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Empowering Seniors to Effectively Manage Chronic Health Conditions

Empowering Seniors to Effectively Manage Chronic Health Conditions. Healthier Living Chronic Disease Self Management Program (CDSMP). Lora Connolly, CA Department of Aging Amanda McDade, Mercy Housing Aging Services of California Public Policy Conference March 3, 2011.

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Empowering Seniors to Effectively Manage Chronic Health Conditions

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  1. Empowering Seniors to Effectively Manage Chronic Health Conditions Healthier LivingChronic Disease Self Management Program (CDSMP) Lora Connolly, CA Department of Aging Amanda McDade, Mercy Housing Aging Services of California Public Policy Conference March 3, 2011

  2. Healthier Living as an Evidence-Based ProgramWhat Does that Mean? Supported by extensive research and proven to work Clear, structured, detailed description of the program Measurable outcomes Promising Practice Best Practice Evidence-Based Model

  3. Healthier Living : What Is the Program? • Developed by Lorig & colleagues at Stanford University in the 1990s. • Designed to help people better manage chronic health conditions and live a happier, healthier life. • Six-session once a week workshop. • Highly scripted and structured. Leaders must be trained & certified to lead this program.

  4. Healthier Living: Why the Program is Needed • Chronic diseases affect the quality of life of 133 million Americans (nearly 1 in 2 adults)* • More than 14 million in California** • 80% of Americans 65 and older have at least one chronic condition* • 50% have at least two • Chronic diseases represent more than 80% of health care costs*** *Centers for Disease Control and Prevention, 2009 **California HealthCare Foundation, 2006 ***Robert Wood Johnson Foundation, 2004

  5. Chronic Conditions: Impacting Quality of Life for Many Older Adults Chronic conditions account for • 76% of inpatient hospitalizations* • 88% of all prescriptions filled* • 72% of all physician visits* • 7 out of 10 deaths in the U.S. each year** *Johns Hopkins University, 2003 **Centers for Disease Control and Prevention, 2009 ***Thorpe & Walker, 2010

  6. Healthier Living Workshop Online CDSMP (20-25 people) Consists of six weekly sessions led by 2 trained peer leaders No “set” time structure Highly interactive (discussion boards) Log on 2-3 times per week for a total of 1-2 hours • CDSMP Small Group (10-16 people) • Involves six 2½ hour sessions led by 2 trained peer leaders • Highly interactive empowerment model • Literacy level not an issue • Flexible locations customized for local needs

  7. Workshop Objectives Managing symptoms Improving diet Increasing activity level Dealing with difficult emotions Learning relaxation techniques Developing problem solving strategies Setting weekly goals Improving communications, particularly with health providers Learning relaxation techniques Developing effective problem-solving Setting weekly goals & checking in

  8. Individual Action Plan Components Goals the participant really wants to accomplish Focuses on accomplishments that are achievable Action plan that is very specific about What? How much? When? How often? Plan includes actions they really believe they can accomplish (Confidence level of 7 or more)

  9. Healthier Living—Outcomes for Program Completers • Greater energy/reduced fatigue • Better psychological well-being • Enhanced partnerships with physicians • Improved health status • Increased physical activity • Decreased pain, depression, shortness of breath • Decreased limitations in social and role activities • Improved quality of life • Greater self-efficacy and empowerment

  10. Healthier Living—Outcomes for Program Completers • Fewer outpatient visits • Fewer emergency room visits • Fewer hospitalizations • Fewer days in hospital • Results in more appropriate utilization of health care resources • Health care needs addressed in outpatient settings vs. ER visits and hospitalizations • Rate of disability decline decreased

  11. Program Target Population • Have at least one chronic condition (not disease specific) • Family members, friends or caregiver of someone with a chronic condition can also attend • Must have stamina to travel to and attend a 2 ½ hour class • Must have cognitive function to participate and implement action plan

  12. California’s Implementation Model

  13. 5 30 California Counties Implementing Over 9,200 Californians Impacted by Healthier Living since 2006!

  14. Whose Involved ?

  15. California Housing Organizations Currently Implementing Healthier Living • American Gold Star Manor • Menorah Housing • Mercy Housing • Merrill Gardens • On Lok Housing • Southern California Presbyterian Homes • Telacu

  16. Evidence Based Programs Being Implemented (various languages) • Healthier Living (CDSMP) • Arthritis Self Management • Diabetes Self Management • Matter of Balance • Healthier Moves • Savvy Caregiver

  17. More Information Gina Fleming Director Health Innovation Programs Partners in Care Foundation 818-837-3775 ext. 115 gfleming@picf.org Janet Tedesco California Department of Aging Federal Grants Program Analyst (916) 928-4641 jtedesco@aging.ca.gov California Department of Aging www.aging.ca.gov/ebhp

  18. Learn More at www.aging.ca.gov/ebhp

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