PP Handout - Envision New Mexico

12/4/2013
Presented by Kevin Werling
Systems Analyst – Envision New Mexico
December 6, 2013
University of New Mexico * Department of Pediatrics * Envision New Mexico
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If you wish to receive CME/CEU/ or an attendance
certificate, please tell us your name.
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Please un-mute your telephone line by pressing *#.
University of New Mexico * Department of Pediatrics * Envision New Mexico
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Goals:
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Participants will be able to identify devices, software,
and websites designed to encourage healthy food
choices.
Participants will be able to identify devices, software,
and websites designed to encourage physical activity.
University of New Mexico * Department of Pediatrics * Envision New Mexico
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…but, isn’t technology the problem?
78 percent of teens have cell phones, and 47 percent
have smart phones with computing capability. (Pew
Internet Study).1
Cause ≠ Solution
University of New Mexico * Department of Pediatrics * Envision New Mexico
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Average weight loss when combining a mobile app—
which tracks eating and activity—with a weight-loss
regimen is 15 lbs.
Average weight loss when only using an app is 8 lbs.
All apps included goal setting, calorie and activity
tracking, and social support.
(Reference: Northwestern University – 2013)2
University of New Mexico * Department of Pediatrics * Envision New Mexico
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Pediatric Comprehensive Weight Management
Center at the University of Michigan
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Tailored and targeted text messages to obese
children
Surveys taken initially to aid in targeting messages
Results in more individualized obesity counseling
Reference: Researchers combat obesity with tech tools popular with teens,
http://news.yahoo.com/blogs/lookout/researchers-combat-obesity-tech-tools-popular-teens-135530214.html 1
University of New Mexico * Department of Pediatrics * Envision New Mexico
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WeeCanFightObesity.org
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Alabama Sports Festival Foundation
Provides electronic animated exercise programs in PE
classes
Provides Wiis in Senior Centers
Reference: http://weecanfightobesity.org/ 11
University of New Mexico * Department of Pediatrics * Envision New Mexico
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Computer algorithms can tell you without you
having to read labels.
Companies like Fooducate, ShopWell and wHealthy
Solutions help users make better choices, including
healthier alternatives.
Companies are working on apps that will determine
caloric content based on a picture. 3
University of New Mexico * Department of Pediatrics * Envision New Mexico
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CDC Website 4
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http://www.cdc.gov/healthyweight/index.html
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Target is general population
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Weight assessment, preventing weight gain, losing weight,
healthy eating, physical activity, etc.
University of New Mexico * Department of Pediatrics * Envision New Mexico
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CDC – BMI Percentile Calculator 5
(http://apps.nccd.cdc.gov/dnpabmi/Calculator.aspx)
University of New Mexico * Department of Pediatrics * Envision New Mexico
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www.ChooseMyPlate.gov 6
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Simple guidelines for
portioning of food groups
Info and tips for increasing
physical activity
“Super Tracker” – diet and
physical activity tracker
University of New Mexico * Department of Pediatrics * Envision New Mexico
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USDA website http://fnic.nal.usda.gov/dietaryguidance/interactive-tools 7
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“Design your diet” menu planner
“Interactive Playground”: Children’s Healthy Eating
Calculator, Make a Pizza (walk-through)
University of New Mexico * Department of Pediatrics * Envision New Mexico
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Solusville: A Healthy Neighborhood 8
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Interactive nutrition and activity education website
http://www.nourishinteractive.com/kids
University of New Mexico * Department of Pediatrics * Envision New Mexico
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BMI Calculators
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Pedi QuikCalc (drug calculation app) – i-devices
University of New Mexico * Department of Pediatrics * Envision New Mexico
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BMI Calculators cont.
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HHS HealthBeat – Created by the US Dept of Health
and Human Services
CHILD BMI – i-devices
MY BMI – i-devices
Ideal Weight (BMI) for Android
University of New Mexico * Department of Pediatrics * Envision New Mexico
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Nutrition & Meal Planning
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MyPlate – ChooseMyPlate model
University of New Mexico * Department of Pediatrics * Envision New Mexico
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Nutrition & Meal Planning
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Meal Maker – Add your own recipes
The Food Planner – Add recipes, group into menus, and
generate shopping list
HealthyOut – Free Restaurant Nutrition Guide (San
Francisco and National chains only)
Cut it Out Diet App – Count calories you consume,
calories you avoid (made a decision not to consume),
and see your progress.
MyNetDiary – Food/exercise diary and calorie
counter (iPad – free)
University of New Mexico * Department of Pediatrics * Envision New Mexico
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Physical Activity
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Moves – iPhone app that automatically tracks your
movement with no additional device
Nike+ FuelBand - measures activity with FuelBand
device/goal setting
General Healthy Living
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Tweek-a-Week – weekly small
lifestyle changes to healthier living
Withings Health Companion –
includes blood pressure and sleep
monitoring (free)
University of New Mexico * Department of Pediatrics * Envision New Mexico
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General Healthy Living cont.
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LiVe Well– Teen fitness and health (iPhone & Android) 9
http://intermountainhealthcare.org/live-well/Pages/home.aspx
 Healthy Food
Tracker: goal
setting/progress
 Website has
resources for
teachers & teens
AMA Weight What
Matters – work with your
physician (weight/healthy
living), tracks progress
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University of New Mexico * Department of Pediatrics * Envision New Mexico
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Apps for Healthy Kids: Challenge.gov 10
http://appsforhealthykids.com/
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Competition in 2010 that gave monetary prizes for
software developers to “create innovative, fun, and
engaging tools and games that encourage children directly or through their parents - to make more
nutritious food choices and be more physically
active.”
University of New Mexico * Department of Pediatrics * Envision New Mexico
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Up – Wristband that tracks eating, sleeping, and
activity patterns
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Uses a mobile app to give “nudges.”
All data except meals are automatically tracked
University of New Mexico * Department of Pediatrics * Envision New Mexico
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Nike FuelBand
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Measures activity with Nike+ app
which allows users to set goals
and track progress
AspireAssist
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Pairs with a valve surgically implanted into the
stomach
Patients drain up to 1/3 of a meal out so s/he digests
fewer calories
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Full Scale: Withings wi-fi body scale
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Measures weight body fat, and body mass index
(allows user to know if weight gained or lost is
muscle or fat)
Data sent wirelessly to mobile device or computer
University of New Mexico * Department of Pediatrics * Envision New Mexico
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X-Box Kinect
Wii
PlayStation Move
Pedometers
Smart Watches
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How do we make lasting change?
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Individual conviction
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Motivational Interviewing
Continuous external support
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Social Media
“Research supports the idea that social media helps
people lose weight.” Marjorie Nolan, Registered
Dietitian, American Dietetic Association
University of New Mexico * Department of Pediatrics * Envision New Mexico
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Researchers combat obesity with tech tools popular with teens
http://news.yahoo.com/blogs/lookout/researchers-combatobesity-tech-tools-popular-teens-135530214.html
2 Northwestern University Study – 2012
http://www.northwestern.edu/newscenter/stories/2012/12/m
obile-app-boosts-weight-loss.html
3 Enlisting Technology to Fight Obesity
http://www.huffingtonpost.com/michael-segal/obesitycrisis_b_2026173.html
4 CDC Website http://www.cdc.gov/healthyweight/index.html
5 CDC BMI Percentile Calculator for Child and Teen
http://apps.nccd.cdc.gov/dnpabmi/Calculator.aspx
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University of New Mexico * Department of Pediatrics * Envision New Mexico
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Choose My Plate www.ChooseMyPlate.gov
USDA website http://fnic.nal.usda.gov/dietaryguidance/interactive-tools
8 Solusville: A Healthy Neighborhood
http://www.nourishinteractive.com/kids
9 LiVe Well– Teen fitness and health
http://intermountainhealthcare.org/livewell/Pages/home.aspx
10 Apps for Healthy Kids: Challenge.gov
http://appsforhealthykids.com/
11 Wee Can Fight Obesity http://weecanfightobesity.org/
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Disclosure:
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Accreditation:
UNM CME policy, in
compliance with the ACCME
Standards of Commercial
Support, requires that anyone
who is in a position to control
the content of an activity
disclose all relevant financial
relationships they have had
within the last 12 months with
a commercial interest related
to the content of this activity.
The presenter discloses that
he/she/they have no relevant
financial relationships with any
commercial interest.
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The University of New Mexico School
of Medicine, Office of Continuing
Medical Education is accredited by the
Accreditation Council for Continuing
Medical Education to provide
continuing medical education for
physicians.
The Office of Continuing Medical
Education designates this educational
activity for a maximum of 1.0 AMA PRA
Category 1 Credit(s)™. Physicians
should only claim credit commensurate
with the extent of their participation in
the activity.
Envision NM is a division of the UNM
Department of Pediatrics and receives
funding from the NM Department of
Health and the NM Human Services
Department.
University of New Mexico * Department of Pediatrics * Envision New Mexico
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Molina Healthcare is offering payment to NM primary care providers who seek specialty consultation for their Molina patients
through Envision New Mexico Telehealth
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In addition, on behalf of the primary care provider, non-physician providers (eg. RN, PA, NP, RD, LMSW, LISW) involved with a
Molina patient’s care may present cases to an ENM Telehealth clinic and your practice will receive the reimbursement.
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Enter code Q3014 with GT modifier on a standard Medicaid claim form and receive a $150 reimbursement for the
presentation of Molina member cases to one of the above Envision New Mexico Telehealth clinics.
Eligible clinics are:
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Childhood Overweight Medical Management - Telehealth Clinic (COMM-TC)
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Pediatric Nutrition Telehealth Clinic (PNT)
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Telepsychiatry: Pediatric Integrated Case Conference (T:PICC)
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Telepsychiatry Consultation for Pediatric and School-Based Clinic Providers
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SBHC Provider Integrated Behavioral Health Case Conference Forum
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Asthma/Pulmonary Telehealth Clinic (APT)
For the specifics on how to request your Specialty Consultation, please contact:
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Clancey Tarbox, Envision New Mexico Program Coordinator, [email protected]
For more information about the reimbursement, please contact:
Michel Faust, Care Coordinator, Molina Healthcare of New Mexico
Direct Line: 505-348-0924
Toll Free: 1-800-377-9594 Ext. 180924
Email: [email protected]
Fax: 1-866-472-4575
Molina also offers a Healthy Incentives Program including health services for diabetes, asthma, mammograms, yearly Pap Exams, well
child checkups and more. See the Molina website for more information:
http://www.molinahealthcare.com/medicaid/members/nm/HEALTH/Pages/health_home.aspx).
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BCBS will use a level 4 reimbursement rate of $79.45 per claim with the use of the GT
modifier. This will begin with Centennial Care effective 01/01/2014.
In addition, on behalf of the primary care provider, non-physician providers (eg. RN, PA, NP,
RD, LMSW, LISW) involved with a BCBS patient’s care may present cases to an ENM
Telehealth clinic and your practice will receive the reimbursement.
 Enter code Q3014 with GT modifier on a standard Medicaid claim form and receive a
$79.45 per claim reimbursement for the presentation of BCBS member cases to one of
the above Envision New Mexico Telehealth clinics.
Eligible Envision NM clinics are:
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Childhood Overweight Medical Management - Telehealth Clinic (COMM-TC)
Pediatric Nutrition Telehealth Clinic (PNT)
Telepsychiatry: Pediatric Integrated Case Conference (T:PICC)
Telepsychiatry Consultation for Pediatric and School-Based Health Clinic Providers
SBHC Provider Integrated Behavioral Health Case Conference Forum
Asthma/Pulmonary Telehealth Clinic (APT)
For the specifics on how to request your Specialty Consultation, please contact:
 Clancey Tarbox, Envision New Mexico Program Coordinator, [email protected]
For more information about the reimbursement, please contact:
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Shawnna Romero, Director, NM Medicaid Operations
[email protected]
(505) 816-4072 Office
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Envision New Mexico Staff Directory
Telephone 505-925-7600
www.EnvisionNM.org
Jane McGrath, MD, FAAP
Program Director
[email protected]
Kris Carrillo, LISW
Program Operations Director
[email protected]
Dan Rifkin, MD
Child and Adolescent Psychiatrist
[email protected]
Courtney Acklin
QI Training, Consultation and Outreach
[email protected]
Sara Anderson, MS
QI Training, Consultation and Outreach
[email protected]
Kirsten Bennett, MS, RD, LD
QI Training, Consultation and Outreach
[email protected]
Terri Chauvet
Administrative Assistant III
[email protected]
Carole Conley, LMSW
QI Training, Consultation and Outreach
[email protected]
Paula LeSueur, CFNP
CHIPRA Manager
[email protected]
Kristine Lucero, MA
Accountant II
[email protected]
John Martinez
QI Training, Consultation and Outreach
[email protected]
Janette Schluter
Program Data Specialist
[email protected]
McKane Sharff, MS
CHIPRA Program QI Specialist
[email protected]
Jeanene Sisk
Administrative Assistant II
[email protected]
Noell Stone, MPH
Senior Research Scientist I
[email protected]
Clancey Tarbox
Program Coordinator
[email protected]
Nancy Vandenberg
CHIPRA Program Youth Specialist
[email protected]
Kevin Werling
Systems Analyst ll
[email protected]
Michelle Widener
Data Analyst
[email protected]
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