Your Practice Transformation Companion

Tuesday, December 1, 2015

Hooray for the Holidays!

The holiday season is upon us once again. While it is a time to be festive and celebrate with friends and family, it can also become the time of year when we overeat and gain weight. If we focus instead on a healthy balance of food choices and keeping our bodies active, the holiday season doesn’t have to mean a time of packing on the pounds.

Here are a few tips to keep those calories down but still enjoy the season:

·         Reduce the amount of fat and calories you consume. Eat white turkey without the skin. Skim the fat off of gravy after refrigeration. Use skim milk, non-fat yogurt or broth to make mashed potatoes instead of whole milk and butter. Substitute egg whites for whole eggs in desserts. Top those desserts with fresh fruit instead of frosting. Use low-fat or non-fat soups for casseroles. Search that unlimited source of information - the Internet - for other healthy alternatives. You’ll be amazed at how fat and calories can be easily reduced without sacrificing taste.
·         Pay attention to portion size. If you eat too much at one meal, go easy on the next. It takes 500 calories or 3500 calories per week above your usual consumption to gain a pound.
·         Keep problem items off the kitchen counter or coffee table and replace with healthier items. We may grab sweets in a holiday bowl or cookie tin without being mindful about them.
·         Watch the office goodies. This is the time of year where well-meaning coworkers bake their special holiday treats and offices receive food gifts from customers. Go easy at those pot lucks. You don’t have to try everything.
·         Don’t skip meals in anticipation of a future one. Eat a healthy snack before you go to that holiday party so you don’t feel like you’re starving and overindulge as soon as you get there.
·         Cruise that buffet table and enjoy the view, but choose carefully. Don’t stand there for hours and graze while you socialize. Skip your least favorite things. Don’t forget fruits and vegetables to keep a balanced plate.
·         Don’t stuff yourself. Eat slow when you savor those holiday treats. Be mindful. Enjoy the taste, smell and texture. Use small plates.
·         Watch not only the alcohol indulgence, but the non-alcoholic beverages with high calorie count. They can pack on the calories while you’re socializing. Alternate with diet sodas or sparkling flavored waters.
·         Become familiar with www.choosemyplate.gov to learn more about food groups, portion sizes and healthy choices. There is no better time than now to start making changes.
·         Keep activity on the forefront during this time of year. It can help relieve the holiday stress and prevent weight gain. Use our glorious Michigan winters to go sledding, ice skating or building snowmen. Go for a walk outside on sunny days. Remember that cleaning your house for guests and running through the mall counts toward activity. Hooray for that!
·         As we move toward the New Year, keep activity as a way of life and try get it most days of the week. Thirty minutes is the goal, but activity can be done in 2 fifteen-minute periods or even 3 ten-minute periods. It doesn’t have to be done all at once. It just needs to get done.

The message? Enjoy the holidays and the food, but in moderation. If you splurge one night, don’t beat yourself up. Get right back on track the next day. Choose your indulgences wisely. Have that piece of pie, but not the second piece. Enjoy one cookie, not four of them. Keep yourself active during the winter. Go to the mall, run up and down your stairs, park farther out in the parking lot, do a workout on television, take the dog for a walk or join a gym. Add some healthier recipes to your holiday portfolio or change up the family recipes that you’ve used for years. Be bold with your choices! Remember that moderation is the key to a healthy lifestyle. Your body will thank you.

Sunday, November 1, 2015

Pharmacists Join the Care Management Team

Practice Transformation Institute has a program specifically designed to integrate Doctors of Pharmacy, Registered Pharmacists and Pharmacy Technicians into the interprofessional healthcare team.  Pharmacists and pharmacy technicians already contribute to the health and wellness of individuals and communities by being the medication experts. Studies have shown they are performing more patient care activities such as health coaching and medical therapy management in a variety of settings and spending less time in the traditional role of dispensing medications. Their role is expanding further to provide leadership in quality improvement initiatives and medication-related measures.

The ability to communicate and collaborate effectively as a member of the interprofessional practice team is essential to improve health outcomes and deliver safe and quality care to all patients. This course provides core competencies to become a member of a high-functioning, patient-centered team as students learn how to manage and use available resources to promote health improvement, wellness and disease prevention. It is a blend of online on-demand courses and one in-person training day. The many topics covered in this program include:

·         Introduction to Care Management Principles
·         Introduction to the Patient Centered Medical Home
·         Integration of the Community Pharmacist into the Practice Team
·         Linkage to Community Services
·         MQIC Evidence Based Guidelines for Diabetes, Heart Failure and Hypertension
·         Patient Registry
·         Group Visits
·         Transitions in Care
·         PatientPing
·         HEDIS
·         CMS STAR Ratings and HCC (Hierarchical Condition Categories)
·         Behavioral Health
·         Pharmacy Data Interpretation/Utilization/Cost

Pharmacists can affect the quality of patient care, increase access to care for patients and provide cost-effective care. They can make an impact on patients every day. Patients want pharmacists on their interprofessional healthcare team. Are your pharmacists ready? Contact Harmony at hkinkle@transformcoach.org or 248.475.4736 for more information about bringing this innovative new program to your workplace or location of choice. 

Thursday, October 1, 2015

PTI Online Learning is here!



PTI seeks to empower practices and other organizations with the tools they need to improve patient health outcomes and the individual care delivery experience. We’re always looking for ways to customize learning options to meet the diverse needs of our clients. With that in mind, PTI is excited to announce that we’ve added online learning to our portfolio of educational offerings.

Online learning provides a quality alternative to an in-person course. Although not every course is suited for online learning, there are many courses that can be dynamic and engaging in this format. Online learning offers convenience and flexibility as courses can be taken any time, any place, day or night. We’ve already used a blended format of online and onsite training for our successful Moderate Care Manager Program.

PTI has chosen Udemy.com as our online learning platform. Udemy courses not only can be accessed through your computer, but directly from an iPhone, iPad or Android device after application download. We currently have three courses available on Udemy.com and will continue to add new offerings. These are:

Health Literacy and Cultural Competency in Care Planning

NCQA PCMH 2014 Building Blocks: The Must Pass Elements

Care Management: Tools of the Trade


Let PTI take you to the next level with our quality online programs. The road to education can be driven in many different ways and vehicles. Jump into the driver’s seat with the freedom of PTI’s online courses.  Contact Harmony at hkinkle@transformcoach.org or 248.475.4736 for more information about our current offerings or to customize an online program for your organization. 

Tuesday, September 8, 2015

PTI is ready to deliver the National Diabetes Prevention Program!

PTI is ready to deliver the National Diabetes Prevention Program!

Practice Transformation Institute has lifestyle coaches who can bring the year-long National Diabetes Prevention Program (NDPP) to prediabetics in an organization or community setting. This empowering program was developed by the Centers for Disease Control (CDC) and Prevention to help prevent or delay the onset of type 2 diabetes. It is evidenced-based with research showing that lifestyle modifications can cut the risk of type 2 diabetes in half. The program encourages collaboration among federal agencies, community-based organizations, insurers, employers, health care professionals and other stakeholders. Due to this nationwide push, it is growing in leaps and bounds to help stop the ongoing threat of prediabetes in the United States.

Prediabetes is identified when a blood sugar level is higher than normal, but not high enough for someone to be diagnosed with type 2 diabetes. Eighty-six million adults in the United States have prediabetes, with nine out of ten people not knowing they have it.

The risk for prediabetes and diabetes is higher if the person is:

·         Overweight or obese
·         Has a family history of the disease
·         Aged 45 or older
·         Not physically active
·         Had diabetes while pregnant
·         Is African American, American Indian, Hispanic, Asian American or Pacific Islander

This lifestyle changing program consists of:

·         A year-long commitment of participants to:
o   Eat healthier
o   Include physical activity into their daily lives
o   Incorporate problem-solving strategies to maintain positive lifestyle changes
·         A small group setting with others making the same achievable changes
·         Sixteen sessions during the first six months to provide core learning
·         Six sessions for the last six months to reinforce and build on content
·         A  lifestyle coach trained by an approved organization
o   Coaches motivate and encourage
o   Build on group dynamics to reach successful outcomes for participants

To participate in the NDPP, a person must be overweight and already have been diagnosed with prediabetes or be at high risk. Prediabetes is determined by one of the following blood test results:
·         Fasting plasma glucose between 100 – 125 mg/d
·         A1C between 5.7% and 6.4%
·         Two hour plasma glucose between 140 – 199 mg/dl

A combination of risk factors such as family history, being overweight or obese, having gestational diabetes and inactivity can also put a person at risk making them eligible for the NDPP.

An online test to see diabetes risk is on our PTI website, along with a CDC video that discusses the program. http://www.transformcoach.org/national-diabetes-prevention-program

We hope that providers will recommend the NDPP to those at risk for type 2 diabetes. Patients look to their health care providers more than any other source for information on promoting health and preventing disease.


If you’d like to learn more about how PTI can deliver the NDPP to your organization or community setting, please contact Harmony at hkinkle@transformcoach.org or 248.475.4736.

Monday, August 3, 2015

Do you want to host a PATH or A Matter of Balance workshop?

Practice Transformation Institute believes in empowering people to take an active role in self-management of their health. Evidence-based programs such as PATH and A Matter of Balance workshops are a great way to acquire new skills to help control and manage conditions, and avoid disabling complications of illness and the aging process. Classes and peer support allow interaction and learning from one another in a group environment.

What is PATH? PATH (Personal Action Toward Health) is Michigan’s name for the Stanford Chronic Disease Self-Management Program (CDSMP.) The CDSMP focuses on problems common to people with a variety of health conditions. There is also a Diabetic Self-Management Program we call Diabetes PATH for the day-to-day management of diabetes.

These interactive and enjoyable workshops were developed and tested by Stanford University to help people learn techniques and strategies to help manage their ongoing health condition. Two trained leaders conduct six different sessions over a two and a half hour period. Two of the important items that class participants learn in both workshops are action planning, based on their goals, and problem solving.

Other sessions for PATH include:

·         Dealing with not feeling well
·         Communicating with health care providers, family members and friends
·         Relaxing and overcoming stress, fear, pain, frustration and depression
·         Increasing energy and reducing fatigue
·         Staying independent

Diabetes PATH includes the above plus:
·         Avoiding the complications of diabetes
·         Strategies for sick days
·         Meal planning and healthy eating
·         Preventing low blood sugar
·         Learning about the importance of good foot care

What is A Matter of Balance? This national recognized program was developed at Boston University to reduce the fear of falling and increase activity levels among older adults. Many older adults have an ongoing fear of falling. This may cause them to limit their activities which, in turn, make them physically weaker and an even greater fall risk. A Matter of Balance has small group sessions that meet eight times for two hours and are led by a trained facilitator.

Participants learn how to:

·         View falls as controllable
·         Set realistic goals to increase activity
·         Make changes in their home environment to reduce risk
·         Increase strength and balance with exercise

Anyone who is concerned about falls, has fallen in the past, has restricted their activities due to falling concerns or is interested in improving their balance, flexibility and strength should attend this fun and interactive workshop.

If you’re interested in hosting or learning more about these workshops, please contact Carla Irvin at 248.310.8476 or cirvin@transformcoach.org for any questions.

Wednesday, July 1, 2015

Don’t let injuries from fireworks become part of your tradition this holiday

Often, when thinking of the Fourth of July, one of the first things that come to mind are big, beautiful fireworks, with vibrant colors that light up a summer night’s sky. In the midst of all this holiday grandeur, it is important to understand fireworks safety and how to prevent tragedy during your July 4 celebration.
In 2013, 65 percent or 7,400, of all firework injuries occurred in the 30 days surrounding July 4th. The majority of these injuries occurred simply because of the malfunction or improper use of legal and illegal fireworks.
Here are some ways fireworks can malfunction:
  • Inconsistent flight paths
  • Tip-over incidents
  • Early or late ignitions
  • Debris and blowouts
You, your friends, and family can be put at risk by:
  • Purchasing and using illegal fireworks;
  • Letting children use fireworks, including sparklers and firecrackers;
  • Creating or modifying any fireworks;
  • Igniting fireworks too close to someone or something; and
  • Setting off fireworks improperly.
Small fireworks, like bottle rockets, sparklers, and small firecrackers can appear harmless to children, but during the 30 days surrounding July 4, these kinds of fireworks injured an estimated 1,000 children under the age of 5.
Did you know that sparklers can burn so hot they can melt copper? A sparkler can burn at 2,000 degrees Fahrenheit or hotter! That’s as hot as a blow torch!
Take a look at our “Un Spark-tacular Celebration” video on children with sparklers.
If you do decide to buy legal fireworks, be sure to take the following safety steps:
  • Never allow young children to play with or ignite fireworks.
  • Avoid buying fireworks that come in brown paper packaging; often, this can often be a sign that the fireworks were made for professional displays and could pose a danger to consumers.
  • Never have any portion of your body directly over a fireworks device when lighting the fuse.
  • Move away to a safe distance immediately after lighting.
  • Never try to re-light or pick up fireworks that have not gone off or fully functioned.
  • Never point or throw fireworks at another person.
  • Keep a bucket of water or a garden hose handy in case of fire or other mishap.
  • Light one item at a time, then move away quickly.
  • After fireworks have gone off and fully functioned, douse the spent device with plenty of water from a bucket or hose before discarding, to prevent a trash fire.
  • Make sure fireworks are legal in your area before buying or using them.
  • Know the risks. Prevent the tragedies. And, have an injury-free Fourth!
Celebrate with safety this Fourth of July.

For more information on fireworks safety, visit our Fireworks Safety Information Center

Monday, June 1, 2015

Men’s Health Awareness Month


During the month of June we observe Men’s Health Awareness Month. The month is spent raising awareness among men, boys and their families about disease prevention, screening programs and education. Many people across the nation host “Wear Blue” events to spread the word about getting regular checkups, testicular/prostate cancer education and learn about other health issues that affect men. Building awareness can help men begin living a healthy lifestyle by encouraging them to make a wellness checkup with their health care provider and becoming more informed about their health by asking questions.

Did you know that men die younger than women and at higher rates from the top 10 causes of death? Some of these causes include heart disease, cancer, injuries, stroke, suicide and HIV/AIDS.  Men are also the victims of 92% of workplace deaths.  It is the hope that having a Men’s Health Awareness Month will encourage men to adopt healthier lifestyles that will help them live longer.  


For more information, go to http://www.menshealthmonth.org

Monday, May 4, 2015

Getting a Good Night’s Sleep

May is Better Sleep Month. It is dedicated to educating people about the importance of sleep to physical and mental health. How you feel during the day can depend on the quality of sleep you received the night before. Getting a good night’s sleep can help the mind and body recover from events of the day. Everyone has a different amount of sleep that is needed. The recommendation by sleep experts is seven to eight hours each night.

The following are some tips on getting a good night’s sleep:

·         Avoid caffeine (found in coffee, tea, soda, hot chocolate) and alcohol near bedtime. They can interfere with sleep quality.
·         Make a bedtime routine by taking time to relax before bed. Some people like to watch television, read a book, take a bath or listen to soothing music.
·         Keep your room cool.
·         Have a comfortable mattress that allows you to stretch and turn back and forth.
·         Experiment with pillows and blankets. Consider egg crate or foam toppers.
·         Use ear plugs.
·         Turn on a fan or other “white noise” to help you relax.
·         Go to bed the same time every night.
·         Get up the same time every day, including weekends.
·         Don’t exercise within three hours of your bedtime. It can keep you from falling asleep.
·         Make sure your room is dark.
·         Get out in the sunlight each day.
·         Be careful with naps. Quick naps are good for recharging, but if you sleep too long, insomnia can be the result. Limit naps to no more than thirty minutes and try not to nap after dinner.
·         Use your mind by practicing a distraction technique such as counting backwards, making plans for the weekend, or counting sheep. Sometimes distraction can help you relax enough to fall asleep again.
·         Avoid big meals late in the evening that may keep you awake as your body digests.
·         Watch liquids in the evening to avoid frequent bathroom breaks at night.
·         If you take diuretics (water pills) before bed, check with your health care clinician about taking these in the morning to avoid being up to the bathroom.


Insomnia is the most common sleep problem that occurs in adults age sixty and older. People who have insomnia have trouble falling asleep and staying asleep during the night. Waking up at night and having difficulty falling back asleep can also be a sign of anxiety or depression. If sleep problems continue, you may need to talk with your health care clinician. But sometimes experimenting to find your solution to good sleep is all it takes. Good luck!

Wednesday, April 1, 2015

National Donate Life Month (NDLM)


Each April is National Donate Life Month (NDLM). During this month the NDLM features an entire month of local, regional and national activities to help encourage Americans to register as organ, eye and tissue donors and to celebrate those that have saved lives through the gift of donation. You may ask “Why be a Donor?” Currently, nearly 124, 000 men, women and children are awaiting organ transplants in the United States. Organ donation is the process of giving an organ or a part of an organ for the purpose of transplantation into another person.  Transplantation gives hope to thousands of people with organ failure and provides many others with active and renewed lives.
You may be wondering how to become a donor. To add your name to the Michigan Organ Donor Registry visit https://services.sos.state.mi.us/OrganDonor/Pages/Registry.aspx. Besides signing up online, you can add your name to the Organ Donor Registry when you:
  • Renew or replace your standard driver's license or state ID card online at ExpressSOS.com.
  • Visit a Secretary of State office and simply let the clerk know you want your name added to the Michigan Organ Donor Registry.
  • Renew your state ID card by mail by checking the organ donor box and your name will be placed on the donor registry.

We hope you consider adding yourself to registry, as you could help save a life! 

Tuesday, March 3, 2015

March is Colorectal Cancer Awareness Month



Colorectal cancer is the third most common cancer found in the United States and the second leading cause of cancer-related deaths for both women and men. It affects all racial and ethnic groups and is found most often in people aged 50 and older. The good news? Colorectal cancer can be prevented and best treated by conventional screenings, consuming a healthy diet, and getting regular exercise.

Recommendations for lowering your risk for colorectal cancer are:
  • Get regular screenings after age 50. Some people who are at a higher risk should be screened younger than 50, including those with a family or personal history of inflammatory bowel disease, colorectal cancer or polyps. There are a variety of screening methods which include fecal occult blood testing, flexible sigmoidoscopy, double contrast barium enema, colonoscopy and digital rectal exam. Most colorectal cancers can be detected and treated in the early stages.
  • Eat a low-fat and high-fiber diet. Many great recipes can be found in cookbooks and on the Internet.
  • Drink alcohol only in moderation. Moderate alcohol consumption is defined as having up to 1 drink per day for women and 2 drinks per day for men.
  • If you use tobacco, try to quit. Stay away from secondhand smoke. Alcohol and tobacco in combination are linked to gastrointestinal cancers, including colorectal cancer.
  • Exercise in moderation for 30 minutes three to five days a week. With moderate exercise, you will feel a slightly faster heart rate and breathing.

Lowering your risk for colorectal cancer can be easier than you think. Remember that early detection and screening is the key. To find out which screening is the right one for you, please contact your health care provider.

To find out more about colorectal cancer, see the CDC website at http://goo.gl/uuJ88e


Wednesday, February 4, 2015

Go Red For Women



GO RED FOR WOMEN®
2015 FACT SHEET

NARRATIVE

Women are strong. We are smart. We solve problems. Women can do anything men can do. And, there are some things we’re even better at – dying of heart disease and stroke. Like breaking barriers? Go Red! And help break the one against heart disease.

It’s not just a man’s disease. Each year, 1 in 3 women die of heart disease and stroke. But we can change that because 80 percent of cardiac events can be prevented with education and lifestyle changes.

When it comes to beating heart disease and stroke, change can be the cure. Make a change at GoRedForWomen.org.

Go Red For Women is about much more than wearing red on National Wear Red Day. It’s about making a change.

Here are a few ways you can make a change today:

  • Go to GoRedForWomen.org to learn what you can do to reduce your risk of heart disease and stroke. 
  • Encourage your family and friends to take small steps toward healthy lifestyle choices to reduce their risk for heart disease and stroke, too. 
  • Explain “What it means to Go Red” by sharing the following acronym: 

       Get Your Numbers: Ask your doctor to check your blood pressure, cholesterol and glucose.
       Own Your Lifestyle: Stop smoking, lose weight, be physically active and eat healthy.
       Raise Your Voice: Advocate for more women-related research and education.
       Educate Your Family: Make healthy food choices for you & your family. Teach your kids the              importance of staying active.
       Donate: Show your support with a donation of time or money.

FACTS ABOUT CARDIOVASCULAR DISEASES

FACT 1: Cardiovascular diseases cause one in three women’s deaths each year, killing approximately one woman every minute.

  • An estimated 43 million women in the U.S. are affected by cardiovascular diseases. 
  • 90% of women have one or more risk factors for heart disease or stroke. 
  • 80% of heart disease and stroke events could be prevented.

FACT 2: Since 1984, more women than men have died each year from heart disease & stroke.

  • Fewer women than men survive their first heart attack 
  • The symptoms of heart attack can be different in women vs. men, and are often misunderstood – even by some physicians. 
  • Women have a higher lifetime risk of stroke than men. 
  • Each year, about 55,000 more women than men have a stroke. 

FACT 3: Heart disease and stroke affect women of all ethnicities.

  • Cardiovascular diseases are the leading cause of death for African-American women, killing nearly 50,000 annually. 
  • Only 43% of African American women and 44% of Hispanic women know that heart disease is their greatest health risk, compared with 60% of Caucasian women. 
  • Of African-American women ages 20 and older, 48.9% have cardiovascular disease. Yet, only 20% believe they are at risk. 
  • Only 50% of African-American women are aware of the signs and symptoms of a heart attack. 
  • Hispanic women are likely to develop heart disease 10 years earlier than Caucasian women. 
  • Only 3 in 10 Hispanic women say they have been informed that they are at a higher risk. 
  • Only 1 in 4 Hispanic women is aware of treatment options. 

FACT 4: Women who are involved with the Go Red For Women movement live healthier lives.

  • Nearly 90% have made at least one healthy behavior change. 
  • More than one-third has lost weight. 
  • More than 50% have increased their exercise. 
  • 6 out of 10 have changed their diets. 
  • More than 40% have checked their cholesterol levels. 
  • One third has talked with their doctors about developing heart health plans. 

FACT 5: When you get involved in supporting Go Red For Women by advocating, fundraising and sharing your story, more lives are saved.

  • Today, nearly 300 fewer women die from heart disease and stroke each day 
  • Death in women has decreased by more than 30 percent over the past 10 years. 

ABOUT GO RED FOR WOMEN 
Go Red For Women is the American Heart Association's national movement to end heart disease and stroke in women because it’s not just a man’s disease. In fact, more women than men die every year from heart disease and stroke. The good news is that 80 percent of cardiac events can be prevented with education and lifestyle changes. Go Red For Women advocates for more research and swifter action for women's heart health. The American Heart Association's Go Red For Women movement is nationally sponsored by Macy's, with additional support from our cause supporters. For more information, please visit GoRedForWomen.org or call 1-888-MY-HEART (1-888-694-3278).

©(2015), American Heart Association. Also known as the Heart Fund. TM Go Red trademark of AHA, Red Dress trademark of DHHS.

Wednesday, January 7, 2015

Beating Seasonal Affective Disorder a.k.a. Seasonal Blues

The holiday celebrations are over, your tree is composting, and the cheery Christmas music is no longer playing. For many this is a time where Seasonal Affective Disorder a.k.a. “Seasonal Blues” can begin to sneak up on you. What is Seasonal Affective Disorder you may ask? Seasonal Affective Disorder, or SAD, is a type of depression that affects some people at the same time every year (usually winter). In fact, half a million Americans are thought to suffer from SAD each winter. Symptoms of SAD include moodiness, lack of energy, and low thoughts.

Here in Michigan, we get lots of snow, very cold temperatures, and the sun is not something we see much of in the winter months, resulting in many sufferers. You may even work with a handful! There are multiple ways you can attempt to beat Seasonal Affective Disorder this winter. We will take you through a few.

1. Sleep. It is important to stick to a consistent sleep schedule. Try to get 8 hours of sleep and not oversleep either. A few ways to ensure a better night’s sleep are cooler temperatures in a room, covering or removing electronic gadgets that emit lights, and stay away from caffeine six hours before bed time for your best sleep.
2. Go outside anyway. Although it may be chilly and cloudy, it is still important to get outside daily, even if only for 10 minutes. Light still pokes through the clouds and increases serotonin and dopamine levels.
3. Purchase a Sun Lamp. This is known as light therapy. Light therapy uses light boxes emitting full spectrum light similar in composition to sunlight. Thirty minutes a day in front of this light can boost mood naturally. To learn more about light therapy visit http://www.drweil.com/drw/u/ART03222/Light-Therapy.html.


Remember there are multiple ways to try to beat the seasonal blues; you need to find what works best for you. Also keep in mind you can talk to your health care professional about SAD as they may have some helpful insight.