Technology Solutions For Effective Health Promotion with Drivers

1. Technology Solutions For Effective Health Promotion with Drivers Stewart Levy R.Ph. President

2. Agenda CDC Recommendations on Health Promotion Proven Employer Wellness Strategies Technology Solutions to support effective Health Promotion Driver / Consumer Clinic � Internal evidence-based systems Integrate Clinic /Employer

3. Results of CDC Task Force Review Processfor Obesity and Risk Reduction Lack of significant evidence Provider�oriented interventions with Primary Care Strong evidence A) Technology supported inventions - have been shown to be effective which include counseling  B) Worksite wellness programs - strong evidence of effectiveness to improve diet and physical activity

4. Chronic Disease Risk ReductionEmployer Best Practices Environment / Corporate Culture � Health the norm Biometric Testing � HRA and Point of Care Testing Team Sessions � Team competition Incentives � Initial participation to create engagement Coaching � Personalized behavioral change sessions Credential staff � Trained staff

5. Biometric Testing

6. Here we see a comparison . Here we see a comparison .

7. Individual Report Risk of Onset, Modifiable Risk and Risk Comparison for a 57yo male participant Example of a report from a predictive risk model Top line absolute risk � What doe t hat mean to a consumer ? Percent they can change you can see up to 75% etc. Percentile graphically below. This is impressive and can motivate behavior change they should be in green and they are in high risk in many categories based on age gender etc. Notice it also can predict other chronic diseases and have additional models to predict complications. Example of a report from a predictive risk model Top line absolute risk � What doe t hat mean to a consumer ? Percent they can change you can see up to 75% etc. Percentile graphically below. This is impressive and can motivate behavior change they should be in green and they are in high risk in many categories based on age gender etc. Notice it also can predict other chronic diseases and have additional models to predict complications.

8. Risk Factors with the Most Impact to Reduce Disease Risk From a counseling perspective these reports can help identify what individuals can work on to change their risk. For instance weight From a counseling perspective these reports can help identify what individuals can work on to change their risk. For instance weight

9. Technology � Web - enabled Kiosks which gather Biometrics and Health Record 

10. Technology � Lifeclinic Kiosk  Health Outcomes Study Reviewed data on kiosk use alone - 20,000 truck drivers over 18 months 21.7% of employees voluntarily used health station at least once . Among users 52.5% used the health station more than once Employees used health station an avg. of 4 times Worksite health stations identified 27 % as hypertensive, 40 % as pre-hypertensive, 38 % as obese, and 35 % as overweight. Approximately 50% of the employees with hypertension and 10 % of the employees with obesity successfully reduced their health risks. Conclusion Proven to increase employee awareness of health risks due to hypertension, pre-hypertension, obesity, and overweight

11. Picture Kiosk - Measuring Physical Changes and  Tracking Health Improvements

12. Photograph Shows Physical Changes

15. How does the Driver use MealLogger? Upload his/her photo and enter height and weight Estimated calories and BMI are automatically calculated Goals set by driver and coach Instructions set by the RD 15

16. MealLogger � Real time RD coaching 16

17. Give fast, motivating and realistic advice to driver 17

18. Highly Accurate USB Pedometer Accurate 99+% Aerobic steps Calories burned Fat burned Distance Our first advantage is our pedometer. Let�s look a bit more at it. The reason our pedometer is so accurate is because it uses Accelerometer technology. Of course, you�re already familiar with that. Our pedometer is accurate. It�s not just us saying that. The research confirms it. Our Omron pedometer is consistently rated number one in the world. Number one. In the world. It�s amazingly accurate, And sensationally sturdy. Two independent studies done at Georgia State University concluded the Omron pedometer is above 99.5% accurate in a shirt pocket, in a pants pocket or on the belt.� But not all pedometers have it. It�s the reason why you can wear our pedometer in so many different places. Other pedometers don�t let you wear them on a necklace. In a breast pocket. Or bra. They never think that maybe want the freedom to wear clothes that you like. That you don�t want to feel like you�re having to wear a uniform every day. Because your pedometer needs to get clipped to your waist. That�s a huge problem with some overweight people because the roll of fat around the waist may push down on the ability to wear anything on their waist. Other pedometers also don�t measure aerobic steps. Because you�re in the health field, you already know that aerobic steps As you know, aerobic steps are when a person walks at least 10 minutes at 60 steps a minute or more. They�re the ones that make a REAL difference to losing weight and gaining health. Many other pedometers, like Virgin�s, don�t track aerobic steps! They don�t track fat burned. People that use those pedometers are thinking they�re getting health benefits. And they aren�t. They need to know their aerobic steps for health and fat burned for motivation. Our Omron pedometer also has 6 week memory. Our first advantage is our pedometer. Let�s look a bit more at it. The reason our pedometer is so accurate is because it uses Accelerometer technology. Of course, you�re already familiar with that. Our pedometer is accurate. It�s not just us saying that. The research confirms it. Our Omron pedometer is consistently rated number one in the world. Number one. In the world. It�s amazingly accurate, And sensationally sturdy. Two independent studies done at Georgia State University concluded the Omron pedometer is above 99.5% accurate in a shirt pocket, in a pants pocket or on the belt.� But not all pedometers have it. It�s the reason why you can wear our pedometer in so many different places. Other pedometers don�t let you wear them on a necklace. In a breast pocket. Or bra. They never think that maybe want the freedom to wear clothes that you like. That you don�t want to feel like you�re having to wear a uniform every day. Because your pedometer needs to get clipped to your waist. That�s a huge problem with some overweight people because the roll of fat around the waist may push down on the ability to wear anything on their waist. Other pedometers also don�t measure aerobic steps. Because you�re in the health field, you already know that aerobic steps As you know, aerobic steps are when a person walks at least 10 minutes at 60 steps a minute or more. They�re the ones that make a REAL difference to losing weight and gaining health. Many other pedometers, like Virgin�s, don�t track aerobic steps! They don�t track fat burned. People that use those pedometers are thinking they�re getting health benefits. And they aren�t. They need to know their aerobic steps for health and fat burned for motivation. Our Omron pedometer also has 6 week memory.

19. The Dashboard � or Individual Stats Center The member can easily check information by day, week or longer time period. It gives them, at a glance, all they information they need to see whether they�ve met their activity goals. Activity module (walking statistics), Nutrition module (calories intake) and Body module (BMI, weight loss ticker). Calendar is color coded to shows the days above the personal target (green) and the days above the 10,000 steps (burgundy). The apple shows the days that the member entered nutrition data. A member can click on the WalkingSpree man to show the walking statistics for that day and can click on the apple to get nutrition information. The Dashboard � or Individual Stats Center The member can easily check information by day, week or longer time period. It gives them, at a glance, all they information they need to see whether they�ve met their activity goals. Activity module (walking statistics), Nutrition module (calories intake) and Body module (BMI, weight loss ticker). Calendar is color coded to shows the days above the personal target (green) and the days above the 10,000 steps (burgundy). The apple shows the days that the member entered nutrition data. A member can click on the WalkingSpree man to show the walking statistics for that day and can click on the apple to get nutrition information.

20. Our second advantage is our program backend. But we can�t show you our code. So let�s see what it does. Because Aerobic steps are so important, we make sure they�re easy to see. Some people are motivated by checking out their stats. Because the charts are easy to compare and easy to use, it means they�re more likely to remain motivated. They�ll increase their activity. And improve their diet. People can check out what they�re eating. See how many calories are in a portion. And count them for the day. It�s all designed to show how the member�s doing by comparing what they�re eating against respected food guides� recommendations. Members are always telling us how much they like our food tracker. Which, incidentally, is something Virgin doesn�t offer. But we�ll tell you more about it later � just because members like it so much. The BMI body tracker and weight loss ticker are great motivational tools for the member. Guys are always interested in boasting about their BMI. And the weight loss ticker is popular among women who frequent online communities. They share their targets, progress and receive encouragement from friends. Our second advantage is our program backend. But we can�t show you our code. So let�s see what it does. Because Aerobic steps are so important, we make sure they�re easy to see. Some people are motivated by checking out their stats. Because the charts are easy to compare and easy to use, it means they�re more likely to remain motivated. They�ll increase their activity. And improve their diet. People can check out what they�re eating. See how many calories are in a portion. And count them for the day. It�s all designed to show how the member�s doing by comparing what they�re eating against respected food guides� recommendations. Members are always telling us how much they like our food tracker. Which, incidentally, is something Virgin doesn�t offer. But we�ll tell you more about it later � just because members like it so much. The BMI body tracker and weight loss ticker are great motivational tools for the member. Guys are always interested in boasting about their BMI. And the weight loss ticker is popular among women who frequent online communities. They share their targets, progress and receive encouragement from friends.

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22. � Diabetes Management  Track and Download Glucose Levels

23. Technology Solutions For Clinic - Trucking Industry EMR / DOT Tracking for Clinics Health Promotion and management systems Web Portal � Community Social Networking

25. DOT Tracker EMR Patent Pending Online and tested daily by some of the largest trucking companies in 5 different states in 2010 Launched in 2011 with 3 major trucking companies and TPA with approximately 25,000 drivers. 110 clinics signed-up to support DOT Tracker

26. DOT Tracker - Features Appointment Management system Electronic record for Clinic, Fleet, MRO Drug Chain of custody, DOT Exam DOT Card Integrates with all EMR systems Integrates with all national regional labs Real time data updates Data backup and storage

27. DOT Tracker Benefits Efficient -Saves Time and $ for clinic and fleet Avoids Doctor shopping � record w / driver Avoids fraud with DOT card DOT Tracker will be certified with the NEW national registry of certified examiners. Designed to be used with or without EMR system

28. Employer Aggregate Financial Report Predictive Risk Assessment Tool Data

31. Summarize viocare results Fda atlanticareSummarize viocare results Fda atlanticare