HealthCoach Huddle
Featured Articles                                                                                     June 2009, Vol. II, No. 2
Target's Health Advocates Make Getting and Staying Healthy Easier

Target Corporation has partnered with RedBrick Health to pilot a wellness program that includes health advocates who are available to assist employees with all health-related issues. The pilot program was designed to ensure team members get the most out of the health and wellness programs offered through Target. Health advocates are available to support pilot program participants with any health-related issue, including benefits and associated claims, identification of the appropriate medical care, health coaching and use of online tools to get and stay healthy. Target also provides cash incentives for eligible pilot program participants who complete biometric screenings, health assessment questionnaires, preventive care visits and recommended coaching programs that are intended to help team members reach their personal health goals. Target's wellness resources include a toll-free NurseLine open 24 hours a day, seven days a week to help determine the appropriate level of care; a new Target health & wellness Web site that provides online health coaches, a personal health record, a health risk assessment and information from leading industry experts on a variety of health topics; and a variety of other resources including an Employee Assistance program, onsite clinics, discounts for many national fitness center memberships and discount Weight Watchers programs. Target is also planning to pilot a comprehensive online tool, MD Health Evolution, as part of a greater initiative in 2009 to further help team members get and stay healthy. The easy-to-use educational tool will be free for pilot team members (plus one friend) and is designed to assist them in assessing their current health, learning how to improve their fitness and nutritional habits, and tracking their progress.

Read full article here

Quotable: Coaching in a Workplace Setting

"It’s important to stratify the at-risk employees and incorporate different levels of interventions. For some people, simply offering referrals, educational materials, brown bag lunches and other options and opportunities with wellness programming is sufficient. For those at the top level of risk — generally, in most settings it’s around the top 20 percent — we find that health coaching is a great intervention. We’ve developed at-risk criteria that we use, and we modify it based on the population with which we’re working. Based on the current literature, there can be very effective health coaching done by a wide variety of healthcare professionals. But if we’re looking at a body of literature, right now motivational interviewing is the only systematic evidence-based approach that we know of.”
                                        — Susan Butterworth, Ph.D., director of health management services at Oregon Health & Science University.

Get more information on coaching in the healthcare continuum.

California Gets Healthy with Kid Coaching Programs

Motivated by the rising number of young people being treated for what were once considered “adult diseases," Health Net of California, Inc. is building comprehensive education programs to address childhood and family obesity and weight management. One program, "Fit Families for Life," offers a five-week, in-home program for the whole family that employs innovative approaches to childhood and family weight management issues. The program encompasses numerous nutrition and physical activity topics and is available to Health Net Medi-Cal, Healthy Families, Healthy Kids and Access for Infants and Mothers members throughout California. This home-based program will be expanded to the public through a series of community classes in which enrollment and materials will be offered at no charge. In addition, Health Net members with high BMI levels also are eligible for a new personalized, telephone-based Fit Families for Life coaching program. Another program, Decision PowerSM is a weight management program that provides free Web-based educational modules, plus one-on-one, telephone-based access to individual health coaches who can provide information and motivation to help members better manage their weight.

Read full article here.

Quality Improvement with PAM
American Health Holdings relies on the Patient Activation Measure™ to assesses a patient’s level of engagement in their own overall health management, but it does more than just that. PAM scores are also used to gauge the success of the DM program and its coaches. Director of DM and Wellness Services Diane Bellard discusses PAM — who is using it, how to deal with a decrease in PAM levels, how it fits with a patient's readiness to change and PAM's role in an organization's overall quality improvement.

Listen to podcast here.

Stratification and Health Coaching

Question: How do you stratify individuals into the coaching programs based on their HRA data?

Response: (Gregg Lehman) There’s a science-based algorithm that goes through a decision-tree type of questioning in the HRA question sets. From that, you could stratify low, moderate or high risk. When we marry that with biometric data, we can also determine the risk stratification and more importantly eligibility for participation in one of the intervention programs.

(Gregg Lehman, Ph.D., is president and CEO of HealthFitness.)

Get more information on employee health promotion strategies.

Save 10% When You Order by June 30

In "The Next Generation of Health Coaching: Multi-Platform Models for Sustained Behavior Change," health coaching veterans set the stage for Health Coaching 3.0 and describe the skills, technology and training that will be required to equip health coaches for this eventuality. To optimize program success and ROI, health coaching will need to be powered by multi-channel outreach — land lines, Web, email, cell phones and even PDAs — and reinforced by tightly interwoven communication and incentive programs.

Get more information on health coaching 3.0.

Offering Incentives for Health & Wellness Programs

Health and wellness programs can do wonders in reducing healthcare costs and increasing productivity for any organization — as long as individuals enroll and participate. As more healthcare organizations use rewards and incentives to drive participation and engagement in health improvement programs, HIN asked over 200 healthcare professionals to share their organization’s experiences with health incentives and rewards.

Download complimentary white paper here.

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