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Be Well UC is excited to launch a pilot offering of health coaching on campus for those individuals who have completed Step 1 (health assessment and health screening). Health coaching is an opportunity to discuss behavior change, physical activity and nutrition based on your personal needs, interests and health status. Please note - everything discussed with your health coach will be kept confidential and no notes will be taken by your coach. Any follow up questions about the Personal Risk Report generated on the Asset Health portal (The Personal Risk Report can be found by logging into the portal, clicking on Screening & Assessment, scrolling to the bottom and clicking on the link). To prepare for your appointment, we'd like to set aside a few minutes to look over your Personal Risk Report (on the Asset Health portal) and complete the two tasks below so that you and your coach can stay on track, use your time wisely and help you set and ultimately reach your goals.
Visit the FAQ page to learn more about eligibility or to have questions answered that you may have.
The portal page has a quick start guide and walks you through the features available on the Asset Health portal.
Wellness Coaching is an emerging profession that has roots in applied behavioral science and adult development, and more recently has embraced positive psychology. The relationship between a coach and client offers a profound level of support, guidance, and encouragement to making changes, without being judgmental. Practice and refine wellness coaching skills using best practice standards incorporating evidence-based research.
Be in either the Health Promotion or Human Performance program in HPHP (for exceptions, talk with Dr. Information and ruminations on the business of healthcare from veteran healthcare journalists. A new infographic by WellSteps examines the effectiveness of health coaching programs, who should be targeted by health coaching efforts and the recommended number of health coaching interactions. Validated in over 300 clinical studies, motivational interviewing (MI) remains the most patient-centered and effective approach for supporting better patient engagement and activation, disease self-care, treatment adherence and lifestyle management. Evidence-Based Health Coaching: Motivational Interviewing in Action is the first MI video training series especially designed for clinicians who serve individuals at risk of, or affected by, chronic diseases. Get the latest healthcare infographics delivered to your e-inbox with Eye on Infographics, a bi-weekly, e-newsletter digest of visual healthcare data. Recruiting patients for health coaching is a multi-faceted process, says Alicia Vail, RN, is a health coach for Ochsner Health System. Third, we look at labs and other needed or outstanding screenings prior to their appointment and notify the physician. Fifth, HEDIS® measures allow us to focus on needed health screenings or tests for patients. Sixth, when we meet with our patients for glucometer or insulin training, we have an opportunity to explain and offer our health coaching program at that point. And lastly, sometimes our in-patient case managers or transition navigators, who help with patient discharge preparation, will refer patients to the health coach for post-hospital follow-ups. Excerpted from Stratifying High-Risk, High-Cost Patients: Benchmarks, Predictive Algorithms and Data Analytics.
While health coaches address the health risk continuum — keeping the healthy healthy without compromising the clinical support needed for high-risk, high utilization individuals, it is necessary to align individuals with the right coaching service at the right time, say Dennis Richling, MD, chief medical and wellness officer, and Kelly Merriman, vice president of service delivery for HealthFitness. Next, there are those individuals with chronic diseases but they’re managing their medication appropriately and complying with the preventive and control measures for their chronic disease.
Lastly, there are individuals who are not following their care plan, their care is not coordinated, they are seeing multiple doctors, and their medication compliance is poor.
Excerpted from Integrated Health Coaching: Reducing Risk and Empowering Change across the Health Continuum.
Health coaching is a critical tool in population health management, helping to boost self-management of disease and reduce risk and associated cost across the health continuum. Health coaching programs by hospitals and health systems are more inclined to address weight management, tobacco cessation and nutrition than coaching programs overall, survey results reveal. Conversely, this sector, which comprised 27 percent of survey respondents, is only a third as likely to address falls prevention (7 percent versus 19 percent overall) and much less likely to address medication adherence (33 percent versus 51 percent overall). Group health coaching is an evidence-based, cost-effective way to help individuals achieve their wellness goals. For patients or health plan members who have trouble losing weight, getting active, or adhering to their doctor’s or nutritionist’s advice, it might be time to consider group health coaching.
Guidance from a behavior specialist to help participants break wellness goals into manageable steps and create a clear, actionable path to success.
Hands-on lessons about the science of habit change and take-home activities so that participants can immediately apply the information in their own lives.
Connections with others who share the value of healthy living, and are on a similar wellness journey, so that participants can draw strength from supportive peers.
Frequent celebration of accomplishments and specific praise and feedback from the health coach for participants’ small steps toward overall wellness. Regularly scheduled group sessions that build in accountability and keep participants committed to healthy change. With the rise in chronic illness, there is a great need for patient-centered care that addresses lifestyle factors, increases patient education, and supports self-management of healthy habit change. With input from the physician, the behavior specialist spends the majority of the group visit covering topics such as medication management, stress management, exercise and nutrition, and community resources. When considering group health coaching for employees, there are several other metrics that could be analyzed to prove return on investment.
An added benefit of group health coaching, as opposed to self-paced, independent employee wellness programs, is that it is a highly engaging program, led by a qualified professional. Group health coaching is effective and cost-efficient for individuals, families, patients with chronic illness, and employees.
Megan Coatley, MA, BCBA, CPT, is the founder of SPARK Behavior Solutions, LLC, located in Boulder, Colorado. HIN Disclaimer: The opinions, representations and statements made within this guest article are those of the author and not of the Healthcare Intelligence Network as a whole.
Integrated health coaching continues to move the needle on population health management with interventions that keep the healthy, healthy without compromising the clinical support needed for high-risk, high utilization individuals. In HIN's special report, Integrated Health Coaching: Reducing Risk and Empowering Change across the Health Continuum, these industry experts detail HealthFitness' move toward integrated health coaching, including the rules of participant engagement, the role of technology, and the range of self-management tools provided for participants. Question: What strategies reach the population and increase engagement in health and wellness coaching?
Question: What is the role of technology in the various levels of health and lifestyle coaching? Assessment of risk is ongoing; HealthFitness' data and technology platform can reassess a participant's health status whenever new data becomes available. Health coaches access a unique dashboard of participant-specific information via a proprietary HealthFitness technology platform. The platform also displays a 360-degree interactive view of client-specific program options so the coach can reference participants to health management activities and programs from their employer, whether HealthFitness provides the services or not.
Question: What tools do you provide to your coaching participants to help them self-manage their conditions?
Motivated by a recurring lament among local physicians and health professionals that patients weren’t following through on certain behaviors, the University of Delaware (UD) launched its first Health Coaching certificate program in 2011, and honored its first two recipients at a ceremony this past May.
To create this program, curriculum leaders consulted the Delaware Health Sciences Alliance, which comprises the UD, as well as the Christiana Care Health Systems, Alfred I.
Following is our discussion with Mike Peterson, chair of UD’s Department of Behavioral Health and Nutrition.
Mike Peterson: We created it to address the primary determinate of health, which is behavior, which accounts for about 40 percent of morbidity, according to the World Health Organization (WHO). The other thing is that most medical professionals, doctors and nurses don’t get any behavioral change expertise, knowledge or skills. HIN: What insights did you receive from physicians and health professionals regarding skill sets and competencies needed for the certificate?

Mike Peterson: They have to have case management, disease management, and motivational interviewing experiences or knowledge. There’s clearly a skill set that’s currently not being taught in the other health disciplines.
Mike Peterson: Ideally, if you have a 40-hour work week, about 25 hours could be engaged in client time, one-on-one face time.
Mike Peterson: Again, going back to their primary role, which is helping people deal with behavior changes, their role in terms of transitions from hospital to home would be to follow up with some of the behaviors that they would need to do, such as out-clinic or out-patient activities.
Mike Peterson: Ultimately, we would like to see health coaches licensed, because too many people now are calling themselves health coaches and not anyone knows what it is.
This month's inside look at a grief coach, the choices she made on the road to success, and the challenges ahead. Six years after my husband died, I came across a book called the Grief Recovery Method, by John James and Russell Friedman. As a grief recovery specialist to corporations, I provide information and training for managers and co-workers focusing on the necessary tools to support a returning employee after a personal loss. I also speak on Healthy Living After Loss where I incorporate meditation, yoga, guided imagery and nutrition. Focusing and being there for the baby-boomer women, whom I believe are going to make a lot of changes in the way they look at grief, in the way they move forward with their lives. I think the most satisfying thing for me is helping clients to see that they actually can make a change. The patient is probably the greatest untapped resource in healthcare, and professionals need to partner with them to improve patient outcomes. That’s the key premise behind Healthcare 3.0, William Applegate's vision for the healthcare industry, which he shares in Health Coaching's Value in Accountable Care and Medical Homes, a June 19th, 2013 webinar, now available for replay from the Healthcare Intelligence Network. In this webinar, Appelgate, executive director of the Iowa Chronic Care Consortium (ICCC), discusses how evidence-based health coaching focus drives returns in a value-based payment delivery system, by transforming the conversation between patients and healthcare providers, and ultimately transforming care processes. And where health coaches can step in is by inspiring accountability at the patient level, and proactively caring for lower risk patients so they don't progress to the next level. Lack of patient skill or accountability in self management of chronic conditions which often lead to high cost.
Ways that health coaches can help healthcare begin to transform itself is by “asking, listening, and inspiring patients to do the kinds of things that they need to do to change their health behaviors, because it is the lack of patient skill, or accountability in self-management that leads to high costs and exacerbations, he says.
Employing population health management practices can also help transform the healthcare field, by realigning payment and incentives towards prevention and value versus volume, and committing to technology for tracking quality and outcomes. Appelgate goes on to list the competencies primary clinical health coaches need, and ways to pay for them, including the many health plans and Medicaid programs providing care coordination payments for PCMHs, and incentive payments for enhanced outcomes for patients with chronic conditions. But ultimately, the true measure of health coaching's effectiveness remains with the patient, because most healthcare occurs outside the office, Appelgate says. This month's inside look at a health coach, the choices she made on the road to success, and the challenges ahead. Total Transformation Wellness Coaching (TTWC) provides individual or group coaching that promotes mental, physical, and emotional wellness.
The single most successful thing we are doing is partnering with The Fitness Representative Personal Training to conduct interactive educational workshops for schools and youth groups to provide vital wellness information and create a fun workout environment to assist them in creating healthy mental, physical, and emotional habits early.
What is the single most effective workflow, process, tool or form that you are using in coaching today? What is the greatest challenge of health coaching, and how are you working to overcome this challenge? People don’t understand what health coaching is all about and they are reluctant to pay for it.
Download this free report for data on remote patient monitoring program components, key characteristics of populations monitored remotely and workflow processes and tools. Summer is almost here and many of us want a better body so that we can feel comfortable and proud in our own skins.
The good news is that it’s never too late to take steps to improving your health and fitness.
It doesn’t matter what time of year you decide to get fit – what matters more is that you chose to improve, and do so with passion and purpose! Review – if you follow various health and fitness professionals online, see what they offer under services or programs. Here and there I’ve helped a few clients as far off as Thailand and New Zealand via email and Skype, and I knew that was something I wanted to do more of, but I needed to translate my “in-person” systems into an “online” system. This a great option for the person who feels they have their exercise and activity well under control, but they lack the knowledge and skill to adjust their dietary habits to get to the next level of health and fitness. Like the diet & meal planning package, this option works best for the person who has their diet under control, knows how much to eat, when to eat and what to eat. You could chose a random diet or a generic training program from a magazine and hope for the best, but there is a better, proven and more effective solution. When you work with a coach (me) who works with YOU to design every aspect of your program to fit your specific needs and desires, you have a far better possibility of success. Every week you will track your activity and habits and we’ll discuss your progress via email or Skype to evaluate and measure.
I spent a very long time working out the cost for each program, I had evaluate the number of hours I would be working with you one-on-one, how much preparation time I would need in advance of coaching calls, time to prepare meal plans, training programs, and so on. The biggest cost savings that I can pass directly on to you is that I don’t have to pay a gym or a studio a per client “rental fee”. By comparison, if you were to hire me at the club where I work in Toronto and cover what’s offered in the Complete Package, based on my in-club rate, and the hours we would train together, your investment would be well over $800 per month.
The cost to train with me in person at the club is 3-times more expensive than training with me online. But not everyone wants or needs that kind of attention, or they can’t afford that much individual coaching.
If you want to feel better, to look better, to grow as a person, to become more knowledgeable about fitness and nutrition, and are willing to take independent action and commit to training and eating healthy with my expert guidance, then these programs are for you.
Since this is the inaugural launch of these programs, you can take advantage of my Get Fit for Spring 20% discount. Act now and you can save big and get in the best shape of your life over the next 12-weeks. The Complete Package is the best offer for both the value received, and the overall health and fitness improvements that you will experience and enjoy. You will be meeting with Ashley Varol, our Wellness Coordinator, who is also a Certified Health Coach, Certified Personal Trainer and Group Fitness Instructor and PhD (ABD) in Health Promotion & Education.
Filling out the prompts on the form will help you to identify what you'd like to focus on with the health coach. You're welcome to print off the entire report and highlight specific questions you have, but if you have other questions and just want to highlight the numbers - you can simply fill them in on the one page handout in the spaces provided. Behavioral scientists have shown that one-on-one coaching is among the most effective approaches to helping people make and sustain improvements in their lives.
During the first semester, you'll complete a 2-hour face-to-face classroom instruction that teaches you the art and science of wellness coaching along with ongoing in-class practice.
Whether you are serving in a wellness, disease management, or care management program, or a primary or specialty care setting, hospital or community program, this series will help you build the practical MI knowledge and skills you need to support your patient health and address the behavioral factors that are responsible for over 85% of avoidable healthcare costs.
Here they explain the three levels of heath coaches needed to address their clients' wide-ranging needs. For example, 87 percent of responding hospitals offer nutrition-related coaching, versus 70 percent overall. Studies show that group health coaching is an evidence-based, cost-effective way to support individuals in succeeding in their wellness goals.
Luckily, group health coaching is an up-and-coming model of care that physicians are using to help patients create a community where they can connect with others and learn to thrive. Group medical visits are a relatively new model of patient care that allow physicians to deliver more comprehensive patient education and self-management instruction.
We all know that effective wellness programming can help reduce employee sick time, decrease in staff turn over, improve work satisfaction, and increase staff productivity.

Outside of the old standard of participation and number of unique users, employers are encouraged to track more customized measures that reflect the unique culture of their organizations.
In building relationships with participants, the group coach can identify those who could benefit from additional supports and refer them for further medical or mental health consultation. As a board certified behavior analyst and health coach, she specializes in teaching others the principles of behavior science, so that they can create lasting healthy habit change.
Any copyright remains with the author and any liability with regard to infringement of intellectual property rights remain with them. Richling) One of the key strategies has been the use of an incentive that draws people toward the program. Richling) We have developed a sophisticated algorithm that uses claims data and HRA data to decide which coach would be the best coach for the participant. The technology populates a record with personal health risk factors, claims data, biometric screening results and previous contact with the coach and other program personnel, as well as complete activity and program information feeds.
Mike Peterson, top left, Kathleen Matt, Dean of College of Health Sciences to his left; faculty members, Katherine McCleary, Emily Davis, students.
DuPont Children’s Hospital, and Thomas Jefferson University, a Philadelphia-based medical school. We’re trying to get them placed right in the clinical office and become part of the healthcare team, for example, the medical home model where the doctor is in charge and the health coach is part of that team. The other 15 hours would have to be a record keeping and perhaps telephonic communications with previous patients or communications with the medical staff about what’s going on with specific patients.
For example, if they just had physical therapy following a knee replacement, it could most likely be due to their being overweight. There's usually 12 to 14 people who get together at a nice coffee place, and over coffee, tea and dinner or dessert, everybody discusses death.
It could be anywhere from two to 10 years since their loss, and it could be any kind of loss — it doesn’t have to be the death of someone.
To overcome barriers to utilizing health coaches, physician and management buy in is crucial, she says. While there I worked my way up to HR manager and began career and personal development coaching. Our organization believes that optimal physical fitness is not enough if the mental or emotional fitness is not in alignment as well. The clients take the quiz themselves and score it afterwards to see for themselves if they are really ready to make changes. With healthcare reform, the increased costs of healthcare, and employers recognizing the importance of a healthy workforce, corporate wellness programs are becoming more popular.
When your mind is clear, your body is in great condition, and your spirit is at peace you can really appreciate the fullness of life. I am working to overcome this by partnering with other healthcare professionals like doctors and chiropractors, to pair services and continue to get the word out about how important health coaching is. I am not sure how or when it developed but it’s a very big world out there and I want to see as much of it as possible. Maybe you shy away from big-box gyms and would rather workout in your condo or buy a bench and a few weights to get started in the privacy of your own home. About 3 years ago I started offering nutritional guidance, meal planning and private cooking instruction, pulling from my experience as a trained chef, and subsequently attaining the Precision Nutrition Level 1 Coaching Certification.
But they don’t know how to design a proper workout program over serval months, or how much activity and what types of activity to do in the week. Not to judge, threaten, or dismiss, but rather to see what’s working for you (let’s keep doing that, then!) and to understand what’s not working (Why is that not working for you?
Please read through the below information which explains what you can expect in this initial appointment and how best to prepare to make the most of your time with your coach. During the second semester, you will complete the practicum portion of the class by working with individuals doing coaching according to the processes you learned during the first semester. During a group visit, 10 to 20 patients with similar chronic problems, such as diabetes or coronary artery disease, meet together with their physician to get a regular check-up and also discuss personal goals and barriers to treatment.
And, group health coaching can be a key component in successful, employee-centered wellness programming. The group coach can help employees overcome hurdles to preventive care by demystifying the health risk assessment and the process of reaching out for additional help. And the added bonus of working with a group of peers means that individuals are more likely to stay engaged and accountable in the long run. Coaching circles can take the form of a hike, wine night, coffee shop chat, or an office party, and can incorporate an activity and location that is easily accessible (and even fun!) for participants.
The algorithm evaluates whether the individual has the appropriateness of care compared to chronic care guidelines, whether they are compliant to those guidelines, if they are having trouble with functions of daily living, and it also evaluates the risk for high cost in the future. Health coaches could help them maintain a physical therapy program, and also help them with strategies to lose weight. But to be a part of that moment when someone who thought they would never be able to lose weight experienced their first of many victories and to know that in some way I helped them achieve that confirmed that there is nothing else I would rather do with the rest of my life. It is a great discussion tool to get clients up open up about their barriers to change and how we can help them overcome those barriers. We would like to begin assisting with organizations in developing or improving existing wellness programs. Additionally, using as many platforms as possible (social media, blogs, health fairs, etc) to educate people on health coaching and wellness in general.
Not only does it give you keys to financial wealth but the same principles can be applied to many other areas of life, including health.
Maybe you’ve been thinking about losing some weight and looking online for diets that appeal to you.
Maybe you know a bit about training or meal planning, or maybe you know nothing about either.
Group visits offer patients with similar conditions more face time with their physician and also provide the opportunity to learn from and support one another in achieving wellness goals.
The same connections cannot be made via online gaming wellness programs or self-paced weight loss or walking challenges.
For those keen to commit to healthier lifestyle habits, consider group health coaching to boost their chances of success. The group coach can lead dynamic lessons about the science of habit change, guide participants in health-focused goal-setting, and then open the floor for dynamic discussions about participants’ personal desires, motivations and barriers. She partners with local physicians to provide group health coaching for their patients, offers individual sessions in-person and via phone and Skype, and also teaches employers to lead wellness coaching groups, so that organizations can continue boosting employee wellness long after her consultation ends. But you know that you want to work with a coach to assess your health habits, develop a healthy meal plan, design a fitness program that fits your lifestyle and works for you (i.e.
Darren is an author, a Precision Nutrition Level 2 Coach, a Personal Trainer, and a Chef by training.
We also get referrals from physicians when they see a patient in their office and identify that the patient could benefit from health coaching. When I first began it was very satisfying; the patient load was low and I felt as if I was impacting people’s lives. A studio had opened in my town, and I'd read about how healthy it was and great for staying in shape. We can take that external incentive and try to leverage it into an intrinsic motivation to go into our health coaching program.

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