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Ähnlich wie "Alliances with Lifestyle Medicine for Wellness as a Service (WaaS)" - Ingrid Edshteyn (Associate Exec Director/Founder, ACLM/Valia Lifestyle)
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"Alliances with Lifestyle Medicine for Wellness as a Service (WaaS)" - Ingrid Edshteyn (Associate Exec Director/Founder, ACLM/Valia Lifestyle)
- 2. Alliances with Lifestyle Medicine for Wellness as a Service Ingrid Edshteyn, DO, MPH Associate Executive Director American College of Lifestyle Medicine
- 5. What is Lifestyle Medicine? The use of lifestyle interventions in the treatment and prevention of disease • Providing guidelines & guidance • Prescribing lifestyle change as treatment • Coaching patients through change
- 7. Lifestyle Medicine Works Nutrition Counseling Physical Activity Spahn JM. J Am Diet Assoc. 2010;110(6):879–891. Delahanty LM. J Am Diet Assoc. 2001;101(9):1012–1023. Pastors JG. Diabetes Care. 2002;25(3):608–613. Sheils JF. J Am Diet Assoc. 1999;99(4):428–435. Contento IR. J Nutr Educ. 1995;27:277–418. Dalziel K. Health Promot Int. 2007;22(4):271–283 Merrill RM. Prev Chronic Disease. 2008 5:1;1-13.
- 8. Lifestyle Medicine Works Intensive Therapeutic Lifestyle Change Works Pritikin Ornish Complete Health Improvement Program Hall, John A., And James R. Barnard. Journal Of Cardiac Rehabilitation 2.7 (1982): 569-574. Ornish, D. M., Et Al. Clinical Research. Vol. 27. No. 4. Ornish, Dean, et al The Lancet 336.8708 (1990): 129-133. Diehl, Hans A. The American journal of cardiology 82.10 (1998): 83-87.
- 10. In a nutshell… Prescribe lifestyle change as first line therapy and supplement with medication as needed for all patients with lifestyle diseases Successful outcomes contingent upon active participation of patients
- 11. Lifestyle in Medicine Only 3% of our health care spending is focused on prevention and public health, …while 75% of our health care costs are related to preventable conditions. National Health Expenditure Data. Baltimore, MD: U.S. Centers for Medicare and Medicaid Services, December 2014. For the Public’s Health: Investing in a Healthier Future. Washington, D.C.: Institute of Medicine, April 2012.
- 12. Optum White Paper: Getting them in to win 2015
- 15. “To provide for expanded and sustained national investment in prevention and public health programs to improve health and help restrain the rate of growth in private and public health care costs.” • ACA authorized $18.75 billion for the fund between FY 2010 - FY 2022 • $2 billion per year afterwards • $2.9 billion investment … estimated to save $16.5 billion annually within five years (in 2004 dollars) • Supports a variety of community prevention and clinical prevention programs http://healthyamericans.org/health-issues/wp-content/uploads/2015/02/150219_PPHF.pdf
- 16. Diabetes Prevention Heart Disease and Stroke Prevention Smoking & Health
- 17. January 1, 2018 First time a preventive service model from the CMS Innovation Center expanded into the Medicare program
- 19. This is consumer- driven wellness
- 25. The Lifestyle Medicine Movement • Physicians in a Health System
- 26. The Lifestyle Medicine Movement • Lifestyle Medicine Practices
- 29. Synergy
- 31. Miles to go before we sleep.. • Only 3% had healthy levels of all 4 lifestyle behaviors Non-smoking Healthy weight 5 fruits and vegetables per day Regular physical activity Reeves & Rafferty, Arch Intern Med, 2005
- 32. Miles to go before we sleep.. • Only 3% had healthy levels of all 4 lifestyle behaviors Non-smoking Healthy weight 5 fruits and vegetables per day Regular physical activity Reeves & Rafferty, Arch Intern Med, 2005
- 33. • Only 2.7% of all adults had all 4 healthy lifestyle characteristics. Non-smoking Healthy body fat % Healthy Diet Regular physical activity Loprinzi, Paul D., et al. Mayo Clinic Proceedings. Vol. 91. No. 4. Elsevier, 2016.
- 34. • Only 2.7% of all adults had all 4 healthy lifestyle characteristics. Non-smoking Healthy body fat % Healthy Diet Regular physical activity Loprinzi, Paul D., et al. Mayo Clinic Proceedings. Vol. 91. No. 4. Elsevier, 2016.
- 37. Ingrid Edshteyn, DO, MPH Associate Executive Director
Hinweis der Redaktion
- We know that lifestyle medicine kills. Learned during the first day of medical school – part one of the 4 years of hazing. Yes it kills.
- Return business. And that right there is why we have this conference here and now. Hyperwellbeing - a consumer driven revolution in wellness. Because quite simply, the financial incentives in our hospital based acute care system do not lean toward long-term health. Yes, excellent for acute, emergent issues, but simply not set up operationally or philosophically, to truly practice preventive and lifestyle medicine.
- To step back now to define what I mean by lifestyle medicine – Practiced by primary care and specialists – an evidence based approach that should truly be the foundation of care. Why is that
- Lifestyle medicine – is the first line therapy for lifestyle disease – medications as needed as a supplement – that’s the mindset. And in this transition from the traditional physician/expert push advice, to a coaching//pull support model - it critcally involves the active participation of patient for successful outcomes
- We can see this in the meager funding that actually goes to preventive measures, of which a smaller portion Is on health promotion But we have seen strides in the past few years- through THE AFFORDABLE CARE ACT - to improve these dreary statistics.. Particularly
- Particulalry with medicare taking lead in setting up ACOs - …we see this now in MACRA and MIPS – merit based incentive payments… https://www.optum.com/content/dam/optum/resources/whitePapers/WhitePaper_PreventiveServices_FINAL_20151001.pdf
- And yes this transition is real – there are more and more hospitals that are leaning in toward wellness as part of their identity – even switching names form hospital to health Community based hospitals like griffin health – with a new center for prevention and lifestyle management – intended to be a model of wellness to replicate for 6 ember ACO hospitals – to larger systems like Henry Ford in Detroit and Lee Health in Florida. Another excellent ground for wellness medicine continuum is in medical fitness centers – such as the Summit in Montana and cleveland clinic’s in Akron – true physical locations now that can support lifestyle as medicine beyond the doctor’s office. And I can tell you one of their main problem is having enough physician referrals into the wellness programs. So this movement has already launched..but now Linking together fitness wellness medicine along the continuum
- mandatory fund, the Prevention and Public Health Fund. By law, the fund must be used “to provide for expanded and sustained national investment in prevention and public health programs to improve health and help restrain the rate of growth in private and public health care costs.” The ACA authorized $18.75 billion for the fund between FY 2010 and FY 2022 and $2 billion per year after that.
- So now in the next 4 years – who knows what will happen to these components of the ACA .. But the good news is that prevention not only pays under fee-for-value; it pays under fee-for-service. Preventive services and screenings are now — and will continue to be in the future — important drivers of clinical, financial and operational strategies
- In the next 4 years – who knows what will happen to these beneficial components for wellness designed into the ACA .. But the good news is that prevention not only pays under fee-for-value; it pays under fee-for-service. Preventive services and screenings are now — and will continue to be in the future — important drivers of clinical, financial and operational strategies At this point - The consumer has been minimally involved in wellness solution purchasing decisions actively but has received options from top-down, health insurer, hospital– perhaps with a privatized medicare voucher system, the consumer will become more interested in preventing costs by ensuring their health, and self investing in these solutions or more eager to consider ones coming from the system? Either way – needs to happen and not going anywhere but forward ,question on the incentives driving and pace
- But why do we care – ultimately it goes back to the consumer – the patient – US To further this point..
- THIS report provides Useful report this quarter from a consulting firm in NYC, no connection personally, called Parks Associated With some insights as to consumer engagement for health and wellness
- What we know to be the problems is true – Not much communication going on with those who really need wellness and their providers Of those who have a chronic condition and a primary care physician, 33% talk to their doctors only twice a year, while 25% communicate only once a year or less.
- Plus they’re not all that interested in receiving digital health services either. About 14% for remote vitals, apps that collect data and notify for the provider and even for a personal health coach
- However, if you look at those with a chronic condition, having a doctor recommend a program matters – especially if you have multiple conditions, about a third of consumers would be interested Speaks also to the relationship – as you see – only 10% want their health insurance company involved in recommending a program – but a THIRD want the doc recommending the program – something evidence based prove, from a trusted resource
- Wellness champions
- So how do we connect the worlds between the makers and the providrs for the ultimate goal of enableing everyont ot be healthier Need education and solutions/ tools that unite medicine/wellness Offer services solution with platform Actively looking for digital health/wearables that can augment care, enable lifestyle as medicine, but no educated on the market Need evidence based product with outcomes, UX missing
- So how do we connect the worlds between the makers and the providrs for the ultimate goal of enableing everyont ot be healthier Need education and solutions/ tools that unite medicine/wellness Offer services solution with platform Actively looking for digital health/wearables that can augment care, enable lifestyle as medicine, but no educated on the market Need evidence based product with outcomes, UX missing
- Hope that we can crunch those big data wellness numbers together
- and come up with a truly exciting solution for wellbeing worldwide.