Chronic Disease Update Chris Nesheim Champion

Chronic Disease With community partners, develop community/neighborhood clinics for chronic disease prevention, education, management, such as sickle cell, diabetes, obesity, hypertension and asthma. Target populations with greatest need (e.g., African Americans for diabetes).

Chronic Disease

Chronic Disease Self-Management Program “It’s All About You” Community Program Best Practice Developed by Stanford University Outcomes Based (Florida Hospital reduced ED visits 49%) Interactive Workshop Train the trainer model (32 hours of leadership training) 21/2 hours a week for 6 weeks Community Partnerships No charge to participants 4 4 4

CDSMP Teaches Participants… Action Planning Problem-Solving Decision Making Ways to manage symptoms related to a chronic disease Fatigue Pain Stress The importance of quality nutrition with balanced meal planning and reading food labels Importance of exercise This program empowers participants to work more closely with care providers.

Chronic Disease Self-Management Program – Key Accomplishments Received $15,000 grant from SWFL Community Foundation 2 Trainers sent to Stanford University to become Master Trainers Full-time coordinator hired in June 2013 25 individuals from community partner agencies trained as leaders First class began in February 2013 2 participant classes completed 6 participant classes scheduled

Chronic Disease Self-Management Program Leadership Training – Partner Agencies & LMHS Departments: United Way Comfort Keepers Salvation Army Community Cooperative Ministries, Inc. (CCMI) Suncoast Community Right At Home LMHS Senior Choices

Chronic Disease Management: Expectations Ongoing leader training Continued expansion of program through new community partnerships. Simultaneous classes taught throughout Lee County: minimum 1000 individuals trained in 2 years Participants taking a more active role in their care Reduced ER visits and hospitalization for participants 8 8 8

“Living with Diabetes” Pastor William Glover

21st Century Collaboration’s Bodacious Goals Increase Health Literacy Decrease Teen Pregnancy The Community Health Services Committee seeks to promote improved health, education, disease prevention and increased access to healthcare for families in the zip codes 33916, 33905, and 33901. The Community Health Services Committee

Lee Memorial Health System Lee County Health Department “Living with Diabetes” Participating Health and Community Organizations Lee Memorial Health System Harry Chapin Food Bank Lee County Health Department Family Health Centers Mt. Hermon Ministries

Event Focus EDUCATION SCREENING HEALTHY FOOD DISTRIBUTION

Diabetes Education Topics Covered Survey Results Understanding Diabetes Knowing Your Numbers Managing Your Diabetes Healthy Eating Habits Importance of Exercise Survey Results Decisions Made for Health Improvement Of 65 Responses 27% will move and/or exercise everyday Of 57 Responses 24% will make changes in the way they eat Of 71 Responses 29% will visit their healthcare provider regularly Of 48 Responses 20% will take their medication regularly

7% WEIGHT LOSS RECOMMENDED Screening Total Screened: 218 HYPERTENSION BLOOD GLUCOSE High Glucose Male- 20% Female – 27% No Disease- 53% High Blood Pressure Male-16% Female- 25% No Disease- 59% 7% WEIGHT LOSS RECOMMENDED Male -16% Female- 27% No Disease- 57%

Approx 17,000 lbs of food distributed HARRY CHAPIN FOOD BANK FOOD LIST Chicken Tomatoes Onions Apples Wheat Pasta/Sauce Small Red Potatoes Carrots Cucumbers Approx 17,000 lbs of food distributed 250 Households Served

Questions?