#1 - Adopting a System That Effectively Addresses the Management of Chronic Health Conditions

I. Case studies comparing traditional care and care based on chronic care model)

II. Differences between chronic and traditional care

III. Scope of problem that chronic conditions presents

IV. How a practitioner can help implement and benefit from the Chronic Care Model

A. Health Care System

1. clinical information system
2. clinical support
3. delivery system design
4. self-management support

B. Community

V. Practice exercises

Behavioral/Learning Objectives:

1. Identify at least 3 differences between traditional care and chronic care.
2. List at least 3 things they can do within their practice or health care system to improve the management of chronic health conditions.

#2 - Approaches to Self-Management Support

I. Empowerment approach

A. Definition
B. How it differs from traditional health care
C. Five-step process

1. Explore the problem or issue
2. Clarify feelings
3. Develop a plan
4. Commit to action
5. Experience and evaluation

II. Motivational Interviewing

A. Definition
B. Strategies

1. Identify ambivalence or reluctance to change
2. Ask open ended questions
3. Affirmations changes
4. Use reflective listening
5. Summarize conversation

C. Ways to provide advice
D. How to deal with negative behaviors
E. Training is key

III. Practice Exercises

Behavioral/Learning Objectives:

1. Describe the 5 step process used in the Empowerment approach.
2. List techniques used in motivational interviewing that help patients explore and resolve ambivalence and move toward change.

#3 - Self Management Support and Setting and Achieving Goals

I. Stages of Change

II. Science of goal setting

III. Exploring desire to change

IV. Fostering confidence in ability to change

V. WHAT method

VI. Putting WHAT into action

VII. Assessing confidence

VIII. Helping patients adjust goal based on confidence level

IX. Follow-up and problem solving

X. Practice exercises.

Behavioral/Learning Objectives:

1. Identify willingness of patients to make specific changes and plan approach using the Stages of Change.
2. Describe how to use the WHAT system to help patients set goals.

#4 - When Patients Need More Help than You Can Provide

I. Diabetes Attitudes, Wishes and Needs (DAWN) study

II. Mental and emotional issues

A. Toll on health and health behaviors
B. Depression - overview and screening tools
C. Anxiety disorders
D. Health distress
E. Eating disorders

III. Financial concerns

IV. Practice exercises

Behavioral/Learning Objectives:

1. Identify possible mental and emotional health issues that may need additional assessments and treatments before behavior change can be effectively addressed.
2. List programs and organizations that may be used to help patients with financial concerns.

#5 - Building Long Term Support for Patients

I. Importance of long term support

II. Options for support

A. Individual sessions
B. Group sessions
C. Peer support
D. Technology based support

III. Practice exercises

Behavioral/Learning Objectives:

1. Describe benefits of ongoing behavior change support.
2. List at least 4 ways that patients can get self-management support.

#6 - Other Issues to Consider When Patients Can't or Won't Make Lifestyle Changes

I. Health Literacy

II. Cultural Diversity

III. Age and Gender Bias

IV. Weight Bias

V. Racial and ethnic disparities and biases.

VI. Additional resources

VII. Practice exercise

Behavioral/Learning Objectives:

1. Describe the roles of low health literacy and cultural issues in self-management and ways to effectively address.
2. List potential provider biases that can occur in health care and ways to address.

Accreditation Information

Nurses – Academy Medical Systems is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s COA.

Academy Medical Systems (AMS) is also a provider approved by the California Board of Registered Nursing, provider #CEP14413.

AMS is also a provider approved by the Florida Board of Nursing, provider #50-19.

Iowa Nurses – The Iowa Board of Nurses will recognize the recorded webinars as a home study program. They recognize our ANCC approved provider status as well as our CA and Fl Board of Nursing provider approval for home study products for nurses in Iowa.

All other states recognize our approved provider status listed in the above text for continuing education credit for nurses.

9.0 contact hours will be rewarded to nursing professionals at the completion of this workshop.

Dietitians - Academy Medical Systems is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR.) Registered dietitians (RDs) and dietetic technicians, registered (DTRs) will receive 9.0 continuing professional education units (CPEUs) for completion of this program/material.

Occupational Therapist - Occupational Therapist will receive 9, continuing education hours for completion this program and a test score of 70% or better. AMS is an approved provider for the AOTA , provider # 5470. This course is an intermediate education level.

Exercise Physiologist – ACSM recognizes AMS’s approved provider status with the ANCC and will honor our continuing education for Certified Exercise Physiologist recertification purposes.

Certified Athletic Trainers – Academy Medical Systems is recognized by the Board of Certification (BOC) to offer continuing education for certified athletic trainers. 9 hours will be awarded at the completion of this program.

Physical Therapists - PTs and PTAs in the following states will receive 9 contact hours for completion of all 6 webinars: AK, AL, AZ, CA, CO, CT, GA (Class 1), HI, IA, ID, IN, KS (Cat 2), KY, MA, ME, MI, MN (Cat 2), MO, MS, MT, NE, NM, ND, OK (Cat 2), OR, RI, SC, SD, UT, VA (Type 2), VT, VI, WA, WI, WY.

We are an approved provider to offer continuing competency courses to CA PTs, approval date 4/5/10. The following state boards recognize other state’s approval: AL, AZ, GA (Class 1), KY, MO, MS, NV, OK (Cat 2), WI.

Because each state’s continuing education requirements for physical therapists is subject to change, please verify this information with your state board. Thank you.

Respiratory Therapists – This course meets the requirements for continuing education for Respiratory Care Professionals in AL, CA, CT, DE, FL, ID, IL, IN, IA, KS, LA, ME, MA, MN, MS, MT, NE, NV, NY, OH, OK, OR, RI, SC, TN, TX, WA, WV, WY.
Because each state’s continuing education requirements for respiratory therapists is subject to change, please verify this information with your state board. Thank you.

Social Workers - This course meets the qualifications for 9 hours of continuing education credit for MFCCs and/or LCSWs as required by the California Board of Behavioral Sciences, provider #PCE 4947. Please check with your state board’s requirements to determine if this program meets your continuing education requirements or call us at 866-414-3500 to assist you.

Academy Medical Systems has been approved by the TX State Board of Social Workers Examiners to provide continuing education activities for social workers, Provider # 5998.

The Alabama State Board of Social Work Examiners has approved this course for 9 hours.

Certified Cardiovascular Techs – Cardiovascular Credentialing International recognizes our approved provider status with the ANCC for continuing education courses for CCTs – Category A.

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