Healthy Solutions for Life
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1 Healthy Solutions for Life 2015
2 Presentation Overview About Healthy Solutions for Life Disease Management Health Coaching Model DM Programs TeleCare Monitoring 2013 Nurtur Health, Inc. All Rights Reserved. 2
3 Healthy Solutions for Life Who we are Health Management Program What we offer Disease Management TeleCare Monitoring Accreditation H-TAP Accreditation and MEP Certification Awards A few of our healthy clients 2013 Nurtur Health, Inc. All Rights Reserved. 3
4 Disease Management for Diverse Communities Inadequate Clinical Knowledge Lack of Behavioral Motivation Life Barriers 2013 Nurtur Health, Inc. All Rights Reserved. 4
5 People-Centered Coaching Model 2013 Nurtur Health, Inc. All Rights Reserved. 5
6 Healthcare Provider Interactions Introductory Mailing to Healthcare Providers Includes a Healthcare Provider FAQ sheet Fax Notifications/Medical Alerts ActionPath Treatment Plan Coordination Generated after the Baseline Call Generated as needed for healthcare provider updates Periodic Progress Updates Medical Information Form/Lab Values Health Plan Provider Relations Staff Case Management Interactions On-site healthcare provider awareness training 2013 Nurtur Health, Inc. All Rights Reserved. 6 6
7 Disease Management Program goal Disease management is designed to support, encourage and inspire people with chronic conditions to take stock of their health, change their lives for the better, become active self-managers of their health. Program highlights Outcomes Telephonic coaching by licensed professionals with Medical Director Oversight Addresses life barriers Compliance with suggested screenings, physician care plan & office visits Medication education, side effect management and adherence Promotion of healthy eating habits and regular physical activity Specialty consults for co-morbid conditions by specialists Reduce unnecessary utilization Increase disease-related screenings Increase in physician office visits Reduce total and LDL cholesterol Reduce blood pressure Increase physical activity Improve nutritional habits Increase tobacco cessation Reduce BMI 2013 Nurtur Health, Inc. All Rights Reserved. 7 7
8 Our Programs Disease Management Heart Disease (heart failure) Asthma Pediatric and Adult Diabetes- Pediatric and Adult COPD CAD TeleCare Monitoring Combining leading-edge home monitoring technology with our best-in-class health coaching, TeleCare Monitoring enables real-time health interventions and better clinical outcomes for members 2013 Nurtur Health, Inc. All Rights Reserved. 8 8
9 Managing Asthma Program goal Designed to prevent acute admissions by promoting self-management skills and adherence to treatment guidelines. Program highlights Outcomes Pediatric and adult eligibility Pediatric program features the Darby character to promote self-management Respiratory Therapists educate participants on Identifying warning signs Avoiding triggers Appropriate use of inhaler medications In-home visits Award-winning asthma program U.S. EPA National Environmental Leadership Award in Asthma Management Case In Point Platinum Award Pediatric 24.6% reduction in ER visits 22.2% increase in use of controller medication 47.4% increase in pulmonary function 54.1% decrease in rescue medication Adult 12.5% reduction in ER visits 17.2% decrease in hospital admissions 12.4% increase in pulmonary function 51.1% decrease in rescue medication 2013 Nurtur Health, Inc. All Rights Reserved. 9 9
10 Structured Home Visits Asthma or Diabetes 1. Participant completes a baseline call with primary health coach (PHC) 2. PHC schedules a home visit based on the following triggers: recent utilizations new medication delivery devices need for an environmental assessment difficulty with telephonic communications 3. In-home specialist completes assessment Respiratory Therapist or Certified Diabetes Educator family members encouraged to participate review of participant s problem solving skills understanding of self-management plan assessment of living environment physical assessment of participant; spirometry screening 4. Results documented in participant s record; updated by PHC 2013 Nurtur Health, Inc. All Rights Reserved
11 Managing Diabetes Program goal Designed to improve self management skills and promote adherence to treatment guidelines to reduce the risk of diabetes-related complications; blindness, heart disease, amputations and kidney failure Program highlights Outcomes Certified diabetes educators Education on controlling blood sugars Promotion of screening compliance Promotion of healthy eating habits Promotion of regular physical activity Specialty consults for co-morbid conditions In-home coaching Pediatric 26% Reduction in Diabetes-related admissions 21.9% increase in flu vaccination 11.1% increase in HbA1c testing Adult 10% increase in microalbuminuria testing 9.6% increase in dilated eye exams Reduce cholesterol Reduce blood pressure Increase physical activity Increase tobacco cessation 2013 Nurtur Health, Inc. All Rights Reserved
12 Managing Heart Disease Program goal Designed to improve self management skills and promote adherence to treatment guidelines in order to minimize the progression of heart failure and prevent acute admissions Program highlights Registered Nurses provide telephonic coaching on warning signs and symptoms, controlling fluid and sodium intake, and proper medication adherence The program promotes the DASH diet Specialty consults for co-morbid conditions by specialists Outcomes Heart Failure 16.9% reduction in heartrelated ER visits 26.4 decrease reduction in heart related visits 21.8% increase in flu vaccinations 2013 Nurtur Health, Inc. All Rights Reserved. 12
13 TeleCare Monitoring to Manage Disease Program goal Designed to provide real-time monitoring of biometric data using web-based technology combined with DM coaching. Objectives are to reduce health care utilizations and increase member self-management skills. Program highlights Self testing & transmission compliance Registered Nurses provide coaching and monitoring Daily monitoring for high/low value alerts & follow up Reinforcement of treatment goals Physician and CM access to web portal Influences behavior at the height of patient s interest and intent Real time alerts Easy to use No travel required Outcomes 20.6% decrease inpatient days 32.7% increase in office visits 41% decrease in diabetes-related admissions 36% decrease in heart failure-related ER visits 42.5% increase in pneumonia vaccinations Improved compliance with daily screenings Improved medication adherence 2013 Nurtur Health, Inc. All Rights Reserved. 13
14 For Additional Questions Contact: Marcia Albridge Senior Director, Client Services direct toll-free ext cell Nurtur Health, Inc. All Rights Reserved. 14
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