, and environments where individuals live, work, play, and seek health care services. 2. To reduce the overall cost of health care in Minnesota.

What are policy, systems and environmental changes?

Policy interventions Systems interventions Environmental interventions

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How SHIP Works: Keys to Success

Work on a community-level Plus: Evidence-based strategies Local control Strong partnerships Strong evaluation Sustainability

SHIP Strategies & Settings

Schools Worksites Communities Health Care Tobacco Childcare

HEAL T H CARE ST RAT EGY WIT H SHIP

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SHIP Health Care Strategies

Clinical - Community Linkages
Strengthen relationships between community and clinic Enhance methods for collecting BMI/Tobacco information from patients

Advance Community Linkages with State and Federal Health Reform Initiatives
Support implementation of evidence-based clinical guidelines (ICSI Guidelines: Healthy Lifestyles for adults/children) Screen-Counsel-Refer-Follow up Implementation Process

Priority Patients
All patients regardless of age
who are identified as being overweight or obese using/being exposed to tobacco.

Priority patients within these population include patients who are:

uninsured or on Minnesota Health Care Programs such as Medicaid, Medicare, or MNCare, pregnant women to include breastfeeding education adults with mental illness adults over the age of 60

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SHIP Approach to Health Care

Step 1: Convene/utilize health care collaboration to strengthen relationships between health care providers and community-based organizations/resources

SHIP Approach to Health Care

Step 2: CLINICAL Setting: Identify health care providers ready to implement a system-wide change in patient screening and documentation of BMI and tobacco status. COMMUNITY Setting: Implement a process to assess clients in the community

Screen-Counsel-Refer-Follow Up
Screen patients for BMI/Tobacco Status Counsel patients on health status/behaviors
Goal Setting

Refer patients to internal and external resources Follow up with patients

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Screening Patients
Implementing protocols / algorithms
BMI (patient height and weight) Tobacco Status

Risk Factor Assessments

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SHIP Approach to Health Care

Step 3: Provide technical assistance and trainings on effective practices and approaches for addressing BMI status and tobacco use and exposure with patients, including motivational interviewing and goal setting.

Counseling Patients
Algorithm Protocols:
Assessment of patients readiness/ motivates / refers Support Staff (Nurse Educator, Nurse, Health Educator, Dietician, Community Worker) works with patient to develop goals

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SHIP Approach to Health Care

Step 4: Identify, catalogue and make available to clinicians, clinic staff and patients community resources that address behaviors related to nutrition, physical activity, and tobacco use and exposure.

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SHIP Approach to Health Care

Step 5: Assess and plan to increase access to evidence-based lifestyle change and prevention programs. Facilitate infrastructure development in the health care facilities and in the community.

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Evidence-Based Programs

SHIP Approach to Health Care

Step 6: Create or strengthen system of referral to in-house or community resources. Develop or enhance a follow-up system.

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SHIP Approach to Health Care

Step 7: Promote usage of existing billing

codes for reimbursement of services provided related to the SHIP strategy, Clinical-Community Linkages for Prevention (i.e., counseling, nutrition education, follow-up care).

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SHIP Approach to Health Care

Step 8: Support the use of health care extenders (i.e. health educators, community paramedics, nutritionists, etc.) to improve engagement of disparate populations in evidence-based lifestyle change and prevention programs

Utilize SHIP to Help Health Care Reform

Health Care Delivery Systems, ACOs or Accountable Communities for Health are encouraged to incorporate community-based prevention, such as SHIP interventions, into their systems. Required Community Health Needs Assessment SHIP Partnership Determining How to Use Community Benefit Dollars

What Can SHIP Offer?

SHIP Staff Support Evaluation & Assessments
Baseline assessments of health care sites current practices & SHIP evaluation requirements Assistance with assessment of available programs/resources Development of patient assessment/screening tool

Training opportunities for motivational interviewing, evidence-based programs

Training Fees, Mileage, Hotel Initial program start-up costs Development costs of resource and referral materials

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Next Steps / Timeline

Soliciting sites interested in this work
Letter of intent to partner

Public Health submits application for SHIP 3 to Minnesota Dept. of Health on Aug 30 Funding to begin available November 1, 2013

Any Feedback? Questions? Comments?

Thank you!! Any Questions?

shipfmw.blogspot.com

www.facebook.com/FMWSHIP

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