19 - Health Education and Wellness

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19 - Health Education and Wellness

19.1 Southern Nevada Health Education Program Offerings

The Health Education and Wellness (HEW) Division believes that education is an integral part of preventative health. We provide programs dedicated to improve the lifelong wellness of your patients. We recognize that wellness is a never-ending process involving physical, emotional, intellectual and spiritual health. Our goal is to prevent illness and to help your patients manage existing health concerns through knowledge and provision of tools they need to make self-care decisions to improve their quality of life. Programs offered include, but are not limited to the following:

 Asthma (adult and child)  Cancer Nutrition

 Chronic Obstructive Pulmonary Disease  Diabetes

 Exercise

 Grocery Shopping Tours  Healthier Living

 Heart Failure

 Heart Health (includes Cholesterol, Hypertension and Triglycerides)  Lactation

 Lifestyle Management  Nutrition and Fitness  Pregnancy

 Preventive Healthcare  Senior Health

 Stress Management Support Group  Tobacco Cessation Program

 Weight Management (Adult [age 18 and over], Teen [ages 14-17], Child [ages 7-13] and Toddler [ages 2-6])

 Weight Management Support Group  Women‟s Health

 Medical Nutrition (available as Registered Dietitian consultations only)

The Tobacco Cessation Program (TCP) is a collaborative partnership between HEW, HPN, and SMA. The program involves behavior modification one-on-one sessions and support group sessions. Program overview:

 Program orientation provided for all potential participants.

 One-on-one assessment and treatment plan developed for each participant.

 Treatment plan includes both behavior modification and possible medication therapy.  3-month treatment program for medication includes Chantix, Zyban and Nicotine

Replacement Therapies (NRT) of the patch, gum, and lozenge (brand provided by THC or chosen by patient). Zyban and Chantix prescriptions are authorized only for

participants in the Tobacco Cessation Program.

 Participants are required to attend at least 10 behavior modification sessions, in the form of group and one-on-one sessions, but patients may attend as many sessions as

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There is no cost to Health Plan of Nevada, Sierra Health & Life, Senior Dimensions, Smart Choice or Nevada Check-Up members for the program. Non-members will be required to pay a $5 orientation fee and $55 program fee. Health plan members, with the exception of Senior Dimensions, are eligible to receive medication offered free of charge pending insurance eligibility and compliance within the program. Non-members are not eligible for the medication component of this program.

Senior Dimensions members will pay the generic co-pay for Zyban or the brand name co-pay for Chantix.The patient‟s provider and the health educator with the credential of licensed alcohol and drug counselor are involved in the TCP protocols. If you have questions or would like more information about the tobacco cessation program, please call (702) 243-8424.

 1:1 Health Education Consultations with a health educator are available onsite at SMA clinics and are recommended for patients who are high risk and/or those who may be at risk, having special health issues. Consultations are available for any health education program listed above and for all dietary/nutrition needs.

 All health education programs/1:1 consultations are available at the following locations: Southwest Medical Associates Clinic – 2316 West Charleston Blvd

Southwest Medical Associates Clinic – 4475 South Eastern Ave Southwest Medical Associates Clinic – 2704 North Tenaya Way Southwest Medical Associates Clinic – 650 North Nellis Blvd Southwest Medical Associates Clinic – 2845 Siena Heights Ave Southwest Medical Associates Clinic – 7061 Grand Montecito Pkwy

Southwest Medical Associates Lifestyle Center - East – 5820 South Eastern Ave Southwest Medical Associates Lifestyle Center - West – 8680 West Cheyenne Ave  Our health education team is comprised of professionals dedicated to teaching people

the skills needed for lifelong health. Staffed with a Certified Health Education Specialist (CHES), Registered Dietitians (RD), Certified Diabetes Educators (CDE), Licensed Alcohol and Drug Counselors (LADC), and a team of individuals with a Master‟s Degree in Exercise Physiology and in Health Promotion, the Health Education and Wellness Division is designed to focus on both preventive care and the management of existing health concerns.

 In addition, a Medical Director-Educator with board certification in Preventive Medicine, Pediatrics, Genetics, a Master‟s Degree in Public Health and more than 25 years of university teaching acts as the medical advisor to the HEW department and the health education programs.

19.2 Northern Nevada Health Education Program Offerings

The Health Education and Wellness (HEW) Division believes that education is an integral part of preventative health. We provide programs dedicated to improve the lifelong wellness of your patients. We recognize that wellness is a never-ending process involving physical, emotional, intellectual and spiritual health. Our goal is to prevent illness and to help your patients manage

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decisions to improve their quality of life. Programs offered include, but are not limited to the following:

 Asthma (adult and child)  Cancer Nutrition

 Chronic Obstructive Pulmonary Disease  Diabetes

 Healthier Living

 Healthy Nutrition (Adult [age 18 and over], Teen [ages 14-17], Child [ages 7-13] and Toddler [ages 2-6])

 Heart Failure

 Heart Health (includes Cholesterol, Hypertension and Triglycerides)  Lactation

 Lifestyle Management  Nutrition and Fitness  Pregnancy

 Preventive Healthcare  Senior Health

 Tobacco Cessation Program

 Weight Management (Adult [age 18 and over], Teen [ages 14-17], Child [ages 7-13] and Toddler [ages 2-6])

 Weight Management Support Group  Women‟s Health

The Tobacco Cessation Program (TCP) is a collaborative partnership between HEW and HPN. The program involves behavior modification one-on-one sessions and educational sessions. Program overview:

 Program orientation provided for all potential participants.

 One-on-one assessment and quit plan developed for each participant.

 Quit plan includes both behavior modification and possible medication therapy.

 3-month quit program for medication includes Chantix, Zyban and Nicotine Replacement Therapies (NRT) of the patch, gum, and lozenge (brand provided by THC or chosen by patient). Zyban and Chantix prescriptions are authorized only for participants in the Tobacco Cessation Program in conjunction with the patient‟s provider.

 Participants are required to attend 12 behavior modification sessions, in the form of group and one-on-one sessions, but patients may attend as many sessions as needed.

There is no cost to Health Plan of Nevada, Sierra Health & Life, Senior Dimensions, Smart Choice and Sierra Nevada Spectrum members for the program. Non-members will be required to pay a $5 orientation fee and $55 program fee. Health plan members, with the exception of Senior Dimensions, are eligible to receive medication offered free of charge pending insurance eligibility and compliance within the program. Non-members are not eligible for the medication component of this program.

Please note: Senior Dimensions members will pay the generic co-pay for Zyban or the brand name co-pay for Chantix. The patient‟s provider and the health educator are involved in

the TCP protocols. If you have questions or would like more information about the tobacco cessation program, please call (775) 824-9704.

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 One-on-one Health Education Consultations with a health educator are available onsite, by phone, and over a secure video connection using Telehealth, at the Senior

Dimensions office and are recommended for patients who are high risk and/or those who may be at risk, having special health issues. Consultations are available for any health education program listed above.

 All health education programs/one-one-on consultations are available at the following locations:

Senior Dimensions Office, 5370 Kietzke Lane, Suite 100, Reno, NV 89511

 Our health education team is comprised of professionals dedicated to teaching people the skills needed for lifelong health. Staffed with a Certified Health Education Specialist (CHES), Registered Dietitians (RD), Certified Diabetes Educators (CDE), Licensed Alcohol and Drug Counselors (LADC), and a team of individuals with a Master‟s Degree in Exercise Physiology and in Health Promotion, the Health Education and Wellness Division is designed to focus on both preventive care and the management of existing health concerns.

 In addition, a Medical Director-Educator with board certification in Preventive Medicine, Pediatrics, Genetics, a Master‟s Degree in Public Health and more than 25 years of university teaching acts as the medical advisor to the HEW department and the health education programs.

19.3 Provider Communication

To assist patients in accomplishing behavior change a provider referral system is in place. This referral system involves patients‟ participation in health education programs that tie directly to their physician‟s referral for a more complete care package. Providers receive information on their patients‟ progress through chart noting outlining patient participation, concerns, and whether or not the patient completed the program.

Access to the above service may be obtained by phone or through a patient referral (paper or electronic). We will assist you and your staff by coordinating, scheduling and providing health education programs or one-on-one appointments with a health educator for your patients. If you have questions or would like more information about HEW programs, please call:

Southern Nevada: (702)877-5356. If you need HEW Business Reply Referral Pads, please contact us at (702) 242-7268 and we will mail them to your office.

Northern Nevada: (775) 824-9704 for the Reno and rural areas, (800) 720-7253 or (702) 877-5356. If you need HEW Business Reply Referral Pads, please contact us at

(775) 824-9704 and we will mail them to your office.

19.4 Online Learning

HEW also offers MyHEWOnline, which is a website with online learning modules that are free to HPN, SHL and Senior Dimensions members. This product offers a computer-based, step-by-step program to help members better manage their health concerns. Each module includes health information, as well as interactive tools and webisodes for further learning.

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The Online Learning Modules include the following topics:  The Balancing Act - Diabetes

 Blood Pressure, Cholesterol, Triglycerides - Heart  Healthy Expectations - Pregnancy

 Foundation for the Future – Preventive Healthcare  The Puff Stops Here – Stop Smoking

 LEAN on Me – Weight Management

There is also a personal Health Risk Assessment (HRA) available online. The HRA can be the first step on the road to better health. It is designed to help identify and prioritize health and wellness goals. After completing the HRA, a profile will be generated automatically for the member to print. The profile provides the following information:

 Personal health risk factors

 Health and screening recommendations

 Programs and services that meet the member‟s needs To access the Online Learning Modules, follow the steps below:

 Go to www.myAYSonline.com

 If the member already has an account on @YourService (through Health Plan of Nevada or Sierra Health and Life), the member would type in their username and password and select “submit.”

 If the member does not have an account on @Your Service, the member would click the “Create an account” link and follow the instructions listed.

 The account type will be “member” and the username is the member‟s 11-digit member number (no dashes) found on their insurance card.

 Once the member is logged into @YourService, they can click the MyHEWOnline box to the right of the screen. This will automatically log them into MyHEWOnline and they can access the Health Risk Assessment (MyHRA), online learning modules, and various webisodes and health education tools.

19.5 Worksite Wellness Offerings

Worksite Wellness Centers are established at select corporate locations through contractual agreements between the Worksite Wellness section of Health Education and Wellness and those organizations interested in having their own customized program. If you have questions or would like more information about worksite programs, please call (702) 240-8972.

The following core components are included at no cost:

Needs Assessment

o HEW will provide a link for an electronic survey to be sent to employees. o Aggregate results report will be provided for management.

Health Communications

o Marketing materials such as flyers provided to either email and/or display on bulletin boards to communicate information about HEW and MyHEWOnline. o Standard health education materials on popular health education topics

(diabetes, heart health, weight management, smoking cessation) provided for employers to distribute (each topic template will include an article, health tips, e-mail blast and recipe).

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Customized Website Portal - MyHEWOnline

 Personalized website developed for employees to access the health risk assessment (HRA), online learning modules, resources, tools and webisodes. o Health Risk Assessment (HRA)

 The HRA is an online tool used to assess health risks. Results from the HRA flag health risk factors that require additional attention by the employee.

 Employees receive a personalized profile report.  Aggregate result report provided for management.

 HEW staff will meet to present recommendations to management team. o Online Learning Modules

 Learning modules available on the following topics: diabetes, heart health, pregnancy, preventive health care, stop smoking and weight management.

 Ability to track module completion

 Employees can print a certificate of completion.  Employee Health Challenges

o If you are interested in having an onsite employee health challenge program, the following will be included:

o Electronic collateral materials to print and facilitate the 8-week program.

o Health educator trains designated employee to become a facilitator to conduct onsite program. Note: it is the employers responsibly to pick designated

employee and for the employee to market, program plan and implement. HEW’s role is to provide the training only.

Employee Health Fairs

o Health fairs are available for employers with 500 or more employees.

Additional buy-up options are available, including onsite biometric screenings, educational services, incentive programs and coordination of health events.

Health Education and Wellness has several additional worksite wellness incentive-based packages and customized bundles to meet your worksite wellness needs.

To learn more about our worksite wellness offerings, and to submit request forms for these core components, please visit www.HEWOnline.com and click on the „For Brokers and Employers‟ tab.

My Way to Wellness was recognized as a 2011 Finalist for the Case In Point Platinum Award in the category of Wellness/Prevention. This is an award program that recognizes the most

successful and innovative case management programs working to improve health care across the care continuum.

My Way to Wellness, created for the Clark County School District support staff, is a 12-month program that starts with an online Health Risk Assessment. The tool is reviewed with the health educator and areas of focus are identified that can be worked on. A wellness visit is scheduled with a PCP and each month participants receive a mission card that keeps them on target with their task. They are also connected to a wellness consultant to help set realistic goals and

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to all employees. The program was designed to ensure quality, consistency and motivation throughout the year.

Health Becomes You, a worksite wellness program created for the Clark County School District employees, was chosen as silver winner for the School Employee Wellness Award Program in 2013 by the Directors of Health Promotion and Education (DHPE). This is awarded annually to select school employee wellness programs for their excellence in planning and implementing school employee wellness programs that promote employee health and lead to improved productivity and lower health care costs. This comprehensive program includes on-site biometric screenings, Health Risk Assessment, 1-on-1 consults with a health educator,

intramural events, seminars on various health education topics, online incentive programs and fun events.

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