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June Simmons, CEO Partners in Care Foundation Right Care Initiative June 4, 2010

Patient Activation with the Chronic Disease Self-Management Program. June Simmons, CEO Partners in Care Foundation Right Care Initiative June 4, 2010. Partners in Care Foundation. Non-profit Focus on aging and health issues Change the shape of health care

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June Simmons, CEO Partners in Care Foundation Right Care Initiative June 4, 2010

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  1. Patient Activation with the Chronic Disease Self-Management Program June Simmons, CEO Partners in Care Foundation Right Care Initiative June 4, 2010

  2. Partners in Care Foundation • Non-profit • Focus on aging and health issues • Change the shape of health care • Develop and promote innovative programs • Emphasis on evidence-based programs • Scaling up “demand side” of health care

  3. Our Mission • Partners is a think-tank and a proving ground. • Partners changes the shape of health care by creating high-impact, innovative ways of bringing more effective clinical and social services to people and communities. • Partners’ direct services are a safety net and a platform to test, measure, refine and replicate innovative programs. • We work to spread successful new models in California and across the nation. • Program office for CDA – new stimulus funding

  4. Chronic Disease Self-Management ProgramAn Evidence-Based Patient Activation Program

  5. CDSMP: About the Program • Award-winning program developed by Stanford University • Designed to help people better manage chronic health conditions and live a happier, healthier life • Consists of six 2½ hour sessions led by 2 trained leaders • Online version also available thru NCOA • In person groups are small (10-15 people) • Highly scripted

  6. Workshop Overview • Managing symptoms • Dealing with difficult emotions (frustration, anger) • Improving communication (family, friends, doctors) • Relaxation techniques • Tips for eating well • Medication "how to's" • Effective problem-solving • Setting weekly goals

  7. Participant Health Effects • Greater energy/reduced fatigue • Better psychological well-being • Enhanced partnerships with physicians • Improved health status • Increase in exercise • Decreased pain, depression, shortness of breath • Improved quality of life • Greater self-efficacy and empowerment

  8. Health Care Utilization Effects • Fewer outpatient visits • Fewer emergency room visits • Fewer hospitalizations • Fewer days in hospital • Saves enough money through reductions in health care expenditures to pay for itself within the first year • Results in more appropriate utilization of health care resources • Health care needs addressed in outpatient settings vs. ER visits and hospitalizations

  9.  Denotes Statistically Significant Evidence Relating to Improvements in Patient Outcomes

  10. Statistically Significant Evidence Relating to Reduction in Healthcare Utilization

  11. California Hospital Medical Center, RCT • 1,000 people with various chronic conditions followed for 3 yrs • 6-month improvements in health outcomes • ↑ Self-rated health & energy • ↓ Disability & fatigue • ↓ Social and role activities limitations • ↓ Distress with health state • Improvements in utilization & costs • Trend toward fewer outpatient & ER visits

  12. Impact of CDSMP on Health Care Utilization: California Hospital Medical Center Telephone Survey ~50% decrease in hospitalizations 80% decrease in ER visits

  13. Questions? June Simmons, CEO (818) 837-3775 ext. 101 jsimmons@picf.org

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