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HRA Counseling During the Periodic Health Assessment (PHA). Engage—Educate—Empower. Objectives . Following the presentation, participants will be able to State two methods to engage the patient in the encounter

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hra counseling during the periodic health assessment pha

HRA Counseling During the Periodic Health Assessment (PHA)

Engage—Educate—Empower

objectives
Objectives

Following the presentation, participants will be able to

State two methods to engage the patient in the encounter

Identify three approaches a provider can use to educate patients about their reducing their health risks

Define empowerment and state at least two strategies by which a provider can empower the patient and transfer the responsibility for taking action to the patient

Navy and Marine Corps Public Health Center

background of the pha
Background of the PHA

The Periodic Health Assessment (PHA) was to consolidate clinical preventive services, occupational health and risk screening services, health and dental Record review, specialty physical exams, deployment health assessments, and individualized counseling, testing, or treatment under an annual health assessment and replace the traditional physical exam.

The PHA was to be based upon the member’s age, gender, family history, occupation, deployment history, health status, and behavioral risk factors.

The PHA was to be implemented in 2006; birth month recall was the preferred method for scheduling the PHA.

A health risk assessment (HRA) was to serve as the basis for prevention counseling.

Navy and Marine Corps Public Health Center

fleet and marine corps hra
Fleet and Marine Corps HRA

22 questions

10 health categories

Web-based

Anonymous

Personal report

Command group report

Navy and Marine Corps Public Health Center

engagement
Engagement

Introduce and orient the patient to the counseling session

Give “permission” to actively participate

Ensure patient maintains ownership of the problem and decision-making

Navy and Marine Corps Public Health Center

educate
Educate

Increase perception of risk and potential health outcomes

Provide credible information

Increase skills

Physical

Verbal

Psychological

Navy and Marine Corps Public Health Center

empower
Empower

SMART goal setting

Specific

Measurable

Attainable

Realistic

Timely

Elimination or reduction of barriers to change

Environmental

Social

Personal

Ethnic

Specific plan

Support

Navy and Marine Corps Public Health Center

limitations
Limitations

Time

Complex problems

Patient is not ready to change (precontemplation)

Provider lacks counseling skills/interest

Patient chooses not to disclose

Navy and Marine Corps Public Health Center

conclusion
Conclusion

Prevention counseling is a process by which the provider assists the patient in identifying his or her SMART goal(s) and designing a specific plan that includes not only the steps to carry out the plan but also specific techniques to overcome barriers to change.

Navy and Marine Corps Public Health Center

resources
Resources

Patient Centered Prevention Counseling DVD

http://defenseimagery.mil/imagery.html#a=search&s=808850&chk=6cfc8&apid=999135601

Sexual Health and Responsibility Counseling

http://www.med.navy.mil/sites/nmcphc/health-promotion/reproductive-sexual-health/Pages/sexual-health-resources.aspx

Navy and Marine Corps Public Health Center

questions
Questions

Navy and Marine Corps Public Health Center