Non-Surgical Weight Loss Management

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1 BARIATRIC CARE CENTER Non-Surgical Weight Loss Management

2 Summa s Bariatric Care Center the help you need! ed! It s no secret that a growing number of Americans are overweight, obese or morbidly obese. In fact, obesity currently affects about one-third of adults in the U.S. and more than half of all American adults are overweight. Beginning in 2013, the American Medical Association declared obesity to be a chronic disease. While no one fully understands the exact cause of obesity, we do know that being overweight, obese or morbidly obese is: Caused by many factors, including food choices, lifestyle and genetics A complex disease that requires skill and knowledge to manage effectively A sensitive condition that requires the care of an attentive and compassionate team Obesity is now ranked as the second-highest cause of preventable deaths in the country with approximately 300,000 people dying each year from obesity-related illnesses such as: Type 2 Diabetes High blood pressure Obstructive Sleep Apnea (OSA) Gastroesophageal Refl ux Disease (GERD) High cholesterol Arthritis Joint problems Our program s comprehensive approach to non-surgical weight loss management is based upon scientifi c research about weight loss and years of experience gained from working with patients just like you. It helps you reach your weight loss goals by teaching you how to make better choices about eating and exercise, and by working with you to address those underlying behaviors which are preventing you from reaching your goals. Making simple changes now can put you on the path to effective weight loss and prevent complications that go hand-inhand with additional weight gain over the years to come. 2

3 3

4 Comprehensive, Team-based Approach PHYSICIAN EVALUATION Because obesity is complicated, the solution is complex. The first step is an evaluation with a physician who has been providing weight loss management services at Summa since Our physician is committed to helping patients lose weight safely and effectively. During your first visit, our physician reviews your medical history to determine if: Our non-surgical weight loss management program is right for you Any testing is needed before approving your participation in the program Once you have received medical clearance from the program s physician, you may enroll in the program. Our multidisciplinary team uses a collaborative approach to help you take those first steps toward redesigning your eating and exercise behaviors. OUR MULTIDISCIPLINARY TEAM Our primary goal at the Bariatric Care Center is to help you achieve the best possible outcome from your non-surgical weight loss management program. Each team member works closely with you and with our physician to help you meet your weight loss goals. Our multidisciplinary team is what makes Summa Health System s non-surgical weight loss management program different from other programs in the area. At the Bariatric Care Center, you receive support and guidance from a team that includes: Physician Our board-certified internist prescribes an eating and exercise plan for all patients who enroll in our program. He leads a team of experts that helps you lose weight safely and effectively. 4

5 PHYSICIAN Clinical Psychologist Our psychologists specialize in weight management and are here to help you recognize behavior patterns and make modifications to help you lose weight through a tailored and individualized approach. They will work with you to identify triggers that lead to overeating and teach you tools to help you cope with depression, anxiety or stress. Registered Dietitian Our dietitians also specialize in weight loss. They work closely with each patient to review the eating plan and to make sure you feel comfortable shopping for and preparing your meals. Clinical Exercise Specialist Our clinical exercise specialist is certified by the American College of Sports Medicine (ACSM) and teaches a class that explains the role that exercise plays in successful weight loss. She also helps each patient develop an individualized exercise plan. Jennifer Duncan, Psy.D. Kenneth Wells, M.D. CLINICAL PSYCHOLOGISTS Laura Ilg, RD DIETITIANS CLINICAL EXERCISE SPECIALIST Christina Rummell, Ph.D. Tess Lockhart, RD Laura Richardson, RCEP 5

6 Program Overviewview Because weight gain happens over time, weight loss takes time as well. Summa s non-surgical weight loss management program covers a twoyear period of time. The initial phase lasts for six months, and then follow up continues for an additional 18 months to ensure you reach your goals. Healthy weight management begins with losing weight, and then continues with maintenance of that weight. Many people have cycled through weight loss and regain multiple times throughout their life. We offer lifetime follow up to prevent you from regaining weight you worked so hard to lose. Upon enrollment in the program, you will be scheduled for: Three core assessments: An individual evaluation by one of our clinical psychologists to determine whether there are any underlying eating behaviors contributing to your weight problem. A group nutrition assessment class with one of our program s dietitians. A group fitness and activity assessment class with our clinical exercise specialist that reviews the important role exercise plays in a successful weight loss management program and helps you plan your initial exercise program. Upon completion of the three core assessments, patients engage in a series of five intensive outpatient weight loss group sessions and/or individual therapy sessions with the psychologist to focus on the critical behavioral aspects of weight loss. Physician follow up resumes in month two. Our physician monitors progress toward your weight loss goals and makes adjustments to the eating and exercise plans as needed for continued weight loss. Patients are seen monthly through month six. Upon completion of the six-month intensive phase, patients move into phase II which involves physician visits at nine months, 12 months, 15 months, 18 months and 24 months. Patients who are struggling with weight loss may be seen more frequently. 6

7 Putting It All Together Successful weight loss is best achieved with a plan. Our specialists provide you with a plan for eating, exercise and behavior changes. THE EATING PLAN Making the right choices about what to eat and when to eat are two of the biggest success factors in managing your weight. Our program helps you learn how to make good choices while still providing enough variety in your diet so it s easy to stick to the plan. Some things you should know include: We do not use any pre-packaged specialty foods that must be purchased. We do not prescribe medications to assist with weight loss. Our dietitians have extensive experience working with patients who struggle with weight management. All patients are provided with a structured eating plan, as well as suggestions on how to tailor the eating plan to suit their preferences and lifestyle. THE EXERCISE PLAN Regular exercise is a critical part of a successful weight loss program and to the lifelong maintenance of a healthy weight. Our clinical exercise specialist helps each program participant create a personalized exercise plan that will help them meet his or her weight loss goals. An exercise program will only work if you feel it is one you can and will follow through on. You should know that an effective exercise plan: Uses a combination of aerobic and strength training activities. Requires you to commit to a specific exercise plan during your group assessment and education session. Is reviewed at each visit during the program to ensure you are following the program you chose. Our physician will adjust the program as needed. THE BEHAVIOR PLAN Changing your behavior when it comes to eating and exercise is the key to success in any weight loss plan. The degree to which you change your behavior is directly related to the amount of weight loss you can expect to achieve. Turning these changes into lasting habits is the real key to maintaining a healthy weight. Three important things to know about our behavior plan are: All visits take place in the privacy of the Bariatric Care Center. The evaluation with the clinical psychologist is extremely important, as underlying disordered eating behaviors can be at the root of whether success or failure can be expected from weight loss efforts. Both individual and group therapy sessions are available. 7

8 The four critical components of a successful weight loss program include a physician, psychologist, dietitian and exercise specialist Lifelong PHYSICIAN 1 core group activity assessment (fitness and activity plan reviewed at each program visit) initial visit follow up visits follow up care EXERCISE SPECIALIST 1 CLINICAL PSYCHOLOGIST 1 series of 5 core assessment group sessions and/or individual sessions core group nutrition assessment Available by phone for questions Additional individual sessions available for an additional fee DIETITIAN We understand that change is difficult. That s why we use a team of experts to help our patients transition to a healthier lifestyle. 8

9 OUTCOMES Patients who have fully participated in our program have achieved a weight loss of as much as five to fifteen pounds per month. Success is directly related to how closely you follow the recommended program. If you follow the program, you will lose the weight. LIFELONG FOLLOW-UP Obesity is now a chronic disease and responds best to physician treatment. Patients of our nonsurgical weight loss management program are seen at least annually for the rest of their life to ensure they maintain their weight loss and their health. PATIENT SATISFACTION All patients are given the opportunity to rate the quality of their experience with Summa s Bariatric Care Center. Summa s weight loss program has consistently achieved a 95 percent satisfaction rating as compared to other hospital-based programs around the country. Choosing to lose weight is a life-changing decision which impacts not only you, but also your family, job and future. 9

10 Cost and Locations THE COST Some expenses related to this program are non-covered by all insurance plans. These expenses are the patient s responsibility and include costs for the following: Program administration fee, which includes the group nutrition and exercise assessment classes and all program materials. This fee is due at the time of enrollment. Intensive outpatient weight loss group (set of five). This is a separate fee because some patients choose individual behavioral sessions with our psychologist instead of groups. Co-insurances, deductibles and co-payments for physician and psychologist visits as determined by your insurance company. reflux disease, high cholesterol, heartburn, sleep apnea, back or joint pain, fatigue, depression, anxiety and binge eating. For patients who do not have medical insurance or whose insurance will not cover physician visits for weight loss, we do offer private pay rates. Information about private pay rates is available by calling (330) Our weight loss team understands that choosing to lose weight is a life-changing decision that impacts not only you, but also your family, job and future. We want to help you take that first step toward better health today! All physician and individual psychologist visits are billed to your insurance. Most insurance companies cover both if you have any medical or psychological conditions caused by excess weight. Examples of these are high blood pressure, diabetes, 10

11 East North Street 8 Ho South High Street 76 South Broadway Street East Exchange Street 77 Perkins East Market Street Goodkirk Road 8 Street Fountain Street Arch Street Forge Street Adams Street South Arlington Street Summa Akron City Hospital Bariatric Care Center 95 Arch St., Suite 260 Akron, OH North Case Ave 76 Barber Road Norton Avenue Lake Anna Park Ohio Erie Canal Wooster Road N E Tuscarawas Avenue Snyder Avenue 5 th Street NE 619 Tuscora Park E State Street E Paige Avenue Robinson Avenue Summa Barberton Hospital* Outpatient Clinic 155 Fifth St., NE Barberton, OH *The Barberton site currently offers the physician components of the non-surgical program only. To learn more about Summa s Bariatric Care Center, call (330) or visit us online at summahealth.org/weightloss We re here to help you! 11

12 To learn more about Summa s Bariatric Care Center, call (330) or visit us online at summahealth.org/weightloss

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