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8/22/2019 Health Care Provider Presentation
1/15
7/31/20
Health Care StrategyInformational Meeting
Todays Agenda/Outcomes
Overview of SHIP Program
Review SHIP 3 Health Care Strategy
Requirements
Role of Clinical Settings
Role of Community Based Organizations
Q&A / Discussion/feedback on how to move
forward
WHAT IS SHIP?
http://www.google.com/url?sa=i&rct=j&q=doctor%20counseling%20patient]&source=images&cd=&cad=rja&docid=NIiL6RENB1WoOM&tbnid=5mejPCfMHFp_zM:&ved=0CAUQjRw&url=http://managemypractice.com/medicare-reimbursement-codes-for-alcohol-misuse-and-depression-screening/&ei=Nz74Uci2FcWGyQHz6IDAAg&psig=AFQjCNE0qYh1h7R_WqZE475abwZl0Zmjsg&ust=1375309741059114http://www.google.com/url?sa=i&rct=j&q=lactation+nurse&source=images&cd=&cad=rja&docid=qj6oX0veqbvhBM&tbnid=YHVumE5XxRmEoM:&ved=0CAUQjRw&url=http://www.iowahealth.org/lactation-services.aspx&ei=Kz34UdDYONSyygHvu4CYCw&bvm=bv.49967636,d.aWc&psig=AFQjCNHeLZagakcBdO2OLs8oUDDvg4w4YA&ust=1375309466406860http://www.google.com/url?sa=i&rct=j&q=elderly+health+care&source=images&cd=&cad=rja&docid=9iVHdnsYfIO3yM&tbnid=L2IEOJCiuTwDxM:&ved=0CAUQjRw&url=http://tacticalminc.com/blog/falling-healthcare-costs-drive-improvement-in-u-s-budget-outlook/&ei=zjz4UbGMN8fuyQGS34Fg&bvm=bv.49967636,d.aWc&psig=AFQjCNH6XqxOfHPEOJWOBd4-Xo9k3-HBIg&ust=13753093532765008/22/2019 Health Care Provider Presentation
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What is SHIP?
SHIP is a state funded initiative to reduce
chronic diseases associated with tobacco use
and exposure and obesity
Goals1. To support, promote, implement, and
evaluate health interventions that lead to
sustainable improvement in health by
creating changes in policies, systems, and
environments where individuals live, work,
play, and seek health care services.
2. To reduce the overall cost of health care in
Minnesota.
What are policy, systems and environmentalchanges?
Policy interventions
Systems interventions
Environmental interventions
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Work on a community-level
Plus:
Evidence-based strategies
Local control
Strong partnerships
Strong evaluation
Sustainability
How SHIP Works: Keys to Success
SHIP Strategies & Settings Schools
Worksites
Communities
Health Care
Tobacco
Childcare
HEALTH CARE STRATEGY WIT HSHIP
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SHIP Heal th Care Strategies Clinical - Community Linkages
Strengthen relationships between community and clinic
Enhance methods for collecting BMI/Tobacco informationfrom patients
Advance Community Linkages with State and FederalHealth Reform Initiatives
Support implementation of evidence-based clinicalguidelines (ICSI Guidelines: Healthy Lifestyles foradults/children)
Screen-Counsel-Refer-Follow up Implementation Process
Priority Patients All patients regardless of age
who are identified as being overweight or obese
using/being exposed to tobacco.
Priority patients within these population includepatients who are:
uninsured or on Minnesota Health Care Programssuch as Medicaid, Medicare, or MNCare,
pregnant women to include breastfeeding education
adults with mental illness
adults over the age of 60
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SHIP Approach to Health Care
Step 1: Convene/utilize health care
collaboration to strengthen relationships
between health care providers and
community-based organizations/resources
SHIP Approach to Health Care
Step 2: CLINICAL Setting: Identify health care
providers ready to implement a system-wide
change in patient screening and
documentation of BMI and tobacco status.
COMMUNITY Setting: Implement a process to
assess clients in the community
Screen-Counsel-Refer-Follow Up
Screen patients for BMI/Tobacco Status
Counsel patients on health status/behaviors
Goal Setting
Refer patients to internal and external
resources
Follow up with patients
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Screening Patients
Implementing protocols / algorithms
BMI (patient height and weight)
Tobacco Status
Risk Factor Assessments
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SHIP Approach to Health Care Step 3: Provide technical
assistance and trainings on
effective practices and
approaches for addressing
BMI status and tobacco use
and exposure with patients,
including motivational
interviewing and goalsetting.
Counseling Patients
Algorithm Protocols:
Assessment of patients readiness/ motivates /
refers
Support Staff (Nurse Educator, Nurse, Health
Educator, Dietician, Community Worker) works
with patient to develop goals
http://www.google.com/url?sa=i&rct=j&q=motivational+interviewing&source=images&cd=&cad=rja&docid=cfC29jTYGN3qAM&tbnid=5mm3VfpCOhaQaM:&ved=0CAUQjRw&url=http://www.healthstatrx.com/payors/motivationalInterviewing.aspx&ei=JBj4UaOgDqqBygHx4oG4Dw&bvm=bv.49967636,d.aWc&psig=AFQjCNGN3G8wFbna83O0k9XjTSwDVxCoGQ&ust=13752999637220728/22/2019 Health Care Provider Presentation
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SHIP Approach to Health Care
Step 4: Identify, catalogue and make available
to clinicians, clinic staff and patients
community resources that address behaviors
related to nutrition, physical activity, and
tobacco use and exposure.
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SHIP Approach to Health Care
Step 5: Assess and plan to increase access to
evidence-based lifestyle change and
prevention programs. Facilitate infrastructure
development in the health care facilities and
in the community.
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Evidence-Based Programs
SHIP Approach to Health Care
Step 6: Create or strengthen system of
referral to in-house or community
resources. Develop or enhance a follow-up
system.
http://www.google.com/url?sa=i&rct=j&q=Arthritis+Self+Management&source=images&cd=&cad=rja&docid=KxnHtdK50fHu5M&tbnid=JmH0RSdVg3F3AM:&ved=0CAUQjRw&url=http://www.earthritis.com/arthritis-disease-management-and-treatment-intervention-programs/&ei=Qyz4UdvYKOTYyAHK4oDwCw&bvm=bv.49967636,d.aWc&psig=AFQjCNHPG3Mp-lJwWlbzDnHjLIqYGIQQAQ&ust=1375305149273781http://www.google.com/url?sa=i&rct=j&q=Call+it+quits&source=images&cd=&cad=rja&docid=jpdtNRr7wAo4UM&tbnid=HNOgx3NVE1XdFM:&ved=0CAUQjRw&url=https://www.quitplan.com/health-care-provider.html&ei=wCv4UZzxE4K6yQHY6YCIBQ&bvm=bv.49967636,d.aWc&psig=AFQjCNE46WFo5vgZ415wFmYJb7usPD5YvA&ust=1375305012278625http://www.google.com/url?sa=i&rct=j&q=Freedom+From+Smoking&source=images&cd=&cad=rja&docid=7xEDgh2kUPGgxM&tbnid=ieFfW_5bJ5IOcM:&ved=0CAUQjRw&url=http://www.lung.org/associations/states/south-carolina/educational-programs/freedom-from-smoking/ffs-sc.html&ei=div4Ub_YF6blyQHam4AI&bvm=bv.49967636,d.aWc&psig=AFQjCNE6x_-Q_temSgkmn1vvBEpZPmDzOA&ust=1375304948551431http://www.google.com/url?sa=i&rct=j&q=Chronic+Disease+Self+Management&source=images&cd=&cad=rja&docid=wOHRM6syduXNBM&tbnid=kDF5axNH3wckGM:&ved=0CAUQjRw&url=http://www.healthtrust.org/services/cdsm.php&ei=MSv4UcqJOaiayAHv04HIBg&bvm=bv.49967636,d.aWc&psig=AFQjCNEqOOb0IrBDHgznRt4Yug4_pyMIuA&ust=1375304877387250http://www.google.com/url?sa=i&rct=j&q=I+CAN+Prevent+Diabetes&source=images&cd=&cad=rja&docid=5aVFAsHcMhZSbM&tbnid=wI376oI5J9GfjM:&ved=0CAUQjRw&url=http://www.scymca.org/pages/DiabetesPreventionProgram/&ei=Fiv4Udv9KMmzyAHCn4GgDA&bvm=bv.49967636,d.aWc&psig=AFQjCNFy4sQXLPXn6_8K6n1qVOfQM-XbHw&ust=13753048510452248/22/2019 Health Care Provider Presentation
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SHIP Approach to Health Care
Step 7: Promote usage of existing billing
codes for reimbursement of services
provided related to the SHIP strategy,
Clinical-Community Linkages for
Prevention (i.e., counseling, nutrition
education, follow-up care).
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SHIP Approach to Health Care
Step 8: Support the use of health care
extenders (i.e. health educators, community
paramedics, nutritionists, etc.) to improve
engagement of disparate populations in
evidence-based lifestyle change and
prevention programs
Utilize SHIP to Help Health Care Reform
Health Care Delivery Systems, ACOs orAccountable Communities for Health areencouraged to incorporate community-basedprevention, such as SHIP interventions, intotheir systems.
Required Community Health NeedsAssessment SHIP Partnership
Determining How to Use Community BenefitDollars
What Can SHIP Offer? SHIP Staff Support
Evaluation & Assessments Baseline assessments of health care sites current practices
& SHIP evaluation requirements
Assistance with assessment of availableprograms/resources
Development of patient assessment/screening tool
Training opportunities for motivational interviewing,evidence-based programs Training Fees, Mileage, Hotel
Initial program start-up costs
Development costs of resource and referral materials
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Next Steps / Timeline
Soliciting sites interested in this work
Letter of intent to partner
Public Health submits application for SHIP 3 to
Minnesota Dept. of Health on Aug 30
Funding to begin available November 1, 2013
Any Feedback? Questions?
Comments?
Thank you!! Any Questions?
shipfmw.blogspot.com
www.facebook.com/FMWSHIP
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