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 9/21/2012 2 NEW To connect audio, please telephone 1-866-260-9581 (no access code needed) Please mute/un-mute your telephone line by pressing *#. You may also press your mute button on your headset or speakerphone during the webinar when you are not speaking. Do not place your phone on hold. If you wish to receive CME/CEU/ or an attendance certificate, you must announce your name when we ask who is participating both at the start and at the end of the session.Your certificate will be emailed to you after the end of this calendar quarter. If you are called on and do not wish to answer, feel free to say “pass”. 12/4/2013 3 1 12/4/2013 If you wish to receive CME/CEU/ or an attendance certificate, please tell us your name. Please un-mute your telephone line by pressing *#. University of New Mexico * Department of Pediatrics * Envision New Mexico 9/21/2012 4 Goals: 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 9/21/2012 5 2 12/4/2013 …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 9/21/2012 6 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 9/21/2012 7 3 12/4/2013 Pediatric Comprehensive Weight Management Center at the University of Michigan 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 9/21/2012 8 WeeCanFightObesity.org 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 9/21/2012 9 4 12/4/2013 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 9/21/2012 10 CDC Website 4 http://www.cdc.gov/healthyweight/index.html Target is general population Weight assessment, preventing weight gain, losing weight, healthy eating, physical activity, etc. University of New Mexico * Department of Pediatrics * Envision New Mexico 9/21/2012 11 5 12/4/2013 CDC – BMI Percentile Calculator 5 (http://apps.nccd.cdc.gov/dnpabmi/Calculator.aspx) University of New Mexico * Department of Pediatrics * Envision New Mexico 9/21/2012 12 9/21/2012 13 www.ChooseMyPlate.gov 6 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 6 12/4/2013 USDA website http://fnic.nal.usda.gov/dietaryguidance/interactive-tools 7 “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 9/21/2012 14 Solusville: A Healthy Neighborhood 8 Interactive nutrition and activity education website http://www.nourishinteractive.com/kids University of New Mexico * Department of Pediatrics * Envision New Mexico 9/21/2012 15 7 12/4/2013 BMI Calculators Pedi QuikCalc (drug calculation app) – i-devices University of New Mexico * Department of Pediatrics * Envision New Mexico 9/21/2012 16 BMI Calculators cont. 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 9/21/2012 17 8 12/4/2013 Nutrition & Meal Planning MyPlate – ChooseMyPlate model University of New Mexico * Department of Pediatrics * Envision New Mexico 9/21/2012 18 Nutrition & Meal Planning 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 9/21/2012 19 9 12/4/2013 Physical Activity Moves – iPhone app that automatically tracks your movement with no additional device Nike+ FuelBand - measures activity with FuelBand device/goal setting General Healthy Living 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 9/21/2012 20 General Healthy Living cont. 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 University of New Mexico * Department of Pediatrics * Envision New Mexico 9/21/2012 21 10 12/4/2013 Apps for Healthy Kids: Challenge.gov 10 http://appsforhealthykids.com/ 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 9/21/2012 22 Up – Wristband that tracks eating, sleeping, and activity patterns Uses a mobile app to give “nudges.” All data except meals are automatically tracked University of New Mexico * Department of Pediatrics * Envision New Mexico 9/21/2012 23 11 12/4/2013 Nike FuelBand Measures activity with Nike+ app which allows users to set goals and track progress AspireAssist 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 University of New Mexico * Department of Pediatrics * Envision New Mexico 9/21/2012 24 Full Scale: Withings wi-fi body scale 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 9/21/2012 25 12 12/4/2013 X-Box Kinect Wii PlayStation Move Pedometers Smart Watches University of New Mexico * Department of Pediatrics * Envision New Mexico 9/21/2012 26 How do we make lasting change? Individual conviction Motivational Interviewing Continuous external support 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 9/21/2012 27 13 12/4/2013 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 1 University of New Mexico * Department of Pediatrics * Envision New Mexico 9/21/2012 28 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/ 6 7 University of New Mexico * Department of Pediatrics * Envision New Mexico 9/21/2012 29 14 12/4/2013 Disclosure: 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. 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 9/21/2012 31 Molina Healthcare is offering payment to NM primary care providers who seek specialty consultation for their Molina patients through Envision New Mexico Telehealth 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. 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: 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 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: 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). 12/4/2013 32 15 12/4/2013 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: 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: Shawnna Romero, Director, NM Medicaid Operations [email protected] (505) 816-4072 Office 12/4/2013 33 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] 12/4/2013 34 16
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