Solving the Overweight/Obesity Management Puzzle . 10/22/04 Rosemary Burke, RN, MS Robin F. Foust, BS, PAHM. BACKGROUND. MediCorp Health System 28 facility healthcare system headquartered in Virginia Mary Washington Hospital Benefits Department Associate Wellness Program Data/Experience
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Rosemary Burke, RN, MS
Robin F. Foust, BS, PAHM
One of the chief medical officers for the Division of Health Care Financing in the Department of Health and Family Services in Wisconsin also approached Zoe Consulting for help…
“We revamped our guidelines in 1999 using the recommendations of the Am Bariatric Soc. , NIH National Heart, Lung, and Blood Institute clinical guidelines and the Clinical guidelines on the Identification, Evaluation and Treatment of Overweight and Obesity in Adults (Arch. Int. Med/Vol 158 Sept 28, 1998).
“We went from 77 approvals in 1997 to more than 300 in 2004, which will likely rise. We need to find the middle ground to support weight loss through conventional means and provide surgery when appropriate; i.e., the patient can cooperate, is psychiatrically able to participate in pre and post surgery programs, and has acceptable surgical risks”…
Based on National statistics and MediCorp Associates’/Members’ research, MediCorp determined the need for work site nutrition and weight management programs in order to educate Associates on health risks and costs associated with obesity. There is a connection with:
Source: Michael Goldstein, MD, and Susan Curry; Addressing Multiple Behavioral Risk Factors in Primary Care; American Journal of Preventive Medicine; August, 2004
Surgeon General Satcher, MD states:
“Overweight and obesity may soon cause as much preventable disease and death as cigarette smoking. People tend to think of overweight and obesity is strictly a personal matter, but there is much that communities and employers can and should do to address these problems.”
Obesitywith request forGastric Bypass Surgery Overweight & ObesityRelated DiseaseTreatment
A survey of 235 Associates determined what obstacles they face in maintaining a healthy lifestyle.
Carrier’s policy was not effective,
Something had to change
MEDICORP’S PROGRAM Revision
Associates with moderate excess weight
ACHIEVE HEALTHY WEIGHT Revision
6 Month Pre-Surgical Plan
COMPLIANCE PROGRAMS & ELEMENTS
Carekits/other materials mailed
GROUP SUPPORT SESSIONS
i. E , Weight Watchers, or other
LEVEL OF CARE
6 Month Post Surgical & Weight Management
REPORTING & EVALUATION
92 Associates Who Have Lost As Little As 15% of Their Total Body Weight Experienced Improvement in Overall Health.
Where Are We Now? Body Weight Experienced Improvement in Overall Health.
MAINTAINED WEIGHT LOSS (6 Mo. To 3+ Yrs)
NEXT STEPS Body Weight Experienced Improvement in Overall Health.
• Increase promotion of programs:
• Campaign for membership – membership drives, hospital
orientation, Great American Weigh-In, Wellness Fair
• Advertise – ICP mail, posters, Quick Takes
• Offer non-food incentives for joining the program
• Increase number of mentors
• Continued support upon completion of program (re-assess
every 6 mo.)
• Implement a Weight Management Team consisting of Weight
Management Staff, F&N, Dietician, Assist, PM&R,
• Increase number of Weight Watcher Meetings to 4 each week
Overweight/Obesity negatively impacts:
management Associates confirmed -- that obesity
WORK PLACES CAN MAKE A DIFFERENCE