Chronic Disease Self Management Program

Transcription

1 Chronic Disease Self Management Program M I S S T Y L E C H N E R K A N S A S A R T H R I T I S P R O G R A M M A N A G E R B U R E A U O F H E A L T H P R O M O T I O N K A N S A S D E P A R T M E N T O F H E A L T H A N D E N V I R O N M E N T

2 What is CDSMP? Developed in the early 1990s by the Stanford Center for Research in Patient Education Based on a successful arthritis self-management program. A credible, evidence-based program with broad experience and demonstrated results in a variety of settings, populations, and chronic conditions. Now used internationally in 15 countries and over 39 U.S. states. Meets core standards for self-management required by NCQA

3 What is CDSMP? A practical, interactive curriculum including: Exercise and nutrition Medication usage Stress management Talking with your doctor or health professional Dealing with emotions and depression Opportunities for discussion and problem solving Mutually supportive setting

4 CDSMP Fidelity Stanford Trainers KDHE Master Trainer KDHE Master Trainer KDHE Master Trainer Class Leader Class Leader Class Leader Class Leader Class Leader Class Leader

5 CDSMP - 6 month outcomes When compared to baseline measures taken for the 6 months prior to the CDSMP, researchers found that CDSMP participants had: Increased exercise. Better coping strategies and symptom management. Better communication with their physicians. Improvement in their self-rated health, disability, social and role activities, and health distress. More energy and less fatigue. Decreased disability. Fewer [self-reported] physician visits and hospitalizations.

6 CDSMP - 1 year and 2 year outcomes After 1 year, CDSMP participants had: Significant improvements in energy, health status, social and role activities, and self-efficacy. Less fatigue or health distress. [Self-reported] fewer visits to the emergency room. No decline in activity or role functions, even though there was a slight increase in disability after 1 year. After 2 years CDSMP participants had: No further increase in disability. Reduced health distress. [Self-reported] fewer visits to physicians and emergency rooms. Increased self-efficacy.

7 CDSMP in Kansas Purchased license and started implementation in active master trainers 214 Trained leaders Covering 64 counties in Kansas

8 CDSMP in Kansas In the last 3 years: 168 participant workshops were held 1638 people participated in CDSMP Most commonly reported chronic conditions: 63% of participants reported being diagnosed with multiple chronic conditions 46% arthritis 40% hypertension 29% diabetes 27% depression

9 CDSMP in Kansas Local Health Departments 17 leaders (8%) represent a local health department 165 participants (10%) participated in a class taught by or hosted at a local health department Other organizations that host CDSMP in Kansas include: senior centers, Aging and Disability Resource Centers, health care organizations, and Kansas State Research and Extension

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11 Models for CDSMP Reimbursement Washington Medicaid reimbursement of $50 per session up to 5 per month Oregon WISEWOMAN reimburses $20 per session California Santa Clara Health Plan reimburses The Health Trust $100 per participant or $300 per completer Piloting Medicaid reimbursement through their Home and Community-Bases Services waiver program. $60 per participant per session Maine Reimbursement as a part of the bundled services payment Minnesota Medica reimburses $120 per participant

12 Online version of CDSMP Better Choices, Better Health (BCBH) is the online version of CDSMP, developed and tested at the Stanford University Patient Education Center. Can be implemented with dedicated or shared workshops.

13 Spanish Language version of CDSMP Tomando Control de su Salud (Taking Control of Your Health) 4 Master Trainers 23 trained leaders in various parts of the state (focused in Lyon County, Sedgwick County, Finney County, Wyandotte County) Since 8/2011 there have been 11 classes reaching 174 participants.

14 Questions? Missty Lechner Arthritis Program Manager KDHE Bureau of Health Promotion